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    DiSC Study 2

    Title:

    Data-informed Stepped Care (DiSC) to Improve Adolescent HIV Outcomes (UH3): A cluster randomized trial on a Data-informed Stepped Care intervention to improve retention among adolescents living with HIV

    Purpose: 

    To develop, pilot, and test a Data informed Stepped Care Intervention in a cluster randomized controlled trial

    Objectives:

    • Develop, adapt, pilot, and optimize implementation of data-informed stepped care (DiSC) intervention for ALHIV HIV treatment management
    • Evaluate the effectiveness of the DiSC intervention on ALHIV retention in up to 24 high-volume HIV clinics in Homa bay, Kisumu, and Migori counties in Western Kenya
    • Determine acceptability, feasibility, adaptability, and fidelity of the DiSC intervention
    • Evaluate the effectiveness of the DiSC intervention on ALHIV cascade outcomes (adherence, viral suppression) and adolescent self-efficacy, health service outcomes, and implementation outcomes in high-volume HIV clinics in Homabay, Kisumu, and Migori Counties

    Design:

    Randomized Control Trial

    Population:

    Adolescents and young adults aged 10-24 years enrolled in HIV care, caregivers of HIV-positive adolescents and young adults, policymakers, and stakeholders in adolescent HIV care

    Coverage:

    Kisumu, Homa bay, and Migori Counties

    Duration:

    2 years

    Funding:

    National Institute of Health, USA

    Sponsor:

    University of Washington, USA

    Local IRB Approval:

    Maseno University Ethics Review Committee – MUERC 917/20

    Updates:

    Participant recruitment is completed

    Current activities: 

    Participant follow up