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ArticleContemporary clinical trials2025

Study Protocol(s) for Antiretroviral Improvement among Medicaid EnrolleeS (AIMS): A Cluster-Randomized Controlled Trial Leveraging Real-time Administrative Claims to Support Antiretroviral Prescription Adherence.

April D Kimmel, Kathy K Byrd, Michael Stirratt, Delton Harris, Rachel Stallings, Rose S Bono, Andrew Mitchell, Rebecca Dillingham, Caressa Palmer, Elliot Popoff and 4 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05477485 (Antiretroviral Improvement Among Medicaid Enrollees), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05477485 naterminatednot on this map

Antiretroviral Improvement Among Medicaid Enrollees (AIMS): An Insurance-based Data to Care Initiative for Medicaid Enrollees in Virginia

TypeinterventionalSponsorVirginia Commonwealth UniversityRan2023 to 2024Enrolled4ConditionsHuman Immunodeficiency VirusArmsExperimental: AIMS program - patient, No Intervention/Usual care
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

April D KimmelDepartment of Health Policy, School of Public Health, Virginia Commonwealth University, Richmond, VA, United States of America; Division of Infectious Diseases, Department of Internal Medicine, School of Medicine, Virginia Commonwealth University, Richmond, VA, United States of America. Electronic address: adkimmel@vcu.edu.
Kathy K ByrdHIV Research Branch, Division of HIV Prevention, Centers for Disease Control and Prevention, Atlanta, GA, United States of America.
Michael StirrattNational Institute of Mental Health, National Institutes of Health, Bethesda, MD, United States of America.
Delton HarrisDepartment of Health Policy, School of Public Health, Virginia Commonwealth University, Richmond, VA, United States of America.
Rachel StallingsDivision of Disease Prevention, Office of Epidemiology, Population Health and Preparedness, Virginia Department of Health, Richmond, VA, United States of America.
Rose S BonoDepartment of Health Policy, School of Public Health, Virginia Commonwealth University, Richmond, VA, United States of America.
Andrew MitchellIncentive Coordination and Economic Research Division, Healthcare Analytics & Transformation, Virginia Department of Medical Assistance Services, Richmond, VA, United States of America.
Rebecca DillinghamSentara Martha Jefferson Hospital, Charlottesville, VA, United States of America.
Caressa PalmerDepartment of Health Policy, School of Public Health, Virginia Commonwealth University, Richmond, VA, United States of America.
Elliot PopoffDepartment of Health Policy, School of Public Health, Virginia Commonwealth University, Richmond, VA, United States of America.
Zhongzhe PanDepartment of Health Policy, School of Public Health, Virginia Commonwealth University, Richmond, VA, United States of America.
Karen IngersollSchool of Medicine, University of Virginia, Charlottesville, VA, United States of America.
Bassam DahmanDepartment of Health Policy, School of Public Health, Virginia Commonwealth University, Richmond, VA, United States of America.
AIMS study team

Funding

NCHHSTP CDC HHS U01 PS005192
6 · The paper itself

Abstract

introductionRetention in care and antiretroviral therapy (ART) adherence are major clinical and public health challenges in the treatment of HIV in the United States. Traditional data to care (D2C) approaches use health department surveillance data to promote retention in HIV care, with challenges in the timeliness of data and inconclusive findings. Earlier identification of people with HIV who are at risk of loss from care-such as when an ART prescription is not filled-represents a new direction for D2C (D2C-Rx or prescription-based D2C).

methodsWe designed the Antiretroviral Improvement among Medicaid EnrolleeS (AIMS) study, a D2C-Rx initiative in Virginia, which leveraged real-time administrative claims from Virginia Medicaid and HIV surveillance data from Virginia Department of Health (April 2023-June 2024). AIMS was a statewide cluster-randomized, controlled trial comparing a phased, multi-level program of support (intervention) to usual care, among Virginia Medicaid enrollees without current ART prescriptions. Support included a provider-level component for those with no prior ART prescription and patient-level component for those with a > 30-90-day late ART prescription refill(s). We hypothesized that AIMS would increase HIV viral suppression and improve ART adherence at 12 months compared to usual care. We describe the original study protocol and discuss changes implemented to the study design and program implementation. We also consider key methodologic contributions, as well as limitations and challenges to patient- and provider-level enrollment, such as ART prescription data accuracy. ETHICS AND DISSEMINATION: This study was reviewed and approved by the Institutional Review Board of Virginia Commonwealth University (HM20018229). REGISTRATION: The trial is registered at clinicaltrials.gov (NCT05477485).

Indexed as

Anti-HIV AgentsHIV InfectionsMedicaidMedication AdherenceAdultFemaleHumansMaleRandomized Controlled Trials as TopicRetention in CareUnited StatesVirginiaAnti-HIV AgentsAdherenceAdministrative claimsData to careHIV

Identifiers

PMID40393614
PMCPMC12243679

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.