Estimating the Impact of a Multilevel, Multicomponent Intervention to Increase Uptake of HIV Testing and Biomedical HIV Prevention Among African-American/Black Gay, Bisexual and Same-gender Loving Men
Columbia University
Summary
The major goal of this study is to evaluate a multi-component, multilevel HIV prevention intervention that targets theoretically-informed and empirically-identified barriers to and facilitators of both HIV testing and PEP/PrEP uptake by combining existing evidence-based and novel evidence-informed components and integrating them into a community-based organization's (CBO) standard of care (SOC) PEP/PrEP navigation program. The evaluation will apply use a 2x2 factorial design to randomize and follow for 18 months 480 PrEP-eligible Black MSM (aged 18-65) living in the NYC area to one of four combinations of interventions. The impact of the social/media campaign, delivered to both geographic (print media) and Black MSM communities (social media) and launched midway through recruitment, will be assessed through assessment of timing and length of exposure as covariates in analysis.
Description
The major goal of this study is to evaluate a multi-component, multilevel HIV prevention intervention that targets theoretically-informed and empirically-identified barriers to and facilitators of both HIV testing and PEP/PrEP uptake by combining existing evidence-based and novel evidence-informed components and integrating them into a community-based organization's (CBO) standard of care (SOC) PEP/PrEP navigation program. The existing evidence-based, individual-level component is TRUST (R01 DA-038108), a single-session peer-based HIV self-testing intervention for Black MSM. The existing, evid…
Eligibility
- Age range
- 18–65 years
- Sex
- Male
- Healthy volunteers
- Yes
Inclusion Criteria: 1. assigned biological male sex at birth; 2. 18-65 years of age; 3. self-identify as: Black, African-American, Afro-Caribbean, Black African, Afro-Latino or multiethnic Black; 4. reside in the NYC metro area; (5) not HIV-positive (tested before randomization); 6\) report insertive or receptive anal intercourse with another man in the past six months; 7) not currently on PEP or PrEP; 8) communicate in English or Spanish; 9) provide informed consent for the study. Exclusion Criteria: * Sexual identity is not an exclusion criterion * potential participants who self-identif…
Interventions
- BehavioralDIY (Do It Yourself)
DIY is 3-session program that promotes empowerment, autonomy, stigma coping/resistance and social support to promote sexual health and pleasure and HIV prevention.
- BehavioralTRUST
TRUST is a single-session HIV self-testing training with facilitator
- BehavioralSOC
standard of care single-session, low threshold peer/near-peer navigation to PrEP.
Location
- Columbia UniversityNew York, New York