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- Title
Pilot Randomized Controlled Trial of an Intervention to Improve Coping with Intersectional Stigma and Medication Adherence Among HIV-Positive Latinx Sexual Minority Men.
- Authors
Bogart, Laura M.; Barreras, Joanna L.; Gonzalez, Ana; Klein, David J.; Marsh, Terry; Agniel, Denis; Pantalone, David W.
- Abstract
We developed and pilot-tested an eight-session community-based cognitive behavior therapy group intervention to improve coping with intersectional stigma, address medical mistrust, and improve antiretroviral treatment adherence. Seventy-six HIV-positive Latinx sexual minority men (SMM; 38 intervention, 38 wait-list control) completed surveys at baseline, and 4- and 7-months post-baseline. Adherence was electronically monitored. Intention-to-treat, repeated-measures regressions showed improved adherence in the intervention vs. control group from baseline to follow-up [electronically monitored: b (95% CI) 9.24 (− 0.55, 19.03), p = 0.06; self-reported: b (95% CI) 4.50 (0.70, 8.30), p =.02]. Intervention participants showed marginally decreased negative religious coping beliefs in response to stigma [b (95% CI) = − 0.18 (− 0.37, 0.01), p =.06], and significantly lower medical mistrust [b (95% CI) = − 0.47 (− 0.84, − 0.09), p =.02]. Our intervention holds promise for improving HIV outcomes by empowering Latinx SMM to leverage innate resilience resources when faced with stigma. ClinicalTrials.gov ID (TRN): NCT03432819, 01/31/2018.
- Subjects
HIV-positive persons; PILOT projects; CONFIDENCE intervals; DISCRIMINATION (Sociology); HISPANIC Americans; SOCIAL stigma; BEHAVIOR therapy; ANTIRETROVIRAL agents; REGRESSION analysis; TREATMENT effectiveness; RANDOMIZED controlled trials; SURVEYS; SEXUAL minorities; DRUGS; REPEATED measures design; PSYCHOLOGICAL adaptation; PATIENT compliance; COGNITIVE therapy; GROUP psychotherapy; TRUST; RELIGION
- Publication
AIDS & Behavior, 2021, Vol 25, Issue 6, p1647
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-020-03081-z