HIV Clinical Trial
Official title:
Mindfulness Training to Improve ART Adherence and Reduce Risk Behavior Among Persons Living With HIV
This study will investigate whether phone-delivered mindfulness training is feasible and acceptable for persons living with HIV and whether it may help them improve adherence to medications and reduce risky sexual behaviors.
Two-thirds of people living with HIV show sub-optimal adherence to antiretroviral therapy
(ART) and one-third engages in risky sex. Both non-adherence and risky sex have been
associated with emotional distress and impulsivity. In this trial, the investigators will
examine the utility of phone-delivered mindfulness training (MT) for people living with HIV.
The primary outcomes comprise feasibility and acceptability of phone-delivery; secondary
outcomes are estimates of efficacy of MT on adherence to ART and safer sexual practices as
well as on their hypothesized antecedents.
Fifty participants will be enrolled in this parallel-group randomized clinical trial (RCT).
Outpatients recruited from an HIV treatment clinic will be randomized (1:1 ratio) to either
MT or to health coaching intervention; both interventions will be administered during 8
weekly phone calls. ART adherence (self-reported measure and unannounced phone pill counts),
sexual behavior (self-reports and biomarkers), mindfulness, depression, stress, and
impulsivity will be measured at baseline, post-intervention, and 3 months post-intervention.
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