A youth-led program to help young people with HIV move from pediatric to adult care

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This cluster randomized implementation trial compares standard trainer-of-trainers rollout to an enhanced youth-led, data-driven implementation strategy delivered alongside trainer-of-trainers across 32 Kenyan health facilities. The intervention is an Adolescent Transition Package (ATP), a toolkit delivered by healthcare workers to teach youth the skills needed for independent adult HIV care, adapted from prior evidence and tested previously in the ATTACH trial. Primary outcomes use the RE-AIM framework to measure reach, provider adoption, delivery consistency over time, clinical outcomes (including viral suppression and retention), and cost-effectiveness. The study will also analyze factors influencing implementation and the budget impact of scaling the ATP.

Why it matters

Who can join: the full rules

Inclusion Criteria:

Healthcare providers

* ≥18 years of age
* Employed at one of the 32 facilities in the RCT
* Provides HIV services to adolescents affiliated within their clinic Adolescents and youth living with HIV
* Between 15-24 years of age (focus group discussions, surveys) or between 10-24 years of age (offered the intervention)
* Receives HIV clinical care at one of the clinics included in the study
* Attended clinic ≥1 time following intervention implementation

Exclusion Criteria:

Any individual who meets the following criteria will be excluded from participation in this study:

\- Conditions that would place the individual at increased risk or preclude the individual's full compliance with or completion of the study

Where it's running

• Awendo Sub County Hospital
  Awendo, Kenya Recruiting
• Uriri Sub County Hospital
  Awendo, Kenya Recruiting
• Gatundu Level 5 Hospital
  Gatundu, Kenya Recruiting
• Kiambu County Referral Hospital
  Kiambu, Kenya Recruiting
• Wangige Sub-County Hospital
  Kiambu, Kenya Recruiting
• Kikuyu (PCEA) Hospital
  Kikuyu, Kenya Recruiting

Study contacts

• Principal investigator: Kristin M Beima-Sofie, PhD, MPH — University of Washington
• Study coordinator: Kristin M Beima-Sofie, PhD, MPH
• Email: beimak@uw.edu
• Phone: 206-685-8332

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.