grant
Mitigating the Impact of Stigma and Shame as an Obstacle to Viral Suppression Among People Living with HIV and Substance Use Disorders
Organization BOSTON UNIVERSITY MEDICAL CAMPUSLocation BOSTON, UNITED STATESPosted 1 Aug 2023Deadline 30 Jun 2028
NIHUS FederalResearch GrantFY20252 arm RCT2 arm randomized control trial2 arm randomized controlled trialAIDS VirusAcquired Immune Deficiency Syndrome VirusAcquired Immunodeficiency Syndrome VirusActive Follow-upAddressAdherenceAdoptionAppointmentAreaAutomobile DrivingAwarenessBehavior Conditioning TherapyBehavior ModificationBehavior TherapyBehavior TreatmentBehavioralBehavioral Conditioning TherapyBehavioral ModificationBehavioral SciencesBehavioral TherapyBehavioral TreatmentBostonCare ManagerCaringCase ManagerCognitionCommunicable DiseasesCommunitiesConditioning TherapyDataDrug usageDrug userEducational process of instructingEmotionsEpidemicFeedbackFloridaFutureGoalsHIVHealthHuman Immunodeficiency VirusesHybridsIndividualInfectious DiseasesInfectious DisorderInterventionLAV-HTLV-IIILocationLymphadenopathy-Associated VirusMaintenanceMassachusettsMediatingMediatorNIDANational Institute of Drug AbuseNational Institute on Drug AbuseOutcomeOutcome MeasurePWUDParticipantPersonsPhonePositionPositioning AttributeRE-AIMRandomizedRandomized, Controlled TrialsReach, Effectiveness, Adoption, Implementation, and MaintenanceResearch ResourcesResourcesRiskSan FranciscoSelf CareSelf EfficacySeveritiesShameSiteSubstance Use DisorderTeachingTelephoneTextText MessagingTimeTransmissionTreatment EfficacyViralViral BurdenViral LoadViral Load resultVirus-HIVVisitacceptability and feasibilityactive followuparmassessing cost effectivenessbehavior interventionbehavioral interventioncompare to controlcomparison controlcompassion to selfcost-effectiveness evaluationdelivered virtuallydetermine cost effectivenessdetermine efficacydrivingdrug useefficacy analysisefficacy assessmentefficacy determinationefficacy evaluationefficacy examinationevaluate cost-effectivenessevaluate efficacyevidence baseexamine cost effectivenessexamine efficacyexperiencefollow upfollow-upfollowed upfollowuphybrid type 1 studyhybrid type 2 trialhybrid type I studyhybrid type II trialimplementation designimplementation research designimplementation strategyimplementation studyimprovedinformantinnovateinnovationinnovativeinternalized stigmaintervention designintervention efficacymeasurable outcomeoutcome measurementpeople who use drugspeople who use illicit drugspersonal carepersons who use drugspreventpreventingrandomisationrandomizationrandomized control trialrandomly assignedreach, efficacy, adoption, implementation, and maintenanceself-compassionself-forgivenessself-kindnessself-stigmaservice engagementservices engagementshort message serviceskillssms messagingsocial stigmastigmastrategies for implementationsubstance usesubstance use and disordersubstance use treatmentsubstance usingtextingtherapeutic efficacytherapy designtherapy efficacytransmission processtreating oneself with kindnesstreatment designtwo arm RCTtwo arm randomized control trialtwo arm randomized controlled trialviral reboundvirtual deliveryvirtual therapyvirtual treatmentvirus rebound
Description preview
Among individuals living with HIV, substance use disorders (SUDs) are associated with inadequate engagement in HIV care, often leading to episodic unsuppressed viral load (VL) or viral rebound, thus driving the epidemic through elevated HIV transmission risk. Behavioral science identifies that internalized stigmas perpetuated by negative…
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