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A Cautionary Tale: Digital Clinical Trial Implementation of a Couples-Based HIV Prevention Study among Transgender Women and Their Partners in the United States.

作者信息

Gamarel Kristi E, Stein Ellen S, Correll-King Wesley M, McCree Breonna, Johnson Jack, Pollack Lance M, Neilands Torsten B, Johnson Mallory O, Operario Don, Sevelius Jae M

机构信息

Department of Health Behavior and Health Equity, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI, 48109-2029, USA.

Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.

出版信息

AIDS Behav. 2025 Jan;29(1):37-44. doi: 10.1007/s10461-024-04477-x. Epub 2024 Sep 2.


DOI:10.1007/s10461-024-04477-x
PMID:39222184
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11747887/
Abstract

This study investigates baseline differences in couples enrolled in the "It Takes Two" HIV prevention intervention for transgender women and their partners, comparing in-person participation pre-COVID-19 and digital participation during the pandemic. Among 52 couples (40% in-person, 60% digital), bivariate analyses revealed that in-person participants were more likely to be African American, have cisgender male partners, report higher unemployment, incarceration histories, greater relationship stigma, and lower relationship quality. The findings highlight the limitations of digital modalities in engaging transgender women of color and those with structural vulnerabilities. The study emphasizes that reliance on digital methods in HIV research jeopardizes the inclusion of those lacking technological access and literacy, especially communities disproportionately impacted by HIV. Researchers must incorporate hybrid or in-person options and engage communities to ensure equity and inclusion, thus overcoming barriers and ensuring comprehensive population reach in HIV prevention studies.

摘要

相似文献

[1]
A Cautionary Tale: Digital Clinical Trial Implementation of a Couples-Based HIV Prevention Study among Transgender Women and Their Partners in the United States.

AIDS Behav. 2025-1

[2]
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[3]
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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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引用本文的文献

[1]
Randomized Controlled Trial of a Couples-Based HIV Intervention for Transgender Women and Their Partners: Findings from the "It Takes Two" Project.

AIDS Behav. 2025-6-24

本文引用的文献

[1]
HIV incidence and mortality in transgender women in the eastern and southern USA: a multisite cohort study.

Lancet HIV. 2023-5

[2]
A Relationship-Focused HIV Prevention Intervention for Young Sexual Minority Men in the United States: A Pilot Randomized Controlled Trial of the We Prevent Intervention.

AIDS Behav. 2023-8

[3]
Addressing Health Inequities in Digital Clinical Trials: A Review of Challenges and Solutions From the Field of HIV Research.

Epidemiol Rev. 2022-12-21

[4]
Supporting Retention in HIV Care: Comparing In-Person and Telehealth Visits in a Chicago-Based Infectious Disease Clinic.

AIDS Behav. 2022-8

[5]
Couples-focused intervention to improve engagement in HIV care: protocol for a randomised controlled trial.

BMJ Open. 2021-3-22

[6]
HIV prevention research and COVID-19: putting ethics guidance to the test.

BMC Med Ethics. 2021-1-25

[7]
Lay persons' perception of the requirements for research in emergency obstetric and newborn care.

BMC Med Ethics. 2021-1-2

[8]
Stigma Experienced by Transgender Women of Color in Their Dating and Romantic Relationships: Implications for Gender-based Violence Prevention Programs.

J Interpers Violence. 2022-5

[9]
Couples-based approach to HIV prevention for transgender women and their partners: study protocol for a randomised controlled trial testing the efficacy of the 'It Takes Two' intervention.

BMJ Open. 2020-10-15

[10]
Research with Marginalized Communities: Challenges to Continuity During the COVID-19 Pandemic.

AIDS Behav. 2020-7

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