Structural Intervention to Promote HIV Care in Black Sexual Minority Men

促进黑人性少数男性艾滋病毒护理的结构性干预

• 批准号: 10484797
• 负责人: Darnell N Motley
• 金额: $ 14.2万
• 依托单位: UNIVERSITY OF CHICAGO
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-17 至 2027-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10484797
• 关键词: AIDS prevention; Address; Adult; Age; Attention; Award; Black race; Caring; Characteristics; Climate; Communities; Continuity of Patient Care; Data; Development; Economic Conditions; Economics; Elderly; Elements; Employee; Employment; Enrollment; Ensure; Epidemic; Feedback; Financial Support; Focus Groups; Goals; HIV; HIV Infections; HIV Seropositivity; Homelessness; Hour; Implementation readiness; Individual; Informal Social Control; Intervention; Intervention Studies; Interview; K-Series Research Career Programs; Knowledge; Language; Manuals; Measures; Mentorship; Methods; Minority; Minority Groups; Modeling; Occupations; Outcome; Outcome Study; Outcomes Research; Persons; Phase; Pilot Projects; Population; Poverty; Prevention; Procedures; Process; Protocols documentation; Qualitative Research; Race; Randomized Controlled Trials; Readability; Reading; Research; Research Personnel; Research Project Grants; Risk; Role; Sampling; Self Efficacy; Series; Supported Employment; Surveys; Testing; Treatment outcome; Unemployment; United States National Institutes of Health; Update; Viral; Visit; Work; Youth; acceptability and feasibility; aged; arm; barrier to care; base; black men; career preparation; computerized; cost effective; experience; follow up assessment; follow-up; implementation context; implementation framework; implementation intervention; implementation outcomes; implementation science; improved; innovation; medication compliance; member; men; men employment; pilot trial; population health; programs; racial discrimination; recruit; secondary outcome; sexual minority men; sixth grade; skills; success; therapy development; transgender women; uptake; women of color

PROJECT SUMMARY The goals of this research project are to use the ADAPT-ITT framework to adapt elements of an existing career readiness interventions tailored to young SMM and trans women of color at-risk for HIV infection (Work2Prevent) to the needs of young Black SMM (YBSMM), ages 18-29, living with HIV. Once adapted, a pilot study of the intervention (Work2Prevent Plus; W2P+) will be conducted with 40 YBSMM to determine intervention feasibility, acceptability, and efficacy for improving care engagement. To ensure W2P+ can serve the needs of HIV-positive YBSMM, the research team will engage in a formative phase of adaptation, wherein quantitative and qualitative data will be collected from employers. A sample of potential employers (n=50) will complete a survey focused on challenges related to hiring and retaining individuals with a range of minority identities. A second sample (n = 20) of potential employers will complete an interview with project staff, where they will respond to vignettes focused on successes and challenges a hiring manager could encounter when trying to hire and retain employees who are YBSMM living with HIV. These data will inform the adaptation of W2P+. Next, a series of focus groups will be conducted with members of the population (n = 40) to identify what they most need in a career readiness intervention. More specifically, this phase will use the ADAPT-ITT framework to ensure the adapted intervention addresses the range of concerns associated with employment for YBSMM irrespective of HIV status. Next, the research team will conduct a theater test with 8 YBSMM aged 18-29 years old and 10 stakeholders serving YBSMM, wherein stakeholders will observe the administration of content from the existing interventions to identify which content should be retained, adapted, or replaced. Next, 3 to 5 experts on employment and treatment barriers will be asked for additional feedback for intervention revision. The feedback will be used for additional revision of W2P+. Finally, a computerized readability test will ensure that language used in the revised intervention manual and activities is accessible to a 6th grade reading level. After the intervention manual and delivery procedures with the ADAPT-ITT model are finalized, 40 YBSMM, ages 18-29, will be enrolled in a single arm pilot trial, with follow- up assessments at 6 and 12 months. The primary research outcomes for the pilot study are feasibility and acceptability. Additional outcomes include hours worked per week, job seeking self-efficacy, and proportion of missed HIV care visits. Further, we will use implementation science measures to identify the best approach for delivering the intervention in a CBO setting. Primary implementation outcomes are relative advantage of the intervention and implementation climate. Secondary outcome is readiness for implementation.

项目总结