Leveraging family-based assets for Black men who have sex with men in House Ball Communities: Protocol for a cluster randomized controlled trial.
Leveraging family-based assets for Black men who have sex with men in House Ball Communities: Protocol for a cluster randomized controlled trial.
复制标题
DOI：
10.1371/journal.pone.0289681
复制
发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
在美国，与男性发生性关系的黑人男性（MSM）仍然是新人类免疫缺陷病毒（HIV）诊断的最高发病率，但最不可能从事护理或病毒抑制。许多黑人男男性接触者面临多重污名，但有些人在众议院舞会社区（HBC）找到了避难所-这是一个全国性的黑人女同性恋，男同性恋，双性恋和跨性别亲属关系网络，为其成员提供照顾，肯定和生存技能建设。我们建议修改技能建设和艾滋病毒预防的最佳证据，艾滋病毒阴性的黑人男男性行为者（许多男人许多声音）的群体层面的干预措施，以家庭为基础的干预措施，重点是在HBC家庭内的艾滋病毒阴性和艾滋病毒阳性的黑人男男性行为者的资产建设。经过调整的干预措施将更名为“我们的家庭我们的声音”。我们提出了一个混合方法的研究，以测试的可行性和初步疗效的OFOV适用于HIV状态中性使用HBC家庭。首先，我们将使用ADAPT-ITT模型制定干预方案，以修改行为干预。然后，我们将在纽约市对六个HBC家庭进行一项整群随机对照试验。家庭将被随机分配到OFOV干预组或候补对照组。主要结果将是HIV检测、HIV暴露前预防使用、目前接受HIV护理和HIV治疗。次要结果将是家庭资产的数量、弹性、性伴侣的数量和无安全套肛交的相对频率。形成性研究的结果，包括试点试验，将有助于制定艾滋病毒中性干预措施的证据基础，这些干预措施应对HBC家庭的多样性和复杂性，并认识到资产建设对促进HBC抵御耻辱的重要性，这是美国到2030年结束艾滋病毒流行病的国内政策目标的一部分。
Black men who have sex with men (MSM) continue to have the highest incidence of new human immunodeficiency virus (HIV) diagnoses in the United States but are least likely to be engaged in care or to be virally suppressed. Many Black MSM face multiple stigmas, but some have found refuge in the House Ball Community (HBC)—a national network of Black lesbian, gay, bisexual, and transgender kinship commitments that provide care-giving, affirmation, and survival skills-building for its members. We propose to modify a skills-building and HIV prevention best-evidence, group-level intervention for HIV- negative Black MSM (Many Men Many Voices) into a family-based intervention to focus on asset-building for both HIV-negative and HIV-positive Black MSM within HBC families. The adapted intervention will be re-branded as Our Family Our Voices (OFOV). We proposed a mixed-methods study to test the feasibility and preliminary efficacy of OFOV adapted for HIV status-neutral use with HBC families. First, we will develop the intervention protocol using the ADAPT-ITT model for modifying behavioral interventions. Then, we will conduct a cluster randomized controlled trial with six HBC families in New York City. Families will be randomized to the OFOV intervention or waitlist control arm. Primary outcomes will be HIV testing, HIV pre-exposure prophylaxis use, currently in HIV care and on HIV treatment. Secondary outcomes will be the number of family-based assets, resilience, number of sexual partners, and relative frequency of condomless anal intercourse. The results of the formative research, including the pilot trial, will contribute to the evidence-base regarding the development of HIV status-neutral interventions that respond to the diversity and complexities of HBC families and that recognize the importance of asset-building for facilitating HBC resilience to stigma as a part of the United States’ domestic policy objective of ending the HIV epidemic by 2030.
登录
查看更多内容
DOI：
10.1016/j.jadohealth.2011.07.007
发表时间：
2012-03
期刊：
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
影响因子：
--
作者：
Fields EL;Bogart LM;Smith KC;Malebranche DJ;Ellen J;Schuster MA
通讯作者：
Schuster MA
影响因子：
4.8
作者：
Macapagal, Kathryn;Bhatia, Ramona;Greene, George J.
通讯作者：
Greene, George J.
影响因子：
1.7
作者：
Tieu HV;Spikes P;Patterson J;Bonner S;Egan JE;Goodman K;Stewart K;Frye V;Xu G;Hoover DR;Koblin BA
通讯作者：
Koblin BA
影响因子：
2.7
作者：
LIANG, KY;ZEGER, SL
通讯作者：
ZEGER, SL
影响因子：
3.1
作者：
Gone, Joseph P.
通讯作者：
Gone, Joseph P.