Clinical Trials Logo
  1. Home
  2. Stigmatization
  3. NCT05415891

The IMPROV Project: Improving Mental Health and Substance Use Treatment Provision (IMPROV) Among People Living With HIV (Human Immunodeficiency Virus) in Atlanta — IMPROV  

Mental Health Disorder Clinical Trial

Official title:
Improving the Integration of Mental Health and Substance Use Treatment Into Ryan White-Funded Care Sites in Atlanta Using an Implementation Science Approach

Clinical Trial Summary

This project consists of a pilot trial to assess the preliminary impact of a stigma-reduction training to reduce clinic-level stigma and the You℞ Decision prescribing platform to increase HIV care providers' self-efficacy related to prescribing psychiatric medication for depression, post-traumatic stress disorder (PTSD), and bipolar disorder as well as naltrexone for alcohol use disorder (AUD).

Clinical Trial Description

The study will pilot test a two-level strategy to improve integration of pharmacotherapy for serious mental health and alcohol use disorders among people living with HIV (PLHIV) in Ryan White-funded healthcare centers in Atlanta, Georgia. A small pilot trial will be conducted in the two clinic study sites to assess the acceptability, feasibility, adoption, and preliminary impact of a stigma-reduction training and the You℞ Decision prescribing platform. The researchers will fulfill the purpose of this study through the following aims: Aim 1: To conduct formative activities with PLHIV, HIV care providers, and our Community Collaborative Board (CCB) to adapt a stigma-reduction training to address mental health and substance abuse-related stigma among clinic staff and engage HIV care providers and an expert panel to develop the You℞ Decision prescribing platform to support HIV care providers to offer pharmacotherapy to treat depression, PTSD, bipolar disorder, and AUD (completed). Aim 2: To assess the acceptability of the stigma-reduction training among clinic staff and the feasibility, acceptability, and adoption of the You℞ Decision prescribing platform during clinical encounters among providers in HIV care settings. Aim 3: To use idiographic methods to conduct a pilot trial to assess the preliminary impact of the stigma-reduction training on clinic-level stigma and of the You℞ Decision prescribing platform on HIV care providers' self-efficacy to prescribe psychiatric medications and naltrexone as well as the impact of the stigma-reduction training and platform to increase the percentage of eligible patients who receive and accept prescriptions to treat depression, PTSD, bipolar disorder, and AUD. This implementation science study aims to reduce HIV-associated comorbidities by improving the integration of mental health and AUD treatment into Ryan White-funded care sites. If the findings indicate that the stigma-reduction training and prescribing platform are feasible, this study will be the impetus for the scale up these strategies to additional Ryan White-funded care sites in Georgia. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT05415891
Study type Interventional
Source RTI International
Contact Courtney Peasant Bonner, PhD
Phone 7709865052
Email cpbonner@rti.org
Status Not yet recruiting
Phase N/A
Start date June 2022
Completion date June 2023
View Details
See also
  Status Clinical Trial Phase
Recruiting NCT05639855 - Study on Mental Health-related Stigma N/A
Completed NCT03007940 - Using NIATx Strategies to Implement Integrated Services in Routine Care N/A
Completed NCT03042832 - Testing the Leadership and Organizational Change for Implementation (LOCI) Intervention N/A
Active, not recruiting NCT05726617 - Avatar Intervention for the Treatment of Cannabis Use Disorder in Patients With Severe Mental Health Disorders N/A
Active, not recruiting NCT04090723 - Using CBPR to Engage Hazardous Drinking Women in the HIV Prevention and Care Continuum N/A
Enrolling by invitation NCT05523843 - Pilot Study on the Clinical Utility of the Tulsa Life Chart
Recruiting NCT04299789 - Military Service Identification Tool
Recruiting NCT05258578 - Tele-BARICARE to Manage COVID-19-Related Distress N/A
Recruiting NCT06190184 - Viome Precision Nutritional Programs to Improve Clinical Outcomes for Mental Health Conditions N/A
Completed NCT04649736 - Home-based Respiratory Physiotherapy and Telephone-Based Psychological Support in Severe COVID-19 Patients N/A
Not yet recruiting NCT05097807 - The Impact of Shallow Reading in Social Media N/A
Active, not recruiting NCT03013595 - The MILESTONE Study: Improving Transition From Child to Adult Mental Health Care N/A
Active, not recruiting NCT05092542 - Intervention to Address Disparate Mental Health Consequences of COVID-19 Pandemic on Latinx and African Newcomers N/A
Completed NCT05274958 - Effectiveness of Telepsychiatry With Randomized Waitlist Control Utilizing Patient Reported Outcome Measures N/A
Completed NCT05303870 - Impact of Psychological Therapies on Emergency Medical Patients N/A
Recruiting NCT04841655 - Tobacco Cessation Among Smokers Under Alcohol and/or Cannabis Treatment
Completed NCT05213182 - Peer Support Intervention to Mitigate Social Isolation and Stigma of Adolescent Motherhood in Zimbabwe Phase 2
Completed NCT05638516 - Improving Mental Health in Youth and Lowering Risk for Obesity Through a Digital Preventative Product N/A
Completed NCT06311084 - IMAGINATOR 2.0: Co-design and Early Evaluation of a Novel Blended Digital Intervention Targeting Self-harm in Young People N/A
Active, not recruiting NCT04600414 - Collaborating to Heal Addiction and Mental Health in Primary Care N/A