Improving HIV prevention for women who inject drugs through a trauma intervention.
Official title: Efficacy of a Trauma Intervention for Affect Regulation, Adherence, and Substance Use to Optimize PrEP for Women Who Inject Drugs
Funded at Drexel University · NIH-10828747 · Data updated 2026-11-12
This study is exploring a new way to help women who inject drugs and are at risk for HIV, especially those in sex work, by using writing activities and support to encourage them to stick with their HIV prevention medication, PrEP, while also addressing their past traumas and challenges.
Quick facts
| Grant type | R01 grant |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Drexel University NIH-funded |
| Lab location | 1 site (Philadelphia, United States) |
| Project start | July 1, 2021 |
| Project end | April 30, 2027 |
| Funding year | 2025 |
| Award (this year) | $849,506 |
| NIH project number | 5R01DA054543-04 |
| Project ID | NIH-10828747 on NIH RePORTER |
Who could benefit from this research
✓Could help
Ideal candidates for this research are women who inject drugs and are at risk for HIV, particularly those who have not used PrEP in the past 30 days.
✕Less likely to help
Patients who do not inject drugs or are not at risk for HIV may not benefit from this research.
What this research studies
This research investigates a new approach to enhance HIV prevention among women who inject drugs, particularly those involved in sex work. It combines trauma-informed expressive writing with contingency management to improve adherence to pre-exposure prophylaxis (PrEP). Participants will engage in a structured program that includes writing sessions and monitored PrEP intake, aiming to address the challenges of trauma and substance use that affect their health choices. The study will involve 360 women at risk for HIV, linking them to care and support services.
Why it matters
Potential benefit: If successful, this research could significantly reduce the risk of HIV infection among women who inject drugs by improving their adherence to preventive treatments.
How similar studies have gone: Previous research has shown promise in using behavioral interventions to improve health outcomes in similar populations, suggesting that this approach may be effective.
Where this research is happening
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Drexel University
Philadelphia, United States Active
Researchers
- Principal investigator: Roth, Alexis Marie — Drexel University
- Study coordinator: Roth, Alexis Marie
Related research
Other NIH-funded projects on the same topics.
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Improving PrEP and mental health/substance-use reach for Hispanic men through community-driven implementation
A team at the University of Miami is collaborating with HIV organizations to describe and share real-world methods that help more Hispanic men access PrEP and mental health or substance-use care, with plans to spread successful approaches to other regions.
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Bringing PrEP and mental health/substance-use services to Hispanic men through community partnerships
This project works with local HIV organizations to spread practical ways to improve access to PrEP and mental health/substance-use care for Hispanic men.
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Peer-driven behavioral support to boost long-acting PrEP/ART adherence for people at risk of HIV
A team at the University of Maryland Baltimore is testing a peer-delivered program to help people who use drugs stay adherent to long-acting PrEP/ART to reduce HIV risk and improve viral suppression.
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Trauma-focused writing plus rewards to help women who inject drugs stick with PrEP
A trial tests whether adding a trauma-focused expressive writing session to a rewards-based program helps women who inject drugs use PrEP more consistently and reduce HIV risk.
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Using peer support to help people with substance use improve HIV prevention and treatment with long-acting injections
This project explores how peer support can help people who use drugs better manage their HIV prevention or treatment with long-acting injectable medications.
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Understanding barriers to HIV prevention for Black men who have sex with men
This study is looking into why Black men who have sex with men in the southeastern U.S. aren't using a medication called PrEP to help prevent HIV, focusing on issues like stigma and substance use, and it aims to find ways to make it easier for them to access and stick with PrEP, especially after the challenges brought
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.