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Sponsor: Boston University
Conditions: HIV/AIDS, Violence
Interventions: CETA, Short Message Service (SMS) text reminders
Countries: South Africa
This study will evaluate the impact of the Common Elements Treatment Approach (CETA), an evidence-based intervention comprised of cognitive-behavioral therapy elements, at improving HIV treatment outcomes among women with HIV who have experienced intimate partner violence (IPV) and have an unsuppressed viral load on HIV treatment. To evaluate CETA, the investigators will conduct a randomized controlled trial of HIV-infected women, with or without their partners, who have experienced IPV and have an unsuppressed viral load to test the effect of CETA in increasing viral suppression and reducing violence. The investigators will also identify mediators and moderators of CETA's effect on retention and viral suppression and assess the cost and cost-effectiveness of CETA vs. active control at increasing the proportion who are retained and virally suppressed by 12 months.
Sex: FEMALE
Age: 18 Years to —
Healthy volunteers: Yes
Study type: INTERVENTIONAL
Inclusion Criteria: * Adult HIV positive women * Initiated HIV treatment * Most recent viral load \>50 copies/mL or they have defaulted from treatment or had a missed or late (\>14 days) visit in the last year * Has experienced IPV in the past 12 months * Has their own phone and can receive text messages * Literate and able to speak and read one of: English, Zulu, SeSotho * If including a partner, the woman has disclosed HIV status to the partner that will be invited to participate (noting that male partners are not study subjects, only the woman is) Exclusion Criteria: * Unwilling to complete the informed consent process * Currently psychotic or on unstable psychiatric regimen * Suicide attempt/ideation with intent and plan, and/or self-harm in the past month * Enrolled in any other HIV treatment intervention study
- Johannesburg, Gauteng, South Africa