Engaging HIV Patients in Primary Care by Promoting Acceptance
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 43
- 试验地点
- 2
- 主要终点
- Frequency of attended primary care medical appointments
研究概览
简要总结
Engagement in primary care for People Living with HIV/AIDS (PLWHA) is a significant public health concern because reduced commitment to care puts PLWHA at risk for illness progression, death, and transmission of HIV to others. This project will develop a novel treatment, brief acceptance-based behavior therapy (ABBT), to promote self-acceptance of HIV status as a pathway to reducing engagement barriers. The clinical and public health impact of this project will be the development of a simple, low-cost, disseminable intervention that enhances longitudinal commitment to care so PLWHA can obtain effective medical treatments that will prolong survival and improve quality of life. We hypothesize that individuals randomized to brief ABBT will showed increased longitudinal attendance of primary care appointments.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •new to the primary care clinic
- •between 18 and 60 years old
- •entering HIV care for the first time
- •able to speak and read English sufficiently to be able to complete the study procedures
- •have access to a telephone
排除标准
- •psychiatrically or cognitively impaired
研究组 & 干预措施
Treatment-as-usual (TAU)
TAU will consist of the standard sessions all individuals receive as they enter HIV care and attend their first follow-up visit to review lab results. TAU includes identification of environmental barriers to care, assessment of needs for additional care and corresponding referrals (i.e., for depression, substance abuse), and recommendations to attend HIV support groups.
干预措施: TAU (Other)
结局指标
主要结局
Frequency of attended primary care medical appointments
时间窗: 9 months
The number of primary care medical appointments a participant attends over the course of 9 months.
Acceptance and Action Questionnaire-2
时间窗: 9 months
A modified version of the Acceptance and Action Questionnaire-2 (AAQ-2) will be used to quantify the degree to which participants accept their HIV diagnosis and related stresses.
HIV Disclosure Scale
时间窗: 9 months
The HIV Disclosure Scale will be used to quantify how willing participants are to disclose their HIV status to others.
次要结局
- Berger HIV Stigma Scale(9 months)
- Disclosure to others(9 months)
- Social Support Questionnaire(9 months)