Exploring barriers and enablers to HCV DAA treatment uptake

  • Research type

    Research Study

  • Full title

    Exploring barriers and enablers to hepatitis C virus direct acting antiviral treatment uptake

  • IRAS ID

    292838

  • Contact name

    Kathleen Bryce

  • Contact email

    k.bryce@ucl.ac.uk

  • Sponsor organisation

    University College Hospital London

  • Clinicaltrials.gov Identifier

    Z6364106/2022/03/88, UCL data protection number

  • Duration of Study in the UK

    0 years, 6 months, 1 days

  • Research summary

    Background
    Hepatitis C infection is a major cause of liver disease in the UK and its elimination is a public health priority. However, some people find it difficult to access healthcare services and start treatment. This is important because they will miss out on the benefits of hepatitis C cure, remain at higher risk of serious liver damage and may also pass on the virus to others. Improving treatment uptake is key to hepatitis C elimination in the UK.

    Hepatitis C treatment is now of short duration with few side effects. We don't know enough about why some patients drop out of care or delay before starting treatment.

    Research questions
    What are the influences on hepatitis C DAA treatment uptake (circumstances that make it more difficult or easy to start treatment)? How can health services better support treatment uptake?

    Study design
    We will invite (up to 15) people with hepatitis C who have not started treatment when offered it to take part in a one-to-one interview. The interview will explore the person's beliefs about hepatitis C and the reasons why they may not have started treatment when offered. It will ask about where and how the person would prefer to have their treatment. We will also interview (up to 10) other people involved in providing treatment, such as nurses, doctors, support workers and coordinators, to find out what they have observed. Interviews will take around an hour, held in a convenient location e.g., clinic room in a drug treatment service. Participants with hepatitis C will be offered a small financial (voucher) incentive to acknowledge the time and effort involved.

    The results of this study will help us to identify which patients need more support to start hepatitis C treatment and how best to do so.

    Funding: internal research and development fund.

  • REC name

    London - Queen Square Research Ethics Committee

  • REC reference

    22/LO/0609

  • Date of REC Opinion

    21 Oct 2022

  • REC opinion

    Further Information Favourable Opinion