Impact of a Trauma-Informed Intervention on Psychosocial and HIV Treatment Outcomes Among Older Adults Living with HIV: A Pilot Study

Monique J Brown; Prince Nii Ossah Addo; David Owiredu; Amandeep Kaur; Oluwafemi Adeagbo; Mohammad Rifat Haider; James W Hardin; Sharon Weissman; Nathan B Hansen

doi:10.1007/s10461-026-05148-9

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Impact of a Trauma-Informed Intervention on Psychosocial and HIV Treatment Outcomes Among Older Adults Living with HIV: A Pilot Study

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Impact of a Trauma-Informed Intervention on Psychosocial and HIV Treatment Outcomes Among Older Adults Living with HIV: A Pilot Study

Monique J Brown, Prince Nii Ossah Addo, David Owiredu, Amandeep Kaur, Oluwafemi Adeagbo, Mohammad Rifat Haider, James W Hardin, Sharon Weissman and Nathan B Hansen

AIDS and behavior

04/30/2026

DOI: 10.1007/s10461-026-05148-9

PMID: 42056642

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Abstract

A childhood sexual abuse (CSA) history is more prevalent among people living with HIV and may have lingering effects among older adults living with HIV (OALH). However, studies examining the impact of trauma-informed interventions among OALH are scant. The aim of the study was to determine the preliminary effect of the Coping with Childhood Sexual Abuse, HIV, and Aging (CoSHA) intervention on depressive symptoms, coping and ART adherence among OALH. Data were obtained from 28 OALH recruited from an immunology clinic and an AIDS service organization in South Carolina. Generalized estimating equation (GEE) models were used to determine the preliminary effect of the intervention on depressive symptoms, coping and ART adherence among OALH from baseline to 6-week, 3- and 6- month follow-up using intention-to-treat analysis. The intervention reduced depressive symptoms over the 6-month period (B=-9.13, 95% CI: -10.3, -8.00). There were also positive changes in planning coping (B = 0.73, 95% CI: -0.08, -1.54) and religious coping (B = 1.13, 95% CI: -0.08, 2.34), and ART adherence (B = 15.2, 95% CI: -0.95, 31.3) but these were borderline statistically significant. Future research should determine the impact of the CoSHA intervention in a full randomized controlled trial.

Depression

Coping

ART adherence

Details

Title: Subtitle: Impact of a Trauma-Informed Intervention on Psychosocial and HIV Treatment Outcomes Among Older Adults Living with HIV: A Pilot Study
Creators: Monique J Brown - University of South Carolina
Prince Nii Ossah Addo - University of South Carolina
David Owiredu - University of South Carolina
Amandeep Kaur - East Carolina University
Oluwafemi Adeagbo - University of Iowa
Mohammad Rifat Haider - University of Georgia
James W Hardin - University of South Carolina
Sharon Weissman - University of South Carolina
Nathan B Hansen - University of Georgia
Resource Type: Journal article
Publication Details: AIDS and behavior
DOI: 10.1007/s10461-026-05148-9
PMID: 42056642
ISSN: 1573-3254
eISSN: 1573-3254
Publisher: Springer Nature
Grant note: University of South Carolina
Open access funding provided by the Carolinas Consortium.
Language: English
Electronic publication date: 04/30/2026
Academic Unit: Community and Behavioral Health
Record Identifier: 9985157601902771

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