Evidence map›Paper›PMID 28017907›Full record

Trial reportContemporary clinical trials2017

Phone-delivered mindfulness training to promote medication adherence and reduce sexual risk behavior among persons living with HIV: Design and methods.

Elena Salmoirago-Blotcher, Carla Rich, Rochelle K Rosen, Shira Dunsiger, Aadia Rana, Michael P Carey

Abstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Behavioral and Physical Activity Interventions for HAND.Current topics in behavioral neurosciences · 2021
    Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Elena Salmoirago-BlotcherCenters for Behavioral and Preventive Medicine, The Miriam Hospital, 164 Summit Avenue, Providence, RI 02903, United States; Department of Medicine, The Warren Alpert Medical School of Brown University, United States. Electronic address: Elena_Salmoirago-Blotcher@brown.edu.
Carla RichCenters for Behavioral and Preventive Medicine, The Miriam Hospital, 164 Summit Avenue, Providence, RI 02903, United States.
Rochelle K RosenCenters for Behavioral and Preventive Medicine, The Miriam Hospital, 164 Summit Avenue, Providence, RI 02903, United States; Department of Behavioral and Social Science, School of Public Health, Brown University, United States.
Shira DunsigerCenters for Behavioral and Preventive Medicine, The Miriam Hospital, 164 Summit Avenue, Providence, RI 02903, United States; Department of Behavioral and Social Science, School of Public Health, Brown University, United States.
Aadia RanaDepartment of Medicine, The Warren Alpert Medical School of Brown University, United States.
Michael P CareyCenters for Behavioral and Preventive Medicine, The Miriam Hospital, 164 Summit Avenue, Providence, RI 02903, United States; Department of Behavioral and Social Science, School of Public Health, Brown University, United States; Department of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, United States.

Funding

Improving Retention in Care Among Postpartum HIV-infected Women in MississippiK23MH100955 · NIMH · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI RANA, AADIA · 2014 to 2018
$890k
Mindfulness Training to Improve ART Adherence and Reduce Risk Behavior among Persons Living with HIVR34AT008930 · NCCIH · MIRIAM HOSPITAL · PI CAREY, MICHAEL P, SALMOIRAGO-BLOTCHER, ELENA · 2015 to 2017
$657k
NCCIH NIH HHS R34 AT008930NIMH NIH HHS K23 MH100955
6 · The paper itself

Abstract

introductionTwo-thirds of people living with HIV (PLWH) show sub-optimal adherence to antiretroviral therapy (ART) and one-third engages in risky sex. Both non-adherence and risky sex have been associated with emotional distress and impulsivity. To allay distress and lessen impulsivity, mindfulness training (MT) can be helpful. In this trial, we will investigate the utility of phone-delivered MT for PWLH. The primary outcomes comprise feasibility and acceptability of phone-delivery; secondary outcomes are estimates of efficacy of MT on adherence to ART and safer sexual practices as well as on their hypothesized antecedents. METHODS/

designFifty participants will be enrolled in this parallel-group randomized clinical trial (RCT). Outpatients recruited from an HIV treatment clinic will be randomized (1:1 ratio) to either MT or to an attention-control intervention; both interventions will be administered during 8 weekly phone calls. ART adherence (self-reported measure and unannounced phone pill counts), sexual behavior (self-reports and biomarkers), mindfulness, depression, stress, and impulsivity will be measured at baseline, post-intervention, and 3months post-intervention.

conclusionsMT has great potential to help PLWH to manage stress, depressive symptoms, and impulsivity. Positive changes in these antecedents are expected to improve safer sex practices and ART adherence. If results from this exploratory trial support our hypotheses, we will conduct a large RCT to test (a) the efficacy of MT on ART adherence and safer sex practices and (b) the hypothesis that improved ART adherence and safer sex will reduce viral load, and decrease the incidence of sexually transmitted infections, respectively.

Indexed as

Medication AdherenceRisk-TakingSexual BehaviorTelephoneAnti-HIV AgentsDepressionFeasibility StudiesHIV InfectionsHumansImpulsive BehaviorMindfulnessPatient Acceptance of Health CareStress, PsychologicalAnti-HIV AgentsAdherenceClinical trialHIVMindfulnessSexual risk behaviorStress

Identifiers

PMID28017907
PMCPMC5274627

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.