Testing the Efficacy and Mechanisms of an Adapted Resilience Building Intervention in People Aging With HIV (RISE+)
Resilience, HIV-1-infection, Stress, Psychological
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About this trial
This is an interventional prevention trial for Resilience
Eligibility Criteria
Inclusion Criteria:
- current UAB HIV Clinic patient
- age 50+
- have a recent history (within the past 12 months) of suboptimal HIV management, defined as having either ≥one record of detectable viral load or ≥one missed clinic visit without prior cancellation/reschedule
Exclusion Criteria:
- neurological or severe psychiatric (e.g., schizophrenia, bipolar disorder, major depression) disorders
Sites / Locations
- Holley Mears Building
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
RISE+ Resilience Intervention
Stress Reduction Control
Participants in the intervention group will come to the lab for four two-hour weekly sessions in small groups of 3-4. The intervention includes psychoeducational videos and individual written activities on topics such as coping strategies, cognitive appraisals, the responsibility model, and social connections, all integrated into the overarching process of resilience. The intervention will be facilitated by a trained research assistant but as in the pilot study, he/she will be minimally involved (i.e., only administering the videos and explaining the activities) to keep the private reflective nature of the program that participants liked. Upon completion of the program, participants will be given handouts with summaries of the program material. We will gather qualitative and quantitative feedback on the intervention at the one-month posttest.
Control participants will complete an attention-matched internet stress reduction paradigm, which includes an internet navigation protocol and placebo computer games. As with the intervention group, participants in the control group will come to the lab for four two-hour weekly sessions in small groups of 3-4. Facilitator involvement will be the same as the intervention group (e.g., the research assistant will explain computer activities and games but will otherwise not interact with the participant).