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 Study of a Behavioral Intervention to Improve HIV Care Engagement and Reduce Intimate Partner Violence in Black Women Living with HIV
Led by Johns Hopkins University · Updated on 2026-04-29
100
Participants Needed
1
Research Sites
179 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
Researchers are evaluating a 5-session cognitive behavioral program called the 1MoreStep intervention designed to help Black women living with HIV who have experienced intimate partner violence (IPV) in the past 2 years. The program aims to teach skills for accessing internal and external strengths, safety strategies, improving HIV care knowledge, reducing stigma, and enhancing communication to respond to HIV and IPV stigma. The intervention also addresses structural barriers to HIV care with support from an HIV care navigator. This pilot trial tests the acceptability, feasibility, and preliminary effectiveness of this trauma-informed program in improving IPV safety strategies and HIV care engagement. The 1MoreStep intervention includes 7 group sessions and one individual session delivered weekly by trained facilitators. Sessions cover topics like identifying strengths, using the COPE mnemonic for cognitive and behavioral skills, learning about HIV care and safety planning, practicing communication to combat stigma, and goal setting for safety and health. Participants also receive information about the myPlan app for personalized IPV safety planning. The comparison group attends 7 weekly support group sessions covering general health topics but not focused on HIV or IPV care engagement. Both groups participate in follow-up assessments at 3 and 6 months. Participants complete baseline questionnaires and attend in-person sessions at a community clinic. Researchers monitor attendance and treatment acceptance during the 7-week program and conduct surveys and interviews at 3 and 6 months to assess changes in IPV safety strategies and HIV care engagement. The study also gathers qualitative feedback on program fit and barriers to participation. This approach helps understand the intervention's impact on medication adherence, viral load, and use of safety resources over time.
CONDITIONS
Official 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 years or older
- Living with HIV
- One or fewer HIV care visits in the past 12 months OR virally unsuppressed (viral load >50 copies/mL) OR at high risk for poor HIV care adherence (PHQ ≥ 3, GAD ≥ 3, active substance use)
- Experienced intimate partner violence within the previous 2 years
- Able to attend in-person sessions up to 8 times
- Do not report immediate severe danger from partner
- Fluent in English
You will not qualify if you...
- Not a cis-gender female
- Not Black or African American
- Age 17 years or younger
- Not living with HIV
- Two or more HIV care visits in the past 12 months
- No intimate partner violence within the previous 2 years
- Unable to attend in-person sessions up to 8 times
- Reports immediate severe danger from partner
- Not fluent in English
AI-Screening
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1
2
3
Trial Site Locations
Total: 1 location
1
Johns Hopkins School of Nursing
Baltimore, Maryland, United States, 21205
Actively Recruiting
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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
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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