for people ages 18 years and up (full criteria)
study started
estimated completion
William Cunningham, MD, MPH(ucla)



Consistent treatment with anti-retroviral therapy (ART) suppresses viral load (VL), prolonging life and improving quality of life for HIV+ persons. Suppressing VL benefits communities by reducing transmission to others. Mere availability of ART and care, however, is insufficient; the benefits of ART depend upon HIV+ persons' continuous visits to the health care provider, regular monitoring and regular delivery of medications, - known as retention in HIV care. In spite of national efforts, up to a quarter of HIV+ persons, especially low-income minorities are out of care. Innovative interventions are therefore urgently needed to maximize engagement and retention in HIV care, self-reported adherence, as well as HIV-1 RNA viral load suppression. In pursuit of these aims, the proposed study will assess outcomes of the following interventions in comparison to usual care: 1) contingency management (CM) only; 2) peer navigation (PN) only; and 3) a combined approach that integrates both CM and PN (CA) which the investigators hypothesize to be most effective in improving HIV clinical outcomes.


HIV/AIDS Combined Contingency Management and Peer Navigation Contingency Management Peer Navigation Contingency Management only Peer Navigation only


You can join if…

Open to people ages 18 years and up

  1. Diagnosed HIV+
  2. Age 18 years or older
  3. English or Spanish speaking
  4. Residence in Los Angeles County
  5. prescribed ART in prior 24 months
  6. < 3 visits in prior 12 months or have detectable viral load, as identified in the Ryan White CaseWatch database

You CAN'T join if...

Not meeting any of the criteria identified above


  • Northeast Valley Health Corporation accepting new patients
    Van Nuys California 91401 United States
  • Center for Health Justice accepting new patients
    Los Angeles California 90012 United States
  • Los Angeles Sheriff's Department accepting new patients
    Los Angeles California 90012 United States

Lead Scientist

  • William Cunningham, MD, MPH (ucla)
    Professor, General Internal Medicine and Health Services Research. Authored (or co-authored) 102 research publications


accepting new patients
Start Date
Completion Date
University of California, Los Angeles
Study Type
Last Updated