Striving Towards Empowerment and Medication Adherence (STEP-AD): A Tailored Cognitive Behavioral Treatment Approach for Black Women Living With HIV

Cognitive and Behavioral Practice
Sannisha K Dale, Steven A Safren

Abstract

In the U.S. Black women with HIV face numerous psychosocial challenges, particularly trauma, racism, HIV-related discrimination, and gender role expectations, that are associated with negative HIV health outcomes and low medical treatment adherence. Yet many of these factors are unaddressed in traditional cognitive behavioral approaches. This study presents a case series of a tailored cognitive behavioral treatment approach for Black women living with HIV. Striving Towards EmPowerment and Medication Adherence (STEP-AD) is a 10-session treatment aimed at improving medication adherence for Black women with HIV by combining established cognitive behavioral strategies for trauma symptom reduction, strategies for coping with race- and HIV-related discrimination, gender empowerment, problem-solving techniques for medication adherence, and resilient coping. A case series study of five Black women with HIV was conducted to evaluate the preliminary acceptability and feasibility of the treatment and illustrate the approach. Findings support the potential promise of this treatment in helping to improve HIV medication adherence and decrease trauma symptoms. Areas for refinement in the treatment as well as structural barriers (e.g., housing...Continue Reading

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Citations

May 7, 2020·Psychology & Health·Clarice J Hampton, Tameka L Gillum
Jan 7, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Kaylee B CrockettBulent Turan
May 9, 2019·International Journal of Behavioral Medicine·Tiffany R GlynnSteven A Safren
Feb 26, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Kaylee B CrockettBulent Turan
Mar 29, 2019·JMIR Research Protocols·Ann-Margaret Dunn NavarraGail D'Eramo Melkus
Jan 7, 2021·Journal of Interpersonal Violence·Margaret EricksonKathleen Deering On Behalf Of The Shawna Project
Jan 22, 2021·Journal of the International Association of Providers of AIDS Care·Elizabeth M WaldronEmily S Miller
Mar 31, 2021·Journal of Racial and Ethnic Health Disparities·Monai Thompson, Sannisha K Dale
Oct 7, 2021·AIDS Care·Hilary GoldhammerAlex S Keuroghlian

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