Cooperative Re-Engagement Controlled Trial (CoRECT)

February 26, 2016
HIV, Infection
Daniel Skiest, MD
Baystate Infectious Diseases Clinical Research
3300 Main Street
Springfield, MA 01199
CoRECT will help identify the important components of a data-sharing partnership between health departments and HIV care providers, and determine the extent to which a health department intervention can increase the number of HIV-infected persons out-of-care who: (a) link to an HIV clinic; (b) remain in HIV medical care; (c) achieve HIV viral load suppression within 12 months; and (d) achieve durable HIV viral load suppression over 18 months. We will also measure the cost-effectiveness of this intervention in regards to improved health in the individuals (re)-engaged in HIV care and reductions in further HIV transmission in the community.

Inclusion Criteria:

1. Residents within the health department jurisdiction who have received HIV medical care at a CoRECT clinic and then disengage by either of the following definitions:

  • Clinic definition: did not have a visit with a prescribing provider for 6 months.
  • Health department definition: no CD4 or viral load test result reported to health department surveillance for more than 6 months.

2. Residents within the health department jurisdiction with newly diagnosed HIV infection who have not linked to medical care within 90 days and have either:

  • Received, but did not attend, an appointment at a CoRECT clinic; or
  • Attended an enrollment visit but did not receive medical care at a CoRECT clinic.

Exclusion Criteria:

1. Deceased
2. Out of jurisdiction
3. Changed providers
4. Incarcerated

Dr. Daniel Skiest