Stepped Care, Peer-Delivered Help for ART Adherence and Substance Use in Primary Care
Official title: Stepped Care, Peer-Delivered Intervention to Improve ART Adherence and SUD in Primary Care
Funded at Univ of Maryland, College Park · NIH-11609163 · Data updated 2026-11-12
A peer-delivered, stepped-care program in busy primary care clinics helps people living with HIV stay adherent to ART and address substance use, aiming to fit resources and improve outcomes.
Quick facts
| Grant type | R01 grant |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Univ of Maryland, College Park NIH-funded |
| Lab location | 1 site (College Park, United States) |
| Project start | August 1, 2022 |
| Project end | June 30, 2028 |
| Funding year | 2026 |
| Award (this year) | $244,186 |
| NIH project number | 3R01DA056102-04S2 |
| Project ID | NIH-11609163 on NIH RePORTER |
Who could benefit from this research
✓Could help
Adults living with HIV who use substances and receive care in resource-limited primary care settings may be eligible.
✕Less likely to help
Patients without HIV or substance-use concerns or those receiving specialized, non-primary-care HIV services may not benefit from this approach.
What this research studies
This project tests a peer-delivered, stepped-care approach to integrate HIV care and substance-use support in resource-limited primary care settings. It builds on the Khanya model piloted in Cape Town to combine ART adherence support with behavioral strategies to reduce substance use, using a Type 2 hybrid design to study both effectiveness and how to implement it in real-world clinics. The trial will measure how well the intervention works and how to sustain it within typical primary care workflows in a low-resource environment. If successful, the approach could help people living with HIV who also use substances achieve better ART adherence and health outcomes. The work involves adapting and testing the program in the United States at the University of Maryland, with input from stakeholders and integration into existing care pathways.
Why it matters
Potential benefit: If successful, patients could experience better HIV control and fewer substance-use-related health problems through easier access to supportive care in their regular clinics.
How similar studies have gone: Previous piloting of the Khanya intervention in South Africa showed feasibility and acceptable initial effects, supporting further testing in new settings.
Where this research is happening
-
Univ of Maryland, College Park
College Park, United States Active
Researchers
- Principal investigator: Magidson, Jessica F — Univ of Maryland, College Park
- Study coordinator: Magidson, Jessica F
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About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.