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A Social Network Approach to Improve HIV Prevention and Substance Use Treatment For People Who Use Drugs

NCT07409350 — Not applicable, Not yet recruiting, 398 participants, NYU Langone Health

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RegistryNCT07409350
StatusNot yet recruiting
PhaseNot applicable
Study typeInterventional; randomized, parallel, masking: none, supportive care
Enrollment398 (Estimated)
SponsorNYU Langone Health (Other); collaborators: National Institute on Drug Abuse (NIDA)
ConditionsSubstance Use, HIV Prevention
InterventionsLINKED, Group Intervention (Behavioral)
Datesstart 2027-01-01 (estimated), primary completion 2028-12-01 (estimated), completion 2028-12-01 (estimated), first posted 2026-02-13, last updated 2026-02-13
Locations3 sites in United States

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-Summary

This study includes finalization of the LINKED social network intervention to improve PrEP and MOUD uptake among people who inject drugs (PWID) in collaboration with an Expert Advisory Board and staff (N=16) at The Sidewalk Project (TSP), followed by a Hybrid Type II cluster randomized trial of the LINKED intervention (versus an equal-attention control) among N=372 people who inject drugs, with 6- and 12-month follow-up assessment of PrEP and MOUD uptake. The investigators will also evaluate implementation outcomes to inform future sustainable implementation of LINKED in harm reduction organizations.

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+Arms and interventions

ArmTypeInterventionsDescription
LINKED InterventionExperimentalBehavioral: LINKEDParticipants randomized to the LINKED arm will receive a peer change agent intervention consisting of a 3-hour workshop divided into four learning and practice modules.
Equal-Attention ControlActive comparatorBehavioral: Group InterventionParticipants randomized to the equal attention control group will receive a group intervention facilitated by trained study staff.
  • LINKED (Behavioral): LINKED is a theory-driven social network intervention (SNI) that leverages peer influence within the social networks of people who inject drugs (PWID) to disseminate information, encourage communication, and increase pre-exposure prophylaxis (PrEP) and medications for opioid use disorder (MOUD) uptake and persistence in harm reduction organization (HRO) settings.
  • Group Intervention (Behavioral): Group intervention facilitated by trained study staff that supports critical thinking about what constitutes low, medium, and high risks for HIV and overdose.

+Outcome measures

Primary outcomes

  • Percentage of Participants with PrEP Uptake [Month 6]: Measured via filled PrEP prescription.
  • Percentage of Participants with PrEP Uptake [Month 12]: Measured via filled PrEP prescription.
  • Percentage of Participants with MOUD Uptake [Month 6]: Measured via filled MOUD prescription or buprenorphine, methadone, or naltrexone enrollment.
  • Percentage of Participants with MOUD Uptake [Month 12]: Measured via filled MOUD prescription or buprenorphine, methadone, or naltrexone enrollment.
  • Percentage of Participants with PrEP Adherence [Month 6]: Measured via urine immunoassays to test for oral PrEP.
  • Percentage of Participants with PrEP Adherence [Month 12]: Measured via urine immunoassays to test for oral PrEP.
  • Percentage of Participants with MOUD Adherence [Month 6]: Measured via urinalysis to test for metabolites for MOUD.
  • Percentage of Participants with MOUD Adherence [Month 12]: Measured via urinalysis to test for metabolites for MOUD.

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

Aim 1 - Virtual Focus Group

* Is 18 years or older
* Is a current TSP staff
* Is capable and willing to provide consent

Aim 2 - Intervention

* 18 years or older
* Spend majority of their time in the Los Angeles, CA area where recruited
* Able to complete surveys and group sessions in English
* Self-report to have injected drugs in the past 3 months
* Self-reported HIV negative serostatus
* Not currently on PrEP or MOUD
* Not pregnant
* If a network recruit: presents a valid recruitment coupon
* Is capable and willing to provide consent

Aim 3 - Virtual Focus Group/Surveys

* Is 18 years or older
* Is a current TSP staff
* Is capable and willing to provide consent

Exclusion Criteria:

Aims 1 and 3:

• Individuals who are not current TSP staff members will be excluded from participation.

Aim 2:

* Under age 18;
* Does not spend majority of time in the Los Angeles, CA area where recruited;
* Unable to complete surveys and groups sessions in English;
* Does not self-report injecting drugs in past 3 months;
* Self-reported HIV positive serostatus
* Currently on PrEP or MOUD
* Currently pregnant
* If a network recruit: does not present a valid recruitment coupon

+Locations (3)

FacilityCityCountryStatus
University of Southern CaliforniaLos Angeles, CaliforniaUnited States
The University of ChicagoChicago, IllinoisUnited States
NYU Langone HealthNew York, New YorkUnited States

+Investigators

My Notes