Evidence map›Paper›PMID 30607757›Full record

Trial reportAIDS and behavior2019

Randomized Control Trial of Culturally Adapted Cognitive Processing Therapy for PTSD Substance Misuse and HIV Sexual Risk Behavior for Native American Women.

Cynthia R Pearson, Debra Kaysen, David Huh, Michele Bedard-Gilligan

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05070793 (Improving Alcohol Use Disorder Treatment for Gender Minority Populations), which is not on this map. Cited by 29 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 7 pooled it
7.5field-weighted citation impact, top 3% 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.

NCT05070793 nasuspendednot on this mapstarted 2020, after this paper: background citation

Improving Alcohol Use Disorder Treatment for Gender Minority Populations

TypeinterventionalSponsorNew York State Psychiatric InstituteRan2020 to 2026Enrolled30ConditionsAlcohol Use DisorderArmsCulturally adapted interpersonal psychotherapy
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 7 syntheses or guidelines pooled it, 60 citations in OpenAlex.

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  17. Innovating through tradition: kava-Frontiers in psychology · 2025
    Review
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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 at 2 institutions in 1 country.

Cynthia R PearsonIndigenous Wellness Research Institute, School of Social Work, University of Washington, Seattle, USA. pearsonc@uw.edu.ORCID http://orcid.org/0000-0003-4711-215X
Debra KaysenDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, USA.
David HuhIndigenous Wellness Research Institute, School of Social Work, University of Washington, Seattle, USA.
Michele Bedard-GilliganDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, USA.
University of Washington · USPearson (United States) · US

Funding

Tribal College and Universities Behavioral Wellness Project (TCU BeWell)P60MD006909 · NIMHD · UNIVERSITY OF WASHINGTON · PI WALTERS, KARINA LYNN · 2012 to 2016
$6.3M
The ITZA Program: Indigenous HIV/AIDS Research Training 3 (IHART3) ProgramR25MH084565 · NIMH · UNIVERSITY OF WASHINGTON · PI Teresa A Evans-Campbell, Michelle D Johnson-Jennings · 2009 to 2026
$3.7M
Preventing HIV among Native Americans through the treatment PTSD & substance useR01MD011574 · NIMHD · UNIVERSITY OF WASHINGTON · PI KAYSEN, DEBRA L, PEARSON, CYNTHIA RENEE · 2016 to 2020
$3.3M
Cognitive Processing Intervention for HIV/STI and Substance Use among Native WomeR34DA034529 · NIDA · UNIVERSITY OF WASHINGTON · PI PEARSON, CYNTHIA RENEE · 2012 to 2014
$645k
National Center on Minority Health and Health Disparities R01MD011574NIDA NIH HHS R34 DA034529NIDA NIH HHS R34DA034529NIMHD NIH HHS P60 MD006909NIMHD NIH HHS R01 MD011574NIMH NIH HHS R25 MH084565United States Agency for International Development AID-OAA-LA-15-00003
6 · The paper itself

Abstract

An overlooked sequela of HIV risk is trauma exposure, yet few HIV interventions address trauma exposure, mental health, and substance misuse. In a two-arm randomized controlled trial 73 Native American women were randomized to a culturally-adapted Cognitive Processing Therapy (CPT) or 6-weeks waitlist. Outcomes assessed: PTSD symptom severity, alcohol use frequency, substance abuse or dependence diagnosis, and high-risk sexual behavior defined as vaginal/anal intercourse (a) under the influence of alcohol and/or illicit substances, (b) with a partner who was concurrently sexually active with someone else, and/or (c) with more than one partner in the past 6 weeks. Among immediate intervention participants, compared to waitlist participants, there were large reductions in PTSD symptom severity, high-risk sexual behavior, and a medium-to-large reduction in the frequency of alcohol use. CPT appears to improve mental health and risk behaviors, suggesting that addressing PTSD may be one way of improving HIV-risk related outcomes.

Indexed as

Risk-TakingSexual PartnersAdolescentAdultAlcoholismCognitive Behavioral TherapyFemaleHIV InfectionsHumansIndians, North AmericanMental HealthOutcome Assessment, Health CareRural PopulationSexual BehaviorStress Disorders, Post-TraumaticSubstance-Related DisordersAmerican Indian and Alaska nativeCognitive processing therapyHIV/AIDSPTSDSubstance misuse

Identifiers

PMID30607757
PMCPMC6407746
OpenAlexW2906828728

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.