Evaluating a new approach to improve HIV testing and treatment in Alabama

A Type 2 Hybrid Effectiveness-implementation Trial to Evaluate a Population Health Combination Intervention to Meet HIV Testing, Linkage, and Viral Suppression Goals in Coastal Alabama

Not applicable Interventional University of Alabama at Birmingham · NCT05384145

This study is testing a new way to improve HIV testing and treatment in Mobile County, Alabama, by bringing testing to the community and helping people get care quickly.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment80 (estimated)
Ages13 Years and up
SexAll
SponsorUniversity of Alabama at Birmingham Academic / other
Locations1 site (Birmingham, Alabama)
Trial IDNCT05384145 on ClinicalTrials.gov

What this trial studies

This study aims to implement and assess a combination intervention designed to enhance HIV testing, linkage to care, and viral suppression in Mobile County, Alabama. The intervention includes community-based HIV testing in high-need areas, expedited linkage to care through Project Connect, and a Rapid ART Start program. The study will utilize a data-driven approach and involve in-depth interviews and observations to adapt the intervention to local workflows. The effectiveness of the intervention will be evaluated through clinical outcomes, such as days to viral suppression, and implementation outcomes, such as the proportion of the population tested for HIV.

Who should consider this trial

Good fit: Ideal candidates include individuals aged 13 and older who are tested for HIV within the Mobile County Health Department jurisdiction.

Not a fit: Patients who are unwilling or unable to provide informed consent will not benefit from this study.

Why it matters

Potential benefit: If successful, this intervention could significantly improve HIV testing rates and treatment outcomes for individuals in Alabama.

How similar studies have performed: Other studies have shown success with similar community-based interventions for HIV testing and treatment, indicating potential for positive outcomes.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* AIM 1 \& 3:
* Fit into one of the following categories:

  1\) MCHD leadership, 2) ADPH leadership, 3) clinic administrators, 4) outreach testing specialists, 5) linkage coordinators and community health workers, 6) physicians, 7) nurses, 8) counselors all working at HIV care facilities in the six MCHD jurisdiction counties.
* Over the age of 18 years old.

AIM 2: (IDIs)

* Over the age of 13 years old
* Tested for HIV in MCHD jurisdiction from time of COASTAL implementation to 36 months post-implementation start date.

Exclusion Criteria:

* Exclusion criteria include unwillingness or inability to provide informed consent.

Where this trial is running

Birmingham, Alabama

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions HIVHIV Linkage to CareHIV TestingHIV Treatment
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.