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CompletedNCT00017810Updated Aug 17, 2021

The Healthy Life Choices Project in HIV-Positive Patients

A Phase 2 interventional study of Dietary intervention and HIV Self-Care in Diarrhea and HIV Infections, sponsored by Columbia University. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-08-17.

Sponsored by Columbia University · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
75
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This randomized clinical trial is designed to determine the efficacy of a dietary intervention to reduce the frequency of bowel movements and improve stool consistency as compared with subjects assigned to a control group. The study enrolled HIV patients with a history of three or more episodes of diarrhea for 3 weeks or more.

The purpose of this study was to compare the efficacy of a combined behavioral dietary intervention using normal foods (Condition 1: treatment) with HIV self-care (Condition 2: control) to reduce the frequency and improve the consistency of bowel movements after 3 weeks and 24 weeks of study intervention.

Read the detailed description

Thirty to fifty percent of individuals with HIV can be expected to have diarrhea at some point during their illness. Diarrhea can be a chronic condition in HIV disease wherein three or more daily episodes of loose, watery stools are experienced for 4 weeks or more. Chronic diarrhea has been associated with significant morbidity, weight loss, and severe malnutrition. Researchers have reported that patients with chronic diarrhea experience a marked decrease in quality of life in comparison with HIV patients without diarrhea.

The goal of nutrition management for patients with chronic diarrhea is to ensure that adequate caloric consumption meets the metabolic needs of such individuals and to provide symptomatic relief. HIV infection, regardless of stage, causes an increase in resting energy expenditure because of the response of the body to the viral infection. Proper nutrition management can therefore assist in preventing further nutritional imbalances.

02

Conditions studied

  • Diarrhea
  • HIV Infections

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Keywords

  • complementary therapies
  • Behavior Therapy
  • Diarrhea
  • Diet Therapy
  • Food
  • HIV Seropositivity
03

In context

Diarrhea

852 studies on the registry are indexed under Diarrhea; 78 are open to participants now.

This study's enrollment of 75 is below the median of 136 across 713 interventional studies indexed under Diarrhea.

Browse Diarrhea studies →

Lead sponsor

Columbia University is the lead sponsor of 1,103 studies on the registry; 193 are open to participants now.

Of its 172 completed or terminated interventional studies of FDA-regulated products, 142 (83%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • 18 years of age or older
  • diagnosed with HIV or AIDS based on the Centers for Disease Control and Prevention criteria
  • experienced a minimum of three episodes of loose, watery, or liquid stools in a 24-hour period for at least 3 weeks
  • provide verification from their primary care provider of HIV status, chronic diarrhea history, documentation of medical evaluations completed
  • laboratory confirmation that stool samples were negative for pathogens
  • patients who were taking antidiarrheal agents were required to be on a stable regimen (same drug, dosage, and frequency) for at least 7 days before entry into the study and still meet diarrhea frequency and consistency criteria
  • antiretroviral agents taken to manage HIV required a stable regimen (same drugs, dosage, and frequency) for at least 8 weeks before study entry
  • patients were required to complete a mini-mental state examination, obtaining a score of 24 or higher

Exclusion criteria

Exclusion Criteria:

  • not meeting any of the above criteria
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
75 participants (actual)

Study arms

  • Experimental
    Condition 1: Dietary Intervention

    Patients will receive behavioral dietary intervention using normal foods.

    Behavioral: Dietary intervention

  • Active comparator
    Condition 2 (Control): HIV Self-Care

    Patients will receive HIV self-care information, and be given the dietary intervention at the completion of the last study session (post study).

    Behavioral: HIV Self-Care

Interventions

  • BehavioralDietary intervention

    The dietary intervention focused on diarrhea management using skill-building techniques that provided subjects with knowledge and a sense of confidence about making food choices. Behavioral dietary intervention (Condition 1: treatment) - a low-fat, lactose-free, low insoluble fiber, high soluble fiber, and caffeine-free diet based on normal foods

  • BehavioralHIV Self-Care

    Standard information regarding self-care and healthy living with HIV - focused on healthy living with HIV and did not include dietary restrictions or dietary information that could affect bowel movements.

06

Study locations

1 site
  • Columbia Univ School of Nursing / Center for AIDS Research
    New York, New York 10032, United States
07

References and documents

Publications

  • Anastasi JK, Capili B, Kim AG, McMahon D, Heitkemper MM. Symptom management of HIV-related diarrhea by using normal foods: A randomized controlled clinical trial. J Assoc Nurses AIDS Care. 2006 Mar-Apr;17(2):47-57. doi: 10.1016/j.jana.2006.01.005. PubMed 16800167 ↗

Individual participant data

Plan to share: Undecided

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 17, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00017810
Lead sponsor
Columbia University
Collaborators
National Institute of Nursing Research (NINR)
Responsible party
Sponsor
First posted
Jun 14, 2001
Start date
Sep 1996
Primary completion
Mar 2003
Completion
Mar 2003
Last update
Aug 17, 2021

Study contacts

Joyce Anastasi, PhD
principal investigator · Helen F. Pettit Endowed Professor of Nursing

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2021. You cannot join it, but the record below documents what was studied.

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