Helping MSM with HIV and substance use disorders overcome stigma and shame
Official title: Mitigating the Impact of Stigma and Shame as a Barrier to Viral Suppression Among People Living With HIV and Substance Use Disorders
Run by Boston University · NCT05934305 · Data updated 2026-11-12
This study is testing a new program to help men who have sex with men and gender minorities living with HIV and substance use issues feel better about themselves and manage their health by reducing stigma and shame.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 256 (estimated) |
| Sponsor | Boston University Academic / other |
| Locations | 2 sites (Miami, Florida and 1 other locations) |
| Status | Recruiting |
| Started | March 12, 2025 |
| Main results expected | June 30, 2028 |
| Study ends | June 30, 2028 |
| Registry record updated | June 23, 2026 |
| Trial ID | NCT05934305 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include HIV-positive MSM or gender minority individuals with substance use disorders who experience internalized stigma and have an unsuppressed viral load.
✕Probably not a fit
Patients who are cisgender women or cisgender heterosexual men will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This intervention focuses on men who have sex with men (MSM) and gender minority individuals living with HIV and substance use disorders (SUDs). It aims to improve viral suppression by addressing internalized stigma and shame through a 5-session text-enhanced psychobehavioral intervention called MATTER. The study will assess the efficacy and implementation of this intervention in two different locations, Boston and Miami, to understand the facilitators and barriers to engaging in HIV care. Participants will receive support in developing self-care goals and increasing their self-efficacy to manage their health better.
Why it matters
Potential benefit: If successful, this intervention could significantly improve health outcomes for MSM and gender minority individuals living with HIV and SUDs by enhancing their engagement in HIV care.
How similar studies have gone: Other studies have shown success in addressing stigma and shame in similar populations, indicating that this approach has potential for positive outcomes.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * HIV+ * Meet criteria for an illicit (not solely including tobacco, cannabis, or alcohol) SUD * Endorse internalized stigma related to HIV, substance use, sexual orientation, or gender-identity * Either the participant reports a detectable viral load during past year OR if on oral ART, they report \<80% adherence in the past month OR if on oral ART, they report missing \>=7 days of ART in any month in the past year OR for those on long acting injectable (LAI) ART, they report a period of \>=14 days in the past year between LAI ART injections OR has a detectable HIV viral load (\>20 copies/ mL) in the past year confirmed by medical records or viral load test from blood drawn obtained as part of the baseline visit * Provide informed consent in English * Verbally communicate and read in English or Spanish * Be ≥18 years old * Provide evidence or documentation of HIV+ status * Release HIV-related health records * Have access to a cell phone with text capacity (study will supplement phones and plans as needed consistent with our pilot work). Exclusion Criteria: \- HIV-
Where it's running
-
Florida International University
Miami, Florida, United States Recruiting -
Fenway Health
Boston, Massachusetts, United States Recruiting
Study contacts
- Principal investigator: Abigail Batchelder, PhD, MPH — CABU School of Medicine, Psychiatry
- Study coordinator: Abigail Batchelder, PhD, MPH
- Email: abatchel@bu.edu
- Phone: 6173587640
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Collaborative care program for young Black and Latino men at risk for HIV
This study tests a new support program to help young Black and Latino men at risk for HIV start taking prevention medication and manage their substance use better.
-
HEAT telemedicine program for HIV and addiction care
This project will try a telemedicine program to deliver addiction treatment to adults living with HIV in Alabama who report opioid or stimulant misuse.
-
Project SHIELD 2.0: Police Education to Support Public Health in Kentucky
Aimed at police in Kentucky, this program tests whether SHIELD training given to officers, with health workers helping deliver it, can reduce drug-related arrests and steer people who use drugs toward MOUD and other health services.
-
New ways to diagnose lymphoma and multicentric Castleman disease in people living with HIV
This study tests a quick, point-of-care nucleic acid test to help diagnose lymphoma and multicentric Castleman disease in people living with HIV in sub-Saharan Africa.
-
Bridge to Belonging: A Peer‑Led Program to Reduce Loneliness and Depression in older gay and bisexual men with HIV
This program tests a peer-delivered, manualized approach to help men aged 50+ with HIV connect to LGBTQ+-affirming elder services to see if it reduces loneliness and depressive symptoms.
-
HIV vaccine test in healthy adults using CH505 nanoparticles and mRNA boosters
This early-stage study will test the safety and immune responses of CH505 vaccine regimens in healthy adults to see if they can trigger HIV-specific immune protection.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.