- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04201288
Brief Acceptance-Based Retention Intervention for Newly Diagnosed HIV Patients
The overall aim of this program of research is to test a newly developed intervention, Acceptance-Based Behavior Therapy (ABBT), to improve HIV patients' commitment to medical care.
The purpose of the proposed project is to establish the efficacy of ABBT and examine its mechanisms of action. To achieve the specific aims, the investigators will conduct a randomized clinical trial (n = 270), with two treatment arms: ABBT vs. an attention-matched HIV education control condition.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Drop-out rates from medical clinics in the first months following linkage to HIV care are as high as 50%, with 31-46% of patients dropping out after the first visit. People Living with HIV (PLWH) who are not consistently retained in care are at risk for: delayed antiretroviral treatment (ART) initiation, reduced ART adherence, unsuppressed viremia, and mortality. Moreover, poor retention means effective ART cannot be leveraged to prevent further HIV transmission. The objective of this study is to conduct a fully powered, randomized controlled trial (RCT) to assess the efficacy of a brief, 2-session acceptance-based behavioral therapy (ABBT) intervention to enhance retention in HIV care.
The aims of this proposal are: (1) To test, in a 2-arm RCT, the efficacy of the ABBT intervention on retention in care and virologic suppression (primary outcomes); and, ART adherence, disclosure of HIV status, perceived social support, HIV stigmatization (secondary outcomes), relative to an Enhanced-Treatment-as-Usual condition; and, (2) To examine the degree to which retention in HIV care and virologic suppression are mediated by (a) increased HIV acceptance (and decreased HIV experiential avoidance) and (b) increased willingness to disclose HIV status. The sample will consist of 270 HIV patients who are new to care.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Debra Herman, Ph.D.
- Phone Number: 401-455-6652
- Email: DHerman@Butler.org
Study Locations
-
-
Rhode Island
-
Providence, Rhode Island, United States, 02912
- Recruiting
- Brown University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- HIV+
- ≥18 years old
- Entering HIV medical care services for the first time (that is, not transferring HIV care from another location)
- Able to speak and read English at the level to be able to complete the study procedures
- Have telephone access.
Exclusion Criteria:
1. Cognitively impaired
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Acceptance-Based Behavior Therapy (ABBT)
The 2-session ABBT will be delivered in person at session 1 and by telephone at session 2.
|
Acceptance-Based Behavior Therapy (ABBT) In the first session, the interventionist will introduce the concept of acceptance and its possible benefits in the context of life values and participant-identified barriers to retention in care.
Interventionists will help participants identify potential challenges to acceptance, including disclosure concerns.
At the second session, participants will practice acceptance-based coping skills and a behavioral plan will be developed to target barriers identified in the first session.
These discussions will help the participant clarify how best to align their values with decisions on how to manage their HIV.
|
PLACEBO_COMPARATOR: Enhanced-Treatment-as-Usual (ETAU)
In addition to receiving treatment-as-usual at the clinic, ETAU participants will receive a 2-session program of HIV education.
|
ETAU will consist of two brief sessions lead by study interventionists, performed at the same times and by same methods as ABBT.
Topics of education include safe sex practices, review of treatment options, and review of HIV-related indices of health.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Retention in medical care
Time Frame: 52 weeks
|
Objective data from participants' electronic health records will be obtained to examine how many medical appointments they attended in the past year at their HIV treatment clinic.
Participants will be deemed as sufficiently retained if they attend at least 3 medical visits during this period.
|
52 weeks
|
Virologic suppression
Time Frame: 52 weeks
|
Objective data from participants' electronic health records will be obtained to examine their viral load, which is a blood-based measure of the amount of HIV viruses in the person's body.
If participants are not currently retained in medical care and blood sample results are not available in their electronic health record, they will submit 1-3ml of blood at each assessment through the study's research phlebotomist.
|
52 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Self-Rating Scale Item (SRSI) - Antiretroviral Treatment adherence
Time Frame: 52 weeks
|
Self-report data of participants' HIV antiretroviral treatment adherence will be obtained with the SRSI.
Scores range from 0 to 5, which correspond to "very poor" to "excellent" medication adherence.
|
52 weeks
|
Brief HIV Disclosure and Safer Sex Self-Efficacy Scales (BHD)
Time Frame: 52 weeks
|
The BHD HIV disclosure subscale will be used to assess for willingness to make informed disclosure and for actual disclosure of HIV status.
Scores range from 8-32, with higher scores indicating increased willingness to disclose.
|
52 weeks
|
The Multidimensional Scale of Perceived Social Support (MSPSS)
Time Frame: 52 weeks
|
The MSPSS will be used to measure perceived social support.
Scores range from 1-84, with higher scores indicating greater perceived social support.
|
52 weeks
|
HIV Stigma Scale (HSS)
Time Frame: 52 weeks
|
The HSS will be used to measure self-reported experiences, fear, and perception of stigmatization due to being HIV+.
Scores range from 6-24, with lower scores indicating less fear or concern about stigmatization.
|
52 weeks
|
Collaborators and Investigators
Sponsor
Collaborators
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- RNA Virus Infections
- Virus Diseases
- Infections
- Blood-Borne Infections
- Communicable Diseases
- Sexually Transmitted Diseases, Viral
- Sexually Transmitted Diseases
- Lentivirus Infections
- Retroviridae Infections
- Immunologic Deficiency Syndromes
- Immune System Diseases
- Slow Virus Diseases
- HIV Infections
- Acquired Immunodeficiency Syndrome
Other Study ID Numbers
- 1908002504
- R01MH119919 (NIH)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on HIV/AIDS
-
University of MinnesotaWithdrawnHIV Infections | HIV/AIDS | Hiv | AIDS | Aids/Hiv Problem | AIDS and InfectionsUnited States
-
University of California, San DiegoNational Institute of Allergy and Infectious Diseases (NIAID)Completed
-
University of Massachusetts, BostonCompleted
-
Stanford UniversityJanssen Services, LLCCompleted
-
ViiV HealthcareJohns Hopkins University; Pfizer; Vanderbilt University; University of North Carolina...Completed
-
Medical College of WisconsinCompleted
-
Emory UniversityCompleted
-
Rhode Island HospitalUnknown
-
Tibotec Pharmaceuticals, IrelandCompleted
-
Lampiris, Harry W., M.D.AbbottUnknown
Clinical Trials on Acceptance-Based Behavior Therapy (ABBT)
-
Brown UniversityNational Institute of Mental Health (NIMH)Recruiting
-
University of Sao Paulo General HospitalCompletedGeneralized Anxiety DisorderBrazil
-
Brown UniversityNational Institute on Drug Abuse (NIDA); The Miriam HospitalRecruitingHiv | Substance Use DisordersUnited States
-
University of Alabama at BirminghamNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK); University... and other collaboratorsCompletedPediatric Obesity | Executive Function | Self-RegulationUnited States
-
Drexel UniversityCompletedObesity | Overweight | Weight LossUnited States
-
Drexel UniversityNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK); Yale...Active, not recruitingBinge-Eating Disorder | Weight Loss | Binge Eating | Eating DisorderUnited States
-
VU University of AmsterdamCompletedMajor Depressive DisorderNetherlands
-
Virginia Commonwealth UniversityTerminatedPediatric Obesity | Overweight and Obesity | Eating, BingeUnited States
-
Utah State UniversityActive, not recruitingExcoriation (Skin-Picking) DisorderUnited States
-
Utah State UniversityCompletedAEBT Website With Check-ins | AEBT Website Without Check-insUnited States