Evidence map›Paper›PMID 37273831›Full record

ArticleContemporary clinical trials communications2023

Development and feasibility testing of an integrated PTSD and adherence intervention cognitive processing therapy-life steps (CPT-L) to improve HIV outcomes: Trial protocol.

Cristina M Lopez, Nathaniel L Baker, Angela D Moreland, Erin Bisca, Tayler Wilson, Nathalie Slick, Carla K Danielson, Allison R Eckard, Mohan Madisetti, Patricia A Resick and 1 more

Open access · goldAbstract read
In one paragraph

Article in Contemporary clinical trials communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.0field-weighted citation impact, top 14% 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.

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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Leveraging virtual reality to improve medication adherence among marginalized populations with high-risk chronic health conditions: Proof-of-concept protocol, considerations, and next steps.Proceedings of the ... Annual Hawaii International Conference on System Sciences. Annual Hawaii International Conference on System Sciences · 2025
    Article
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

11 authors at 3 institutions in 1 country.

Cristina M LopezPsychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Nathaniel L BakerDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USA.
Angela D MorelandPsychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Erin BiscaMedical University of South Carolina, USA.
Tayler WilsonMedical University of South Carolina, USA.
Nathalie SlickPsychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Carla K DanielsonPsychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Allison R EckardInfectious Diseases, Medical University of South Carolina, Charleston, SC, USA.
Mohan MadisettiCollege of Nursing, Medical University of South Carolina, Charleston, SC, USA.
Patricia A ResickDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Steven A SafrenDepartment of Psychology, University of Miami, Coral Gables, FL, USA.
Medical University of South Carolina · USDuke Medical Center · USUniversity of Miami · US

Funding

Development and Feasibility Testing of an Integrated PTSD and Adherence Intervention Cognitive Processing Therapy-Lifesteps (CPT-L) to Improve HIV OutcomesR34MH125706 · NIMH · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI LOPEZ, CRISTINA M · 2021 to 2023
$679k
NIMH NIH HHS R34 MH125706
6 · The paper itself

Abstract

Despite high rates of Post-Traumatic Stress Disorder (PTSD) in persons living with HIV (PLWH) and poor HIV-related health outcomes associated with PTSD, an effective evidence-based treatment for PTSD symptoms in PLWH does not exist. Negative reinforcement conceptual models posit that avoidant behavior (hallmark symptom of PTSD) demonstrated by PLWH with co-occurring PTSD can contribute to poor antiretroviral therapy (ART) adherence. However, research evaluating the impact of evidence-based treatment for PTSD among HIV infected populations on HIV outcomes is scarce. The Cognitive Processing Therapy (CPT) protocol is an evidence-based PTSD treatment that may address internalized stigma with targeted modifications and improve ART adherence and subsequent viral suppression through reduction of avoidant coping. This study will be the first pilot open-label randomized control trial (RCT) to test feasibility of an integrated evidence-based PTSD treatment (CPT) with an adherence intervention (Lifesteps) delivered in a Ryan White clinic to improve PTSD symptoms, adherence to ART, and retention in HIV care. Primary aims are to (1) conduct theater testing of the CPT and Lifesteps research protocol and evaluate acceptability (n = 12) and (2) deliver a modified CPT protocol (CPT-Lifesteps, or CPT-L) in 60 PLWH/PTSD exploring impact of CPT-L on PTSD symptoms and HIV outcomes compared to a Lifesteps + Standard of Care condition. This innovative research extends PTSD treatment approaches as a paradigm to reduce barriers to ART adherence. Findings of this innovative study are significant because they support the Undetectable = Untransmittable (U[bond, double bond]U) campaign and can help prevent the transmission of HIV infection through increased viral suppression.

Identifiers

PMID37273831
PMCPMC10238849
OpenAlexW4377157665

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.