Hepatitis C Treatment in Probation and Parole Office

Purpose

This prospective cohort study compares aims to determine the efficacy and effectiveness of telemedicine-supported on-site linkage to care and treatment in a community probation and parole office (P&P office) setting and compare the results with a historic control with referral to care. Research participants will be followed in the P&P office when they report to their officer during regularly scheduled appointments. Participants will receive treatment without having to travel to a specialist's office. The telemedicine visit will include a consultation with an experienced HCV provider such as a hepatologist or an advanced practice provider and a specialty pharmacist who will educate about and monitor HCV treatment. The UK specialty pharmacy will be available to participants and the HCV management team through a 24-hour support line. Participants will be treated per HCV guidelines and insurance preference.

Conditions

  • Hepatitis C
  • HCV

Eligibility

Eligible Ages
Between 18 Years and 99 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Clients who will be supervised in the probation and parole office for at least 5 months - History of hepatitis C - Able to obtain health insurance - Capacity to provide written, informed consent - Life expectancy >1 year

Exclusion Criteria

  • Negative HCV RNA - Pregnant or breast-feeding - HIV or HBV co-infection - Liver cirrhosis with Child-Turcotte-Pugh score 6 or greater at baseline lab work - Subjects with impaired capacity to provide informed consent

Study Design

Phase
N/A
Study Type
Interventional
Allocation
N/A
Intervention Model
Single Group Assignment
Primary Purpose
Health Services Research
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Participants with Hepatitis C 		Participants will be clients at the Lexington Probation and Parole office who are Hepatitic C positive.
  • Behavioral: Telehealth in Parole/Probation Office
    Onsite (telehealth) linkage toHep C treatment in a Probation and Parole office setting via an onsite nurse navigator. The navigator will provide Hep C education, draw labs, and facilitate a telemed visit with a UK GI provider.

Recruiting Locations

More Details

NCT ID
NCT05413785
Status
Completed
Sponsor
Jens Rosenau