ArticleCognitive and behavioral practice2018
Striving Towards Empowerment and Medication Adherence (STEP-AD): A Tailored Cognitive Behavioral Treatment Approach for Black Women Living With HIV.
Article in Cognitive and behavioral practice, 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 27 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Striving Towards EmPowerment and Medication Adherence (STEP-AD)
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Characteristics and HIV-Related Outcomes of People Living with Co-occurring HIV and Mental Health Conditions in the United States: A Systematic Review of Literature from 2016 to 2021.AIDS and behavior · 2024Pooled it
- Integrated PTSD and adherence treatment for people living with HIV: a feasibility pilot trial for cognitive processing therapy- lifesteps (CPT-L) at a Ryan white clinic.AIDS research and therapy · 2025Trial
- A Pilot Randomized Control Trial of the Striving Towards EmPowerment and Medication Adherence (STEP-AD) Intervention for Black Women Living with HIV.AIDS and behavior · 2024Trial
- Using Motivational Interviewing to Increase PrEP Uptake Among Black Women at Risk for HIV: an Open Pilot Trial of MI-PrEP.Journal of racial and ethnic health disparities · 2020Trial
- Stigma in People Living with HIV/AIDS in Brazil: Implications for Treatment Adherence.AIDS and behavior · 2026Article
- Exploring the influence of age, gender, stigma, and years living with HIV on mental health outcomes.HIV medicine · 2025Article
- Leveraging U = U in Interventions for Black Women Living With HIV: A Scoping Review and Call To Action.AIDS and behavior · 2025Review
- 'Doing what I need to do': sustaining mental health, medication adherence, and engagement in care among Black women living with HIV during the COVID-19 onset of 2020.Ethnicity & health · 2025Article
- Black Authoritative Knowledge and Health Care Among Black Women With HIV.American journal of public health · 2025Article
- Predictors of depression, anxiety, and overall psychological distress in people living with HIV/AIDS: analyses from the Stigma Index Brazil 2.0.Cadernos de saude publica · 2025Article
- A Transdiagnostic Treatment to Improve Biomedical and Syndemic Outcomes in People Living With HIV.Cognitive and behavioral practice · 2024Article
- A network analysis of positive psychosocial factors and indication of suboptimal HIV care outcomes among Black women living with HIV.AIDS care · 2024Article
- Piloting Safety and Stabilization: A Multi-component Trauma Intervention to Improve HIV Viral Suppression, Retention in Care, and Post-traumatic Stress Disorder in a Southern United States HIV Service Organization.AIDS and behavior · 2024Observational
- Development and feasibility testing of an integrated PTSD and adherence intervention cognitive processing therapy-life steps (CPT-L) to improve HIV outcomes: Trial protocol.Contemporary clinical trials communications · 2023Article
- Mental Health, Self-Care, and Engagement in Care among Black Women Living with HIV.Ethnicity & disease · 2023Article
- Using Network Analysis to Assess the Effects of Trauma, Psychosocial, and Socioeconomic Factors on Health Outcomes Among Black Women Living with HIV.AIDS and behavior · 2023Article
- Self-esteem, adverse life events, and mental health diagnoses among Black women living with HIV.Ethnicity & health · 2023Article
- Gendered Racial Microaggressions and Self-Silencing Associated with Suicidality Among Black Women Living with HIV.Journal of racial and ethnic health disparities · 2022Article
- Trauma exposure, PTSD, and suboptimal HIV medication adherence among marginalized individuals connected to public HIV care in Miami.Journal of behavioral medicine · 2021Article
- Wisdom Matters: Honoring the Wisdom and Assessing the Health Literacy of Black Women Living with HIV.Journal of healthcare, science and the humanities · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
In the U.S. Black women with HIV face numerous psychosocial challenges, particularly trauma, racism, HIV-related discrimination, and gender role expectations, that are associated with negative HIV health outcomes and low medical treatment adherence. Yet many of these factors are unaddressed in traditional cognitive behavioral approaches. This study presents a case series of a tailored cognitive behavioral treatment approach for Black women living with HIV. Striving Towards EmPowerment and Medication Adherence (STEP-AD) is a 10-session treatment aimed at improving medication adherence for Black women with HIV by combining established cognitive behavioral strategies for trauma symptom reduction, strategies for coping with race- and HIV-related discrimination, gender empowerment, problem-solving techniques for medication adherence, and resilient coping. A case series study of five Black women with HIV was conducted to evaluate the preliminary acceptability and feasibility of the treatment and illustrate the approach. Findings support the potential promise of this treatment in helping to improve HIV medication adherence and decrease trauma symptoms. Areas for refinement in the treatment as well as structural barriers (e.g., housing) in the lives of the women that impacted their ability to fully benefit from the treatment are also noted.
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Registered trials
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