Open Trial to Improve Retention in Care for Persons With HIV Who Use Substances

Brown University

Status: Completed

Conditions: Substance Use Disorders; Hiv

Treatments: Behavioral: Acceptance-based Behavioral Therapy (ABBT) Intervention

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05101044

R34DA053738 (U.S. NIH Grant/Contract)

2104002974

Details and patient eligibility

About

The open trial will examine the feasibility and acceptability of a brief, empirically-supported acceptance-based behavioral therapy intervention to promote retention in care for out-of-care people with HIV who use substances.

Full description

The proposed study will adapt a brief, 2-session acceptance-based behavioral therapy (ABBT) intervention to help people with HIV (PWH) who use substances tolerate fears of stigmatization, increase acceptance of HIV status and substance use problems, and increase engagement in care. By conducting an open trial with 15 adults recruited from an HIV primary medical care clinic, the study will focus on the feasibility of recruiting out-of-care PWH and determine the acceptability of the refined ABBT protocol.

Enrollment: 8 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. HIV+
2. Meet DSM-5 criteria for one or more of the following substance use disorders, at any severity level: cocaine, methamphetamine, and/or opioid
3. ≥18 years old
4. Poorly retained in care, defined as no attended medical appointment in the past 9 months
5. Able to speak and read English at a level sufficient to complete the study procedures
6. Have telephone access

Exclusion criteria

(a) Patients who are cognitively impaired, which will be determined by chart review during screening

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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8 participants in 1 patient group

Acceptance-based Behavioral Therapy (ABBT) Intervention

Experimental group

Description:

All recruited individuals will receive ABBT intervention. ABBT involves 2 sessions delivered within about a week of each other, consisting of a 20-25 minute session 1, and a 10 minute session 2.

Treatment:

Behavioral: Acceptance-based Behavioral Therapy (ABBT) Intervention