Framing Mechanisms Linking HIV-Related Stigma, Adherence to Treatment, and Health Outcomes.
Bulent Turan, Abigail M Hatcher, Sheri D Weiser...
https://pubmed.ncbi.nlm.nih.gov/28426316Actively Recruiting
Phase Not Applicable
Age: 18Years +
FEMALE
ID05608421
1MoreStep: Pilot Trial of an Intervention to Increase HIV Care Engagement and Reduce Intimate Partner Violence Among Black Women Living With HIV
Led by Johns Hopkins University · Updated on 2026-04-29
100
Participants Needed
1
Research Sites
13 weeks
Total Duration
On this page
Sponsors
J
Johns Hopkins University
Lead Sponsor
N
National Institute of Mental Health (NIMH)
Collaborating Sponsor
AI-Summary
What this Trial Is About
This research aims to evaluate a 5-session cognitive behavioral program called 1MoreStep, designed for Black women living with HIV who have experienced intimate partner violence in the past two years. The study focuses on teaching skills to access personal and external strengths, safety strategies, knowledge about HIV care and stigma, communication skills to handle stigma, and addressing barriers to HIV care. It also examines the program's acceptability and feasibility among participants. Participants are randomly assigned to either the 1MoreStep intervention or an equal attention control group. The intervention includes seven group sessions and one individual session held weekly, led by experienced facilitators from the Black community. Sessions cover topics such as safety planning, HIV care engagement, stigma communication, and goal setting using cognitive behavioral skills. The control group attends weekly support group sessions that cover general health topics important to Black women living with HIV but not directly related to the intervention's goals. Throughout the study, participants complete assessments at baseline, 3 months, and 6 months to measure changes in safety strategies and HIV care engagement. Measures include surveys, medical record reviews, and interviews to evaluate treatment acceptance, session attendance, and participant experiences. The study spans approximately 6 months post-baseline, with follow-up surveys and qualitative interviews to explore program fit and barriers to participation.
CONDITIONS
Brief Title
1MoreStep: An Intervention to Increase HIV Care Engagement and Reduce Intimate Partner Violence Among Black Women Living With HIV
Who Can Participate
Age: 18Years +
FEMALE
Eligibility Criteria
You may qualify if you...
- Cis-gender female
- Black or African American
- Age 18 or older
- Living with HIV
- Less than or equal to 1 HIV care visit in the previous 12 months OR virally unsuppressed (greater than 50 copies/mL) OR at high risk for poor HIV care adherence
- Experienced intimate partner violence within the previous 2 years
- Ability to attend in-person sessions for up to 8 weeks
- Do not report immediate severe danger from their partner
- Fluent in English
You will not qualify if you...
- Not a cis-gender female
- Not Black or African American
- Age 17 or younger
- Not living with HIV
- More than or equal to 2 HIV care visits in the previous 12 months
- No intimate partner violence within the previous 2 years
- Unable to attend in-person sessions for up to 8 weeks
- Reports immediate severe danger from their partner
- Not fluent in English
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - 8 weeks
Participants attend 8 weekly sessions, including group and individual meetings, focused on cognitive behavioral skills to reduce HIV and IPV stigma or participate in support group sessions addressing personal and health-related issues.
Weekly visits for 8 weeks (in-person sessions)
Follow-up
Duration - 6 months
Participants complete follow-up surveys and some participate in in-depth interviews to assess changes in IPV safety strategies and HIV care engagement.
2 visits (3 and 6 months post baseline)
Trial Site Locations
Total: 1 location
1
Johns Hopkins School of Nursing
Baltimore, Maryland, United States, 21205
Actively Recruiting
Loading map...
Research Team
K
Kamila Alexander
K
Karin Tobin
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
Similar Trials
Frequently Asked Questions
Have more questions? Get in touch with our team for quick support
Not the Right Trial for You?
Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.
Already have an account? Log in here
Published Research Related To This Trial
Reductions in traumatic stress following a coping intervention were mediated by decreases in avoidant coping for people living with HIV/AIDS and childhood sexual abuse.
Kathleen J Sikkema, Krista W Ranby, Christina S Meade...
https://pubmed.ncbi.nlm.nih.gov/23025248