Shared Decision Making to Treat Or Prevent (STOP) HIV in Criminal Legal Involved Populations

This study is looking at two ways to help people with substance use disorders who have been involved with the criminal justice system to prevent or treat HIV. We are comparing "Standard PN" (Patient Navigation), which is the usual care, with "Patient Choice." Patient Choice lets you pick from different services like in-person clinics, a Mobile Health Unit, or telehealth. The goal is to see how many people start or restart PrEP (medication to prevent HIV) or ART (medication to treat HIV) within 6 months. We are also looking at how many people get treatment for substance use. You can join if you are 18 or older, live in specific areas of Connecticut, Texas, or Kentucky, and have been involved with the justice system in the last year. The study is currently recruiting 400 participants.

Study design
This is an interventional study comparing two different approaches to patient navigation. It plans to enroll 400 participants.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
The main outcomes are measured at 6 months after starting the study interventions.

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NCT07223398

Shared Decision Making to Treat Or Prevent (STOP) HIV in Criminal Legal Involved Populations (R33)

Recruiting
NAAges 18+InterventionalTreatment
Yale University
~400 participants
Updated 2026-06-25 on ClinicalTrials.gov
What's tested:Standard PNPatient Choice

At a glance

Recruiting sites
4 of 4 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Percentage of participants who initiate or re-initiate PrEP
Measured over 6 months
+1 more outcome measured
Substance Use Disorders
4 sites across 3 states
Texas2
Connecticut1
Kentucky1
  • Sandra Springer, MD · PRINCIPAL_INVESTIGATOR · Yale University

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Eligibility criteria

Inclusion

able to provide written informed consent in English or Spanish;
living in the community of Western, CT, Dallas and Tarrant Counties in TX and Madison County, KY (potential for Fayette county as well);
Those with current justice involvement (with in the past 12 months) (e.g., prison, jail, community supervision);
willing to have HIV testing to determine negative or positive status;
persons with HIV who report not currently taking ART in past 6 months OR persons who test negative for HIV who report not taking PrEP that have a PrEP indication in past 12 months, including (i) condomless sexual intercourse; and/or (ii) sharing IDU equipment with HIV positive or unknown status partner; and/or (iii) bacterial STI and;
Having a history of opioid and/or stimulant use in the last 12 months within the community.

Exclusion

severe medical or psychiatric disability making participation unsafe;
unable to provide consent.
persons self-reporting pregnancy
  • Percentage of participants who initiate or re-initiate PrEP6 months

    Percentage of participants not living with HIV who initiate or re-initiate PrEP within the 6-month intervention period by self report

  • Percentage of participants who initiate or re-initiate ART6 months

    Percentage of participants living with HIV who initiate or re-initiate ART within the 6-month intervention period by self report