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Increasing HIV Testing and Viral Suppression via Stigma Reduction in a Social Networking Mobile Health Intervention Among Black and Latinx Young Men and Transgender Women Who Have Sex With Men (HealthMpowerment): Protocol for a Randomized Controlled Trial.

作者信息

Muessig Kathryn Elizabeth, Golinkoff Jesse M, Hightow-Weidman Lisa B, Rochelle Aimee E, Mulawa Marta I, Hirshfield Sabina, Rosengren A Lina, Aryal Subhash, Buckner Nickie, Wilson M Skye, Watson Dovie L, Houang Steven, Bauermeister José Arturo

机构信息

Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.

Department of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United States.

出版信息

JMIR Res Protoc. 2020 Dec 16;9(12):e24043. doi: 10.2196/24043.


DOI:10.2196/24043
PMID:33325838
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7773515/
Abstract

BACKGROUND: Stigma and discrimination related to sexuality, race, ethnicity, and HIV status negatively impact HIV testing, engagement in care, and consistent viral suppression (VS) among young Black and Latinx men who have sex with men and transgender women who have sex with men (YBLMT). Few interventions address the effects of intersectional stigma among youth living with HIV and those at risk for HIV within the same virtual space. OBJECTIVE: Building on the success of the HealthMpowerment (HMP) mobile health (mHealth) intervention (HMP 1.0) and with the input of a youth advisory board, HMP 2.0 is an app-based intervention that promotes user-generated content and social support to reduce intersectional stigma and improve HIV-related outcomes among YBLMT. The primary objective of this study is to test whether participants randomized to HMP 2.0 report improvement in HIV prevention and care continuum outcomes compared with an information-only control arm. We will also explore whether participant engagement, as measured by paradata (data collected as users interact with an mHealth intervention, eg, time spent using the intervention), mediates stigma- and HIV care-related outcomes. Finally, we will assess whether changes in intersectional stigma and improvements in HIV care continuum outcomes vary across different types of social networks formed within the intervention study arms. METHODS: We will enroll 1050 YBLMT aged 15 to 29 years affected by HIV across the United States. Using an HIV-status stratified, randomized trial design, participants will be randomly assigned to 1 of the 3 app-based conditions (information-only app-based control arm, a researcher-created network arm of HMP 2.0, or a peer-referred network arm of HMP 2.0). Behavioral assessments will occur at baseline, 3, 6, 9, and 12 months. For participants living with HIV, self-collected biomarkers (viral load) are scheduled for baseline, 6, and 12 months. For HIV-negative participants, up to 3 HIV self-testing kits will be available during the study period. RESULTS: Research activities began in September 2018 and are ongoing. The University of Pennsylvania is the central institutional review board for this study (protocol #829805) with institutional reliance agreements with the University of North Carolina at Chapel Hill, Duke University, and SUNY Downstate Health Sciences University. Study recruitment began on July 20, 2020. A total of 205 participants have been enrolled as of November 20, 2020. CONCLUSIONS: Among a large sample of US-based YBLMT, this study will assess whether HMP 2.0, an app-based intervention designed to ameliorate stigma and its negative sequelae, can increase routine HIV testing among HIV-negative participants and consistent VS among participants living with HIV. If efficacious and brought to scale, this intervention has the potential to significantly impact the disproportionate burden of HIV among YBLMT in the United States. TRIAL REGISTRATION: ClinicalTrials.gov NCT03678181; https://clinicaltrials.gov/ct2/show/study/NCT03678181. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/24043.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/f82b2b67ba6c/resprot_v9i12e24043_fig13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/ac509a69f69e/resprot_v9i12e24043_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/6202261a4ed5/resprot_v9i12e24043_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/589fcbc3c9ed/resprot_v9i12e24043_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/7756eaef8cdb/resprot_v9i12e24043_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/82d424113a4c/resprot_v9i12e24043_fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/058d27a6a6ca/resprot_v9i12e24043_fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/76b04c715777/resprot_v9i12e24043_fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/5898617eba10/resprot_v9i12e24043_fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/eaf315f67b99/resprot_v9i12e24043_fig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/1123dd82198e/resprot_v9i12e24043_fig10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/5fc16eaf6f5d/resprot_v9i12e24043_fig11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/87ba2366541c/resprot_v9i12e24043_fig12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/f82b2b67ba6c/resprot_v9i12e24043_fig13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/ac509a69f69e/resprot_v9i12e24043_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/6202261a4ed5/resprot_v9i12e24043_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/589fcbc3c9ed/resprot_v9i12e24043_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/7756eaef8cdb/resprot_v9i12e24043_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/82d424113a4c/resprot_v9i12e24043_fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/058d27a6a6ca/resprot_v9i12e24043_fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/76b04c715777/resprot_v9i12e24043_fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/5898617eba10/resprot_v9i12e24043_fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/eaf315f67b99/resprot_v9i12e24043_fig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/1123dd82198e/resprot_v9i12e24043_fig10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/5fc16eaf6f5d/resprot_v9i12e24043_fig11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/87ba2366541c/resprot_v9i12e24043_fig12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c22/7773515/f82b2b67ba6c/resprot_v9i12e24043_fig13.jpg

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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
Longitudinal Viral Load Monitoring Using Home-Collected Dried Blood Spot Specimens of MSM Living with HIV: Results from a Feasibility Pilot Study.

AIDS Behav. 2021-3

[2]
Trends in State Policy Support for Sexual Minorities and HIV-Related Outcomes Among Men Who Have Sex With Men in the United States, 2008-2014.

J Acquir Immune Defic Syndr. 2020-9-1

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Engagement in mHealth behavioral interventions for HIV prevention and care: making sense of the metrics.

Mhealth. 2020-1-5

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An Exploratory Study of Resilience, HIV-Related Stigma, and HIV Care Outcomes Among Men who have Sex with Men (MSM) Living with HIV in Louisiana.

AIDS Behav. 2020-7

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Applying an intersectional framework to understand syndemic conditions among young Black gay, bisexual, and other men who have sex with men.

Soc Sci Med. 2022-2

[6]
Project Moxie: Results of a Feasibility Study of a Telehealth Intervention to Increase HIV Testing Among Binary and Nonbinary Transgender Youth.

AIDS Behav. 2020-5

[7]
Intervention Messaging About Pre-Exposure Prophylaxis Use Among Young, Black Sexual Minority Men.

AIDS Patient Care STDS. 2019-11

[8]
Stigma, discrimination, and substance use among an urban sample men who have sex with men in Massachusetts.

AIDS Care. 2020-3

[9]
Heterosexual Self-Presentation and Other Individual- and Community-Based Correlates of HIV testing among Latino Men Who Have Sex With Men.

Psychol Men Masc. 2019-4

[10]
Interaction Patterns of Men Who Have Sex With Men on a Geosocial Networking Mobile App in Seven United States Metropolitan Areas: Observational Study.

J Med Internet Res. 2019-9-12

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