1MoreStep: An Intervention to Increase HIV Care Engagement and Reduce Intimate Partner Violence Among Black Women Living With HIV

Recruiting now · Not applicable

Conditions studied: Violence, Domestic, HIV, Stigma, Social, Engagement, Patient, Medication Adherence

In brief

This study tests a 5-session cognitive behavioral approach program (herein referred to as the 1MoreStep intervention) to train Black women living with HIV (BWLWHI) and exposed to intimate partner violence (IPV) in the past 2 years (hereafter, BWLWHI) in: 1) cognitive and behavioral skills to access internal and external sources of strength (e.g. self-reliance, safety net); safety strategies, knowledge about Undetectable = Untransmissible (U=U) and HIV care; and reduce internalized and anticipated stigma; 2) communication skills to respond to enacted HIV and IPV stigma and enlist social support; and 3) addressing structural barriers to HIV care engagement with an HIV navigator component. The intervention is informed by the HIV-Stigma Framework and a resilient-reintegration model which views women as active participants in responding to IPV and managing life with HIV. Aim 1: Examine preliminary efficacy of the 1MoreStep intervention on: (a) IPV safety strategies (informal and formal resources, safety planning, and placating strategies at baseline, 3-month and 6-month follow-up visits); and (b) HIV care engagement (medical record confirmed visit with an HIV care provider, antiretroviral therapy (ART) prescription, medication adherence, and viral load status during 3-month and 6-month follow-up visits). Aim 2: Examine the acceptability and feasibility of the 1MoreStep intervention operationalized by (a) quantitative measures: session attendance and fidelity to key intervention components and (b) qualitative interviews to assess: program fit, facilitators and barriers to participation, and using 1MoreStep intervention skills.

Key facts

Study ID

NCT05608421

Run by

Johns Hopkins University

People needed

100

Starts

2023-06-26

Expected to finish

2026-12-01

Last updated by the study team

2026-04-29

Who can join

Age: 18 and older. Sex: female. Healthy volunteers: not accepted.

You may qualify if…

• Cis-gender female
• Black or African American
• ≥ Age 18
• Living with HIV
• ≤ 1 HIV care visit in previous 12 months OR virally unsuppressed (>50 copies/mL) OR at high risk for poor HIV care adherence (PHQ ≥ 3, Generalized Anxiety Disorder (GAD) ≥ 3, active substance use)
• IPV within the previous 2 years
• Ability to attend in-person for up to 8 sessions
• Do not report immediate severe danger from their partner
• English fluency

You may not qualify if…

• Not a Cis-gender female
• Not Black or African American
• ≤ Age17 or younger
• Not living with HIV
• ≥ 2 HIV care visits in previous 12 months
• No IPV within the previous 2 years
• Inability to attend in-person for up to 8 sessions
• Reports immediate severe danger from their partner
• Not fluent in English

Where it is running

• Johns Hopkins School of Nursing — Baltimore, Maryland, United States (enrolling)

Full record on ClinicalTrials.gov

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