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Work2Prevent, an Employment Intervention Program as HIV Prevention for Young Men Who Have Sex With Men and Transgender Youth of Color (Phase 3): Protocol for a Single-Arm Community-Based Trial to Assess Feasibility and Acceptability in a Real-World Setting.

作者信息

Hill Brandon J, Motley Darnell N, Rosentel Kris, VandeVusse Alicia, Garofalo Robert, Kuhns Lisa M, Kipke Michele D, Reisner Sari, Rupp Betty, West Goolsby Rachel, McCumber Micah, Renshaw Laura, Schneider John A

机构信息

Planned Parenthood Great Plains, Overland Park, KS, United States.

Center for Interdisciplinary Inquiry and Innovation in Sexual and Reproductive Health, Department of Obstetrics and Gynecology, University of Chicago, Chicago, IL, United States.

出版信息

JMIR Res Protoc. 2020 Sep 11;9(9):e18051. doi: 10.2196/18051.


DOI:10.2196/18051
PMID:32915162
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7519435/
Abstract

BACKGROUND: In the United States, young cisgender men who have sex with men (YMSM), young transgender women (YTW), and gender nonconforming (GNC) youth face elevated rates of HIV infection. However, racial and ethnic disparities in adolescent HIV infection cannot be attributed to individual-level factors alone and are situated within larger social and structural contexts that marginalize and predispose sexual and gender minority youth of color to HIV. Addressing broader ecological factors that drive transmission requires interventions that focus on the distal drivers of HIV infection, including violence exposure, housing, food insecurity, educational attainment, and employment. Given the ways that economic instability may make YMSM, YTW, and GNC youth of color vulnerable to HIV exposure, this study focuses on employment as an HIV prevention intervention. More specifically, the intervention, called Work2Prevent (W2P), targets economic stability through job readiness and employment as a means of preventing behaviors and factors associated with adolescent and young adult HIV, such as transactional sex work and homelessness. The intervention was adapted from iFOUR, an evidence-based employment program for HIV-positive adults in phase 1 of this study, and pilot tested in a university-based setting in phase 2. OBJECTIVE: This paper aims to describe the protocol for the community-based test phase of W2P. The purpose of this phase was to pilot test a tailored, theoretically informed employment intervention program among YMSM, YTW, and GNC youth of color within a lesbian, gay, bisexual, transgender, and queer (LGBTQ) community setting. METHODS: The employment intervention was pilot tested using a single-arm pretest-posttest trial design implemented among a sample of vulnerable YMSM, YTW, and GNC youth of color using services within a community-based LGBTQ center. Assessments will examine intervention feasibility, acceptability, and preliminary estimates of efficacy. RESULTS: Phase 3 of W2P research activities began in May 2019 and was completed in December 2019. Overall, 41 participants were enrolled in the community-based pilot. CONCLUSIONS: This study will assess intervention feasibility and acceptability in the target populations and determine preliminary efficacy of the intervention to increase employment and reduce vulnerability to HIV when implemented in a community-based setting serving LGBTQ youth of color. Testing the intervention in a community setting is an opportunity to evaluate how recruitment, retention, and other outcomes are impacted by delivery in a venue akin to where this intervention could eventually be used by nonresearchers. If W2P demonstrates feasibility and acceptability, a larger multisite trial implemented in multiple community settings serving YMSM, YTW, and GNC youth of color is planned. TRIAL REGISTRATION: ClinicalTrials.gov NCT03313310; https://clinicaltrials.gov/ct2/show/NCT03313310. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/18051.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13fe/7519435/0eb7342344a6/resprot_v9i9e18051_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13fe/7519435/aa33847738f5/resprot_v9i9e18051_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13fe/7519435/0eb7342344a6/resprot_v9i9e18051_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13fe/7519435/aa33847738f5/resprot_v9i9e18051_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13fe/7519435/0eb7342344a6/resprot_v9i9e18051_fig2.jpg

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[1]
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Enhanced Cohort Methods for HIV Research and Epidemiology (ENCORE): Protocol for a Nationwide Hybrid Cohort for Transgender Women in the United States.

JMIR Res Protoc. 2024-8-27

[2]
Adolescents Living With or at Risk for HIV: A Pooled Descriptive Analysis of Studies From the Adolescent Medicine Trials Network for HIV/AIDS Interventions.

J Adolesc Health. 2023-5

[3]
Exploring behavioral intervention components for African American/Black and Latino persons living with HIV with non-suppressed HIV viral load in the United States: a qualitative study.

Int J Equity Health. 2023-1-31

[4]
Social Determinants of Transactional Sex in a Sample of Young Black and Latinx Sexual Minority Cisgender Men and Transgender Women.

J Adolesc Health. 2022-2

本文引用的文献

[1]
An Employment Intervention Program (Work2Prevent) for Young Men Who Have Sex With Men and Transgender Youth of Color (Phase 1): Protocol for Determining Essential Intervention Components Using Qualitative Interviews and Focus Groups.

JMIR Res Protoc. 2020-8-10

[2]
An Employment Intervention Program (Work2Prevent) for Young Men Who Have Sex With Men and Transgender Youth of Color (Phase 2): Protocol for a Single-Arm Mixed Methods Pilot Test to Assess Feasibility and Acceptability.

JMIR Res Protoc. 2020-8-10

[3]
Institutional distrust among gay, bisexual, and other men who have sex with men as a barrier to accessing pre-exposure prophylaxis (PrEP).

AIDS Care. 2019-3

[4]
Usage of the Terms Prostitution, Sex Work, Transactional Sex, and Survival Sex: Their Utility in HIV Prevention Research.

Arch Sex Behav. 2018-1-5

[5]
Structural Interventions in HIV Prevention: A Taxonomy and Descriptive Systematic Review.

AIDS Behav. 2017-12

[6]
PrEP Chicago: A randomized controlled peer change agent intervention to promote the adoption of pre-exposure prophylaxis for HIV prevention among young Black men who have sex with men.

Clin Trials. 2018-2

[7]
Exploring Individual and Structural Factors Associated with Employment Among Young Transgender Women of Color Using a No-Cost Transgender Legal Resource Center.

Transgend Health. 2017

[8]
HIV Prevention Among Transgender Populations: Knowledge Gaps and Evidence for Action.

Curr HIV/AIDS Rep. 2017-8

[9]
Community-Based ART Programs: Sustaining Adherence and Follow-up.

Curr HIV/AIDS Rep. 2016-12

[10]
An HIV Preexposure Prophylaxis Demonstration Project and Safety Study for Young MSM.

J Acquir Immune Defic Syndr. 2017-1-1

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