HIV
Conditions
Keywords
HIV, Primary care, Engagement, Acceptance, Disclosure, Stigma
Brief summary
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.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* new to the primary care clinic * HIV+ * 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
Exclusion criteria
* psychiatrically or cognitively impaired
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Frequency of attended primary care medical appointments | 9 months | The number of primary care medical appointments a participant attends over the course of 9 months. |
| Acceptance and Action Questionnaire-2 | 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 | 9 months | The HIV Disclosure Scale will be used to quantify how willing participants are to disclose their HIV status to others. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Berger HIV Stigma Scale | 9 months | The Berger HIV Stigma Scale will used to measure the degree to which participants experience HIV-related stigma. |
| Disclosure to others | 9 months | The number of individuals to whom the participant discloses his/her HIV status to. |
| Social Support Questionnaire | 9 months | The Social Support Questionnaire will be used to measure participants' perceived social support. |
Countries
United States