Transcript Research Meets Practice - CTN Dissemination Library

Research Meets Practice and
Beyond:
Clinical Implementation of HIV
Rapid Testing
CTN Anniversary Celebration
April 21, 2010
Louise Haynes, MSW
Beverly Holmes, MSW
LRADAC, Columbia, SC
“The Bridge”
NIDA Clinical Trials Network
2000-2010
Building the Bridge
Maturing in the CTN
the beginning….Learning how to
conduct the research successfully
 Then…Increasing the acceptance of
research in participating community
programs
 After that….Disseminating findings to a
welcoming audience of providers
 Finally…….Implementing research-based
interventions
 In
CTN trial for HIV testing and
counseling (CTN0032)





Eligible sites not offering testing
Inpatient and outpatient sites
Methadone and psychosocial rehab
Used rapid test – 20 minutes for results
3 arms: counseling and offer of testing,
information and offer of testing, off-site referral
 Which approach was more effective for getting
tested and receiving results?
 N = 1200
 Ended 12-09
Rapid On-site HIV Testing and
Counseling
 Could
we conduct the protocol
successfully?
 Rapid recruitment
 Would clients agree to participate,
particular concerns about men
Implementation:
Getting Past the Discussion Phase


Following each research project there
was an initial interest in implementing the
intervention: TELE, Adol ADHD, HIV
risk reduction for men and women
(group)
A first: HIV Testing and Counseling in
Substance Abuse Treatment
What made 0032 different from
previous protocols?
 Research
fully integrated into treatment
program
 Immediate implementation
 External funding and support for
programmatic implementation (cost neutral
to agency)
 Champion
CDC
Guidelines
Clients
Research
Implementation
CTP
Administration
Single State
Authority
State Health
Dept
What did the CTN offer?



Experience – conducting the research
offered the opportunity for the agency to
try out the intervention which turned out
to be very popular with clients
Training: both research staff and later for
program staff
Continued supervision and support
Nuts and Bolts of
Implementation

Planning






Program, Clients, Procedures, State
Requirements
Phase 1- Detox
Staffing/training
Testing/counseling
From research based to clinic based
Phase 2: Outpatient Program


Outpatient Groups
Outpatient Intake Orientations
Implementation
 Since



September 8, 2009
319 Rapid Tests Offered
194 Accepted
61% Acceptance Rate
 Reasons



offer not accepted
69% Recently tested
10% HIV positive
Other reasons such as: perceived no risk,
undecided about being tested, not interested
Client Demographics

Clients Tested (detox)



Research protocol at LRADAC (outpatient)



32% Female
49% African American
45% Female
56% AA
Average 7 per week
Opportunities
 South
Carolina School of Alcohol and
Drug Studies
 Collaboration with SSA (DAODAS) and
SC state health department (DHEC)
 Team teaching: CTN, ATTC, DHEC
 Certification upon course completion
Conclusions
 Research
Experience in CTN can lead to
improvement in agency’s treatment
program
 Potential to reach beyond agency – state
wide implementation
 Importance of RRTC support
For more information contact:
 Beverly
Holmes: [email protected]
 Louise Haynes: [email protected]
Thanks
 LRADAC
 Lisa
Metsch, Lauren Gooden, lead team of
CTN0032
 Kathleen Brady, PI, Southern Consortium
LRADAC & Morris Village Research Staff