Nash CHORDS

Costs, Health Outcomes & Real-world Determinants of Success in HIV Care Coordination (CHORDS)

Principal Investigator: 

Denis Nash PhD, MPH

Mary Irvine, MPH, DrPH

Co-Investigator(s):

Levi Waldron, PhD

Jeffrey Parsons, PhD

Sarit Golub, PhD, MPH

Sarah Braunstein, PhD, MPH

Beau Mitts, MPH

Julie Myers, MD, MPH

Graham Harriman, MA

Scott Braithwaite, MD, MsC 

Funding Agency:

National Institute of Mental Health (NIMH)

Collaborating Institution: 

The New York City Department of Health and Mental Hygiene

New York University Section on Value and Effectiveness (SOLVE)

Study Location:

New York City, NY

Description:

This study aims to assess the effectiveness of the NYC Ryan White comprehensive HIV Care Coordination Program (CCP) relative to that of usual care outside the CCP for persons living with HIV and residing in NYC, to determine what individual and program-level factors are associated with optimal care outcomes for CCP participants and to determine the cost-effectiveness of the CCP relative to usual care outside the CCP. Through this work, CHORDS is generating much-needed evidence related to the effectiveness, outcome determinants and cost-effectiveness of a promising, scalable service delivery strategy, ultimately increasing the capacity of HIV care programs to achieve the greatest possible uptake and impact.

Presentations/  
Publications:  
 

• Ransome Y, Galea S, Pabayo R, Kawachi I, Braunstein S, Nash D. (2016). Social capital is associated with late HIV diagnosis: an ecological analysis. JAIDS, 73(2):213-21.   
   
• Irvine MK, Chamberlin SA, Robbins RS, Kulkarni SG, Robertson MM, Nash D. (2016). Come as You Are: Improving Care Engagement and Viral Load Suppression Among HIV Care Coordination Clients with Lower Mental Health Functioning, Unstable Housing, and Hard Drug Use. AIDS and Behavior, 21(6):1572-1579.  
   
• Irvine, M. K., Chamberlin, S. A., Robbins, R. S., Myers, J. E., Braunstein, S. L., Mitts, B. J., Nash, D. (2015). Improvements in HIV Care Engagement and Viral Load Suppression Following Enrollment in a Comprehensive HIV Care Coordination Program. Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America, 60(2), 298–310.