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PASEO Intervention for Adolescents Transitioning to Adult HIV Care in Urban Peru
Sponsor: Harvard University Faculty of Medicine
Summary
This study is an evaluation of an intervention (nicknamed "PASEO") that aims to facilitate the transition to adult HIV care for adolescents living with HIV in Lima, Peru. The intervention consists of health systems navigation and accompaniment, monthly check-ins with a lay health worker, enhanced social support provided through peer support groups, education sessions, mental health screening and referral, resolution of acute needs, and individualized adherence support. The study is a two-arm 1:1 randomized evaluation to determine the short- and long-term (i.e., post-intervention) efficacy of the PASEO intervention with regard to retention with viral load suppression as well as other indicators of well-being. The cumulative incidence of unsuccessful transition at 12- and 24-months will be compared. The cost and cost-effectiveness of the study intervention in terms of cost per additional successful transition achieved will be estimated. Data on implementation considerations essential for uptake, sustainability, and successful adoption by the public sector will be provided.
Official title: Community-Based Accompaniment for Adolescents Transitioning to Adult HIV Care in Urban Peru: an Evaluation of the "PASEO" Intervention
Key Details
Gender
All
Age Range
14 Years - 23 Years
Study Type
INTERVENTIONAL
Enrollment
160
Start Date
2023-09-29
Completion Date
2027-01-31
Last Updated
2025-03-12
Healthy Volunteers
No
Conditions
Interventions
PASEO
The intervention consists of community-based accompaniment intervention aimed at facilitating the transition to adult HIV care for adolescents living with HIV in Lima, Peru.The intervention includes the following activities: health systems navigation and accompaniment to clinic visits, monthly check-ins with an entry-level health worker, social support provided through peer support groups, education sessions, resolution of acute needs, and individualized adherence support.
Locations (4)
Hospital Nacional Arzobispo Loayza
Lima, Lima Province, Peru
Instituto Nacional de Salud del Nino
Breña, Lima region, Peru
Hospital Nacional Daniel Alcides Carrión
Callao, Lima, Peru
Hospital Nacional Hipólito Unanue
Lima, Peru