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NCT03561103 · ClinicalTrials.gov registry record · NA

Impact of Representative Payee Services on ART Adherence Among Marginalized People Living With HIV/AIDS

A NA study, sponsored by University of Pittsburgh.

Completed
Registry status
NA
Development phase
91
Enrollment target

NCT03561103: Completed NA study, sponsored by University of Pittsburgh.

NCT03561103 is a NA study that has completed, run by University of Pittsburgh. The registered enrollment target is 91 participants, below the 1,404-participant average among 58,714 other NA trials with a reported enrollment target (94% lower). According to ClinicalTrials.gov, the official US trial registry.

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The verdict

NCT03561103, a NA study, has completed, sponsored by University of Pittsburgh.

COMPLETED
Registry status
NA
Development phase
91 participants
Enrollment target

Study Summary

Client-Centered Representative Payee is a structural intervention that provides financial management support to PLWHA by modifying the implementation of a long-standing policy within the Social Security Administration, in which an organization is authorized to serve as the client's payee. The central hypothesis of this study is that by helping clients to pay rent and other bills on time, housing stability will improve and financial stress will decrease. By reducing the cognitive burden of living with chronic financial stress and frequent threats of housing loss, clients can devote more time and attention to medical appointments and medication adherence. It is further hypothesized that these changes will improve clients' self-efficacy for health behaviors, retention in care, medication adherence, and viral loads. These hypotheses will be tested via the following specific aims: (1) Conduct a randomized controlled trial with two randomized arms (n=160) and two non-randomized arms (n=50) to test the effect of Client-Centered Rep Payee on ART adherence and viral load among PLWHA who are economically disadvantaged and unstably housed. Clinical adherence will be compared through behavioral and biological measures including prescription refill data, self-reported appointment adherence, and viral load for patients receiving the intervention versus those receiving standard of care. (2) Test underlying mechanisms associated with Client-Centered Rep Payee that contribute to changes in medication adherence and viral suppression rates. This will be accomplished via use of quantitative (mediation analysis) and qualitative (semi-structured interview) methods to test hypothesized mediators of medication adherence and viral suppression including financial and housing instability, financial stress, self-efficacy for health behaviors, and retention in care. (3) Assess the cost and cost-effectiveness of the Client-Centered Rep Payee model. An economic analysis will be conducted to model

Primary Outcome

Change in ART adherence will be calculated by comparing HIV viral load counts at Baseline versus 12 months.

Interventions

  • BEHAVIORAL Client-Centered Representative Payee

Trial Details

FieldValue
Enrollment Target 91 participants
Start Date 2017-05-01
Est. Completion 2024-03-31
Phase NA
University of Pittsburgh

1,238 total trials

What the finished NCT03561103 record still lists

NCT03561103 is an interventional study that assigns participants to a tested intervention. The registry caps enrollment at 91 participants, a relatively small participant target, below the 1,404-participant average among 58,714 other NA trials with a reported enrollment target (94% lower).

The record links to 0 conditions, and to 1 intervention - of which Client-Centered Representative Payee is the first listed.

NCT03561103 does not publish any study locations in the registry export this page uses.

Frequently Asked Questions

What is clinical trial NCT03561103 about?

NCT03561103 is a clinical study titled "Impact of Representative Payee Services on ART Adherence Among Marginalized People Living With HIV/AIDS". Client-Centered Representative Payee is a structural intervention that provides financial management support to PLWHA by modifying the implementation of a long-standing policy within the Social Security Administration, in which an organization is authorized to serve as the client's payee. The centra...

What is the current status of trial NCT03561103?

This trial is currently completed. It is a NA study. The enrollment target is 91 participants. The study started on 2017-05-01. Estimated completion is 2024-03-31.

What interventions are being tested in trial NCT03561103?

The interventions under investigation include: Client-Centered Representative Payee (BEHAVIORAL).

Who is sponsoring clinical trial NCT03561103?

This trial is sponsored by University of Pittsburgh, which has 1,238 total clinical trials registered on ClinicalTrials.gov.

How this trial's enrollment target compares

Where NCT03561103's enrollment target sits among peer trials

91 939th of 2000 higher than 1,060 of 2,000 other NA trials

participants (enrollment target), bucketed by value

Each bar is a band; taller bars hold more other NA trials. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source ClinicalTrials.gov registry export · 2026-08-08

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Source: ClinicalTrials.gov NCT03561103, the US trial registry maintained by the National Library of Medicine. NCT03561103 (small enrollment · none site footprint · completed) retrieved and formatted by PlainTrial, see methodology.