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CompletedNCT00312936Updated May 16, 2016

A Mindfulness Based Approach to HIV Treatment Side Effects

A Phase 1/2 interventional study of Mindfulness-based Stress Reduction (MBSR) in HIV Infections, sponsored by University of California, San Francisco. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-05-16.

Sponsored by University of California, San Francisco · Phase 1/2 and Interventional

Phase
Phase 1/2
Study type
Interventional
Enrollment
76
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

We are exploring the effect that an 8 week stress reduction program based in mindfulness practices will have on the experience of medication side effects reported by HIV-infected men and women taking antiretroviral therapy.

Read the detailed description

As HIV treatments continue to advance, people living with HIV will inevitably be confronted with negative physical and emotional side effects. Side effects from antiretroviral therapy (ART) for HIV impact quality of life (QOL) and adherence to care, and they influence decisions about health care. With mortality rates from HIV dramatically reduced in the US, side effects emerge as one of the most critical factors in the HIV epidemic. Eliminating or reducing the negative impact of side effects may improve QOL, reduce missed days from work, and maximize benefit from treatment for people living with HIV. We propose a randomized controlled trial (RCT) to provide preliminary evidence of the efficacy of a Mindfulness-Based Stress Reduction (MBSR) intervention to remediate side effects and side effect-related distress. Decreases in medical and psychological symptoms have been observed following MBSR in a wide range of illness contexts, but the approach has not been applied to HIV treatment side effects. Our team brings together expertise in HIV treatment side effects research, MBSR research with HIV+ populations, and HIV clinical medicine. The proposed study maximizes resources from our funded research programs within one of the leading AIDS research institutions in the world. Relevant research entities supporting this proposal include the Center for AIDS Prevention Studies (CAPS), the Osher Center for Integrative Medicine (OCIM), the UCSF Center for AIDS Research (CFAR) and the UCSF AIDS Research Institute (ARI). We propose a randomized clinical trial of an 8-week program of MBSR with 100 HIV+ men and women on ART, as compared with a wait list control (n=50/group). Primary outcome will be side effect distress and frequency, and secondary outcomes will be QOL and medication adherence. The findings from this study, in conjunction with our ongoing research studies, will provide foundation and guidance, including effect size data, for larger studies of MBSR for HIV disease.

02

Conditions studied

  • HIV Infections

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Keywords

  • Medication adherence
  • Medication compliance
  • Quality of Life
  • Stress reduction
  • mindfulness based stress reduction
  • HIV/AIDS
  • treatment experienced
03

In context

HIV Infections

4,258 studies on the registry are indexed under HIV Infections; 240 are open to participants now.

This study's enrollment of 76 is close to the median of 83 across 3,251 interventional studies indexed under HIV Infections.

Browse HIV Infections studies →

Lead sponsor

University of California, San Francisco is the lead sponsor of 2,132 studies on the registry; 375 are open to participants now.

Of its 262 completed or terminated interventional studies of FDA-regulated products, 196 (75%) 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

  1. HIV+ serostatus, evidenced by letter from provider, or official HIV test results.
  2. Currently (prior 30 days) on an acknowledged ART regimen.
  3. Reporting a level of side effect-related bother for the previous 30 days at or above eight (corresponding to the 40th% in another sample) on the side effect and symptom distress scale used in other studies.1, 89
  4. Ability to provide informed consent to be a research participant.
  5. English speaking.

Exclusion criteria

Exclusion Criteria:

  1. Current enrollment in a behavioral coping or HIV adherence intervention research study or MBSR program. A list of such studies/programs is kept and updated throughout the study.
  2. Severe cognitive impairment as assessed by trained interviewer and confirmed by PI;
  3. Active psychosis as assessed by trained interviewer and confirmed by PI;
  4. Indication of active substance abuse that would interfere with capacity to participate in MBSR.

    -

05

Study design

Phase
Phase 1 / Phase 2
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
76 participants (actual)

Study arms

  • No intervention
    Wait List
  • Experimental
    MBSR

    8 week mindfulness based stress reduction

    Behavioral: Mindfulness-based Stress Reduction (MBSR)

Interventions

  • BehavioralMindfulness-based Stress Reduction (MBSR)

    8 week program

06

What researchers measure

Primary outcomes

  1. Patient reported number and severity of ART side effects

    Time frame: 6 months

Secondary outcomes

  1. Health related quality of life

    Time frame: 6 months

  2. ART adherence

    Time frame: 6 months

07

Study locations

1 site
  • University of California, San Francisco
    San Francisco, California 94105, United States
08

References and documents

Related links

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 16, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00312936
Lead sponsor
University of California, San Francisco
Collaborators
National Center for Complementary and Integrative Health (NCCIH)
Responsible party
Sponsor
First posted
Apr 11, 2006
Start date
Jul 2006
Primary completion
Oct 2008
Completion
Oct 2008
Last update
May 16, 2016

Study contacts

Mallory O Johnson, PhD
principal investigator · University of California, San Francisco

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2016. You cannot join it, but the record below documents what was studied.

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