Evaluating Dyadic Case Management to Improve Financial Wellbeing, Food Access, and HIV Care Outcomes

What this Trial Is About

This research aims to evaluate the impact of dyadic, focused case management on improving financial wellbeing, access to food, and HIV care outcomes for people living with or vulnerable to HIV. The study includes men who have sex with men, gender-diverse persons, and cis-gender women at increased risk or living with HIV. Researchers will compare this approach to routine Ryan White Non-Medical Case Management to see if it leads to better care retention and viral suppression. Participants will be randomly assigned to one of two groups. One group receives the usual Ryan White Non-Medical Case Management, which is client-initiated and focused on needs. The other group receives dyadic case management, where two case managers work together with the participant focusing on goal setting, future planning, and financial stability using techniques like Appreciative Inquiry. Throughout the 18-month study period, participants will be monitored for changes in financial wellbeing and food security as primary outcomes. Secondary outcomes include persistence with PrEP treatment and rates of viral suppression among those living with HIV. Researchers will track these measures to assess how the interventions affect participants health and wellbeing over time.

Case Management Dyad