T'Cher, Take Charge: Increasing PrEP Awareness, Uptake and Adherence Through Health Care Empowerment and Addressing Social Determinants of Health Among Racially Diverse Trans Women in the Deep South
CrescentCare
Summary
The goal of this to address barriers and facilitators to PrEP uptake, and encourage adherence among trans women via a single arm stepped wedge clinical trial. The main question is to compare PrEP uptake and adherence outcomes among trans women in the T'Cher intervention to the delayed study arm.
Description
The intervention will also assess changes in health care empowerment and support for Social Determinants of Health (SDoH) as mediating the effect of the intervention on PrEP uptake and adherence among trans women.
Eligibility
- Age range
- 18+ years
- Sex
- Female
- Healthy volunteers
- Yes
Inclusion Criteria: * Provision of signed and dated informed consent form * Declaration of willingness to comply with all study procedures and availability during the study * Age 18 years old or older * Male sex designated at birth * Identify as trans woman, woman or another gender identity not associated with being a man * Desire to use or re-start PrEP * HIV uninfected * Speaks English or Spanish * Live in the New Orleans metropolitan statistical area (which includes 8 parishes) Exclusion Criteria: * Confirmed HIV infection by rapid algorithm testing and/or laboratory testing (described a…
Interventions
- BehavioralPeer PrEP Navigation
Ecological momentary assessments to identify and address stressors related to social determinants of health (e.g., housing, substance use, mental health), and motivational interviewing to support participants' health care empowerment and progression along the PrEP continuum.
Location
- NO/AIDS Task Force d.b.a. CrescentCareNew Orleans, Louisiana