Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA.
Department of Health Behavior and Health Education, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109, USA.
Health Educ Res. 2022 Nov 21;37(6):405-419. doi: 10.1093/her/cyac028.
Young Black gay, bisexual and other men who have sex with men (YB-GBMSM) are disproportionately burdened by HIV and often exhibit suboptimal engagement in HIV care. With the goal of increasing engagement in HIV care, we designed a culturally specific, theory-based group-level program, Brothers Building Brothers by Breaking Barriers (B6), which aimed to strengthen resilience and social capital among YB-GBMSM living with HIV. We conducted a pilot trial to evaluate the program's acceptability and feasibility. Through clinic-based recruitment and community outreach events, we recruited and enrolled 71 YB-GBMSM into the study. Participants were randomized to either the B6 program or a control comparison program. Post-session evaluation surveys and in-depth qualitative interviews showed B6 to have high levels of acceptability and satisfaction. Specifically, participants described benefits to interacting in a group with other YB-GBMSM, and several described increased comfort with their own gay identities after participation. No adverse events or safety concerns were reported. However, there were challenges to feasibility, as reflected in recruitment and retention rates. The B6 program was highly acceptable among YB-GBMSM living with HIV; however, innovative program delivery methods and implementation strategies will be needed to improve recruitment and retention in future implementation of B6.
年轻的黑人男同性恋、双性恋和其他与男性发生性关系的男性(YB-GBMSM)不成比例地受到艾滋病毒的困扰,并且经常表现出对艾滋病毒护理的参与度不足。为了提高对艾滋病毒护理的参与度,我们设计了一种具有文化特色、基于理论的群体层面项目,名为“打破障碍建立兄弟情谊”(B6),旨在增强感染艾滋病毒的 YB-GBMSM 的韧性和社会资本。我们进行了一项试点试验,以评估该计划的可接受性和可行性。通过诊所招募和社区外展活动,我们招募并纳入了 71 名 YB-GBMSM 参与研究。参与者被随机分配到 B6 计划或对照组。课程后评估调查和深入的定性访谈显示 B6 具有很高的可接受性和满意度。具体而言,参与者描述了与其他 YB-GBMSM 群体互动的好处,一些人在参与后对自己的同性恋身份感到更加舒适。没有报告不良事件或安全问题。然而,可行性方面存在挑战,反映在招募和保留率上。B6 计划在感染艾滋病毒的 YB-GBMSM 中非常受欢迎;然而,在未来实施 B6 时,需要创新的方案交付方法和实施策略来提高招募和保留率。
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