Clinic-based HIV Identification and Prevention Project Using Electronic Resources (CHIPPER)

  • STATUS
    Recruiting
  • End date
    Dec 31, 2027
  • participants needed
    1170
  • sponsor
    Johns Hopkins University
Updated on 28 October 2022
Accepts healthy volunteers

Summary

Hybrid Type II effectiveness-implementation trial to investigate whether electronic medical and sexual history data collection with HIV risk categorization/scoring will increase pre-exposure prophylaxis (PrEP) uptake among cis-gender women attending routine well-woman gynecologic preventative visits.

Description

Forty-two Obgyn providers will be randomized into 1 of three arms. Patients of enrolled providers who attend an ObGyn clinic for any preventative visit will complete an electronic history form (eHxForm) before clinic through a message sent through the patient portal (MyChart), email, or secure text messaging. The sexual history questions will be scored and categorized into 3 categories. Patients with a low score (0-3) will receive an electronic message offering a laboratory HIV test per USPSTF guidelines. If she accepts, then an automated Epic order will be placed for the provider to sign during the office visit.

Patients with a medium/high score (4-10) will be assigned a study arm based on their provider's group (arm 1: control, arm 2: patient will view score and a PrEP video, arm 3: procedures in arm 2 PLUS providers will receive an electronic health record alert that the patient may have HIV risk factors. This will occur automatically via programming integrated into the electronic health record. The primary outcome is PrEP uptake. The implementation strategy will be evaluated using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework.

Details
Condition HIV Prevention, Primary Care, PrEP
Treatment Control, Patient Level, Multilevel
Clinical Study IdentifierNCT05412433
SponsorJohns Hopkins University
Last Modified on28 October 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Patients of enrolled providers aged 15-65 years
Presenting for preventive care (i.e., well-woman exam, sexually transmitted infection testing, pre-conception counseling, or birth control)

Exclusion Criteria

Pregnant and has established prenatal care, i.e., visit is for prenatal care
Non-English or non-Spanish speaking
Living with HIV
Unable to complete the eHxForm
Clear my responses

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Additional screening procedures may be conducted by the study team before you can be confirmed eligible to participate.

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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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