Evidence map›Paper›PMID 28604021›Full record

ArticleCultural diversity & ethnic minority psychology2018

Still I rise: The need for self-validation and self-care in the midst of adversities faced by Black women with HIV.

Sannisha K Dale, Catherine Pierre-Louis, Laura M Bogart, Conall O'Cleirigh, Steven A Safren

Registry-linked trialAbstract read
In one paragraph

Article in Cultural diversity & ethnic minority psychology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02764853 (Striving Towards EmPowerment and Medication Adherence), which is not on this map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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.

NCT02764853 nacompletednot on this map

Striving Towards EmPowerment and Medication Adherence (STEP-AD)

TypeinterventionalSponsorUniversity of MiamiRan2015 to 2019Enrolled184ConditionsHIVArmsExperimental Intervention (STEP-AD), Enhanced Treatment as Usual (E-TAU)
3 · Its place in the literature

Who cites it

29 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Structural equation model of intersectional microaggressions, discrimination, resilience, and mental health among black women with hiv.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

5 authors.

Sannisha K DaleDepartment of Psychiatry, Massachusetts General Hospital.
Catherine Pierre-LouisDepartment of Psychiatry, Massachusetts General Hospital.
Laura M BogartRAND Health, RAND Corporation.
Conall O'CleirighDepartment of Psychiatry, Massachusetts General Hospital.
Steven A SafrenPsychology Department, University of Miami.

Funding

The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI RAJESH T GANDHI · 2004 to 2026
$94.4M
UCLA Rapid, Relevant, Rigorous Implementation Science HubP30MH058107 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Nina Thawata Harawa · 1997 to 2026
$53.5M
Addressing psychosocial comorbidities in HIV treatment and preventionK24DA040489 · NIDA · UNIVERSITY OF MIAMI CORAL GABLES · PI SAFREN, STEVEN A · 2016 to 2020
$931k
Striving Towards Empowerment and Medication Adherence (STEP-AD)K23MH108439 · NIMH · UNIVERSITY OF MIAMI CORAL GABLES · PI DALE, SANNISHA K. · 2015 to 2018
$731k
Harvard University; Center for AIDS ResearchNIAID NIH HHS P30 AI060354NIDA NIH HHS K24 DA040489NIMH NIH HHS K23 MH108439NIMH NIH HHS P30 MH058107
6 · The paper itself

Abstract

objectivesPsychosocial factors of trauma and abuse, racial discrimination, HIV stigma, and gender-related stressors (e.g., prioritizing others' needs) have been associated with antiretroviral treatment (ART) nonadherence and poor viral suppression among Black women living with HIV (BWLWH). To inform the development of an intervention addressing these psychosocial factors to improve ART adherence, the authors sought the insight of BWLWH.

methodQualitative semistructured interviews were conducted with 30 BWLWH to gather information on their experiences with trauma, racism, HIV stigma, gender-related stressors, ART adherence, and coping strategies, and their insights on the proposed intervention. Participants' interviews were audio-recorded, transcribed, and coded using thematic content analysis and grounded theory.

resultsParticipants shared (a) their experiences with trauma/abuse, racism, HIV-stigma, gender-related stress, and medication adherence; (b) coping strategies they use (e.g., social support, awareness [acknowledging systemic racism], assertiveness, selective disclosure of HIV status, and prioritizing the self); (c) how each of these adversities relate to their medication adherence and how they found ways to self-validate and practice self-primacy and self-care, including medication adherence in spite of adversities; and (d) enthusiasm for the proposed intervention.

conclusionsCulturally adapted interventions are needed to improve the health of BWLWH by enhancing coping strategies for the multiple adversities they face and promoting self-validation, self-primacy, and self-care in spite of adversities. (PsycINFO Database Record

Indexed as

Social StigmaAdaptation, PsychologicalAdultBlack or African AmericanDisclosureFemaleHIVHIV InfectionsHumansMedication AdherenceSelf CareSocial SupportSurvivors

Identifiers

PMID28604021
PMCPMC5726949

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.