ClinicalTrials.gg
CompletedNCT03483740IN-HANDUpdated Mar 29, 2024Results posted

Psychosocial Intervention for Older HIV+ Adults With HAND

An interventional study of CRGT and HIV group therapy in HIV/AIDS, Aging and Mild Cognitive Impairment, sponsored by University Health Network, Toronto. Completed at 3 sites in Canada. Open to participants aged 40 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-03-29.

Sponsored by University Health Network, Toronto · Not applicable, Interventional, and Supportive care

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Not applicable
Study type
Interventional
Enrollment
12
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 123 studies in Acquired Immunodeficiency Syndrome with a site in Canada — 9 open to participants now, 13 under way, 2 of them phase 3. Acquired Immunodeficiency Syndrome · Canada.

Enrollment
99th of 106
12 · median 114
Started
2018
with 4 others
No phase
37 of 123
3 open now
Registered
93rd of 123
by date
Lead sponsor
5 of 123
University Health Network, Toronto

Among the 123 studies in Acquired Immunodeficiency Syndrome with a site in Canada, this one is the 99th largest by enrollment of the 106 interventional ones that give a count, is one of 5 that started in 2018, is one of 37 with no phase, and was the 93rd registered.

Acquired Immunodeficiency Syndrome

3,037 studies on the registry are indexed under Acquired Immunodeficiency Syndrome; 307 are open to participants now.

Browse Acquired Immunodeficiency Syndrome studies →

Open to participants now

9 of the 123 studies in Acquired Immunodeficiency Syndrome with a site in Canada are open now. Recruiting first, the newest first:

4 more — sign in →

All 9 open studies →

A study can be open while its sites in Canada have not opened yet or have stopped. Only those recruiting at a site in Canada →

Who these studies take

Of the 198 Acquired Immunodeficiency Syndrome studies recruiting now, 118 (60%) set no upper age limit and 67 (34%) stop at 75 or younger; 43 take children under 18; 68 take healthy volunteers.

This study: 40 Years and older · all sexes · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 123 studies in Acquired Immunodeficiency Syndrome with a site in Canada, or all of them as a file.
02

Study summary

CTNPT 029 will test the feasibility and acceptability of cognitive remediation group therapy in older adults living with HIV who have been diagnosed with HIV-associated neurocognitive disorder (HAND). The cognitive remediation therapy will include tablet-based cognitive training and mindfulness-based stress reduction sessions.

Read the detailed description

Approximately half of the aging HIV-positive population will be affected by HAND, making cognitive impairment related to HIV a significant comorbidity in this population. With the development, access to, and early initiation of modern antiretroviral therapy (ART), HAND is less severe and less common than it once was. However, people who were treated with old therapies, ones that were less effective and with higher rates of toxicity compared to current regimens, or who experienced AIDS defining illnesses, may be affected by HAND more frequently and more severely. Issues with cognition, memory, processing new information, problem solving, and decision making are all potential symptoms.

Psychosocial interventions have been used to decrease stress and depression and improve coping and quality of life in the general aging population experiencing cognitive impairment and depression. These techniques, which can vary widely, have not been fully tested in people aging with HAND.

CTNPT 029 (a pilot trial funded by the CTN) seeks to enroll 16 people at St. Michael's Hospital in Toronto. Study participants will be randomized to either receive cognitive remediation group therapy (CRGT) or standard HIV group therapy (control group). Both group therapies consist of a series of weekly 3-hour sessions led by a certified social worker and a peer. The CRGT group will spend one hour per session on brain training exercises (PositScience Software) and the remaining two hours on mindfulness-based stress reduction (meditation, breathing exercises, etc.). The control group will focus on general health and wellbeing for people aging with HIV. Study investigators will determine the usefulness of the structure of the sessions and the feasibility and acceptability of performing a study of this kind.

03

Conditions studied

  • HIV/AIDS
  • Aging
  • Mild Cognitive Impairment
  • Group, Peer

Keywords

  • HIV-Associated Neurocognitive Disorder (HAND)
  • Cognitive remediation group therapy
  • Mutual aid group therapy
04

Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Male or female; aged ≥ 40 years
  2. Documented HAND diagnosis of Mild Neurocognitive Disorder (MND)
  3. ≥ 5 years of infection
  4. Provided consent to St. Michael's Hospital to be contacted for future research studies
  5. Can feasibly attend 8 weeks of group therapy in downtown Toronto

Exclusion criteria

Exclusion Criteria:

  1. Documented HAND diagnosis of asymptomatic neurocognitive impairment (ANI) or -associated dementia (HAD)
  2. Hospitalization within past 1 month
  3. Inability to communicate in English
  4. Inability to use a tablet
  5. Anyone deemed by the principal investigator to be disruptive to a support group setting
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    Cognitive remediation group therapy

    8 weekly 3-hour sessions of CRGT

    Behavioral: CRGT

  • Active comparator
    Mutual aid support group

    8 weekly 3-hour sessions of HIV group therapy

    Behavioral: HIV group therapy

Interventions

  • BehavioralCRGT

    Cognitive remediation group therapy (CRGT) will be comprised of 1/3 brain training exercises on tablets using PositScience software by BrainHQ and 2/3 mindfulness-based stress reduction (MBSR) involving various activities such as meditation, breathing exercises, etc. Intervention will comprise of 8 weekly 3-hour sessions.

  • BehavioralHIV group therapy

    These groups use a model of mutual aid to encourage peer-based discussion on the effects of living with HIV. Topics are determined by the group; facilitators ensure that safety is maintained throughout and make connections between participants as appropriate. Intervension will comprise of 8 weekly 3-hour sessions.

06

What researchers measure

Primary outcomes

  1. Feasibility - Session Attendance

    Number of Participants who Attended at least 80% of the Group Sessions.

    Time frame: Three months

  2. Acceptability - Participant Satisfaction With Group Sessions

    Participants will complete the Helping Characteristics of Self-Help and Support Groups Measure that will be complemented by questions about session length, number of sessions, activities used, and evaluation of facilitators. The Helping Characteristics of Self-Help and Support Group Measure contains 22 items that are scored on a 5-point-Likert style scale for a minimum score of 22 and a maximum score of 110. Higher scores indicate better outcome (outcome being satisfaction with support group). There are no subscales.

    Time frame: Three months

Other outcomes

  1. Change in Stress

    Assessed by the 'HIV/AIDS Stress Scale' at three time points. Score from 0 to 116. Lower scores mean better outcomes.

    Time frame: Baseline visit (week -1), follow-up visit (week 9), and end of study visit (week 21)

  2. Sustained Use of Brain Training Activities

    Self-report at three time points

    Time frame: Baseline visit (week -1), follow-up visit (week 9), and end of study visit (week 21)

  3. Sustained Use of Mindfulness Strategies

    Assessed by the 'Five Facet Mindfulness Questionnaire - Short Form' at three time points. Score from 24 to 120. Higher scores mean better outcomes.

    Time frame: Baseline visit (week -1), follow-up visit (week 9), and end of study visit (week 21). Score from 0 to 26

  4. Change in Anxiety

    Assessed by the 'Anxiety in Cognitive Impairment and Dementia Scale' at three time points. Score from 0 to 26. Lower scores mean better outcomes.

    Time frame: Baseline visit (week -1), follow-up visit (week 9), and end of study visit (week 21)

  5. Change in Coping

    Assessed by the 'Coping Self-Efficacy Scale of Health Problems' at three time points. Score from 0 to 30. Higher scores mean better outcomes.

    Time frame: Baseline visit (week -1), follow-up visit (week 9), and end of study visit (week 21)

07

Results

Posted Mar 29, 2024

Participant flow

Participant flow — Overall Study
MilestoneCognitive Remediation Group TherapyMutual Aid Support Group
Started66
Completed55
Not completed11

Outcome measures

PrimaryFeasibility - Session Attendance

Number of Participants who Attended at least 80% of the Group Sessions.

Time frame:
Three months
Reported as:
Count of participants · Participants
Feasibility - Session Attendance
ParticipantsCognitive Remediation Group TherapyMutual Aid Support Group
Feasibility - Session Attendance55
PrimaryAcceptability - Participant Satisfaction With Group Sessions

Participants will complete the Helping Characteristics of Self-Help and Support Groups Measure that will be complemented by questions about session length, number of sessions, activities used, and evaluation of facilitators. The Helping Characteristics of Self-Help and Support Group Measure contains 22 items that are scored on a 5-point-Likert style scale for a minimum score of 22 and a maximum score of 110. Higher scores indicate better outcome (outcome being satisfaction with support group). There are no subscales.

Time frame:
Three months
Reported as:
Mean · score on a scale
Acceptability - Participant Satisfaction With Group Sessions
score on a scaleCognitive Remediation Group TherapyMutual Aid Support Group
Acceptability - Participant Satisfaction With Group Sessions90 (74 to 100)85 (58 to 100)
Other pre-specifiedChange in Stress

Assessed by the 'HIV/AIDS Stress Scale' at three time points. Score from 0 to 116. Lower scores mean better outcomes.

Time frame:
Baseline visit (week -1), follow-up visit (week 9), and end of study visit (week 21)

Results for this outcome have not been posted.

Other pre-specifiedSustained Use of Brain Training Activities

Self-report at three time points

Time frame:
Baseline visit (week -1), follow-up visit (week 9), and end of study visit (week 21)

Results for this outcome have not been posted.

Other pre-specifiedSustained Use of Mindfulness Strategies

Assessed by the 'Five Facet Mindfulness Questionnaire - Short Form' at three time points. Score from 24 to 120. Higher scores mean better outcomes.

Time frame:
Baseline visit (week -1), follow-up visit (week 9), and end of study visit (week 21). Score from 0 to 26

Results for this outcome have not been posted.

Other pre-specifiedChange in Anxiety

Assessed by the 'Anxiety in Cognitive Impairment and Dementia Scale' at three time points. Score from 0 to 26. Lower scores mean better outcomes.

Time frame:
Baseline visit (week -1), follow-up visit (week 9), and end of study visit (week 21)

Results for this outcome have not been posted.

Other pre-specifiedChange in Coping

Assessed by the 'Coping Self-Efficacy Scale of Health Problems' at three time points. Score from 0 to 30. Higher scores mean better outcomes.

Time frame:
Baseline visit (week -1), follow-up visit (week 9), and end of study visit (week 21)

Results for this outcome have not been posted.

Adverse events

Collected over 1 year. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cognitive Remediation Group Therapy0/6 (0%)0/6 (0%)0/6 (0%)
Mutual Aid Support Group0/6 (0%)0/6 (0%)0/6 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Cognitive Remediation Group TherapyMutual Aid Support GroupTotal
Mean51.5 ± 6.7259.7 ± 10.6355.6 ± 8.68
Sex: Female, Male
Sex: Female, Male(Participants)Cognitive Remediation Group TherapyMutual Aid Support GroupTotal
Female000
Male6612
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Cognitive Remediation Group TherapyMutual Aid Support GroupTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American101
White549
More than one race022
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Cognitive Remediation Group TherapyMutual Aid Support GroupTotal
Canada6612
08

Study locations

3 sites
  • AIDS Committee of Toronto (ACT)
    Toronto, Ontario M4Y1Y5, Canada
  • St. Michael's Hospital Neurobehavioral Research Unit
    Toronto, Ontario M5B1M4, Canada
  • University Health Network, Toronto General Hospital
    Toronto, Ontario M5G 2N2, Canada
09

References and documents

Publications

  • Eaton AD, Walmsley SL, Craig SL, Rourke SB, Sota T, McCullagh JW, Fallon BA. Protocol for a pilot randomised controlled trial evaluating feasibility and acceptability of cognitive remediation group therapy compared with mutual aid group therapy for people ageing with HIV-associated neurocognitive disorder (HAND) in Toronto, Canada. BMJ Open. 2019 Oct 31;9(10):e033183. doi: 10.1136/bmjopen-2019-033183. PubMed 31676660 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2018 to primary completion in Dec 2019, 16 months.

Results were first posted in Mar 2024, 4 years 2 months after primary completion.

Of 642 non-industry interventional studies with no phase under Acquired Immunodeficiency Syndrome, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 45. This study's 16 months is below that.

Counting every sponsor, half of 648 studies reached it within 29 months; a quarter within 17 and three quarters within 45.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 9, 2018
First posted
Mar 30, 2018
StartActual
Aug 6, 2018
Primary completionActual
Dec 31, 2019
CompletionActual
Dec 31, 2019
Results first posted
Mar 29, 2024
Last update
Mar 29, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 29, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03483740
Collaborators
CIHR Canadian HIV Trials Network, Unity Health Toronto, AIDS Committee of Toronto, Factor-Inwentash Faculty of Social Work, University of Toronto
Responsible party
Sponsor
First posted
Mar 30, 2018
Start date
Aug 6, 2018
Primary completion
Dec 31, 2019
Completion
Dec 31, 2019
Results posted
Mar 29, 2024
Last update
Mar 29, 2024

Study contacts

Sharon L Walmsley, MD
principal investigator · University Health Network, Toronto

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2022. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion