Evidence map›Paper›PMID 35488323›Full record

ArticlePilot and feasibility studies2022

Suubi4Stigma study protocol: a pilot cluster randomized controlled trial to address HIV-associated stigma among adolescents living with HIV in Uganda.

Proscovia Nabunya, Fred M Ssewamala, Ozge Sensoy Bahar, Lynn T M Michalopoulos, James Mugisha, Torsten B Neilands, Jean-Francois Trani, Mary M McKay

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04528732 (Suubi4Stigma), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.8field-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.

NCT04528732 nacompletednot on this map

Suubi4Stigma: Addressing HIV-Associated Stigma Among Adolescents

TypeinterventionalSponsorWashington University School of MedicineRan2020 to 2022Enrolled89ConditionsHIV/AIDSArmsGroup Cognitive Behavioral Therapy (G-CBT), Multiple Family Group (MFG)
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Selection and reporting of usual care comparators when designing primary care trials of complex health interventions: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 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

8 authors at 4 institutions in 2 countries.

Proscovia NabunyaInternational Center for Child Health and Development (ICHAD), St. Louis, USA. nabunyap@wustl.edu.ORCID http://orcid.org/0000-0002-9088-5839
Fred M SsewamalaInternational Center for Child Health and Development (ICHAD), St. Louis, USA.
Ozge Sensoy BaharInternational Center for Child Health and Development (ICHAD), St. Louis, USA.
Lynn T M MichalopoulosThe Moving Well Project International, Inc., Silver Spring, USA.
James MugishaCollege of Health Sciences, Makerere University, Kampala, Uganda.
Torsten B NeilandsDivision of Prevention Science, School of Medicine, University of California San Francisco, San Francisco, USA.
Jean-Francois TraniBrown School, Washington University in St. Louis, Campus Box 1196, One Brookings Drive, St. Louis, MO, 63130, USA.
Mary M McKayBrown School, Washington University in St. Louis, Campus Box 1196, One Brookings Drive, St. Louis, MO, 63130, USA.
Washington University in St. Louis · USColumbia University · USMakerere University · UGUniversity of California, San Francisco · US

Funding

Training Program for Scientists Conducting Research to Reduce HIV Health DisparitR25MH067127 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Emily A Arnold, Torsten Brian Neilands · 2003 to 2026
$5.4M
Strengthening Child Health Research Capacity in Resource Constrained Settings: Researcher Resilience Training (RRT)R25MH118935 · NIMH · WASHINGTON UNIVERSITY · PI SEAN JOE, Mary McKernan McKay · 2018 to 2026
$1.5M
Suubi4Stigma: Addressing HIV-Associated Stigma Among AdolescentsR21MH121141 · NIMH · WASHINGTON UNIVERSITY · PI NABUNYA, PROSCOVIA, SSEWAMALA, FRED M · 2020 to 2021
$425k
NIMH NIH HHS R21 MH121141NIMH NIH HHS R21MH121141NIMH NIH HHS R25 MH067127NIMH NIH HHS R25 MH118935
6 · The paper itself

Abstract

backgroundSub-Saharan Africa (SSA) is heavily burdened by HIV, with 85% of the global new infections among adolescents happening in the region. With advances in medication and national policies promoting antiretroviral therapy (ART), children < 15 years living with HIV (CLWH) continue to grow with a chronic, highly stigmatized disease. Unfortunately, the stigma they experience results in much lower quality of life, including poor mental health and treatment outcomes. Family members also experience stigma and shame by virtue of their association with an HIV-infected family member. Yet, stigma-reduction interventions targeting CLWH and their families are very limited. The goal of this study is to address HIV-associated stigma among CLWH and their caregivers in Uganda.

methodsThis three-arm cluster randomized control trial, known as Suubi4Stigma, will evaluate the feasibility, acceptability, and preliminary impact of two evidence-based interventions: (1) group cognitive behavioral therapy (G-CBT) focused on cognitive restructuring and strengthening coping skills at the individual level and (2) a multiple family group (MFG) intervention that strengthens family relationships to address stigma among CLWH (N = 90, 10-14 years) and their families (dyads) in Uganda. Nine clinics will be randomized to one of three study arms (n = 3 clinics, 30 child-caregiver dyads each): (1) usual care; (2) G-CBT + usual care; and (3) MFG + usual care. Both treatment and control conditions  will be delivered over a 3-month period. Data will be collected at baseline (pre-intervention) and at 3 months and 6 months post-intervention initiation.

conclusionThe primary aim of the proposed project is to address the urgent need for theoretically and empirically informed interventions that seek to reduce HIV-associated stigma and its negative impact on adolescent health and psychosocial well-being. As several countries in SSA grapple with care and support for CLWH, this study will lay the foundation for a larger intervention study investigating how HIV-associated stigma can be reduced to foster healthy child development-especially for CLWH as they transition through adolescence.

trial registrationClinicalTrials.gov: NCT04528732 ; Registered August 27, 2020.

Indexed as

Children and adolescents living with HIVGroup cognitive behavioral therapyHIV-associated stigmaMultiple family groupUganda

Identifiers

PMID35488323
PMCPMC9052650
OpenAlexW4225151213

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.