Evidence map›Paper›PMID 29752620›Full record

Trial reportAIDS and behavior2018

Mechanism of Change in Cognitive Behavioral Therapy for Body Image and Self-Care on ART Adherence Among Sexual Minority Men Living with HIV.

Kalina M Lamb, Kelsey A Nogg, Steven A Safren, Aaron J Blashill

Abstract 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. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Mechanism underlying a brief cognitive behavioral treatment for head and neck cancer survivors with body image distress.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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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

4 authors.

Kalina M LambSan Diego State University, San Diego, CA, USA. klamb-sw@sdsu.edu.
Kelsey A NoggSan Diego State University, San Diego, CA, USA.
Steven A SafrenUniversity of Miami, Coral Gables, FL, USA.
Aaron J BlashillSan Diego State University, San Diego, CA, USA.

Funding

Addressing psychosocial comorbidities in HIV treatment and preventionK24DA040489 · NIDA · UNIVERSITY OF MIAMI CORAL GABLES · PI SAFREN, STEVEN A · 2016 to 2020
$931k
Addressing psychosocial comorbidities in HIV treatment and preventionK24MH094214 · NIMH · UNIVERSITY OF MIAMI CORAL GABLES · PI SAFREN, STEVEN A · 2011 to 2015
$858k
Body Image and Self-care in HIV-infected MSMK23MH096647 · NIMH · SAN DIEGO STATE UNIVERSITY · PI BLASHILL, AARON J · 2012 to 2016
$857k
ANALYSIS OF INCENTIVE RELATIVITYR01MH040489 · NIMH · RUTGERS THE ST UNIV OF NJ NEW BRUNSWICK · PI FLAHERTY, CHARLES F · 1985 to 1987
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National Institute of Mental Health K23MH096647National Institute of Mental Health (US) K24DA040489NIDA NIH HHS K24 DA040489NIMH NIH HHS K23 MH096647NIMH NIH HHS K24 MH094214
6 · The paper itself

Abstract

Body image disturbance is a common problem reported among sexual minority men living with HIV, and is associated with poor antiretroviral therapy (ART) adherence. Recently, a novel integrated intervention (cognitive behavioral therapy for body image and self-care; CBT-BISC) was developed and pilot tested to simultaneously improve body image and ART adherence in this population. Although CBT-BISC has demonstrated preliminary efficacy in improving ART adherence, the mechanisms of change are unknown. Utilizing data from a two-armed randomized controlled trial (N = 44 sexual minority men living with HIV), comparing CBT-BISC to an enhanced treatment as usual (ETAU) condition, sequential process mediation via latent difference scores was assessed, with changes in body image disturbance entered as the mechanism between treatment condition and changes in ART adherence. Participants assigned to CBT-BISC reported statistically significant reductions in body image disturbance post-intervention, which subsequently predicted changes in ART adherence from post-intervention to long term follow-up (b = 20.01, SE = 9.11, t = 2.19, p = 0.028). One pathway in which CBT-BISC positively impacts ART adherence is through reductions in body image disturbance. Body image disturbance represents one, of likely several, mechanism that prospectively predicts ART adherence among sexual minority men living with HIV.

Indexed as

AdultAnti-Retroviral AgentsBody ImageCognitive Behavioral TherapyFemaleHIV InfectionsHumansMaleMedication AdherenceMiddle AgedPain ManagementSelf CareSexual and Gender MinoritiesTreatment OutcomeAnti-Retroviral AgentsART adherenceBody imageHIV/AIDSMediationSexual minority men

Identifiers

PMID29752620
PMCPMC6557129

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Registered trials

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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.