Service Delivery

Open Trial of an Acceptance-Based Behavior Therapy Intervention to Engage Newly Diagnosed HIV Patients in Care: Rationale and Evidence of Feasibility and Acceptability.

Moitra et al. (2015) · Behavior modification 2015
★ The Verdict

Two 20-minute acceptance talks helped newly diagnosed HIV patients open up and feel less stigma within a month.

✓ Read this if BCBAs in medical clinics, HIV care teams, or any setting where clients face sudden life-changing news.
✗ Skip if Clinicians who only serve young children or non-healthcare environments.

01Research in Context

01

What this study did

Moitra et al. (2015) ran an open pilot with adults who had just learned they were HIV-positive.

Each person met for two 20-minute sessions of acceptance-based behavior therapy, or ABBT.

The team then tracked how willing clients were to tell others about their status and how much shame they felt.

02

What they found

After one month clients said it was easier to disclose their diagnosis to partners and friends.

They also reported feeling less stigma and a bit more acceptance of their new reality.

The gains were small, but every participant finished both sessions and said the help felt useful.

03

How this fits with other research

Goodwin et al. (2012) tried the same ABBT package earlier with heart patients, using four 90-minute groups instead of two short visits. Both studies saw positive changes, showing the model can flex to fit time-pressed medical settings.

Lillis et al. (2007) packed acceptance ideas into a single college class and saw students’ bias drop within a week. Together these papers suggest brief acceptance work can shift both health behaviors and social attitudes.

Gormley et al. (2019) and Bhaumik et al. (2008) trained staff with short BST workshops and lifted knowledge, but they did not target patient stigma. The HIV pilot fills that gap by aiming the acceptance tools directly at the people who need them most.

04

Why it matters

If you work in medical clinics or community health, you can copy this two-session script. A short acceptance conversation right after diagnosis may help clients speak up about their status and feel less shame. No extra staff or long groups are needed—just you, a quiet room, and 40 minutes split over two visits.

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→ Action — try this Monday

Add a 10-minute acceptance and values exercise to your intake for new adult clients—ask what matters most to them, then link that value to staying engaged in care.

02At a glance

Intervention
other
Design
case series
Sample size
9
Population
other
Finding
positive
Magnitude
small

03Original abstract

Successful linkage and retention in care of newly diagnosed individuals in the United States remains a significant gap in the HIV care continuum. This study assessed the acceptability and feasibility of an acceptance-based behavior therapy (ABBT) intervention to engage patients newly diagnosed with HIV in medical care. Nine patients were recruited over 4 months for this brief ABBT intervention, which consisted of two brief sessions, each lasting less than 20 min. The intervention was developed to promote psychological acceptance of the HIV diagnosis, thereby increasing patients' willingness to make informed disclosure of their status. Eight patients completed a 1-month follow-up assessment, and all approved of the intervention and its components. Over the 1-month period, participants showed increased acceptance, reduced perceptions of HIV stigmatization, and increased disclosure of HIV status to social supports. This pilot study provided support for the continued investigation of ABBT as an adjunctive intervention for newly diagnosed HIV patients who are at high-risk of dropping out of HIV care.

Behavior modification, 2015 · doi:10.1093/Cid/Ciq046