Evidence map›Paper›PMID 29270789›Full record

Trial reportAIDS and behavior2018

Improving AIDS Care After Trauma (ImpACT): Pilot Outcomes of a Coping intervention Among HIV-Infected Women with Sexual Trauma in South Africa.

Kathleen J Sikkema, Marta I Mulawa, Corne Robertson, Melissa H Watt, Nonceba Ciya, Dan J Stein, Emily M Cherenack, Karmel W Choi, Matapelo Kombora, John A Joska

2 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS and behavior, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 48 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 5 pooled it
2.1field-weighted citation impact, top 13% of its field
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.

NCT02223390 nacompletednot on this map

Improving the Health of South African Women With Traumatic Stress in HIV Care

TypeinterventionalSponsorDuke UniversityRan2016 to 2017Enrolled64ConditionsHIV, Trauma ExposureArmsImproving AIDS Care after Trauma (ImpACT)
NCT04793217 nacompletednot on this mapstarted 2021, after this paper: background citation

Project Someleze: A Randomized Trial of ImpACT+, a Coping Intervention to Improve Clinical and Mental Health Outcomes Among HIV-infected Women With Sexual Trauma in South Africa

TypeinterventionalSponsorColumbia UniversityRan2021 to 2025Enrolled350ConditionsHIV, Trauma ExposureArmsImproving AIDS Care After Trauma +, Adapted Problem-Solving Therapy
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 5 syntheses or guidelines pooled it, 67 citations in OpenAlex.

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  13. International journal of qualitative studies on health and well-being · 2025
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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

10 authors at 2 institutions in 2 countries.

Kathleen J SikkemaDuke Global Health Institute, Duke University, Durham, NC, USA. kathleen.sikkema@duke.edu.ORCID 0000-0003-0371-5119
Marta I MulawaDuke Global Health Institute, Duke University, Durham, NC, USA.
Corne RobertsonDepartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
Melissa H WattDuke Global Health Institute, Duke University, Durham, NC, USA.
Nonceba CiyaDepartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
Dan J SteinDepartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
Emily M CherenackDuke Global Health Institute, Duke University, Durham, NC, USA.
Karmel W ChoiDuke Global Health Institute, Duke University, Durham, NC, USA.
Matapelo KomboraDepartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
John A JoskaDepartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
University of Cape Town · ZADuke University · US

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
Ruth L. Kirschstein National Research Service Award (NRSA)- T32T32AI007392 · NIAID · DUKE UNIVERSITY · PI Amy Lynn Corneli, Guido Ferrari · 1990 to 2026
$9.8M
Improving the health of South African women with traumatic stress in HIV careR34MH102001 · NIMH · DUKE UNIVERSITY · PI SIKKEMA, KATHLEEN J · 2014 to 2016
$581k
NIAID NIH HHS P30 AI064518NIAID NIH HHS T32 AI007392NIMH NIH HHS R34 MH102001
6 · The paper itself

Abstract

Improving AIDS Care after Trauma (ImpACT), a coping intervention for HIV-infected women with sexual abuse histories, was evaluated for feasibility and potential efficacy in a public clinic in Cape Town, South Africa. Sixty-four participants were enrolled prior to starting antiretroviral therapy (ART). After completing baseline assessments, participants were randomly assigned to standard of care (SoC: three adherence counseling sessions) or ImpACT (SoC plus four individual and three group sessions). Participants completed assessments at 3 months (after individual sessions) and 6 months post-baseline. In exploratory analysis of primary outcomes, ImpACT participants, compared to SoC, reported greater reductions in avoidance and arousal symptoms of PTSD and greater increases in ART adherence motivation at 3 months. Clinically significant decreases in overall PTSD symptoms were also demonstrated at 3 months. These effects continued as trends at the 6-month assessment, in addition to increases in social/spiritual coping. In analysis of secondary outcomes, high levels of non-adherence to ART and poor care engagement were evident at 6 months, with no differences between study arms. A trauma-focused, culturally-adapted individual intervention delivered by a non-specialist in the HIV care setting is feasible and acceptable. Preliminary findings suggest ImpACT has potential to reduce PTSD symptoms and increase ART adherence motivation, but a more intensive intervention may be needed to improve and maintain care engagement among this population.

trial registrationClinicalTrials.gov NCT02223390.

Indexed as

CounselingPatient Acceptance of Health CareAdaptation, PsychologicalAdultFeasibility StudiesFemaleHIV InfectionsHumansMedication AdherenceMotivationOutcome and Process Assessment, Health CareSex OffensesSouth AfricaStress Disorders, Post-TraumaticYoung AdultAdherenceHIVSexual violenceSouth AfricaTraumatic stress

Identifiers

PMID29270789
PMCPMC5828984
OpenAlexW2779216157

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.