HIV Provider Intervention to Address Intersectional Stigma & Medical

Status Active, not recruiting

Clinical Trial Summary

Intersectional stigma and medical mistrust are prevalent among Black and Latina/Latino Americans living with HIV and are key contributors to racial/ethnic health disparities; yet, there are no evidence-based provider-level interventions available for HIV care providers to address intersectional stigma and medical mistrust with patients. The investigators propose to develop an online provider intervention, with community stakeholders' input, that provides psychoeducation and skills-building around addressing intersectional stigma and medical mistrust with patients. The investigators will conduct a pilot randomized controlled trial with 60 HIV care physicians (30/condition) to test the acceptability and feasibility of the online intervention and to determine preliminary effects (against a no-intervention control group) on providers' use of skills and HIV care delivery outcomes at baseline, immediate post, and 6-month follow-up.

Clinical Trial Description

The first aim will be an intervention development process that involves engaging community stakeholders to incorporate their input on the intervention manual and working with a provider training organization to develop an online platform for the initial pilot testing. The intervention will include psychoeducation and skills-building for providers to address intersectional stigma and mistrust, tailored to HIV care. This aim will include a usability test of the online intervention in 10 HIV clinical care providers. The second aim will be to conduct a pilot randomized controlled trial to compare two conditions (i.e., online provider intervention versus no-intervention control) on provider training outcomes (e.g., providers' use of skills learned in the intervention) and HIV care delivery outcomes (e.g., the estimated percentage of patients lost to care in the past year) measured at baseline, immediate post-intervention, and 6-month follow-up. Clinical providers (N = 60) providing care for patients living with HIV will be randomly assigned to the online provider intervention (n = 30) or control with no intervention (n = 30). The intervention will be delivered in groups (5-10 providers per group). A mixed-methods process evaluation at immediate post-intervention will determine the acceptability, feasibility, and appropriateness of the intervention, and will be used to refine the intervention. ;

Study Design

Related Conditions & MeSH terms

Stigma, Social

Clinical Trial Details

NCT number	NCT05803720
Study type	Interventional
Source	RAND
Contact
Status	Active, not recruiting
Phase	N/A
Start date	April 1, 2023
Completion date	March 31, 2025

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT05152342` - Reducing Stigma Among Individuals With Addiction and Staff in the Criminal Justice System	N/A
Recruiting	`NCT05357118` - Stigma Among Women With HIV in Vietnam	N/A
Completed	`NCT03602222` - An LGBT-Competency Program for Mental Health Professionals in Romania	N/A
Recruiting	`NCT04832477` - Assessing the PrEP Care Cascade Among Black Men and Transwomen in the Southeastern US	N/A
Enrolling by invitation	`NCT05545449` - Adapting an Adolescent Friendly PrEP Program for Uasin Gishu County-Kenya
Completed	`NCT04096053` - Transgender Education for Affirmative and Competent HIV and Healthcare	N/A
Completed	`NCT03750864` - Innovative Approach to Reduce Lung Cancer Stigma	N/A
Completed	`NCT05124665` - Interrupting HIV and TB Stigma in the Household in Uganda	N/A
Active, not recruiting	`NCT05033002` - Efficacy Testing of a Culturally Relevant Stigma Intervention With WLWH in Tanzania	N/A
Completed	`NCT05651737` - App-based Psychosocial Intervention to Enhance Quality of Life in Arabic-speaking Refugees Residing in Switzerland	N/A
Completed	`NCT03215654` - "EspaiJove.Net"- a School-based Intervention Program to Promote Mental Health in Adolescent Population	N/A
Recruiting	`NCT05446064` - Buddhism Beliefs and HIV Stigma in Thailand	N/A
Completed	`NCT04021953` - The People Like Us Evaluation Study	N/A
Completed	`NCT05213182` - Peer Support Intervention to Mitigate Social Isolation and Stigma of Adolescent Motherhood in Zimbabwe	Phase 2
Completed	`NCT04161638` - Weight Stigma in Women Who Are Obese: Assessing How an Acute Exposure to Stigma Negatively Impacts Cardiovascular Health	N/A
Completed	`NCT05218681` - Nursing Attitudes Towards SUD	N/A
Completed	`NCT05127707` - Strategies to Reduce Addiction Stigma Among Health Professionals	N/A
Completed	`NCT06011655` - Attitudes and Stigma Towards Suicidal Behavior in Intensive Care and Emergency Service Nurses
Active, not recruiting	`NCT05107609` - Psychobiological Processes in Social Evaluation	N/A
Completed	`NCT03907696` - Reducing Stigma Towards Psychiatry Among Medical Students	N/A

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.

HIV Provider Intervention to Address Intersectional Stigma and Medical Mistrust

Clinical Trial Summary

Clinical Trial Description

Study Design

Related Conditions & MeSH terms