A program to help Black women living with HIV engage in care and reduce intimate partner violence
1MoreStep: Pilot Trial of an Intervention to Increase HIV Care Engagement and Reduce Intimate Partner Violence Among Black Women Living With HIV
This study tests a program designed to help Black women living with HIV who have faced intimate partner violence to better engage in their healthcare and develop safety strategies.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 100 (estimated) |
| Ages | 18 Years and up |
| Sex | Female |
| Sponsor | Johns Hopkins University Academic / other |
| Locations | 1 site (Baltimore, Maryland) |
| Trial ID | NCT05608421 on ClinicalTrials.gov |
What this trial studies
This intervention involves a 5-session cognitive behavioral program designed for Black women living with HIV who have experienced intimate partner violence in the past two years. The 1MoreStep intervention aims to equip participants with cognitive and behavioral skills to enhance their HIV care engagement and develop safety strategies. It also focuses on improving communication skills to address stigma and enlisting social support, while addressing structural barriers to care through an HIV navigator component. The study is conducted in Baltimore, where the prevalence of HIV is notably high among Black women.
Who should consider this trial
Good fit: Ideal candidates for this study are cis-gender Black women aged 18 and older living with HIV who have had limited engagement in HIV care and have experienced intimate partner violence in the past two years.
Not a fit: Patients who are not cis-gender females, do not identify as Black or African American, or have had adequate HIV care visits in the past year may not benefit from this study.
Why it matters
Potential benefit: If successful, this program could significantly improve HIV care engagement and overall health outcomes for Black women living with HIV who have faced intimate partner violence.
How similar studies have performed: Other studies have shown success in using cognitive behavioral approaches to improve health outcomes in similar populations, indicating that this intervention may be promising.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Cis-gender female * Black or African American * ≥ Age 18 * Living with HIV * ≤ 1 HIV care visit in previous 12 months OR virally unsuppressed (\>50 copies/mL) OR at high risk for poor HIV care adherence (PHQ ≥ 3, Generalized Anxiety Disorder (GAD) ≥ 3, active substance use) * IPV within the previous 2 years * Ability to attend in-person for up to 8 sessions * Do not report immediate severe danger from their partner * English fluency Exclusion Criteria: * Not a Cis-gender female * Not Black or African American * ≤ Age17 or younger * Not living with HIV * ≥ 2 HIV care visits in previous 12 months * No IPV within the previous 2 years * Inability to attend in-person for up to 8 sessions * Reports immediate severe danger from their partner * Not fluent in English
Where this trial is running
Baltimore, Maryland
- Johns Hopkins School of Nursing — Baltimore, Maryland, United States (Recruiting)
Study contacts
- Principal investigator: Kamila Alexander — Johns Hopkins University
- Study coordinator: Kamila Alexander
- Email: kalexan3@jhu.edu
- Phone: 443-287-8529
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.