Evidence map›Paper›PMID 40584207›Full record

Trial reportNeuropsychiatric disease and treatment2025

An Evaluation a PrEP-Focused HIV Prevention Intervention Tailored for Individuals with Opioid Use Disorder and Cognitive Dysfunction.

Colleen B Mistler, Tania B Huedo-Medina, Roman Shrestha, John Gunstad, Alexei Zelenev, Michael M Copenhaver

Abstract readCase ReportsClinical Trial
In one paragraph

Trial report in Neuropsychiatric disease and treatment, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Colleen B Mistler *Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA.ORCID 0000-0002-8681-0252
Tania B Huedo-Medina *Institute for Collaboration on Health, Intervention, and Policy (Inchip), University of Connecticut, Storrs, CT, USA.
Roman ShresthaInstitute for Collaboration on Health, Intervention, and Policy (Inchip), University of Connecticut, Storrs, CT, USA.
John GunstadDepartment of Psychological Sciences, Kent State University, Kent, OH, USA.
Alexei ZelenevDepartment of Internal Medicine, AIDS Program, Yale School of Medicine, New Haven, CT, USA.
Michael M CopenhaverInstitute for Collaboration on Health, Intervention, and Policy (Inchip), University of Connecticut, Storrs, CT, USA.

Funding

INTERDISCIPLINARY HIV PREVENTION TRAINING PROGRAMT32MH020031 · NIMH · YALE UNIVERSITY · PI Trace S Kershaw · 1999 to 2026
$12.1M
Research Training Program in Substance Use PreventionT32DA019426 · NIDA · YALE UNIVERSITY · PI TAMI P SULLIVAN · 2005 to 2026
$7.5M
Testing an integrated bio-behavioral primary HIV prevention intervention among high-risk people who use drugsR01DA044867 · NIDA · UNIVERSITY OF CONNECTICUT STORRS · PI COPENHAVER, MICHAEL · 2017 to 2021
$3.2M
Optimizing HIV Prevention Among Opioid-Dependent PersonsK24DA051344 · NIDA · UNIVERSITY OF CONNECTICUT STORRS · PI MICHAEL COPENHAVER · 2020 to 2026
$1.3M
NIDA NIH HHS K24 DA051344NIDA NIH HHS R01 DA044867NIDA NIH HHS T32 DA019426NIMH NIH HHS T32 MH020031
6 · The paper itself

Abstract

Purpose: This study aimed to test the efficacy of the 4-week Bio-behavioral Community-Friendly Health Recovery Program (CHRP-BB) at improving HIV prevention outcomes among individuals receiving medication for opioid use disorder (MOUD) and to examine the extent to which cognitive dysfunction impacts outcomes. Patients and Methods: This randomized controlled trial included 237 individuals receiving MOUD and Pre-Exposure Prophylaxis (PrEP) in New Haven, CT. We conducted a longitudinal regression analysis to evaluate the impact of the intervention on HIV risk behaviors and PrEP-related outcomes over time. We estimated the effect of treatment on the outcome variables that include PrEP knowledge and adherence skills, HIV risk behavior, Syringe cleaning skills, and Condom skills using a difference-in-differences framework across four time periods (Post-intervention, and 3-, 6-, and 9-month follow-ups). Results: The CHRP-BB intervention exerted a positive effect on experimental group participants across a range of key outcomes, particularly among shorter term IDUs. Improvements that were the most pronounced included PrEP outcomes (knowledge and adherence skills) and syringe cleaning skills. Most outcomes were not significantly disrupted by cognitive dysfunction. Conclusion: Outcomes from this trial highlight the efficacy of the CHRP-BB intervention, including the use of cognitive dysfunction compensatory strategies, to significantly improve HIV prevention efforts among individuals on MOUD. We suggest that future efforts focus on refining and testing additional strategies that can further optimize intervention effects across a broader range of outcomes and MOUD patients.

Indexed as

cognitive dysfunctionHIV preventionmedication for opioid use disorderopioid use disorderpeople who inject drugspre-exposure prophylaxis

Identifiers

PMID40584207
PMCPMC12205702

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Registered trials

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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.