An interventional study of Telephone-Administered Motivational Interviewing Plus Behavioral Skills Training and Telephone-Administered Coping Effectiveness Training in HIV Seropositivity, sponsored by Oregon Health and Science University. Status unknown at 1 site in United States. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2021-04-09.
Sponsored by Oregon Health and Science University · Not applicable, Interventional, and Treatment
The purpose of this study is to determine if a brief behavioral intervention delivered over the telephone is effective at reducing occasions of condomless sex in persons living and aging with HIV.
Estimated rates of condomless anal and vaginal intercourse among HIV-positive older adults remain high. Brief motivational interventions delivered face-to-face have demonstrated efficacy at reducing condomless sex in HIV-positive persons. However, these interventions are not contextualized to the unique sexual health needs of HIV-positive older adults. Further, many HIV-positive older adults have difficulty accessing face-to-face services due to transportation, stigma, and other barriers. Telehealth interventions represent one delivery approach that overcomes such barriers.
215 studies on the registry are indexed under HIV Seropositivity; 10 are open to participants now.
This study's enrollment of 343 is above the median of 89 across 144 interventional studies indexed under HIV Seropositivity.
Browse HIV Seropositivity studies →Oregon Health and Science University is the lead sponsor of 694 studies on the registry; 133 are open to participants now.
Of its 51 completed or terminated interventional studies of FDA-regulated products, 39 (76%) have results posted.
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The Telephone-Administered Motivational Interviewing Plus Behavioral Skills Training (teleMI+BST) intervention comprises 5 sessions lasting approximately 45-50 minutes each. Sessions occur in weeks 3, 4, 8, and 12 post-enrollment, with a follow-up booster session in week 24. The Information-Motivation-Behavioral Skills (IMB) Model (Fisher \& Fisher, 1992) provides the theoretical framework for behavior change mechanisms of teleMI+BST. The IMB posits that knowledge about condom use practices, condom use motivation, and acquisition and application of requisite condom use skills lead to engagement in condom-protected sex. The focus of this intervention is to help participants process ambivalence about engaging in condomless sex acts that risk HIV transmission.
Behavioral: Telephone-Administered Motivational Interviewing Plus Behavioral Skills Training
The Telephone-Administered Coping Effectiveness Training (teleCET) intervention is the attention-equivalent comparator and also comprises 5 sessions lasting approximately 45-50 minutes each. The teleCET intervention is based on the Lazarus and Folkman Transactional Model of Stress and Coping (Lazarus \& Folkman, 1984) and uses cognitive-behavioral principles to: (a) appraise stressor severity, (b) develop problem- and emotion-focused coping skills, (c) determine the match between coping strategies and stressor controllability, and (d) optimize coping through use of social support resources.
Behavioral: Telephone-Administered Coping Effectiveness Training
Change in number of condomless sex acts from baseline to 12-month follow-up
Self-reported condomless anal and/or vaginal sex acts with HIV-negative or unknown HIV serostatus sex partners based on the Timeline Followback Interview.
Time frame: Baseline, 12-month follow-up
Change in depressive symptom severity from baseline to 12-month follow-up
Self-reported depressive symptom severity using the Patient Health Questionnaire 9-item Depression Module (PHQ-9). This outcome will be assessed among the approximately one-third of participants who report mild levels of depression at study enrollment.
Time frame: Baseline, 12-month follow-up
Change in knowledge of HIV viral load from baseline to 12-month follow-up
Self-reported knowledge of one's HIV viral load status (i.e., test result and date of most recent viral load test)
Time frame: Baseline, 12-month follow-up
Plan to share: Yes — Raw de-identified data will be made publicly available to the scientific community upon request after the trial is complete and data have been published. Data requests should be directed to the study principal investigator.
This study is status unknown, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.
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