Planning a Multi-Level Intervention to Reduce Substance Use Stigma in HIV Prevention and Care

Part of paid clinical trials in Detroit, Michigan.

Sponsor
Wayne State University
Study ID
NCT05925374
Status
Completed

Conditions

  • HIV Infections
  • Physician-Patient Relations
  • Social Stigma
  • Substance Use Disorders

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Accepted

Interventions

  • Substance use stigma training — BEHAVIORAL
    The intervention is an interactive professional educational training that is designed to manipulate behavioral and normative beliefs in order to address bias and alter professional practices towards patients who use drugs.

Study Details

This is a community-engaged research project that aims to identify and pilot test interventions that may reduce substance use stigma among professionals at primary care sites serving patients who might be exposed to HIV or are living with HIV. Our goal is to develop a multi-level substance use stigma intervention that leverages 1) education and 2) organizational policy to address structural drivers of stigma and the stigmatizing professional attitudes and behaviors that affect patients. Hypothesis: the results of the trial pilot research and are expected to provide scientific evidence demonstrating feasible and potentially effective substance use stigma reduction interventions that go beyond simple individual-level professional training. We plan to build on the data from this pilot trial study to then further test the multi-level intervention in another larger trial study with primary care organizations to determine whether the intervention addresses multiple complex drivers of substance use stigma that influence HIV prevention and care outcomes among people who use drugs.

Key Dates

Start date
Feb 1, 2023
Status verified
Dec 2025
Primary completion
May 17, 2023
Completion
Jun 7, 2023

Study Design

Enrollment
51 participants (actual)
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Experimental: Training group
    Professionals working at a primary care site who has direct interaction with patients. They receive a one-time 2-hour interactive in-person training focused on improving care for patients who use drugs and reducing provider-based stigma. Their baseline attitudes and intended actions are compared to their post-intervention answers to questions in the same domains. Thus, the participants act as their own comparison group, where baseline answers are compared to post-intervention answers.

Primary Outcome Measure

Provider-based Stigma (Social Distance Scale (SDS) Measure) [ Time Frame: Change from baseline SDS score (measured 0-28 days prior to training) at 0-7 days post-training (pre/post design) ]

Locations (1)

FacilityCityStateZIPSite coordinators
Wayne State UniversityDetroitMichigan48202-

Find similar trials in Detroit, MI

By condition
HIV
By specialty
Infectious disease
By research site
Wayne State University· Detroit, MI

Related Studies