Intervention to Increase HIV Testing Among Substance-Using Young Men Who Have Sex With Men: Protocol for a Randomized Controlled Trial
Intervention to Increase HIV Testing Among Substance-Using Young Men Who Have Sex With Men: Protocol for a Randomized Controlled Trial
复制标题
DOI：
10.2196/resprot.7341
复制
发表时间：
2018-04-01
影响因子：
1.7
通讯作者：
Bauermeister, Jose
中科院分区：
文献类型：
--
作者：
Stephenson, Rob;Bonar, Erin E.;Bauermeister, Jose
背景：自2000年以来，底特律都会区的年轻男男性行为者（YMSM）和跨性别者是唯一艾滋病毒和性传播感染（STI）发病率增加的风险群体，青年中的艾滋病毒发病率几乎翻了一番。物质使用（包括酒精）在YMSM和跨性别人群中相对常见，这对最佳提供艾滋病毒预防和护理服务造成了障碍。标准艾滋病毒咨询、检测和转诊（CTR）在提供识别和处理物质使用的战略方面是有限的。因此，以目前的形式，CTR可能无法满足使用药物的YMSM和变性人的预防需求。基于动机访谈原则的简短咨询干预可能提供一种机制，以满足吸毒的YMSM和变性人的艾滋病毒预防和护理需求。目的：这项前瞻性、四组、因子随机对照试验旨在检验基于动机访谈的物质使用短暂干预（SUBI）对参与者物质使用和参与HIV预防的有效性。方法：采用前瞻性随机对照试验（Project Swerve）对600名在线和面对面招募的YMSM和跨性别者进行研究。资格标准包括：(1)年龄在15至29岁之间，(2)居住在底特律都会区，(3)自我认同为男性或跨性别男性或女性，(4)在入组前6个月内与男性发生过性接触，(5)在入组前3个月内自我报告酗酒或任何物质使用，以及(6)在入组时自我报告未知或阴性HIV状态。参与者随机接受，从基线开始间隔3个月，2个单独疗程。会话类型有：CTR-only、SUBI-only、CTR + SUBI、SUBI + CTR。结果：Swerve项目于2017年4月启动，目前正在招募中。结论：将利用动机性访谈原则的SUBI纳入HIV CTR，为YMSM和变性人提供了量身定制咨询服务的机会，以解决客户对HIV和性传播感染检测的额外障碍。
Background: Young men who have sex with men (YMSM) and transgender people in the Detroit Metro Area are the only risk group for whom the incidence of HIV and sexually transmitted infections (STI) has increased since 2000, with HIV incidence nearly doubling among youth. Substance use (including alcohol), which is relatively frequent among YMSM and transgender people, creates barriers to the optimal delivery of HIV prevention and care services Standard HIV counseling, testing, and referral (CTR) is limited in providing strategies to identify and address substance use. Hence, in its current form, CTR may not be serving the prevention needs of substance-using YMSM and transgender people. Brief counseling interventions, grounded in principles of motivational interviewing, may offer a mechanism to meet the HIV prevention and care needs of substance-using YMSM and transgender people.Objective: This prospective, 4-arm, factorial randomized controlled trial aims to examine the efficacy of an motivational interviewing based substance use brief intervention (SUBI) on participants' substance use and engagement in HIV prevention.Methods: The research implements a prospective randomized controlled trial (Project Swerve) of 600 YMSM and transgender people recruited both online and in person. Eligibility criteria include participants who (1) are between the ages of 15 to 29 years, (2) live in the Detroit Metro Area, (3) self-identify as a man or transgender man or woman, (4) have had sexual contact with a man in the 6 months before enrollment, (5) self-report binge drinking or any substance use in the 3 months before enrollment, and (6) self-report an unknown or negative HIV status upon enrollment. Participants are randomized to receive, 3-months apart starting at baseline, 2 individual sessions. Sessions are CTR-only, SUBI-only, CTR followed by SUBI, or SUBI followed by CTR.Results: Project Swerve was launched in April 2017 and enrollment is ongoing.Conclusions: Incorporating a SUBI that utilizes the principles of motivational interviewing into HIV CTR provides an opportunity to tailor counseling services for YMSM and transgender people to address additional client barriers to HIV and STI testing.