Open Trial to Improve Retention in Care for Persons With HIV Who Use Substances

Brown University8 enrolled

Overview

The open trial will examine the feasibility and acceptability of a brief, empirically-supported acceptance-based behavioral therapy intervention to promote retention in care for out-of-care people with HIV who use substances.

The proposed study will adapt a brief, 2-session acceptance-based behavioral therapy (ABBT) intervention to help people with HIV (PWH) who use substances tolerate fears of stigmatization, increase acceptance of HIV status and substance use problems, and increase engagement in care. By conducting an open trial with 15 adults recruited from an HIV primary medical care clinic, the study will focus on the feasibility of recruiting out-of-care PWH and determine the acceptability of the refined ABBT protocol.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Substance Use Disorders Hiv

Interventions

Acceptance-based Behavioral Therapy (ABBT) InterventionBEHAVIORAL

This acceptance-based behavioral therapy (ABBT) intervention intends to enhance retention in HIV care for people who use substances by targeting stigma. ABBT promotes an accepting stance towards life's challenges and encourages participants to thoughtfully disclose the serostatus and/or substance abuse problems as a behavioral step towards challenging stigmatization fears. The central hypothesis is that increased tolerance of stigmatization, facilitated through increased acceptance of HIV status and substance use behaviors, will increase PWH's longitudinal commitment to care.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. HIV+ 2. Meet DSM-5 criteria for one or more of the following substance use disorders, at any severity level: cocaine, methamphetamine, and/or opioid 3. ≥18 years old 4. Poorly retained in care, defined as no attended medical appointment in the past 9 months 5. Able to speak and read English at a level sufficient to complete the study procedures 6. Have telephone access Exclusion Criteria: (a) Patients who are cognitively impaired, which will be determined by chart review during screening

Locations (2)

The Miriam Hospital

Providence, Rhode Island, United States

Brown University

Providence, Rhode Island, United States

Outcomes

Primary Outcomes

Client Satisfaction Questionnaire (CSQ)

The Client Satisfaction Questionnaire is a self-report measure of patient satisfaction with treatment. The total score will be used and ranges from 8 to 32 with increased scores indicating greater satisfaction with treatment.

Time frame: 1 month

Secondary Outcomes

Participant Retention Rate Across Intervention Sessions

The investigators will examine the percent of participants that complete all intervention sessions.

Time frame: Baseline and 1 month

Participant Retention Rate for Follow Up Assessments

The investigators will examine the percent of participants that complete the 1-month follow-up assessment.

Time frame: Baseline and 1 month

Data from ClinicalTrials.gov

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