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The CONNECT Study: Community-based Outreach and Navigation for Nurse-led Engagement in HIV Care and Treatment

Award Number: R01NR021169
ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 06/25/2024
PERIOD OF PERFORMANCE END DATE: 04/30/2029

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The CONNECT Study: Community-based Outreach and Navigation for Nurse-led Engagement in HIV Care and Treatment - People experiencing homelessness (PEH) experience barriers to accessing HIV prevention and treatment services. Despite highly effective biomedical interventions, including antiretroviral therapy (ART) and pre-exposure prophylaxis (PrEP), many PEH experience fragmented care and delayed engagement in services. Innovative healthcare delivery models are needed to improve timely access to HIV prevention and treatment. Innovative healthcare delivery models are needed to improve timely access to HIV prevention and treatment. We developed CONNECT (Community-based Outreach and Navigation for Nurse-led Engagement in HIV Care and Treatment), a community health worker (CHW)- and nurse-led intervention that integrates HIV prevention and treatment services within homeless shelters and community settings, and a mobile nurse-led clinic that brings low-barrier HIV prevention and treatment services directly to PEH. CONNECT consists of four integrated components: (1) CHWs conduct outreach, HIV prevention education, preliminary HIV screening, and participant navigation; (2) nurses provide confirmatory HIV testing, including confirmation of HIV self-tests results, determine eligibility for HIV prevention (PrEP) or treatment (ART), and deliver clinical services through shelter-based or mobile nurse-led clinics; (3) HIV-negative participants who are eligible are offered same-day PrEP initiation, while participants with HIV are rapidly linked to ART; and (4) CHWs and nurses work together to monitor participant engagement and facilitate sustained participation in HIV prevention and treatment services. Using a stepped-wedge cluster randomized trial, we will pursue two aims. Aim 1: Evaluate the effectiveness of CONNECT in improving timely PrEP initiation, rapid ART initiation, retention in HIV prevention and treatment services, and viral suppression among adults experiencing homelessness. Aim 2: Evaluate implementation outcomes, including reach, adoption, acceptability, feasibility, fidelity, and sustainability, to determine the potential for integrating CONNECT into routine healthcare and community-based service delivery. The findings will provide evidence to support implementation of the CONNECT model and inform scalable, status-neutral models of HIV service delivery that can be integrated into healthcare system and community-based organizations.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $677,906 )
2026	2026	GEORGE WASHINGTON UNIVERSITY (THE)	1918 F ST NW	WASHINGTON	DC	20052	DISTRICT OF COLUMBIA	USA	Nursing Research	000	3	9/4/2026	NON-COMPETING CONTINUATION	$677,906
														Subtotal = $677,906

Issue Date FY: 2025 ( Subtotal = $727,423 )
2025	2025	GEORGE WASHINGTON UNIVERSITY (THE)	1918 F ST NW	WASHINGTON	DC	20052	DISTRICT OF COLUMBIA	USA	Nursing Research	001	2	8/28/2025	SUPPLEMENT FOR EXPANSION	$51,142
2025	2025	GEORGE WASHINGTON UNIVERSITY (THE)	1918 F ST NW	WASHINGTON	DC	20052	DISTRICT OF COLUMBIA	USA	Nursing Research	000	2	8/27/2025	NON-COMPETING CONTINUATION	$676,281
														Subtotal = $727,423

Issue Date FY: 2024 ( Subtotal = $783,348 )
2024	2024	GEORGE WASHINGTON UNIVERSITY (THE)	1918 F ST NW	WASHINGTON	DC	20052	DISTRICT OF COLUMBIA	USA	Nursing Research	000	1	6/25/2024	NEW	$783,348
														Subtotal = $783,348

Grand Total All Awards = $2,188,677

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The CONNECT Study: Community-based Outreach and Navigation for Nurse-led Engagement in HIV Care and Treatment

Award Number: R01NR021169

ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 06/25/2024

PERIOD OF PERFORMANCE END DATE: 04/30/2029

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