Areas of research
The OHTN Cohort Study research program focuses on four key areas of research
- Social and Behavioral Research
- Clinical Research
- HIV Prevention Research
- Health Services Research
The current scientific protocol and research policies can be found here.
Current Publication List.
Contact the OCS Study Coordinator at [email protected] if interested in a publication that is not available as a full text online.
OCS publication guidelines
Below are presentations and posters presented at recent conferences. These presentations were developed by study staff or external researchers in collaborative research teams. Click the title to access the poster or presentation slides.
AIDS 2022 International AIDS Society
- Hillier et al. Access to Indigenous Cultural and Health Services among Indigenous people living with HIV in Ontario, Canada: Findings from the Ontario HIV Treatment Network Cohort Study (OCS).
- Light et al. Loneliness and ARV adherence: Results from a cohort study of people living with HIV in Ontario, Canada.
- O’Brien et al. Reproductive health and parenthood among women living with HIV in the Ontario HIV Treatment Network (OHTN) Cohort Study (OCS)
- Burchell et al. Cluster-randomized trial of routine syphilis screening among men attending HIV outpatient clinics in Ontario, Canada
The International Workshop on HIV and Hepatitis Observational Databases (IWHOD) 2022
- Kroch et al. Secure-cloud based application for cohort study maintains patient privacy and permitted continued productivity during COVID lockdowns
- Kroch et al. COVID positivity, vaccination, and the socio-behavioural, health and economic impacts among people living with HIV during the COVID pandemic in Ontario, Canada
2022 Canadian HIV Research Conference
- Bekele et al. Access to basic needs services provided by AIDS Service organizations (ASOs) among participants of the Ontario HIV Treatment Network Cohort Study (OCS) prior to and during the COVID-19 pandemic.
- Colyer et al. Pre-HIV-diagnosis utilization of HIV prevention modalities by people living with HIV in Ontario
- Light et al. Financial and health care planning among older adults living with HIV: Results from the Ontario HIV Treatment Network Cohort Study.
- Nyambi et al. Prevalence of COVID-19 infection and vaccine uptake among participants of the Ontario HIV Treatment Network Cohort Study (OCS)
- Obioha et al. Experiences of discrimination among people living with HIV in Ontario
- Qureshi et al. Patient experiences with HIV/AIDS care in Ontario: Findings from the OHTN Cohort Study (OCS)
Working with the OCS
How can I access OHTN Cohort Study data? The OHTN Cohort Study encourages new and past collaborators to submit proposals for analysis projects. The following 5 steps are required to complete the Research Application Process (RAP).
Step 1: Research idea
We know that developing a research idea can be challenging especially when one is not familiar with the scope and limitations of the OHTN Cohort Study. In an effort to support collaborators to develop focused research questions we ask that they submit an OHTN Cohort Study Concept Sheet to the OHTN Cohort Study research coordinator. Following review and approval of an OHTN Cohort Study Concept Sheet, collaborator(s) may submit a “Data Scan Request” form to obtain aggregate-level OHTN Cohort Study data to assess study feasibility.
Step 2: Developing an OCS Project Proposal
Collaborators will be encouraged to complete an OCS Project Proposal only after the review and approval of an OCS Concept Sheet. All Research Project Proposals must contain the information set out in the OCS Research Proposal Form, in particular, whether OHTN Cohort Study data are sought in Standard Release or Conditional Release format. It’s important to note that the Research Project Proposal must be eligible for implicit approval by the research ethics board (REB) of the University of Toronto or have obtained research ethics board (REB) review and approval from the University of Toronto.
Step 3: OHTN Cohort Study: Scientific Review of Research Project Proposals
The OHTN Cohort Study Scientific Steering Committee conducts scientific review to ensure that the research objectives and the analytical plan of each proposal are scientifically feasible and methodologically sound. The Scientific Steering Committee will also assess the necessity of each data element requested in the Research Project proposal to assess whether the proposal presents a risk of residual disclosure and, if so, to recommend how any such risk may be addressed. A Research Project Proposal that has obtained research ethics board (REB) approval from the University of Toronto may be exempted from OHTN’s scientific review by the OHTN Cohort Study Principal Investigator. Following scientific review, the Scientific Steering Committee may recommend the Research Project Proposal for approval as proposed or with revision(s). A proposal will proceed for review by the Governance Committee if and as approved by the Scientific Steering Committee.
Step 4: Community Review by OHTN Cohort Study Governance Committee
The purpose of community review by the Governance Committee is to review each Research Project Proposal following successful scientific review for ethical considerations and for consistency with the OHTN and OHTN Cohort Study’ guiding principles. The Governance Committee may, approve the Research Project Proposal as proposed or with comments and/or revision(s). Once approved, a Research Project Proposal is a “Research Project”.
Step 5: Release of OHTN Cohort Study Data
The OHTN will disclose to Research Project PIs (or their Research Project Team members) only that OHTN Cohort Study Data which has been approved for collection, use and/or disclosure in accordance with steps 3 and 4 above. The OHTN will disclose approved OHTN Cohort Study Data in a release format that provides OHTN Cohort Study participants with the greatest possible protection of their privacy and confidentiality while still meeting the administrative and/or research purposes for which the collection, use and/or disclosure of OHTN Cohort Study data have been authorized.
Working with Indigenous Data
The OCS encourages researchers to conduct analysis on key populations, including those communities disproportionately impacted by HIV. In order to meet current guidance regarding Indigenous data, the OCS has implemented a specific review process for studies of Indigenous Peoples, or that include research questions that will be analyzed by Indigeneity. To submit a research study with a specific focus on Indigenous Peoples, please use the Indigenous Research Proposal Form.
In addition to the steps outlined above, an Indigenous Research study must be reviewed by the Indigenous Data Governance Circle.
Further, preliminary analyses must be submitted to the Indigenous Data Governance Circle before publication or dissemination.
For proposals that include a sub-analysis by group, analyses about Indigenous Peoples must be submitted for review by the Indigenous Data Governance Circle before publication. For more information contact [email protected]
Working with the OCS at ICES
The OCS provides a linked data set to the Institute for Clinical Evaluative Sciences (ICES). Working with the OCS allows for the inclusion of provincial administrative data in an OCS analysis. To work with the OCS at ICES, you must receive approval from the OCS governance committee and submit the project for approval at ICES.
OHTN Cohort Study Questionnaire
The OHTN Cohort Study questionnaire was introduced in 2007 to augment the scope of data collected through clinical chart extraction. Participants are requested to complete an interviewer administered questionnaire yearly. The questionnaire is modular allowing the OHTN Cohort Study the flexibility to ask different questions every year. The base interview module takes approximately 60 minutes to complete. Each year there may be additional sections which are added up to a time maximum of 60 minutes. Participant responses are collected electronically, with no identifying information. Questionnaires are offered in English, French, and Spanish, depending on the capacity of the site.
The list of current topics are here. If you’d like a copy of the full questionnaire, please email [email protected]