Effect of case management on HIV outcomes for community corrections population: Results of an 18-month randomized controlled trial.
2021
Background Evidence-based interventions that engage community-dwelling, justice-involved, people living with HIV (PLWH) in care are urgently needed. Project Bridge, an intensive case management intervention, has demonstrated efficacy for linking PLWH to care transitioning from prison to the community. We assessed whether a modified Project Bridge model was effective for increasing rates of HIV treatment engagement, antiretroviral therapy receipt and adherence for community-dwelling individuals supervised on probation and parole. Setting Baltimore, Maryland. Methods In this study, the 18-month outcomes of a randomized controlled trial in which PLWH were also on probation or parole received either Project Bridge (n=50) or treatment as usual (n=50) were assessed. HIV treatment engagement (primary outcome), antiretroviral therapy prescription and adherence (secondary outcomes) are evaluated using the intent-to-treat approach. Results There were no statistically significant differences in rates of HIV treatment engagement, antiretroviral therapy prescription receipt or adherence between groups over the 18-month study period. Across groups, participants were 5.6 times more likely to receive HIV care, 5.8 times more likely to receive an ART prescription, and 4 times more likely to report ART adherence at each follow-up period. Conclusion Future research is needed to identify potentially less-intensive interventions that target the unique needs of PLWH under community supervision.
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