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A Randomized Trial of ImpACT+, a Coping Intervention for HIV Infected Women With Sexual Trauma in South Africa

CompletedNA

Sponsor: Columbia University

Conditions: HIV, Trauma Exposure

Interventions: Improving AIDS Care After Trauma +, Adapted Problem-Solving Therapy

Countries: South Africa

ImpACT+ (Improving AIDS Care after Trauma+), is an individual-level coping intervention to address traumatic stress and HIV care engagement among South African women with sexual trauma histories. We propose a full-scale randomized controlled trial to examine the effect of ImpACT+ on clinical outcomes in the period after ART initiation and to understand mental health and behavioral mechanisms through which viral suppression can be achieved. ImpACT+ will target women who are initiating ART in order to take advantage of a window of opportunity in HIV care and maximize care engagement. The aims are to test the effectiveness of ImpACT+ and explore its potential for implementation.

Eligibility overview

Sex: FEMALE

Age: 18 Years to —

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

* Women with HIV who receive care at either study clinic
* \>2 weeks to \<4 months since ART initiation
* History of sexual trauma
* Meets criteria for traumatic stress
* Xhosa speaking

Exclusion Criteria:

\- High suicide risk

Locations (1)

Cape Town, South Africa