# Development of a Geographical Momentary Assessment Informed Trauma Intervention to Improve ART Adherence and Viral Suppression in Violence-Affected Persons Living with HIV

> **NIH NIH R34** · TULANE UNIVERSITY OF LOUISIANA · 2020 · $218,440

## Abstract

Abstract: Violence-affected persons living with HIV (PLWH) are less likely to successfully
adhere to medication regimens, engage in care, and achieve sustained viral suppression.
Technology-delivered interventions are necessary to meet the needs of violence affected PLWH
(VAPLWH). Currently, there are no mobile interventions for VAPLWH tailored to their daily
experiences. This project uses Geographical Ecological Momentary Assessment (GEMA) to
identify the daily activity spaces and psychosocial factors that influence engagement in care for
VAPLWH. The impact of frequency and timing of violence experienced will be examined in
these relationships. Formative work will be conducted to understand VAPLWH needs and
preferences for a mobile intervention. The goal is to develop a trauma-informed mobile
intervention by adapting an evidence-based intervention, Living in the Face of Trauma (LIFT)
and adding novel GEMA identified targets for intervention. Feasibility and acceptability of the
intervention will be tested using mixed methods, and a pilot test of the intervention will be
conducted to examine preliminary efficacy on adherence and care engagement. Limitations in
prior research are examined by using GEMA to identify contextual and situational factors on
care in PLWH, explore potential modifying factors related to violence and socio-demographics,
and incorporate these into a mobile intervention to improve mental health and address barriers
to care for VAPLWH.

## Key facts

- **NIH application ID:** 9913191
- **Project number:** 1R34AA028961-01
- **Recipient organization:** TULANE UNIVERSITY OF LOUISIANA
- **Principal Investigator:** Gretchen Clum
- **Activity code:** R34 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $218,440
- **Award type:** 1
- **Project period:** 2020-06-10 → 2023-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9913191

## Citation

> US National Institutes of Health, RePORTER application 9913191, Development of a Geographical Momentary Assessment Informed Trauma Intervention to Improve ART Adherence and Viral Suppression in Violence-Affected Persons Living with HIV (1R34AA028961-01). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/9913191. Licensed CC0.

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