Telephone-Delivered Mindfulness Training to Promote Medication Adherence and Reduce Sexual Risk Behavior Among Persons Living with HIV: An Exploratory Clinical Trial.
Study Goal
The researchers aimed to determine if telephone-delivered mindfulness training (MT) was feasible and acceptable for improving medication adherence and reducing sexual risk behavior in people living with HIV.
Results Summary
Both MT and health coaching (HC) groups showed improvements in medication adherence, mindfulness, sexual risk reduction, and reductions in anxiety, depressive symptoms, stress, and impulsivity, but no significant differences were found between the groups. Most participants reported satisfaction with their assigned intervention.
Population
People living with HIV (N=42; 50% female; mean age=47.5 years).
Effective Dosage
Not specified
Duration
Pre- and post-intervention, with a 3-month follow-up (exact duration of intervention not specified).
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
telephone-delivered mindfulness training (MT) | no change | people living with HIV | people living with HIV | - | was feasible for and acceptable to | #1 |
telephone-delivered mindfulness training (MT) | increase | medication adherence | people living with HIV | - | to promote | #2 |
telephone-delivered mindfulness training (MT) | decrease | sexual risk behavior | people living with HIV | - | reduce | #3 |
telephone-delivered mindfulness training (MT) | neutral | training calls | patients assigned to MT | 55% completed ≥ 50% | completed | #4 |
health coaching (HC) | neutral | training calls | HC patients | 86% completed ≥ 50% | completed | #5 |
telephone-delivered mindfulness training (MT) | neutral | their intervention | patients | 88% | reported satisfaction with | #6 |
health coaching (HC) | neutral | their intervention | patients | 87% | reported satisfaction with | #7 |
telephone-delivered mindfulness training (MT) | increase | medication adherence | patients in MT | - | reported improvements in | #8 |
telephone-delivered mindfulness training (MT) | increase | mindfulness | patients in MT | - | reported improvements in | #9 |
telephone-delivered mindfulness training (MT) | increase | sexual risk reduction | patients in MT | - | reported improvements in | #10 |
telephone-delivered mindfulness training (MT) | decrease | anxiety | patients in MT | - | reported reductions in | #11 |
telephone-delivered mindfulness training (MT) | decrease | depressive symptoms | patients in MT | - | reported reductions in | #12 |
telephone-delivered mindfulness training (MT) | decrease | perceived stress | patients in MT | - | reported reductions in | #13 |
telephone-delivered mindfulness training (MT) | decrease | impulsivity | patients in MT | - | reported reductions in | #14 |
health coaching (HC) | increase | medication adherence | patients in HC | - | reported improvements in | #15 |
health coaching (HC) | increase | mindfulness | patients in HC | - | reported improvements in | #16 |
health coaching (HC) | increase | sexual risk reduction | patients in HC | - | reported improvements in | #17 |
health coaching (HC) | decrease | anxiety | patients in HC | - | reported reductions in | #18 |
health coaching (HC) | decrease | depressive symptoms | patients in HC | - | reported reductions in | #19 |
health coaching (HC) | decrease | perceived stress | patients in HC | - | reported reductions in | #20 |
health coaching (HC) | decrease | impulsivity | patients in HC | - | reported reductions in | #21 |
telephone-delivered mindfulness training (MT) | no change | health coaching (HC) | patients | - | no between-groups differences were observed compared to | #22 |
This study explored whether telephone-delivered mindfulness training (MT) to promote medication adherence and reduce sexual risk behavior was feasible for and acceptable to people living with HIV. Participants (N = 42; 50% female; M age = 47.5 years) were randomized to MT or health coaching (HC). Pre- and post-intervention, and at 3-month follow-up, we assessed adherence to ART, sexual risk behavior, and hypothesized mediators; we also conducted individual interviews to obtain qualitative data. Results showed that 55% of patients assigned to MT completed ≥ 50% of the training calls compared with 86% of HC patients (p < .05). Most patients reported satisfaction with their intervention (MT = 88%, HC = 87%). Patients in MT and HC reported improvements in medication adherence, mindfulness, and sexual risk reduction as well as reductions in anxiety, depressive symptoms, perceived stress, and impulsivity over time; however, no between-groups differences were observed. Este estudio exploró si el entrenamiento de atención plena (MT) impartido por teléfono para promover la adherencia a los medicamentos y reducir el comportamiento de riesgo sexual era factible y aceptable para las personas que viven con el VIH (PVVS). Los participantes (