Recruiting

HIV Intervention

Sponsor:

Columbia University

Code:

NCT05785169

Conditions

Stigma

HIV

Well-Being, Psychological

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

All-facility Training

Study Details

Brief summary:

The scope of this study is to engage Ryan White HIV/AIDS Program (RWHAP) funded organizations in the South/East US to co-develop context-responsive programs utilizing evidence-informed interventions to reduce stigma against living with HIV (PLH) who have difficulties accessing and remaining engaged in life-saving treatment. Five RWHAP clinics will be selected for this trial. Clinic members will participate in interactive trainings to raise awareness of and reduce stigma, from the clinic policy level to individual attitudes. Clinic members and select patients will complete self-administered surveys every 6 months over 24 months.

Conditions

Stigma

HIV

Well-Being, Psychological

Study ID

NCT05785169

Start date

Jan 27, 2025

Status verified date

Apr, 2026

Completion date

Apr, 2028

Anticipated

Primary completion date

Feb, 2028

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Selected Ryan White Clinics. Selection based on the following:

First, clinic leaders will complete a 15-min Site Characteristics Survey, assessing suitability for participation and clinic comparability. Staff and leadership at Ryan White clinics will next complete an anonymous 15-minute Eligibility Survey.

Within each clinic, both clinic staff and patients will be invited to participate.

Exclusion Criteria:

  • Non-Ryan White Clinics
  • Clinics not located in the geographical area of interest
  • Clinics that are not interested in participating

Study Design

Enrollment

1000 participants

Anticipated

Intervention Model

Single group

Primary purpose

Health Services Research

Interventions and Outcome Measures

Arms

experimental: Intervention

The intervention will be implemented across six months with a total of five clinics.

The intervention consists of a series of interactive trainings that cover stigma and health-related topics, such as roots, manifestations, and consequences of stigma in healthcare, history of HIV stigma, and stress and stigma. These will be split across several sessions, depending on clinics' schedules. At the end of the intervention, each clinic will create a Code of Practice that will be formalized into a manual for each clinic, to guide the implementation and sustainability of stigma reduction efforts.

Interventions

All-facility Training

The HP+ curriculum includes total-site training and co-facilitation via participatory modules. To change clinic culture, a multi-level approach that includes the whole facility and reaches all parties is required. The intervention aims to modify top-down mechanisms of influence. The training is modeled on these principles and supports the development of multiple stigma-reduction strategies to improve patient and staff wellbeing.

Primary outcome measure

  • Change in Stigma Index (SI) [ Time Frame: Baseline, 6, 12, 18, and 24 months ]

Central Contacts and Locations

Central contacts

Corina T Lelutiu-Weinberger, PhD

212-305-5756cl4265@cumc.columbia.edu

Felicia A Browne, ScD

919-541-6596fbrowne@rti.org

Locations

Columbia University School of Nursing

Recruiting

New York, New York, United States, 10032

Contacts

Corina Lelutiu-Weinberger, PhD

cl4265@cumc.columbia.edu

More Information

Sponsor

Columbia University

Last update posted

Apr 20, 2026

Last verified

Apr, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Columbia University on 2026-04-20.