Provider Intervention for HIV Care Outcomes

Overseen By Marylou Gilbert, JD MA

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: RAND

Disqualifiers: Not HIV providers, Time constraints

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new online program designed to help HIV care providers communicate more effectively with their patients about issues like stigma and trust. The goal is to improve relationships between healthcare providers and their patients, particularly among Black and Latino/a Americans living with HIV, who often encounter stigma and mistrust. The program, called the Provider Intervention on Addressing Intersectional Stigma and Medical Mistrust in Patients with HIV, will be used by some providers to determine its impact on patient care. Providers will be randomly assigned to either use this new program or not. Those who regularly work with racial and sexual minority groups and can commit time to the study might be well-suited for this trial. As an unphased trial, this study offers a unique opportunity to contribute to groundbreaking research that could enhance patient-provider communication and trust.

Will I have to stop taking my current medications?

The trial information does not specify whether participants need to stop taking their current medications.

What prior data suggests that this provider intervention is safe for HIV care providers?

Research shows that the program to reduce stigma and build trust in healthcare focuses on training HIV care providers. This training enhances providers' interactions with patients who might feel judged or distrustful in healthcare settings.

As a training program, it involves no drugs or medical procedures, eliminating the safety concerns associated with such treatments. Instead, it equips providers to better understand and support their patients. Consequently, the program itself poses no known risks or side effects for patients.

For those considering joining this study, it's important to know that the program aims to improve communication and care, making it very safe and low-risk for everyone involved. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about this trial because it addresses the crucial issue of intersectional stigma and medical mistrust in HIV care. Unlike standard treatments that focus directly on the patient's physical health, this intervention empowers HIV care providers with psychoeducation and skills-building to improve their interactions with patients. By conducting the training online and in groups, it offers a flexible and collaborative approach to tackling the social and psychological barriers that patients face. This could potentially enhance patient-provider relationships and improve overall care outcomes for people living with HIV.

What evidence suggests that this provider intervention is effective for addressing intersectional stigma and medical mistrust in patients with HIV?

Research has shown that training programs for HIV care providers can help them better address issues like stigma and mistrust in medical settings. In this trial, some participants will receive a provider intervention that includes online training to enhance skills in these areas. The training consists of educational sessions on psychological topics and activities to build practical skills. Early results suggest that providers find this training practical and well-received. By improving communication between providers and patients, this approach may lead to better care for people living with HIV. ^{1 2 6 7 8}

Who Is on the Research Team?

Lu Dong, PhD

Principal Investigator

RAND

Are You a Good Fit for This Trial?

This trial is for clinical providers like doctors, nurses, and physician assistants who treat HIV patients, particularly those from racial/ethnic and sexual minority groups. They must be able to commit time to the study.

Inclusion Criteria

The majority of their patients are from racial/ethnic and sexual minority groups

Clinical providers (including physicians, physician assistants, nurse practitioners, registered nurses/case managers) caring for patients living with HIV

I can commit to the schedule required by the study.

Exclusion Criteria

I cannot commit the required time for this trial.

Not HIV clinical providers

Timeline for a Trial Participant

Intervention Development

Engaging community stakeholders to develop an online platform for the intervention, including a usability test with 10 HIV clinical care providers.

Not specified

Pilot Randomized Controlled Trial

Conduct a pilot randomized controlled trial with 60 HIV care physicians to test the online provider intervention against a no-intervention control group.

Not specified

Immediate Post-Intervention Evaluation

Mixed-methods process evaluation to determine the acceptability, feasibility, and appropriateness of the intervention.

Immediately after intervention

Follow-up

Participants are monitored for the use of skills and HIV care delivery outcomes at 6-month follow-up.

6 months

What Are the Treatments Tested in This Trial?

Interventions

• Provider Intervention on Addressing Intersectional Stigma and Medical Mistrust in Patients with HIV

Trial Overview The trial is testing an online intervention designed to educate healthcare providers on addressing intersectional stigma and medical mistrust in Black and Latina/Latino Americans with HIV. It's a pilot randomized controlled trial comparing this intervention against no intervention.

How Is the Trial Designed?

Group I: Provider Intervention Experimental Treatment 1 Intervention

The intervention will consist of psychoeducation and skills-building for HIV care providers to gain the knowledge and skills needed to address intersectional stigma and medical mistrust with patients. The intervention will be online and conducted in groups.

Group II: Control Active Control 1 Intervention

No intervention control

Who Is Running the Clinical Trial?

RAND

Lead Sponsor

Trials

145

Recruited

617,000+

California Prevention Training Center

Collaborator

Trials

1

Recruited

60+

Brigham and Women's Hospital

Collaborator

Trials

1,694

Recruited

14,790,000+

Citations

1. clinicaltrials.gov clinicaltrials.gov/study/NCT05803720

HIV Provider Intervention to Address Intersectional Stigma ... The intervention will consist of psychoeducation and skills-building for HIV care providers to gain knowledge and skills needed to address intersectional stigma ...

2. papers.ssrn.com papers.ssrn.com/sol3/papers.cfm?abstract_id=5256215

A HIV Provider Training on Addressing Intersectional ... We developed and conducted a pilot randomized controlled trial (RCT) of an online provider training intervention designed to address medical mistrust.

3. papers.ssrn.com papers.ssrn.com/sol3/Delivery.cfm/dcf01fa7-df71-41e9-a5f1-200587a3fcdd-MECA.pdf?abstractid=5251508&mirid=1

A HIV Provider Training on Addressing Intersectional ... This study provides preliminary evidence that a provider training intervention targeting intersectional stigma and medical mistrust is feasible, acceptable, ...

4. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC12007456/

Interventions and Their Effectiveness to Reduce HIV ... This review evaluates health promotion interventions for reducing HIV‐related stigma among WLWH, identifying effective types and contexts.

5. aging.networkofcare.org aging.networkofcare.org/sanmateo/CommunityResources/ClinicalTrials/Detail/NCT05803720?keyword=%22Stigma%22

HIV Provider Intervention to Address Intersectional Stigma ... The intervention will include psychoeducation and skills-building for providers to address intersectional stigma and mistrust, tailored to HIV care. This aim ...

6. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC12402512/

A Qualitative Study of Black and Latine HIV Care ... The focus of the intervention is to help providers gain the knowledge and skills needed to address the impact of experiencing intersectional stigma and ...

7. ajph.aphapublications.org ajph.aphapublications.org/doi/full/10.2105/AJPH.2014.302322

The Role of Stigma and Medical Mistrust in the Routine Health ... We assessed how health care–related stigma, global medical mistrust, and personal trust in one's health care provider relate to engaging in medical care among ...

8. aidsrestherapy.biomedcentral.com aidsrestherapy.biomedcentral.com/articles/10.1186/s12981-023-00585-1

Addressing HIV stigma in healthcare, community, and ... In healthcare and community settings, interventions to tackle intersectional stigma must address the wider challenges faced by marginalized ...