Department of Medical Social Sciences, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, and the Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Feinberg School of Medicine.
St. John's Community Health, Los Angeles, California.
AIDS Educ Prev. 2024 Oct;36(5):299-323. doi: 10.1521/aeap.2024.36.5.299.
This study explored the feasibility and acceptability of Entre Herman@s, a novel sibling-based intervention designed to engage siblings to increase PrEP utilization among Latino men who have sex with men (LMSM). Siblings were trained in rudimentary motivational interviewing skills to uncover, evoke, and strengthen their brother's motivation to use PrEP, using the constructs of the Information-Motivation-Behavioral Skills (IMB) model for health behavior change. This pilot demonstrated high feasibility, meeting recruitment, retention, and intervention completion targets. Of the 23 LMSM enrolled, 16 (70%) commenced PrEP, with 12 (75%) continuing at the 3-month follow-up. Initially, 15 participants (65%) were open to PrEP, with 9 (39%) ready to start within the next month. Those who began PrEP use reported a significantly higher degree of closeness to their siblings ( = .019) than those who did not. All LMSMs affirmed that their decision to use PrEP was influenced to some degree by their sibling.
本研究探索了 Entre Herman@s 的可行性和可接受性，这是一种新的基于兄弟姐妹的干预措施，旨在让兄弟姐妹参与进来，增加拉丁裔男男性行为者 (LMSM) 中使用 PrEP 的比例。兄弟姐妹接受了基本的动机访谈技巧培训，以利用健康行为改变的信息-动机-行为技能 (IMB) 模型，挖掘、激发和增强他们兄弟使用 PrEP 的动机。这项试点研究表明，该干预措施具有很高的可行性，达到了招募、保留和完成干预的目标。在 23 名参与研究的 LMSM 中，有 16 名（70%）开始使用 PrEP，其中 12 名（75%）在 3 个月的随访中继续使用。最初，有 15 名参与者（65%）对 PrEP 持开放态度，其中 9 名（39%）准备在接下来的一个月内开始使用。那些开始使用 PrEP 的人报告说，他们与兄弟姐妹的亲密程度显著更高（ =.019）。所有 LMSM 都肯定他们使用 PrEP 的决定在某种程度上受到了他们兄弟姐妹的影响。
