Integrating existing and novel methods to understand organizational context: A case study of an academic-public health department partnership.
Larry R Hearld, Madeline C Pratt, Donna Smith...
https://pubmed.ncbi.nlm.nih.gov/39481580Actively Recruiting
Phase Not Applicable
Age: 13Years +
All Genders
Healthy Volunteers
ID05384145
A Type 2 Hybrid Effectiveness-Implementation Trial to Evaluate a Population Health Combination Intervention to Meet HIV Testing, Linkage, and Viral Suppression Goals in Coastal Alabama
Led by University of Alabama at Birmingham · Updated on 2026-05-18
80
Participants Needed
1
Research Sites
17 weeks
Total Duration
On this page
Sponsors
U
University of Alabama at Birmingham
Lead Sponsor
M
Mobile County Health Deparment
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating a combination intervention called COAST-AL to improve HIV testing, linkage to care, and viral suppression in Mobile County Health Department areas in Alabama. This study focuses on directing community-based HIV testing to high-need areas, speeding up linkage to care at diagnosis through Project Connect, and implementing a Rapid ART Start program. The study aims to support Ending the Epidemic goals by assessing both clinical and implementation outcomes. The intervention combines three CDC evidence-based approaches: data-driven targeted HIV testing, expedited linkage to care via Project Connect, and rapid initiation of antiretroviral therapy (ART). The study includes a pre-implementation phase with interviews and observations to adapt COAST-AL into existing workflows. During the three-year intervention period, researchers will evaluate the program's reach and effectiveness in six Alabama counties served by the Mobile County Health Department. Participants include community clinic providers and staff for formative assessments and individuals aged 13 and older who have been tested for HIV in the study areas during the intervention. Researchers will collect data on time from HIV diagnosis to viral suppression, proportion of the population tested, linkage to care within 30 days, and initiation of ART. The study will use interviews and group techniques to identify strategies for sustaining and expanding COAST-AL beyond the initial counties, with ongoing monitoring throughout the study period.
CONDITIONS
Brief Title
Implementation Trial to Evaluate a Population Health Combination Intervention to Meet HIV Testing, Linkage, and Viral Suppression Goals in Alabama
Who Can Participate
Age: 13Years +
All Genders
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
- For Aim 1 and 3: Work as leadership, administrators, outreach specialists, coordinators, physicians, nurses, or counselors in HIV care facilities in the six Mobile County Health Department counties
- Be over 18 years old for Aim 1 and 3 participation
- For Aim 2: Be over 13 years old
- Have been tested for HIV in the Mobile County Health Department jurisdiction from the start of COAST-AL implementation to 36 months after
You will not qualify if you...
- Unwillingness or inability to provide informed consent
AI-Screening
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Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Implementation
Duration - 3 years
Participants receive the COAST-AL combination intervention which includes targeted community-based HIV testing, expedited linkage to care, and a Rapid ART Start program within the Mobile County Health Department jurisdictions in Alabama.
Periodic visits depending on individual testing and care needs
Follow-up
Duration - Up to 1 year after diagnosis
Participants are monitored for clinical outcomes including time to viral suppression and linkage to care after intervention.
Visits as needed for viral load testing and care follow-up
Trial Site Locations
Total: 1 location
1
University of Alabama at Birmingham
Birmingham, Alabama, United States, 35222
Actively Recruiting
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Research Team
M
Mariel Parman
B
Bernadette Johnson
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
1
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