Adaptation and evaluation of an intersectional stigma reduction intervention to increase HIV care engagement among women who use drugs
Active Project Grant Awarded Last action
- Award ID
- R01TW012908
- Recipient
-
The Johns Hopkins University UEI FTMTDMBR29C7
- Awarding agency
-
Fogarty International Center
National Institutes of Health, Department of Health and Human Services
- Obligated
- $871,784
Award facts
- Assistance listing
- 93.989 International Research and Research Training
- Completion date 75% complete
- Place of performance
- Baltimore, MD 21218, USA
Award details come from USAspending.gov.
Description
- Abstract
- The goal of this R01 proposal is to adapt and pilot an intervention to reduce individual-level intersectional HIV/aids and drug use stigma and increase retention in HIV care among women living with HIV and who use drugs (HIV+ wwud) in ukraine. The scientific evidence is consistent across populations and settings that stigma is associated with poor health outcomes. HIV stigma is associated with poor HIV medication adherence; worse health outcomes, lower health care utilization, and low self-reported health status, low HIV medication adherence, and diminished mental health. Drug use stigma is associated with poorer access to health care, suboptimal engagement in HIV care, increased injection risk behaviors, and decreased use of harm reduction and medical services. HIV+ wwud experience worse health outcomes than other women living with HIV. Intersectional stigma refers to the recognition that people may belong to multiple stigmatized groups and that focusing on a single dimension of disadvantage (e.g., only HIV or only drug use) obscures how these multiple identities interact and are compounded to produce specific health outcomes or statuses. Despite the known impact of intersectional stigma on HIV care outcomes and advancements in HIV stigma reduction strategies, few interventions have been developed, implemented, and tested to specifically address intersectional HIV and drug use stigma among women to improve HIV care outcomes. We will adapt a small group, multi-session intervention to train participants in cognitive and behavioral skills to improve adaptive coping and reduce internalized and anticipated HIV and drug use stigma, develop communication skills to respond to enacted stigma and enlist social support, and address structural barriers to art the specific aims of this study are: 1) to adapt the workshop intervention for HIV+ wwud using the adapt-ITT model; 2) to assess the preliminary efficacy of the adapted intervention on primary clinical outcomes of HIV care engagement and art adherence and secondary outcome of drug treatment engagement; and 3) to assess acceptability, feasibility, cost, and implementation-related processes and outcomes of the intervention. We will enroll N=100 HIV+ wwud who will be randomized to the intervention or control arm. To assess HIV outcomes, participants will complete baseline and 3- and 6-month post intervention assessments to measure HIV care engagement outcomes and changes in stigma mechanisms. We will also obtain medical records to validate HIV care engagement and art medication adherence. The proposed intervention is novel in that IT addresses intersectional stigma and seeks to intervene on specific stigma mechanisms that lead to worse HIV and other health outcomes for HIV+ wwud. This pilot study will increase understanding of the intervention and contextual factors that will facilitate a larger RCT to determine the effectiveness of the intervention for HIV+ wwud.
Transactions
| Action | Obligated | Date |
|---|---|---|
| Amendment | $73,275 | |
| Amendment | $100,728 | |
| Amendment | $100,728 | |
| Amendment | $0 | |
| Amendment | $0 | |
| Amendment | $0 | |
| Amendment | $90,779 | |
| Amendment | $90,779 | |
| Amendment | $115,111 | |
| Amendment | $115,111 | |
| Amendment | $0 | |
| Original award | $185,273 |
Show all 12
Subawards
| Subrecipient | Amount | Awarded |
|---|---|---|
| Ukrainian Institute On Public Health Policy | $164,053 | |
| Ukrainian Institute On Public Health Policy | $65,564 |
Quick answers
Who received award R01TW012908?
R01TW012908 was awarded to The Johns Hopkins University by Fogarty International Center (National Institutes of Health) on August 9, 2024.
How much is award R01TW012908 worth?
$871,784 has been obligated on R01TW012908.
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