Addressing intersectional stigma as a care barrier for HIV-positive people who inject drugs: Design of an RCT in St. Petersburg, Russia

Background: HIV-positive people who inject drugs (PWID) experience stigma related to their substance use and HIV, with adverse consequences to their health care utilization and mental health. To help affected individuals cope with their intersectional stigma and reduce its negative impact on health...

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Autores principales:	Sarah L. Rossi, Yuliia Sereda, Jason B. Luoma, Nikolai Pavlov, Olga Toussova, Janna Vasileva, Kristina Abramova, Sally Bendiks, Tetiana Kiriazova, Marina Vetrova, Elena Blokhina, Evgeny Krupitsky, Dmitry Lioznov, Sara Lodi, Karsten Lunze
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Russia HIV PWID Stigma Behavioral PLWH Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/8f4e4ae150654d03997fe00559bb99b5
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spelling	oai:doaj.org-article:8f4e4ae150654d03997fe00559bb99b52021-11-28T04:35:01ZAddressing intersectional stigma as a care barrier for HIV-positive people who inject drugs: Design of an RCT in St. Petersburg, Russia2451-865410.1016/j.conctc.2021.100861https://doaj.org/article/8f4e4ae150654d03997fe00559bb99b52021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2451865421001617https://doaj.org/toc/2451-8654Background: HIV-positive people who inject drugs (PWID) experience stigma related to their substance use and HIV, with adverse consequences to their health care utilization and mental health. To help affected individuals cope with their intersectional stigma and reduce its negative impact on health and health care, we adapted a behavioral stigma coping intervention for this HIV key population. Objective: To conduct a randomized controlled trial (RCT) testing the ‘Stigma Coping to Reduce HIV risks and Improve substance use Prevention and Treatment’ (SCRIPT) intervention, a community-based, adapted form of Acceptance and Commitment Therapy (ACT), for PWID living with HIV in St. Petersburg, Russia. Methods: We recruited 100 PWID living with HIV from civil society organizations (CSO) delivering harm reduction and HIV prevention services in St. Petersburg, Russia. We randomized participants 2:1 to receive either the intervention (three adapted ACT sessions in a group format over one month and usual CSO care) or usual CSO care alone. ACT aims to help affected individuals cope with stigma by increasing their psychological flexibility to handle stigma-related negative expectations, emotions and experiences. The primary outcomes were satisfaction with the intervention, and changes in HIV and substance use stigma scores. Conclusions: Stigma coping interventions targeting HIV-positive PWID outside of formal health care settings may help them confront negativities in their lives originating from intersectional stigma and reduce stigma's impact as a health care barrier.Sarah L. RossiYuliia SeredaJason B. LuomaNikolai PavlovOlga ToussovaJanna VasilevaKristina AbramovaSally BendiksTetiana KiriazovaMarina VetrovaElena BlokhinaEvgeny KrupitskyDmitry LioznovSara LodiKarsten LunzeElsevierarticleRussiaHIVPWIDStigmaBehavioralPLWHMedicine (General)R5-920ENContemporary Clinical Trials Communications, Vol 24, Iss , Pp 100861- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Russia HIV PWID Stigma Behavioral PLWH Medicine (General) R5-920
spellingShingle	Russia HIV PWID Stigma Behavioral PLWH Medicine (General) R5-920 Sarah L. Rossi Yuliia Sereda Jason B. Luoma Nikolai Pavlov Olga Toussova Janna Vasileva Kristina Abramova Sally Bendiks Tetiana Kiriazova Marina Vetrova Elena Blokhina Evgeny Krupitsky Dmitry Lioznov Sara Lodi Karsten Lunze Addressing intersectional stigma as a care barrier for HIV-positive people who inject drugs: Design of an RCT in St. Petersburg, Russia
description	Background: HIV-positive people who inject drugs (PWID) experience stigma related to their substance use and HIV, with adverse consequences to their health care utilization and mental health. To help affected individuals cope with their intersectional stigma and reduce its negative impact on health and health care, we adapted a behavioral stigma coping intervention for this HIV key population. Objective: To conduct a randomized controlled trial (RCT) testing the ‘Stigma Coping to Reduce HIV risks and Improve substance use Prevention and Treatment’ (SCRIPT) intervention, a community-based, adapted form of Acceptance and Commitment Therapy (ACT), for PWID living with HIV in St. Petersburg, Russia. Methods: We recruited 100 PWID living with HIV from civil society organizations (CSO) delivering harm reduction and HIV prevention services in St. Petersburg, Russia. We randomized participants 2:1 to receive either the intervention (three adapted ACT sessions in a group format over one month and usual CSO care) or usual CSO care alone. ACT aims to help affected individuals cope with stigma by increasing their psychological flexibility to handle stigma-related negative expectations, emotions and experiences. The primary outcomes were satisfaction with the intervention, and changes in HIV and substance use stigma scores. Conclusions: Stigma coping interventions targeting HIV-positive PWID outside of formal health care settings may help them confront negativities in their lives originating from intersectional stigma and reduce stigma's impact as a health care barrier.
format	article
author	Sarah L. Rossi Yuliia Sereda Jason B. Luoma Nikolai Pavlov Olga Toussova Janna Vasileva Kristina Abramova Sally Bendiks Tetiana Kiriazova Marina Vetrova Elena Blokhina Evgeny Krupitsky Dmitry Lioznov Sara Lodi Karsten Lunze
author_facet	Sarah L. Rossi Yuliia Sereda Jason B. Luoma Nikolai Pavlov Olga Toussova Janna Vasileva Kristina Abramova Sally Bendiks Tetiana Kiriazova Marina Vetrova Elena Blokhina Evgeny Krupitsky Dmitry Lioznov Sara Lodi Karsten Lunze
author_sort	Sarah L. Rossi
title	Addressing intersectional stigma as a care barrier for HIV-positive people who inject drugs: Design of an RCT in St. Petersburg, Russia
title_short	Addressing intersectional stigma as a care barrier for HIV-positive people who inject drugs: Design of an RCT in St. Petersburg, Russia
title_full	Addressing intersectional stigma as a care barrier for HIV-positive people who inject drugs: Design of an RCT in St. Petersburg, Russia
title_fullStr	Addressing intersectional stigma as a care barrier for HIV-positive people who inject drugs: Design of an RCT in St. Petersburg, Russia
title_full_unstemmed	Addressing intersectional stigma as a care barrier for HIV-positive people who inject drugs: Design of an RCT in St. Petersburg, Russia
title_sort	addressing intersectional stigma as a care barrier for hiv-positive people who inject drugs: design of an rct in st. petersburg, russia
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/8f4e4ae150654d03997fe00559bb99b5
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Addressing intersectional stigma as a care barrier for HIV-positive people who inject drugs: Design of an RCT in St. Petersburg, Russia

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