- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04766697
SAVA Syndemic Risk Reduction for African American Couples
November 29, 2021 updated by: University of Maryland, College Park
An Integrated Substance Use, Violence, and HIV/AIDS Syndemic Risk-reduction Intervention for African American Couples
Synergistic interactions among substance abuse, violence, and HIV/AIDS, dubbed the SAVA syndemic, are highly linked to HIV acquisition among African Americans.
Given limited literature and development of interventions for HIV-negative but high-risk heterosexual AA couples, there is a need for SAVA risk-reduction development tailored to this population.
Phase 1 consisted of qualitative interviews with 16 couples who met study criteria to gather input and information to adapt an 8-session couple-based SAVA syndemic informed risk reduction intervention for HIV-negative, AA heterosexual couples who reported intimate partner violence (IPV) and substance abuse.
Phase 2 is the focus of this trial and will consist of delivery of the intervention to 20 couples who meet study inclusion criteria to test the adapted intervention.
Given the disproportionate impact of HIV on AAs, this study addresses a key gap in literature by testing the first SAVA informed risk-reduction intervention for high-risk, HIV-negative, heterosexual AA couples.
Study Overview
Detailed Description
Synergistic interactions between substance use, violence, and HIV/AIDS (SAVA syndemic) are closely linked with HIV acquisition among African Americans (AAs).
However, no interventions have been developed to address SAVA syndemic risk-reduction for HIV-negative but high-risk heterosexual AA couples.
This application builds on a qualitative study that was conducted during phase 1 of a NIDA-funded project.
In phase 1, the investigators finalized and tested our recruitment protocol and conducted qualitative interviews with 16 couples who met study criteria.
This application focused on phase 2 of the funded study.
As part of this study the investigators will test an adapted 8-session couple-based SAVA syndemic informed risk-reduction intervention for HIV-negative, AA heterosexual couples who report intimate partner violence (IPV), and substance use.
For this purpose, the investigators deliver the intervention to 20 couples who meet study inclusion criteria to test the adapted intervention.
The intervention will be delivered online (via zoom) to individual couples.
These couples will be recruited through social media (Facebook, Instagram, and Twitter) and advertising through local community-based organizations.
The investigators will also inform the couples who participated in phase 1 qualitative interviews about the opportunity to participate in phase 2. Those who express an interest in participating in phase 2 will have to complete screening again to make sure they are eligible for the present study.
This research will be done as part of a grant proposal funded by NIDA.
Given the disproportionate impact of HIV on AAs, this study addresses a key gap in literature by testing the first SAVA informed risk-reduction intervention for high-risk, HIV-negative, heterosexual AA couples.
Study Type
Interventional
Enrollment (Actual)
20
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Maryland
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College Park, Maryland, United States, 20742
- University of Maryland School of Public Health, Department of Family Sciences
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 49 years (Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
Both participants must:
- be between 18-49 years old
- self-identify as African American/Black
- identify each other as the main/steady heterosexual partner
- have been together for at least 2 months
- plan to be together for at least 3 months
- have had unprotected anal/ vaginal sex with their partner in the last 3 months.
At least one participant must have engaged in:
- IPV in the relationship in the last 6 months
- substance use in the last 6 months.
Exclusion Criteria:
- <18 or >49 years of age
- not being African American/ Black
- not having a steady partner of the opposite sex for at least 2 months
- not sexually active in the last 3 months
- currently pregnant or planning a pregnancy in the next 6 months
- not English language proficient
- showing evidence of significant cognitive impairment at screening; and (h) reporting severe physical or sexual violence by partner in the last 6 months (required medical attention) or being fearful of the partner.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Receive Intervention
All 20 couples will receive the 8-session adapted intervention.
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The 8-session intervention protocol emphasizes cognitive-behavioral interventions for anger management, conflict resolution, reducing sexual risk behavior, substance use, and enhancement of couple functioning.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Condom use
Time Frame: 2-months
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frequency of protected and unprotected vaginal and anal sex
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2-months
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Attitudes toward Sexual Partner Concurrency
Time Frame: 2-months
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10-item self-report measure of attitudes toward sexual partner concurrency
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2-months
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Intimate Partner Violence
Time Frame: 2-months
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38-items Conflict Tactics Scale measures victimization and perpetration of physical, psychological, and sexual violence
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2-months
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Drug use
Time Frame: 2-months
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10-item Drug Abuse Screening Test (DAST-10) will be used to assess changes in drug use
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2-months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Mental Health
Time Frame: 2-months
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PHQ-9 will be used to assess depressive symptoms
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2-months
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Relationship Satisfaction
Time Frame: 2-months
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Couple Satisfaction Index (CSI-16) will be used to assess relationship satisfaction
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2-months
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Mona Mittal, PhD, University of Maryland, College Park
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
March 1, 2021
Primary Completion (Actual)
July 31, 2021
Study Completion (Actual)
July 31, 2021
Study Registration Dates
First Submitted
February 16, 2021
First Submitted That Met QC Criteria
February 19, 2021
First Posted (Actual)
February 23, 2021
Study Record Updates
Last Update Posted (Actual)
November 30, 2021
Last Update Submitted That Met QC Criteria
November 29, 2021
Last Verified
November 1, 2021
More Information
Terms related to this study
Other Study ID Numbers
- 5R03DA044866-02 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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.
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