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VIEWS: 7 PAGES: 17

									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

 In 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
     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
       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)
       32% Female
       49% African American

   Research protocol at LRADAC (outpatient)
       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: holmesbe@musc.edu
 Louise Haynes: hayneslf@musc.edu
               Thanks
 LRADAC
 LisaMetsch, Lauren Gooden, lead team of
  CTN0032
 Kathleen Brady, PI, Southern Consortium
LRADAC & Morris Village Research Staff

								
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