Clinical Study

HCV Integrated Care: A Randomized Trial to Increase Treatment Initiation and SVR with Direct Acting Antivirals

Table 1

Patient characteristics.

Total
()
(%)
Integrated Care
()
(%)
Usual Care
()
(%)
value

Demographics
 AgeMean (SD)55.7 (8.4)54.0 (8.7)57.4 (7.7)0.01
 BMIMean (SD)28.8 (5.5)29.0 (5.8)28.6 (5.3)0.79
 GenderMale75 (94.9)37 (92.5)38 (97.4)0.62
 Race/ethnicityAfrican American or Black19 (24.1)7 (17.5)12 (30.8)0.36
White47 (59.5)25 (62.5)22 (56.4)
Native American1 (1.3)0 (0)1 (2.6)
Hispanic11 (13.9)7 (17.5)4 (10.3)
Asian/Pacific Islander1 (1.3)1 (2.5)0 (0)
 Marital statusSingle20 (25.3)11 (27.5)9 (23.1)0.69
Married or widowed25 (31.6)11 (27.5)14 (35.9)
Separated or divorced33 (41.8)18 (45.0)15 (38.5)
Missing1 (1.3)0 (0)1 (2.6)
 EducationGrades 1 to 81 (1.3)0 (0)1 (2.6)0.61
Grades 9 to 114 (5.1)2 (5.0)2 (5.1)
High school/GED18 (22.8)12 (30.0)6 (15.4)
Some college43 (54.4)21 (52.5)22 (56.4)
College grad6 (7.6)2 (5.0)4 (10.2)
Post-grad1 (1.3)0 (0)1 (2.6)
Missing6 (7.6)3 (7.5)3 (7.7)
 EmploymentFull- and part-time9 (11.4)4 (10.0)5 (12.8)0.92
Unemployed28 (35.4)13 (32.5)15 (38.5)
Disabled29 (36.7)15 (37.5)14 (35.9)
Retired or volunteer11 (13.9)7 (17.5)4 (10.2)
Missing2 (2.5)1 (2.5)1 (2.6)
 Homeless in last 5 yearsNegative38 (48.1)18 (45.0)20 (51.3)0.51
Positive33 (41.8)19 (47.5)14 (35.9)
Missing8 (10.1)3 (7.5)5 (12.8)

Clinical characteristics
 Primary genotypeType 162 (78.5)29 (72.5)33 (84.6)0.27
Types 2, 3, and 417 (21.5)11 (27.5)6 (15.4)
 Fibrosis levelMean (SD)2.2 (1.8)2.1 (1.8)2.3 (1.9)0.84
 Prior liver biopsy36 (45.6)18 (45)18 (46.2)0.99
 Biopsy after enrollment18 (22.8)8 (20)10 (25.6)0.60
 Prior HCV treatment14 (17.7)7 (17.5)7 (17.9)0.96
 Prior psychiatric illness50 (63.3)27 (67.5)23 (59)0.49
 Prior substance abuse37 (46.8)19 (47.5)18 (46.2)0.99
 Other prior comorbidity34 (43%)16 (40%)18 (46.2)0.65
 Number of comorbid disordersMean (SD)0.59 (0.81)0.6 (0.9)0.59 (0.72)0.73

Eligibility screen measures
 Depression (BDI) screenNegative22 (27.8)14 (35.0)8 (20.5)0.21
Positive56 (70.9)26 (65.0)30 (78.9)
Missing1 (1.3)0 (0)1 (2.6)
 Depression (BDI score)Mean (SD)15.5 (9.2)15.4 (9.5)15.7 (9.0)0.96
 PTSD risk screenPositive36 (53.7)21 (56.8)18 (52.9)0.81
 Alcohol (AUDIT-C) screenPositive15 (19.0)7 (17.5)8 (20.5)0.78
 AUDIT-C screen scoreMean (SD)1.5 (2.9)1.4 (2.5)1.7 (3.2)0.83
 Active drug use screenPositive13 (16.5)5 (12.5)8 (20.5)0.38
 Active alcohol risk or drug use (past 6 months)Positive25 (31.6)12 (30.0)13 (33.3)0.81

BDI screen positive score includes scores 10; VA Primary Care PTSD screen score 3; AUDIT-C screen positive score 4 at baseline; self-reported active drug use and/or positive urine toxicology in 6 months prior to baseline (excluding marijuana).