ArticleCognitive and behavioral practice2020
A novel technology-enhanced internalized stigma and shame intervention for HIV-positive persons with substance use disorders.
Article in Cognitive and behavioral practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 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.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- A Systematic Review and Meta-Analysis of Combination Behavioral Interventions Co-Targeting Psychosocial Syndemics and HIV-Related Health Behaviors for Sexual Minority Men.Journal of sex research · 2020Pooled it
- Pilot Trial of a Transdiagnostic Cognitive Behavioral Therapy (CBT)-Based Group Intervention to Reduce Psychological Distress, Facilitate Positive Behavior Change, and Mitigate Inflammation in Older People with HIV.AIDS and behavior · 2025Trial
- Efficacy of an Online Self-compassion Group Intervention for Sexual Minority Men Living with HIV: A Pilot Randomized Controlled Trial.AIDS and behavior · 2025Trial
- Shame and stigma in association with the HCV cascade to cure among people who inject drugs.Drug and alcohol dependence · 2023Trial
- Trial
- "I Just Need Guidance Through This Maze I'm Going Through": Addressing Unmet Basic and Mental Health Needs to Facilitate Engagement in HIV Prevention Services in the Context of Stimulant Use.AIDS patient care and STDs · 2026Article
- Using Latent Profile Analysis to Identify Stigma Typologies Among a Sample of Women Living with HIV and Who Inject Drugs in Ukraine.AIDS and behavior · 2026Article
- Comprehensive Communication for a Syndemic Approach to HIV Care: A Framework for Enhancing Health Communication Messages for People Living with HIV.International journal of environmental research and public health · 2025Review
- Decoding strategies for stigma reduction in substance use disorder: A qualitative synthesis utilizing the theoretical domain and behavior change wheel frameworks.Indian journal of psychiatry · 2025Review
- Current Status of HIV-Stigma Reduction Interventions: A Need to Address the Root Causes at Multiple Levels.Current HIV/AIDS reports · 2025Review
- Nonverbal expressions of shame predict suicidal ideation among rurally-situated, but not urban situated, lesbian, gay, bisexual, transgender, and queer (LGBTQ) adults.PLOS mental health · 2025Article
- Unveiling the landscape of antistigma interventions for individuals with substance use disorders: A scoping review.Indian journal of psychiatry · 2024Review
- Mapping a psychosocial syndemic among methamphetamine-using sexual minority men living with HIV.Drug and alcohol review · 2024Article
- In the Interest of Time: Assessing the Role of Resilience Across an Intergenerational Sample of People Living with HIV.International journal of behavioral medicine · 2024Article
- Evaluation of a Newly Developed Transdiagnostic Cognitive Behavioral Therapy Group to Promote Healthy Aging Among Older People with HIV: Study Protocol for a Pilot Randomized Controlled Trial.Open access journal of clinical trials · 2024Article
- An acceptance-based, intersectional stigma coping intervention for people with HIV who inject drugs-a randomized clinical trial.The Lancet regional health. Europe · 2023Article
- Self-Compassion, Minority Stress, and Mental Health in Sexual and Gender Minority Populations: A Meta-Analysis and Systematic Review.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2023Article
- Measuring and Addressing Stigma Within HIV Interventions for People Who Use Drugs: a Scoping Review of Recent Research.Current HIV/AIDS reports · 2022Article
- Discrimination experiences, resilience, and cardiovascular disease risk factors among sexual minority women.Journal of behavioral medicine · 2022Article
- Adverse childhood experiences exacerbate the association between day-to-day discrimination and mental health symptomatology in undergraduate students.Journal of affective disorders · 2022Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
Internalized stigma, shame, and other negative self-conscious emotions are inadequately addressed barriers to HIV-related self-care, particularly among people actively using substances. Innovative approaches are needed to optimize antiretroviral treatment (ART) adherence as well as engagement in HIV care among people living with HIV and substance use disorders. Based on qualitative feedback from providers and patients, we iteratively developed and conducted a proof-of-concept study of a relatively brief transdiagnostic emotion regulation intervention designed to improve ART adherence care by addressing behavioral and psychological barriers, including internalized stigma and shame, among people living with HIV and active substance use disorders. The final intervention included 5 individual sessions focused on metacognitive awareness of emotions and thoughts, cognitive reframing of dysfunctional thoughts about the self using concepts such as self-compassion, and identifying and reaching the participants' personalized HIV-self-care goal(s). All participants received daily texts querying current emotion and weekly texts querying ART adherence and substance use. To extend the effects of the intervention, we developed a personalized bi-directional text component through which participants received their personalized compassionate self-statements, informed by the intervention content, in response to their answers to emotion queries for 8 weeks after the 5 sessions. The texts modeled using compassionate self-statements as a form of cognitive reframing, consistent with cognitive restructuring of distorted core beliefs. We consented 10 participants living with HIV and problematic substance use in the proof-of-concept pilot. Of the 8 participants who completed all intervention sessions, participants replied to 70% of all text messages sent. All 8 reported strong acceptability of the intervention content. This emotion-focused, technology-enhanced intervention demonstrated proof-of-concept, in that this patient population would participate in this intervention. A larger randomized controlled pilot is needed to determine feasibility and acceptability among people living with HIV and substance use disorders, a hard-to-reach and underserved population.
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What OpenQuestion holds
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.