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We found previously that ChatGPT-4 could use 50 stream-of-consciousness thoughts to make the latent construct of narrative identity explicit. We now demonstrate this as a tool for interventions by coaches and therapists. Using five narrative identities, ChatGPT-4 recommended actionable strategies and interventions tailored to the narrative identity. Artificial intelligence (AI) can thus support coaches and therapists by crafting personalized approaches drawing on the person's narrative identity. This new assistive tool may help clients achieve greater insight, growth and well-being. [ABSTRACT FROM AUTHOR]

The personal narrative is a construct said to embody personal identity and so influence thought and guide behavior. Therapists and coaches draw on such personal narratives to explain maladaptive thoughts and to foster clients' insights. We combined artificial intelligence (AI) with stream-of-consciousness to make the latent construct of personal narrative explicit. Adult participants (n = 26) contributed 50 stream-of-consciousness thoughts, which along with demographic details and our prompts, were processed by ChatGPT-4 to create a personal narrative. Participants evaluated these AI-generated narratives for accuracy, surprise, and insightfulness, reporting high accuracy, surprise, and increased self-insight. Twenty-five of the 26 participants rated the narratives as 'Completely Accurate' or 'Mostly Accurate',19 rated the narratives as 'Very Surprising' or 'Somewhat Surprising', and 19 indicated that they learned something new about themselves. This suggests that AI can support self-discovery in therapy and coaching. [ABSTRACT FROM AUTHOR]

Aging with HIV often results in psychosocial and health-related challenges for women; however, no resiliency interventions exist for older women with HIV (WWH). WWH aged ≥50 were randomized to 10 group sessions of an adapted resiliency intervention or time-matched supportive psychotherapy. Assessments were conducted at three timepoints. Feasibility and acceptability metrics were defined a priori; differences in resilience, stress coping, anxiety, and depression across timepoints were assessed. Overall, 44 WWH enrolled; participants were 58 years old on average, and 56.4% identified as Black/African American. Among those who attended any sessions, all feasibility metrics were met, and the intervention was acceptable. The interaction of study arm and time was associated with significant decreases in depression and a trend toward significant decreases in anxiety. The intervention was not associated with changes in resilience or stress coping. Adjusting delivery modality may further reduce barriers to attendance, improving feasibility and clinical outcomes. [ABSTRACT FROM AUTHOR]

Introduction: African American women (AA), particularly those living in the Southeastern USA, experience disproportionately high rates of HIV infection. Pre-exposure prophylaxis (PrEP) is a highly effective HIV prevention tool that may circumvent barriers to traditional HIV prevention tools, such as condom use; however, very little is known about how to improve PrEP access and uptake among AA women who may benefit from PrEP use. This project aims to understand how to increase PrEP access among AA women in the rural Southern USA, which may ultimately affect HIV incidence in this population., Methods and Analysis: The goal of the current study is to systematically adapt a patient-provider communication tool to increase PrEP uptake among AA women receiving care at a federally qualified health centre in Alabama. We will use an iterative implementation process, by assessing the feasibility, acceptability and preliminary impact of the tool on PrEP uptake, using a pilot preintervention/postintervention design (N=125). We will evaluate women's reasons for declining a referral to a PrEP provider, reasons for incomplete referrals, reasons for not initiating PrEP after a successful referral and ongoing PrEP use at 3 and 12 months after PrEP initiation among our sample. The proposed work will significantly contribute to our understanding of factors impacting PrEP uptake and use among AA women, particularly in underserved areas in the Deep South that are heavily impacted by the HIV epidemic and experience worse HIV-related health outcomes relative to other areas in the USA., Ethics and Dissemination: This protocol has been approved by the Institutional Review Board (IRB) at University of Alabama at Birmingham (Birmingham, AL; protocol 300004276). All participants will review a detailed informed consent form approved by the IRB and will provide written or verbal informed consent prior to enrolment. Results will be disseminated through peer-reviewed manuscripts, reports, and local, national and international presentations., Trial Registration Number: NCT04373551., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)