Project HOPE

Project HOPE is a multi-site, NIH-funded study within the NIDA Clinical Trials Network (CTN); San Francisco DPH led the clinical and intervention team for the trial, although the trial did not take place in San Francisco and the Principal Investigator was Dr Lisa Metsch. Project HOPE sought to address issues around HIV-infected persons who delay seeking care until their disease has progressed to require acute treatment.  These patients may cycle in and out of public hospitals, and may not receive optimal HIV primary care; many use illicit drugs and may fail to follow up in HIV outpatient clinics.  Project HOPE compares three strategies for linking and retaining hospitalized HIV-infected substance users to HIV primary care and substance use treatment.

Metsch LR, Feaster DJ, Gooden L, Matheson T, Stitzer M, Das M, Jain MK, Rodriguez AE, Armstrong WS, Lucas GM, Nijhawan AE, Drainoni ML, Herrera P, Vergara-Rodriguez P, Jacobson JM, Mugavero MJ, Sullivan M, Daar ES, McMahon DK, Ferris DC, Lindblad R, VanVeldhuisen P, Oden N, Castellón PC, Tross S, Haynes LF, Douaihy A, Sorensen JL, Metzger DS, Mandler RN, Colfax GN, del Rio C. Effect of Patient Navigation With or Without Financial Incentives on Viral Suppression Among Hospitalized Patients With HIV Infection and Substance Use: A Randomized Clinical Trial. JAMA. 2016 Jul 12;316(2):156-70.