PEACHES 2.0 Strategies for HIV/AIDS

(PEACHES 2 Trial)

BK
Overseen ByBryan Kutner, PhD, MPH
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Albert Einstein College of Medicine
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to reduce stigma in healthcare settings, enabling more people to access essential services related to anal sex and HIV/AIDS. It focuses on testing PEACHES 2.0 Implementation Strategies to increase HIV prevention and STD testing at clinics in the Mississippi Delta, a region with high infection rates. The goal is to enhance how healthcare providers deliver these services, making it easier for patients to receive necessary care. Individuals who have accessed sexual health services at a Coastal Family Health Center clinic in the past year may be a good fit. As an unphased trial, this study offers participants the chance to contribute to research that could improve healthcare access and reduce stigma for many.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that these stigma-reduction strategies are safe for improving access to HIV services?

Research has shown that the PEACHES 2.0 Implementation Strategies aim to reduce stigma in healthcare settings, facilitating easier access to HIV services. While specific safety data on these strategies is not available, they emphasize the importance of HIV prevention methods like pre-exposure prophylaxis (PrEP). PrEP, a medication that helps prevent HIV infection, has been shown in studies to be generally safe and well-tolerated when used correctly.

These strategies do not involve a new drug or treatment, so there are no direct safety concerns such as medication side effects. Instead, they focus on altering service delivery to make it more accessible and less judgmental. The goal is to enable individuals to receive care without feeling judged, which can enhance public health by encouraging greater use of preventive services.

In summary, the PEACHES 2.0 strategies aim to improve healthcare practices, focusing on safety and accessibility rather than testing a new drug.12345

Why are researchers excited about this trial?

Researchers are excited about the PEACHES 2.0 Implementation Strategies because they aim to enhance the way care is delivered for people with HIV/AIDS. Unlike current treatments that focus primarily on medication to manage the virus, this approach is about improving the strategies used to implement care. By optimizing how healthcare resources are used and how patients are engaged in their treatment plans, PEACHES 2.0 could lead to more effective and personalized care. This could ultimately improve health outcomes and quality of life for individuals living with HIV/AIDS.

What evidence suggests that the PEACHES 2.0 Implementation Strategies are effective for reducing stigma in healthcare settings for HIV/AIDS?

Studies have shown that strategies like PEACHES 2.0, which participants in this trial will experience, effectively reduce stigma in healthcare settings. Research indicates these methods help healthcare workers discuss sensitive topics, such as anal sex, which is crucial for HIV prevention. For example, one study found that similar strategies increased young people's knowledge about HIV/AIDS and boosted their confidence in using condoms. This approach aims to make healthcare environments more welcoming and supportive, facilitating access to necessary care. Early findings suggest that reducing stigma leads to more patients getting tested and treated, resulting in better health outcomes.678910

Who Is on the Research Team?

BK

Bryan Kutner, PhD, MPH

Principal Investigator

Albert Einstein College of Medicine

Are You a Good Fit for This Trial?

This trial is for adults over 18 who either work at or have received sexual health services in the past year from one of eight Coastal Family Health Center clinics. People currently incarcerated, unable to consent, or only seen for non-HIV/STI issues can't join.

Inclusion Criteria

I work at a Coastal Family Health Center clinic and am over 18 years old.
I am over 18 and have used sexual health services at a Coastal Family Health Center clinic in the past year.

Exclusion Criteria

Individuals currently incarcerated or in state custody
Patients whose only visits are for non-HIV, non-STI issues and who do not meet the EMR-based eligibility criteria above
I am able to understand and give my consent to participate.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Pre-Implementation

Preparation and baseline data collection before implementing PEACHES 2.0 strategies

12 months
Monthly data collection

Implementation

Implementation of PEACHES 2.0 strategies to increase provider adoption and patient uptake of ASHS

12 months
Monthly data collection

Maintenance

Ongoing monitoring and support to sustain the adoption and uptake of ASHS

12 months
Monthly data collection

Follow-up

Participants are monitored for the long-term effectiveness and sustainability of the implemented strategies

6 months

What Are the Treatments Tested in This Trial?

Interventions

  • PEACHES 2.0 Implementation Strategies

Trial Overview

The study is testing new ways (called PEACHES 2.0 strategies) to reduce stigma around HIV and anal health care in clinics. It aims to see if these methods help more patients get STI testing, preventive meds, and cancer screening.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: PEACHES 2.0 Implementation StrategiesExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Albert Einstein College of Medicine

Lead Sponsor

Trials
302
Recruited
11,690,000+

Denver Prevention Training Center

Collaborator

Coastal Family Health Center

Collaborator

Columbia University

Collaborator

Trials
1,529
Recruited
2,832,000+

Citations

PEACHES 2.0 Strategies for HIV/AIDS (PEACHES 2 Trial)

PEACHES 2.0 Strategies for HIV/AIDS. (PEACHES 2 Trial). BK. Overseen By ... The results will help guide healthcare systems in using the most ...

Evaluating PEACHES: Pleasure-Inclusive Implementation ...

Evaluating PEACHES: Pleasure-Inclusive Implementation Strategies to Enable Healthcare Workers to Address Anal Sex Stigma during HIV Service ...

The Effectiveness of Two Implementation Strategies for ... - PMC

Longitudinal evaluations showed that the intervention significantly increased Bahamian youth's HIV/AIDS knowledge, perceptions of their ability to use condoms, ...

The Effectiveness of Two Implementation Strategies for ...

Longitudinal evaluations showed that the intervention significantly increased Bahamian youth's. HIV/AIDS knowledge, perceptions of their ability ...

Comparing standard versus enhanced implementation of an ...

Short- and long-term evaluations showed that the intervention significantly increased youth's HIV/AIDS knowledge and condom use skills, as well ...

Advancing the implementation science evidence of HIV ...

We apply three implementation science frameworks for expanding and scaling HIV prevention services in community pharmacies: Exploration, Preparation, ...

Implementation strategies for integrating pre-exposure ... - PMC

Kenya Ministry of Health. Framework for the implementation of pre-exposure prophylaxis of HIV Kenya. Nairobi: National AIDS and STI Control Program; 2017. 29.

Improving Access to HIV Prevention Services in ...

Barriers to HIV testing and PrEP uptake include limited access due to geography, medical mistrust, HIV testing stigma, and fear of a positive ...

Identifying Implementation Strategies to Enhance HIV Pre ...

Identifying Implementation Strategies to Enhance HIV Pre-Exposure Prophylaxis Uptake Among Black Cisgender Women in New Orleans, Louisiana. March 2024; AIDS ...

National HIV/AIDS Strategy Federal Implementation Plan

Continue to support the expansion of therapeutics for the prevention of. HIV infection. Through all stages of drug development, FDA provides valuable advice to ...