Clinical Trial Details
— Status: Active, not recruiting
Administrative data
NCT number |
NCT05434741 |
Other study ID # |
2022P001224 |
Secondary ID |
2022A000527 |
Status |
Active, not recruiting |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
June 20, 2022 |
Est. completion date |
June 30, 2024 |
Study information
Verified date |
December 2023 |
Source |
Massachusetts General Hospital |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
In this study, the investigators will assess the feasibility and acceptability of an
evidence-based CBT group intervention, developed for older people with HIV, and research
methods in a pilot randomized controlled trial including 50 older people with HIV as
participants. The evidence-based CBT intervention has been developed and utilized in three
clinical groups to date initiated and led by Dr. Batchelder (PI) in the Behavioral Medicine
program at MGH. The 12-week intervention program proposed leverages evidence-based
traditional and contemporary CBT strategies, with the goal of improving the psychological and
physical functioning of older people with HIV by providing education and support to learn
strategies to: a.) better manage stressors associated with HIV and aging (e.g.,
multi-morbidity), and b.) increase health-promoting behaviors (e.g., physical activity).
Description:
This study is a pilot randomized controlled trial, which will include 50 older people with
HIV as participants. Blocks (n = 4) will be 1:1 randomized to either the group intervention
or information-only control. The established 12-week group intervention consists of
evidence-based traditional and contemporary CBT strategies. Each week will focus on a
distinct theme, including: 1.) Domains of Healthy Aging; 2.) Stress and anxiety; 3.)
Adherence and Engagement in Primary/Preventative Care; 4.) Depression and Distress; 5.)
Physical Activity; 6.) Stigma/Self-Compassion; 7.) Substance Use; 8.) Acceptance of
Uncertainty and Uncomfortable Emotions; 9.) Diet; 10.) Behavioral Activation; 11.) Frailty
and Memory/Cognition; and 12.) Wrap-Up and Maintaining Gains.
All participants, including those in the intervention group and in the education-only group,
will attend virtual baseline and follow-up appointments, complete computerized self-report
measures (REDCap) at baseline and follow-up, a structured diagnostic interview at baseline,
and a blood draw appointment at baseline and follow-up. Participants in the education-only
group will receive a one-time brochure with information on living with HIV, healthy aging,
and healthy behaviors when they attend the baseline blood draw appointment.
Aim 1: Assess the feasibility and acceptability of an evidence-based CBT group intervention,
developed for older people with HIV, and research methods in a pilot randomized controlled
trial (RCT).
Aim 2: Explore changes in a.) inflammation biomarkers (i.e., interleukin-6 [IL-6] and
C-reactive protein [CRP]), b.) psychological distress (i.e., general distress, HIV-specific
stress, and depressive and anxiety symptoms), and c.) health risk behaviors (i.e.,
tobacco-smoking, alcohol use, sedentary behaviors, and poor diet quality) in the intervention
group versus an education-only group.