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HIV/AIDSHIV+STEPNCT04489667

HIV + Service Delivery and Telemedicine Through Effective PROs

A study testing +STEP Implementation in people with HIV/AIDS and Mental Health Issue, run by University of Alabama at Birmingham.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

This study will examine the impact of using a multicomponent intervention (patient reported outcomes, training, and telemedicine) to assist with the management of Mental Health (MH) and Substance Use Disorders (SUD) among people living with HIV (PLWH) engaged in care at UAB HIV Clinic, University of Alabama Family… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
+STEP Implementation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
No sites listed yet
Study dates
19 Mar 2021to 1 Jan 2026
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 18 years or older and receiving HIV care at one of the five participating sites

Who cannot join

  • Below 18 years of age

About this study

Official title: HIV + Service Delivery and Telemedicine Through Effective PROs (+STEP)

This study will examine the impact of using a multicomponent intervention (patient reported outcomes, training, and telemedicine) to assist with the management of Mental Health (MH) and Substance Use Disorders (SUD) among people living with HIV (PLWH) engaged in care at UAB HIV Clinic, University of Alabama Family Clinic (Birmingham, AL), Thrive Federally Qualified Health Services Center (Huntsville), Health Services Center (Anniston), and Medical Advocacy and Outreach (Montgomery). The study will employ a hybrid type 2 implementation design. Because this intervention will be employed as the new standard of care at participating sites, all PLWH receiving care at the sites will receive this intervention. Patient-reported outcomes (PROs) will be integrated into routine care to screen PLWH for substance use and mental health disorders during routine clinical encounters. Training will be delivered to frontline clinicians so that they receive targeted knowledge on best practices for treatment of MH and SUD along with clinic-specific protocols for response to PROs on MH and SUD including treatment and referrals. Telemedicine services for MH and SUD will be offered to patients in need of expanded access to services due to a lack of clinic-level resources or additional barriers to traditional clinic visits such transportation, stigma, or substance using behaviors.

Being tested
+STEP Implementation
Keywords
Telemedicine, Patient reported outcomes, Focused training
Medical subject headings
Acquired Immunodeficiency Syndrome, Substance-Related Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • +STEP ImplementationOther

    All patients receiving care at five RWHAP-funded clinics will receive the intervention (+STEP), in which patient-reported outcomes (PROs) on mental health and substance use disorder (SUD) will be integrated into routine care, targeted training will be provided for frontline clinicians on best practices for mental health and SUD treatment, and telemedicine for mental health and SUD will be offered to patients in need of expanded access to services.

Study groups in NCT04489667
Study groupRoleWhat they receive
+STEP ImplementationOtherAll patients will receive +STEP as new standard of care at their clinic. This intervention will include staff training, PROs as part of routine care to screen for substance use and mental health disorders, and telemedicine for health care delivery.
Receives: Other: +STEP Implementation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of patients completing PROs

    We will quantify the percentage of patients completing a PRO related to mental health or substance use

    Measured: Baseline through Year 1

  2. Percentage of patients completing PROs

    We will quantify the percentage of patients completing a PRO related to mental health or substance use

    Measured: Year 1 through Year 2

  3. Percentage of patients completing PROs

    We will quantify the percentage of patients completing a PRO related to mental health or substance use

    Measured: Year 2 through Year 3

  4. Percentage of patients completing PROs

    We will quantify the percentage of patients completing a PRO related to mental health or substance use

    Measured: Year 3 through Year 4

  5. Percentage of patients completing PROs

    We will quantify the percentage of patients completing a PRO related to mental health or substance use

    Measured: Year 4 through Year 5

  6. Percentage of staff participating in training

    We will use attendance logs to determine how many staff at each site complete training

    Measured: Baseline through Year 1

  7. Percentage of staff participating in training

    We will use attendance logs to determine how many staff at each site complete training

    Measured: Year 1 through Year 2

  8. Percentage of staff participating in training

    We will use attendance logs to determine how many staff at each site complete training

    Measured: Year 2 through Year 3

  9. Percentage of staff participating in training

    We will use attendance logs to determine how many staff at each site complete training

    Measured: Year 3 through Year 4

  10. Percentage of staff participating in training

    We will use attendance logs to determine how many staff at each site complete training

    Measured: Year 4 through Year 5

  11. Percentage of patients receiving a referral to a mental health or substance use service

    We will use EMR and scheduling data to determine the number of referrals generated

    Measured: Baseline through Year 1

  12. Percentage of patients receiving a referral to a mental health or substance use service

    We will use EMR and scheduling data to determine the number of referrals generated

    Measured: Year 1 through Year 2

  13. Percentage of patients receiving a referral to a mental health or substance use service

    We will use EMR and scheduling data to determine the number of referrals generated

    Measured: Year 2 through Year 3

  14. Percentage of patients receiving a referral to a mental health or substance use service

    We will use EMR and scheduling data to determine the number of referrals generated

    Measured: Year 3 through Year 4

  15. Percentage of patients receiving a referral to a mental health or substance use service

    We will use EMR and scheduling data to determine the number of referrals generated

    Measured: Year 4 through Year 5

  16. Percentage of patients receiving mental health or substance use service based on attendance

    We will use EMR and scheduling data to determine the number of visits attended

    Measured: Baseline through Year 1

  17. Percentage of patients receiving mental health or substance use service based on attendance

    We will use EMR and scheduling data to determine the number of visits attended

    Measured: Year 1 through Year 2

  18. Percentage of patients receiving mental health or substance use service based on attendance

    We will use EMR and scheduling data to determine the number of visits attended

    Measured: Year 2 through Year 3

  19. Percentage of patients receiving mental health or substance use service based on attendance

    We will use EMR and scheduling data to determine the number of visits attended

    Measured: Year 3 through Year 4

  20. Percentage of patients receiving mental health or substance use service based on attendance

    We will use EMR and scheduling data to determine the number of visits attended

    Measured: Year 4 through Year 5

Secondary outcomes (15)
  1. Percentage engaged in HIV care

    We will determine the number of participants engage in HIV care

    Measured: Baseline through Year 1

  2. Percentage engaged in HIV care

    We will determine the number of participants engage in HIV care

    Measured: Year 1 through Year 2

  3. Percentage engaged in HIV care

    We will determine the number of participants engage in HIV care

    Measured: Year 2 through Year 3

  4. Percentage engaged in HIV care

    We will determine the number of participants engage in HIV care

    Measured: Year 3 through Year 4

  5. Percentage engaged in HIV care

    We will determine the number of participants engage in HIV care

    Measured: Year 4 through Year 5

  6. Percentage receiving antiretroviral therapy for HIV

    We will determine the number of participants receiving HIV treatment

    Measured: Baseline through Year 1

  7. Percentage receiving antiretroviral therapy for HIV

    We will determine the number of participants receiving HIV treatment

    Measured: Year 1 through Year 2

  8. Percentage receiving antiretroviral therapy for HIV

    We will determine the number of participants receiving HIV treatment

    Measured: Year 2 through Year 3

  9. Percentage receiving antiretroviral therapy for HIV

    We will determine the number of participants receiving HIV treatment

    Measured: Year 3 through Year 4

  10. Percentage receiving antiretroviral therapy for HIV

    We will determine the number of participants receiving HIV treatment

    Measured: Year 4 through Year 5

  11. Number of Patients Achieving a Viral Load Suppression

    We will determine the number of participants who have achieved Viral Load suppression, s defined by a Viral load of <20 copies per milliliter

    Measured: Baseline through Year 1

  12. Number of Patients Achieving a Viral Load Suppression

    We will determine the number of participants who have achieved Viral Load suppression, s defined by a Viral load of <20 copies per milliliter

    Measured: Year 1 through Year 2

  13. Number of Patients Achieving a Viral Load Suppression

    We will determine the number of participants who have achieved Viral Load suppression, s defined by a Viral load of <20 copies per milliliter

    Measured: Year 2 through Year 3

  14. Number of Patients Achieving a Viral Load Suppression

    We will determine the number of participants who have achieved Viral Load suppression, s defined by a Viral load of <20 copies per milliliter

    Measured: Year 3 through Year 4

  15. Number of Patients Achieving a Viral Load Suppression

    We will determine the number of participants who have achieved Viral Load suppression, s defined by a Viral load of <20 copies per milliliter

    Measured: Year 4 through Year 5

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Jul 2020
  2. Study start19 Mar 2021 (estimated)
  3. Primary completion1 Jan 2026 (estimated)
  4. Study completion1 Jan 2026 (estimated)

Why it stopped: Not considered a clinical trial

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Screening
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04489667
Sponsor's protocol ID
IRB-300005613
Other IDs
1R01MH124633-01
Acronym
HIV+STEP
Status last verified
Feb 2026
First submitted
24 Jun 2020
Last updated
18 Feb 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The proposed project will comply with the NIH Data Sharing Policy, thus all data collected will be made available to outside investigators. To maintain HIPAA compliance, we will provide a limited-use dataset (i.e., stripped of identifying information). When possible, collaborative use of the data will be encouraged in order to enhance the quality of secondary analyses. Data will be made available as either a SPSS or Excel dataset, or as a tab-delimited ASCII file. Methods will be described through published papers, and relevant software and/or procedures documents.

Publications

  • Kozak MS, Mugavero MJ, Ye J, Aban I, Lawrence ST, Nevin CR, Raper JL, McCullumsmith C, Schumacher JE, Crane HM, Kitahata MM, Saag MS, Willig JH. Patient reported outcomes in routine care: advancing data capture for HIV cohort research. Clin Infect Dis. 2012 Jan 1;54(1):141-7. doi: 10.1093/cid/cir727. Epub 2011 Oct 31.

    PubMed 22042879
  • Mehrotra A, Huskamp HA, Souza J, Uscher-Pines L, Rose S, Landon BE, Jena AB, Busch AB. Rapid Growth In Mental Health Telemedicine Use Among Rural Medicare Beneficiaries, Wide Variation Across States. Health Aff (Millwood). 2017 May 1;36(5):909-917. doi: 10.1377/hlthaff.2016.1461.

    PubMed 28461359
  • Ickovics JR, Hamburger ME, Vlahov D, Schoenbaum EE, Schuman P, Boland RJ, Moore J; HIV Epidemiology Research Study Group. Mortality, CD4 cell count decline, and depressive symptoms among HIV-seropositive women: longitudinal analysis from the HIV Epidemiology Research Study. JAMA. 2001 Mar 21;285(11):1466-74. doi: 10.1001/jama.285.11.1466.

    PubMed 11255423
  • Springer SA, Dushaj A, Azar MM. The impact of DSM-IV mental disorders on adherence to combination antiretroviral therapy among adult persons living with HIV/AIDS: a systematic review. AIDS Behav. 2012 Nov;16(8):2119-43. doi: 10.1007/s10461-012-0212-3.

    PubMed 22644066
  • Sohail M, Rastegar J, Long D, Rana A, Levitan EB, Reed-Pickens H, Batey DS, Ross-Davis K, Gaddis K, Tarrant A, Parmar J, Raper JL, Mugavero MJ. Data for Care (D4C) Alabama: Clinic-Wide Risk Stratification With Enhanced Personal Contacts for Retention in HIV Care via the Alabama Quality Management Group. J Acquir Immune Defic Syndr. 2019 Dec;82 Suppl 3:S192-S198. doi: 10.1097/QAI.0000000000002205.

    PubMed 31764254
  • Powell BJ, McMillen JC, Proctor EK, Carpenter CR, Griffey RT, Bunger AC, Glass JE, York JL. A compilation of strategies for implementing clinical innovations in health and mental health. Med Care Res Rev. 2012 Apr;69(2):123-57. doi: 10.1177/1077558711430690. Epub 2011 Dec 26.

    PubMed 22203646

Questions about this trial

What is this clinical trial studying?

A study testing +STEP Implementation in people with HIV/AIDS and Mental Health Issue, run by University of Alabama at Birmingham.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: withdrawn, as of the sponsor's last update on 18 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was withdrawn before enrolling participants, so there are no results.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of patients completing PROs (time frame: Baseline through Year 1). The study lists 20 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04489667, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Feb 2026.

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