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A Randomized Controlled Trial Protocol to Evaluate the Effectiveness of an Integrated Care Management Approach to
Heidi M Crane1, Rob J Fredericksen, Anna Church
1Department of Medicine, University of Washington, Seattle, WA, United States. hcrane@uw.edu.
JMIR Research Protocols
|October 7, 2016
Summary
This study evaluates a feasible, clinic-based collaborative care approach to improve antiretroviral medication adherence in patients, including those with mental illness or substance use issues. The integrated care management model aims for better clinical outcomes by targeting interventions to those most in need.
Area of Science:
- Public Health
- Clinical Medicine
- Health Services Research
Background:
- Adherence to antiretroviral medications is crucial for patient outcomes.
- Many interventions are too costly or time-intensive for routine clinical settings.
- A feasible, integrated approach is needed for widespread implementation.
Purpose of the Study:
- To evaluate a collaborative care model for improving antiretroviral medication adherence.
- To assess the feasibility of integrating this approach into routine clinical care.
- To address the needs of patients with co-occurring mental illness and/or substance use issues.
Main Methods:
- A randomized controlled trial (RCT) was developed.
- An integrated, clinic-based care management approach was implemented.
- A stepped-care strategy targeted interventions based on patient need, utilizing existing clinic case managers.
Main Results:
- The trial is currently underway, with enrollment completed in 2015.
- First results are anticipated for publication in early 2017.
- The study is funded by the National Institutes of Health.
Conclusions:
- The paper outlines the protocol for an ongoing clinical trial.
- There is a need for evidence-based, feasible collaborative care models in clinical settings.
- This study aims to demonstrate an innovative method for improving adherence and clinical outcomes within existing care structures.
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