Trauma-Informed Toolkit for HIV Prevention in African American Women

Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Johns Hopkins Bloomberg School of Public Health
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to develop and test a new toolkit to help African American women in Mississippi effectively access HIV prevention services. The Trauma-Informed Toolkit focuses on Pre-Exposure Prophylaxis (PrEP), a medication that helps prevent HIV, and addresses barriers such as intimate partner violence that may hinder women from using PrEP. The goal is to create a supportive clinic environment sensitive to these challenges, ultimately reducing HIV rates among African American women. The trial seeks African American women currently receiving care at a community healthcare clinic in Mississippi. As an unphased trial, it offers participants the opportunity to contribute to innovative solutions that could significantly improve access to HIV prevention services.

Do I need to stop my current medications to join the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your healthcare provider.

What prior data suggests that this Trauma-Informed Toolkit is safe for use in HIV prevention?

Research has shown that trauma-informed methods can help prevent HIV. A toolkit based on these methods creates supportive spaces for individuals who have experienced trauma. Studies have found that incorporating trauma-informed care in clinics improves services for women at risk of HIV.

The toolkit specifically addresses the needs of African American women, particularly those facing intimate partner violence. It aids healthcare providers in better understanding and supporting these women in HIV prevention.

No reports of negative effects have emerged from using this toolkit. By focusing on enhancing communication and support rather than direct medical treatment, it appears to be well-received.12345

Why are researchers excited about this trial?

The Trauma-Informed Toolkit is unique because it integrates the understanding of intimate partner violence with HIV prevention strategies specifically for African American women. Unlike other prevention methods that may not address the broader social and personal challenges these women face, this toolkit aims to create culturally-sensitive clinical environments. Researchers are excited about this approach because it equips healthcare providers with the skills to better support and prevent HIV in women who are also experiencing intimate partner violence, potentially leading to more effective and comprehensive care.

What evidence suggests that this Trauma-Informed Toolkit is effective for increasing Pre-Exposure Prophylaxis uptake among African American women?

Research shows that trauma-informed care can enhance HIV prevention, particularly for African American women at high risk for HIV who experience intimate partner violence. Studies indicate that addressing trauma in healthcare settings leads to better patient involvement and health outcomes. For instance, trauma-informed practices in clinics have created supportive environments that encourage women to start and continue using HIV prevention methods like Pre-Exposure Prophylaxis (PrEP). This approach aims to make healthcare more accessible and effective by considering the unique experiences and challenges these women face. In this trial, researchers are developing the Trauma-Informed Toolkit to specifically improve HIV prevention strategies for African American women in the South.12678

Who Is on the Research Team?

TC

Tiara C. Willie, PhD

Principal Investigator

Johns Hopkins Bloomberg School of Public Health

Are You a Good Fit for This Trial?

This trial is for African American women receiving care at community healthcare clinics in Mississippi, who are at risk for HIV infection and may also be dealing with intimate partner violence. Participants must speak and understand English.

Inclusion Criteria

Currently providing care at a community healthcare clinic in Mississippi

Exclusion Criteria

Inability to read and comprehend questions

Timeline for a Trial Participant

Formative Evaluation

Key informant interviews with clinical staff and focus groups with African American women to inform the development of the Pre-Exposure Prophylaxis Implementation Toolkit

Not specified

Toolkit Development and Pilot Testing

Development of the Pre-Exposure Prophylaxis Implementation Toolkit and pilot testing in two community healthcare clinics using a nonrandomized waitlist control design

8 months

Effectiveness Stage

Assessment of changes in Pre-Exposure Prophylaxis uptake and retention in care at the clinic level from 8-months before and after the Toolkit is implemented

8 months

Adoption Stage

Focus groups with clinical staff to assess barriers and facilitators to the Toolkit's adoption

Not specified

Follow-up

Participants are monitored for retention in care and effectiveness of the Toolkit implementation

6 months

What Are the Treatments Tested in This Trial?

Interventions

  • Trauma-Informed Toolkit
Trial Overview The study is testing a Trauma-Informed Toolkit designed to increase the use of Pre-Exposure Prophylaxis (PrEP) among African American women. It aims to address both HIV prevention and intimate partner violence within two clinics in Jackson, Mississippi.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Trauma-Informed Pre-Exposure Prophylaxis Implementation ToolkitExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Johns Hopkins Bloomberg School of Public Health

Lead Sponsor

Trials
441
Recruited
2,157,000+

Published Research Related to This Trial

The LinkPositively intervention, designed specifically for Black women living with HIV who have experienced interpersonal violence, aims to improve engagement in HIV care through technology-based support, including peer navigation and a mobile app.
Preliminary results from the ongoing pilot trial involving 80 participants will assess the feasibility and acceptability of this intervention, with the potential to enhance HIV care outcomes if proven effective.
A Trauma-Informed HIV Intervention (LinkPositively) to Improve HIV Care Among Black Women Affected by Interpersonal Violence: Protocol for a Pilot Randomized Controlled Trial.Stockman, JK., Anderson, KM., Fernandez DeSoto, A., et al.[2023]

Citations

Project Details - NIH RePORTERProject Narrative U.S. epidemiological data indicates that Black women are a high-risk HIV disparity group, yet initiation of novel prevention strategies like ...
Trauma-Informed Approaches ToolkitThe study of epigenetics offers an important linkage to racialized trauma, critical given the disproportionate impact that HIV has on Black, Indigenous, and ...
A trauma-informed care model for HIV prevention and ...This paper examines HIV prevention and care for refugee women in the US and proposes a framework to improve services.
A trauma-informed care model for HIV prevention and ...This paper examines HIV prevention and care for refugee women in the US and proposes a framework to improve services.
Exploring the Impact of an Integrated Trauma-Informed HIV ...In response to the health disparities facing Black/African American women living with HIV, HIV activists and mental health specialists developed an innovative ...
Exploring the Impact of an Integrated Trauma-Informed HIV ...In response to the health disparities facing Black/African American women living with HIV, HIV activists and mental health specialists developed an innovative ...
Perspectives on HIV pre-exposure prophylaxis (PrEP) ...The current study sought to identify key components to develop a trauma-informed PrEP implementation program for Black cisgender women and clinical staff.
Trauma Informed Approaches ToolkitThis toolkit covers the basics of trauma, provides an overview of the impact of trauma in PLWH, describes trauma-informed approaches and ...
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