Project Grant R01MH135819

Award Date 8/9/24
Completion Date 5/31/29
Dollars Obligated $1.3M
Federal Grant Program
93.242
Assistance Type
Project Grant
Place of Performance
Missouri, USA
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The National Institute of Mental Health (NIMH) awarded a Project Grant under the Mental Health Research Grants (CFDA 93.242) program to The Washington University in the amount of $1,325,208 on August 9, 2024. The grant will fund a Sequential Multiple Assignment Randomized Trial (SMART) to assess different sequential combinations of strategies to return individuals with HIV treatment lapses to care and reengage them long-term in Zambia.

The key products/services to be delivered include:

  1. Comparing the effectiveness of phone outreach vs. navigation plus community-based medication delivery on time to ART re-initiation and return to care among 1,270 individuals.
  2. Among those who return to care, comparing the effectiveness of routine care, navigation alone, and navigation plus community-based medication delivery on retention in care.
  3. Assessing the overall effectiveness and cost-effectiveness of the six sequential combination return-and-reengage strategies on viral suppression at 18 months.
  4. Conducting a mixed-methods evaluation to understand implementation, mechanisms of action, and sustainability potential.

The project involves sub-awards to the Centre for Infectious Disease Research in Zambia (CIDRZ) to oversee all study activities in Zambia, and to the Seoul National University and Johns Hopkins University to provide specialized research support and evaluation services.

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