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Observational Study
. 2024 Jan;28(1):174-185.
doi: 10.1007/s10461-023-04174-1. Epub 2023 Sep 26.

Piloting Safety and Stabilization: A Multi-component Trauma Intervention to Improve HIV Viral Suppression, Retention in Care, and Post-traumatic Stress Disorder in a Southern United States HIV Service Organization

Leslie Lauren Brown  1   2 , Jessica M Perkins  3   4 , Bryan E Shepherd  5 , Shobana Ramasamy  5 , Megan Wilkins  6 , Amna Osman  7 , Megan Turner  5 , Tiye Link  7 , Ryan Edgerton  8 , Sarah V Suiter  3 , April C Pettit  5
Affiliations
Observational Study

Piloting Safety and Stabilization: A Multi-component Trauma Intervention to Improve HIV Viral Suppression, Retention in Care, and Post-traumatic Stress Disorder in a Southern United States HIV Service Organization

Leslie Lauren Brown et al. AIDS Behav. 2024 Jan.

Abstract

In this observational study, we assessed the extent to which a community-created pilot intervention, providing trauma-informed care for persons with HIV (PWH), affected HIV care retention and viral suppression among PWH attending an HIV Services Organization in the Southern US. PWH with trauma exposure and/or trauma symptoms (N = 166) were offered a screening and referral to treatment (SBIRT) session. Per self-selection, 30 opted-out, 29 received SBIRT-Only, 25 received SBIRT-only but reported receiving other behavioral health care elsewhere, and 82 participated in the Safety and Stabilization (S&S) Intervention. Estimates from multivariable logistic regression analyses indicated S&S Intervention participants had increased retention in HIV care (adjusted odds ratio [aOR] 5.46, 95% CI 1.70-17.50) and viral suppression (aOR 17.74, 95% CI 1.83-172), compared to opt-out participants. Some evidence suggested that PTSD symptoms decreased for intervention participants. A randomized controlled trial is needed to confirm findings.

Keywords: HIV/AIDS; Psychological safety; Psychological trauma; Resilience; Retention; Syndemic.

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Conflict of interest statement

Conflicts of Interest The authors have no relevant financial or nonfinancial interests to disclose.

Figures

Fig. 1
Fig. 1
Study Flow Diagram
See this image and copyright information in PMC

References

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