NCT06216600

Brief Summary

The goal of this combination Type 1 hybrid and observational study is to evaluate the impact of a peer delivered intervention of acceptance and commitment therapy (ACT) + exercise + social support to address the substance (ab)use, violence, and AIDS/HIV (SAVA) to improve medication adherence for women living with HIV (WLWH). This intervention will be implemented by community based organizations that focus on WLWH across four counties. The main question it aims to answer are:

  • Will peer provision of ACT, exercise, and social support improve medication adherence for WLWH?
  • Will community based organizations be able to sustain the intervention after research is completed, and what changes will need to be made to sustain the intervention.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
300

participants targeted

Target at P50-P75 for not_applicable hiv-infections

Timeline
25mo left

Started Sep 2024

Typical duration for not_applicable hiv-infections

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress44%
Sep 2024May 2028

First Submitted

Initial submission to the registry

January 11, 2024

Completed
11 days until next milestone

First Posted

Study publicly available on registry

January 22, 2024

Completed
8 months until next milestone

Study Start

First participant enrolled

September 19, 2024

Completed
3.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2027

Expected
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 31, 2028

Last Updated

May 1, 2026

Status Verified

January 1, 2026

Enrollment Period

3.3 years

First QC Date

January 11, 2024

Last Update Submit

April 27, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Antiretroviral therapy (ART) adherence by drug levels

    All participants will undergo testing for ART in hair samples

    Weeks 0, 8, 24 and 48.

Secondary Outcomes (5)

  • Antiretroviral therapy (ART) adherence by visual analog scale

    Weeks 0, 8, 24 and 48.

  • Generalized Anxiety Disorder-7

    Weeks 0, 8, 24 and 48.

  • Patient Health Questionnaire - 9

    Weeks 0, 8, 24 and 48.

  • Timeline follow back substance use

    Weekly during weeks 0-8, 24 and 48.

  • International trauma questionnaire

    Weeks 0, 8, 24 and 48.

Other Outcomes (3)

  • HIV Stigma Scale 12-short form

    Weeks 0, 8, 24 and 48.

  • Loneliness (UCLA-3 item)

    Weeks 0, 8, 24 and 48.

  • Fitbit data

    Weeks 0, 8, 24 and 48.

Study Arms (3)

WE RISE Intervention

EXPERIMENTAL

Participants will undergo WE RISE intervention: twice a week for 8 week combination delivery of acceptance and commitment therapy + exercise + social suppot.

Behavioral: Acceptance and Commitment Therapy (ACT)Behavioral: Body weight circuit trainingBehavioral: Empathetic social support

Control

ACTIVE COMPARATOR

Participants will receive standard of care which would be referrals to local opportunites for therapy, exercise and social support.

Other: Control - list of resources

Observational

EXPERIMENTAL

Observational study of participants undergoing WE RISE adapted for sustainability.

Behavioral: Acceptance and Commitment Therapy (ACT)Behavioral: Body weight circuit trainingBehavioral: Empathetic social support

Interventions

Participants will undergo ACT in combination with exercise and social support.

ObservationalWE RISE Intervention

Participants will learn and undergo body weight circuit training in combination with ACT and social support.

ObservationalWE RISE Intervention

Study participants will participate in empathetic social support

ObservationalWE RISE Intervention

A local list of resources to access exercise, therapy and social support will be provided.

Control

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Is a woman
  • Able to read and understand English
  • Able to participate in a low intensity exercise program
  • HIV-seropositive
  • At risk substance use (any illegal or unprescribed drug), tobacco, marijuana or alcohol use (four or more drinks in one day or 8 or more in one week).
  • Reports missing more ART doses than previous months, or \> 5 in a month, or has a detectable HIV viral load
  • Experienced interpersonal violence
  • Able and willing to provide informed consent

You may not qualify if:

  • Unwilling to participate in video record sessions (used to evaluate the quality of the intervention)
  • Enrolled in hospice
  • Not willing or not able to comply with study advisory board group participation agreement.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

UC San Diego AntiViral Research Center (AVRC)

San Diego, California, 92103, United States

RECRUITING

MeSH Terms

Conditions

HIV InfectionsSubstance-Related DisordersWounds and InjuriesMedication Adherence

Interventions

Acceptance and Commitment Therapy

Condition Hierarchy (Ancestors)

Blood-Borne InfectionsCommunicable DiseasesInfectionsSexually Transmitted Diseases, ViralSexually Transmitted DiseasesLentivirus InfectionsRetroviridae InfectionsRNA Virus InfectionsVirus DiseasesGenital DiseasesUrogenital DiseasesImmunologic Deficiency SyndromesImmune System DiseasesChemically-Induced DisordersMental DisordersPatient CompliancePatient Acceptance of Health CareTreatment Adherence and ComplianceHealth BehaviorBehavior

Intervention Hierarchy (Ancestors)

Cognitive Behavioral TherapyBehavior TherapyPsychotherapyBehavioral Disciplines and Activities

Study Officials

  • Maile Karris, MD

    UCSD

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Study investigators and outcomes assessors will be blinded.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Type 1 hybrid study randomizing particpants 1:1 to either WE RISE or control (list of resources). Followed by one arm observational study.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

January 11, 2024

First Posted

January 22, 2024

Study Start

September 19, 2024

Primary Completion (Estimated)

December 31, 2027

Study Completion (Estimated)

May 31, 2028

Last Updated

May 1, 2026

Record last verified: 2026-01

Data Sharing

IPD Sharing
Will share

Deidentified data (e.g. data alone without any possible identifying information) will be shared wit the NIMH data archive and the Sociostructural Implementation Science Coordination Initiative Hub for other researchers to access and use as per funding requirements.

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
Time Frame
Data will be available within 6-12 months of entry for the duration of the above mentioned databases.
Access Criteria
Access is dependent on the parent databases policy at the time of request.

Locations