The study will test two behavioral intervention components to identify the combination of the two components that best supports people who inject drugs to achieve and sustain HIV viral load suppression. The study design is a 2-to-the-2 factorial experiment. The 2 represents the level of each component: 0 (receive) or 1 (don't receive). The 2 represents the number of components being tested. The four components are: 1) receiving (or not receiving) peer support services for medication-assisted treatment (MAT) uptake and persistence and 2) behavioral activation therapy for depression (BAT). Therefore, in order to test which combination of components produce the best outcome, this factorial design randomizes people to 1 of 4 conditions. Each condition represents a possible combination of the 2 components above. All participants will receive patient navigation for care engagement.
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Achievement of Viral Suppression
Timeframe: Viral load below or above 400 copiers per mL at the 6-month follow-up assessment
Viral Suppression at 9-month follow-up
Timeframe: Viral load below or above 400 copiers per mL at the 9-month follow-up assessment
Viral Suppression at 12-month follow-up
Timeframe: Viral load below or above 400 copiers per mL at the 12-month follow-up assessment