Trial results for "Estamos Juntos (We Are Together): Improving HIV Care Delivery by Capacitating Health Care Providers" were posted on ClinicalTrials.gov on 2025-09-22. The study, focusing on HIV, found that a resilience intervention for healthcare providers significantly reduced median burnout scores from -2.0 units on a scale in the standard of care group to -5.9 units on a scale in the resilience intervention group.
Background
In many resource-limited settings, such as Mozambique, healthcare workers' negative behaviors towards patients are a primary factor contributing to people living with HIV abandoning treatment. These behaviors are often linked to low job satisfaction, frustration with delivering care in challenging environments, and burnout among providers. Addressing these underlying issues is crucial for improving patient retention in HIV care and ensuring the effectiveness of treatment programs. Interventions that enhance provider resilience and reduce stigma can potentially lead to better patient outcomes and stronger healthcare systems.
Trial design
This completed study, identified as Phase NA, enrolled 28448 participants. The trial investigated the impact and implementation of a provider resilience intervention and an anti-stigma intervention, both individually and in combination, using a randomized controlled trial design across four health facilities. The study focused on healthcare providers working with patients with HIV. The interventions aimed to improve HIV care delivery by addressing factors like provider burnout and stigma.
Key results
The trial results reported on changes in burnout scores across the different intervention groups:
- For the Standard of Care group, the median burnout score was -2.0 units on a scale.
- For the Resilience Intervention group, the median burnout score was -5.9 units on a scale.
- For the Resilience and Stigma Group, the median burnout score was -5.3 units on a scale.
- For the Anti-stigma Group, the median burnout score was -3.9 units on a scale.
What this means
The posted results suggest that a resilience intervention can effectively reduce burnout among healthcare providers involved in HIV care. The median burnout score decreased by 3.9 units in the resilience intervention group compared to standard care, indicating a notable positive effect. While the combined resilience and anti-stigma intervention also showed a reduction in burnout (-5.3 units), and the anti-stigma group alone had a reduction (-3.9 units), the resilience-only intervention demonstrated the greatest impact on this specific outcome. These findings highlight the potential of targeted support for healthcare providers to improve their well-being, which in turn could lead to more positive patient interactions and better retention in HIV treatment programs, particularly in challenging, resource-limited environments.
Source
The information regarding these trial results was obtained from ClinicalTrials.gov, a public database of clinical studies. The results for the study NCT05938621, titled "Estamos Juntos (We Are Together): Improving HIV Care Delivery by Capacitating Health Care Providers", were posted on 2025-09-22 on clinicaltrials.gov.