[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100486003":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":31,"centralContacts":35,"locations":44,"responsibleParty":60,"collaborators":62,"id":66,"slug":26,"hasResults":67,"nctId":68,"briefTitle":69,"officialTitle":70,"acronym":26,"eligibilityCriteria":71,"healthyVolunteers":67,"sex":72,"minAge":73,"maxAge":26,"enrollmentInfo":74,"targetDuration":26,"studyType":77,"phases":78,"briefSummary":80,"conditions":81,"keywords":87,"overallStatus":47,"whyStopped":26,"lastUpdateSubmitDate":92,"lastUpdatePostDateStruct":93,"startDateStruct":96,"completionDateStruct":98,"leadSponsor":100,"locationsCount":101},{"fullName":5,"class":6},"Johns Hopkins University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"1MoreStep Intervention","EXPERIMENTAL","The intervention arm is 8 sessions (7 group and one individual) that meet weekly with a community health educator who is a Black woman and has experience implementing prior behavioral interventions with people who have experienced trauma and\u002For are LWH.",[13],"Behavioral: 1MoreStep",{"label":15,"type":16,"description":17,"interventionNames":18},"Equal Attention Control","ACTIVE_COMPARATOR","The Equal Attention Control consists of 8 sessions (7 group and one individual) that meet weekly for 60-90 minutes. The control sessions provide equal attention and psychotherapeutic experience of a support group where participants can address issues important in their lives.",[19],"Behavioral: 1MoreStepControl",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"BEHAVIORAL","1MoreStep","Cognitive behavioral intervention to reduce HIV and IPV stigma.",[9],null,{"type":22,"name":28,"description":29,"armGroupLabels":30,"otherNames":26},"1MoreStepControl","This is an equal attention control group.",[15],[32],{"name":33,"affiliation":5,"role":34},"Kamila Alexander","PRINCIPAL_INVESTIGATOR",[36,40],{"name":33,"role":37,"phone":38,"phoneExt":26,"email":39},"CONTACT","443-287-8529","kalexan3@jhu.edu",{"name":41,"role":37,"phone":42,"phoneExt":26,"email":43},"Karin Tobin","410-502-5368","ktobin2@jhu.edu",[45],{"facility":46,"status":47,"city":48,"state":49,"zip":50,"country":51,"cosmosGeoPoint":52,"geoPoint":57,"contacts":58},"Johns Hopkins School of Nursing","RECRUITING","Baltimore","Maryland","21205","United States",{"type":53,"coordinates":54},"Point",[55,56],-76.61219,39.29038,{"lat":56,"lon":55},[59],{"name":33,"role":37,"phone":38,"phoneExt":26,"email":39},{"type":61,"investigatorFullName":26,"investigatorTitle":26,"investigatorAffiliation":26,"oldNameTitle":26,"oldOrganization":26},"SPONSOR",[63],{"name":64,"class":65},"National Institute of Mental Health (NIMH)","NIH","100486003",false,"NCT05608421","1MoreStep: An Intervention to Increase HIV Care Engagement and Reduce Intimate Partner Violence Among Black Women Living With HIV","1MoreStep: Pilot Trial of an Intervention to Increase HIV Care Engagement and Reduce Intimate Partner Violence Among Black Women Living With HIV","Inclusion Criteria:\n\n* Cis-gender female\n* Black or African American\n* ≥ Age 18\n* Living with HIV\n* ≤ 1 HIV care visit in previous 12 months OR virally unsuppressed (\\>50 copies\u002FmL) OR at high risk for poor HIV care adherence (PHQ ≥ 3, Generalized Anxiety Disorder (GAD) ≥ 3, active substance use)\n* IPV within the previous 2 years\n* Ability to attend in-person for up to 8 sessions\n* Do not report immediate severe danger from their partner\n* English fluency\n\nExclusion Criteria:\n\n* Not a Cis-gender female\n* Not Black or African American\n* ≤ Age17 or younger\n* Not living with HIV\n* ≥ 2 HIV care visits in previous 12 months\n* No IPV within the previous 2 years\n* Inability to attend in-person for up to 8 sessions\n* Reports immediate severe danger from their partner\n* Not fluent in English","FEMALE","18 Years",{"count":75,"type":76},100,"ESTIMATED","INTERVENTIONAL",[79],"NA","This study tests a 5-session cognitive behavioral approach program (herein referred to as the 1MoreStep intervention) to train Black women living with HIV (BWLWHI) and exposed to intimate partner violence (IPV) in the past 2 years (hereafter, BWLWHI) in: 1) cognitive and behavioral skills to access internal and external sources of strength (e.g. self-reliance, safety net); safety strategies, knowledge about Undetectable = Untransmissible (U=U) and HIV care; and reduce internalized and anticipated stigma; 2) communication skills to respond to enacted HIV and IPV stigma and enlist social support; and 3) addressing structural barriers to HIV care engagement with an HIV navigator component. The intervention is informed by the HIV-Stigma Framework and a resilient-reintegration model which views women as active participants in responding to IPV and managing life with HIV.\n\nAim 1: Examine preliminary efficacy of the 1MoreStep intervention on: (a) IPV safety strategies (informal and formal resources, safety planning, and placating strategies at baseline, 3-month and 6-month follow-up visits); and (b) HIV care engagement (medical record confirmed visit with an HIV care provider, antiretroviral therapy (ART) prescription, medication adherence, and viral load status during 3-month and 6-month follow-up visits).\n\nAim 2: Examine the acceptability and feasibility of the 1MoreStep intervention operationalized by (a) quantitative measures: session attendance and fidelity to key intervention components and (b) qualitative interviews to assess: program fit, facilitators and barriers to participation, and using 1MoreStep intervention skills.",[82,83,84,85,86],"Violence, Domestic","HIV","Stigma, Social","Engagement, Patient","Medication Adherence",[83,88,89,90,91],"Intimate Partner Violence (IPV)","Black women","Cognitive behavioral approach","Randomized Control Trial (RCT)","2026-04-23",{"date":94,"type":95},"2026-04-29","ACTUAL",{"date":97,"type":95},"2023-06-26",{"date":99,"type":76},"2026-12",{"name":5,"class":6},1]