Pilot randomized controlled trial of acceptance-based behavior therapy to promote HIV acceptance, HIV disclosure, and retention in medical care
Open accessAbstract
HIV patients who are not retained in medical care risk viral resistance, disease progression to AIDS, and mortality. Numerous interventions have been tested to improve retention, but they are limited by their resource-intensive approaches and lack of focus on new patients, who are at highest risk for drop-out. Data show that acceptance and disclosure of HIV status might impact retention, yet these variables have not been targeted in previous interventions. In this pilot randomized controlled trial, we assessed feasibility, acceptability, and preliminary efficacy of a brief, 2-session acceptance based behavior therapy (ABBT), relative to treatment-as-usual (TAU), in 34 new-to-care HIV patients. ABBT attendance was high and patient feedback was positive. Relative to TAU, ABBT had significant positive effects on retention, as well as putative mechanisms of action, including experiential avoidance of HIV, willingness to make and actual disclosures of HIV status, and perceived social support. Further testing of ABBT is warranted. Trial registered at clinicaltrials.gov; Clinical Trial #NCT02004457.
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Telemedicine is expected to promote high retention in study activities.
“As in our previous studies, we expect telemedicine to promote high retention in study activities (e.g. [35],).”
From A randomized trial of acceptance-based behavioral therapy to improve mental health outcomes for LGBTQ+ persons: Study protocol (2023) · cites this paper as [35]
The Results (Acceptability and feasibility; page unavailable) report high retention in study assessments, and the Methods (Participants; page unavailable) say follow-up assessments could be completed by telephone. The paper does not attribute that retention to telemedicine; its behavioral intervention was delivered at clinic appointments. (LLM, conf=0.85)
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Self-citation
- Authors
- Moitra, E., LaPlante, A., Armstrong, M. L., Chan, P. A., & Stein, M. D.
- Affiliations
- Brown University (US)
- Louisiana State University Health Sciences Center New Orleans (US)
- Boston University (US)
- Corresponding author
- Moitra, Ethan
- Venue
- AIDS and Behavior
- Published
- 2017-04-27
- Volume
- 21
- Issue
- 9
- Pages
- 2641-2649
- ISSN
- 1090-7165 (ISSN-L)
- 1573-3254
- PMC
- PMC5659953
- OpenAlex
- W2609069287
- Cited by
- 28
- References
- 62
- Citations by year
- 2026: 2 · 2025: 3 · 2023: 5 · 2022: 5 · 2021: 2 · 2020: 5 · 2019: 5 · 2018: 1
- FWCI
- 2.32
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- AIDS and Behavior (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R34 MH098694)
- Topics
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- HIV, HIV status disclosure, retention in care, experiential avoidance, perceived social support, brief psychological intervention, feasibility and acceptability
- MeSH terms
- Adult, Behavior Therapy, Confidentiality, Feasibility Studies, Female, Humans, Male, Patient Acceptance of Health Care, Pilot Projects, Social Support, HIV Infections, Treatment Outcome, Disclosure, Medication Adherence, Acceptance and Commitment Therapy
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