2nd AC+: New Village Model

Overview

This study evaluates implementation of the Village Model to support older people living with HIV.

Full Title of Study: “2nd AC+: Leveraging Technology to Create Communities of Care Around Older People Living With HIV”

Study Type

  • Study Type: Interventional
  • Study Design
    • Intervention Model: Single Group Assignment
    • Primary Purpose: Supportive Care
    • Masking: None (Open Label)
  • Study Primary Completion Date: December 31, 2021

Detailed Description

Understanding that older people living with HIV are facing uniques challenges as they age (lack of peer set due to extreme loss during the AIDS epidemic, ongoing HIV and age stigma, high rates of multi-morbidity) this study explores the acceptability and feasibility of implementing the Village Model in Central San Diego.

The Village Model started when several older members of Boston's Beacon Hill realized they were aging and may need more help as they aged to thrive in their own homes. The Village Model involves members of a community paying annual fees to support a village administrator that organizes regular socialization events and helps coordinate needs of individual members using the skill sets of other members within the community. From that first experience a few decades ago, today over 200 Villages exist across the country to enhance the ability of older adults to age in place.

However limitations of this model exists that may threaten the long term implementation and sustainability of the Village Model. Specifically the requirement to pay annual fees for an administrator, the lack of diversity (in age, race, sexuality etc), and difficulty in meeting member's needs in real-time.

This project proposes to pilot the Village Model in Central San Diego and will implement the following adaptions to address limitations. Members will not be required to pay annual fees but instead depend on a well-funded, long-established diverse organization (The San Diego LGBT Center) to serve as the administrator. This Village will allow participation of persons within the community at all ages, race, economic status. Lastly, the project proposes to pilot the acceptability of using a hyperlocal social app to display and respond to community needs in real time.

To achieve this, we will 1) perform questionnaires to understand the needs in the community by collecting needs assessments. 2) We will explore the meaning of community and explore barriers and facilitators of Village Model implementation. 3) Lastly we will pilot the Village model using a hyperlocal social app.

Interventions

  • Other: Village Model implementation
    • Participate in the Village Model using a hyperlocal social app

Arms, Groups and Cohorts

  • Experimental: Village Model
    • Participate as a member of the Village using a hyperlocal social app for 12 months.

Clinical Trial Outcome Measures

Primary Measures

  • Acceptability
    • Time Frame: 12 months.
    • We have created a 7 question survey based on the Theoretical Framework of Acceptability

Secondary Measures

  • Social Network Inventory
    • Time Frame: 1, 3, 6, and 12 months
    • We will enumerate the social network of persons across four domains of support: emotional, material, social, and service. This will be done asking a series of questions about each persons named

Participating in This Clinical Trial

Inclusion Criteria

  • Lives in Central San Diego
  • Consents to participate
  • Willing to sign Village social contract
  • No plans to move out of Central San Diego in the next year
  • Speaks English

Exclusion Criteria

  • Severely cognitively impaired as indicated by < 10 on mini mental state examination
  • History of a violent felony or fraud in the past 10 years
  • Not willing to consent to participation

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • University of California, San Diego
  • Collaborator
    • The San Diego LGBT Community Center
  • Provider of Information About this Clinical Study
    • Principal Investigator: Maile Young Karris, Associate Professor – University of California, San Diego
  • Overall Contact(s)
    • Jordan Silva, 619-543-3198, jsilva@health.ucsd.edu

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