Tcher, 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
Tcher,负责:通过医疗保健赋权提高 PrEP 意识、采用率和依从性,并解决南方腹地多元化跨性别女性健康的社会决定因素
基本信息
- 批准号:10909714
- 负责人:
- 金额:$ 65.47万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2021
- 资助国家:美国
- 起止时间:2021-09-17 至 2026-07-31
- 项目状态:未结题
- 来源:
- 关键词:AIDS preventionAddressAdherenceAnnual ReportsAwarenessBisexualBlack raceCaringChargeClinicCommunitiesCost efficiencyCross-Over StudiesDataDeep SouthDisparityEcological momentary assessmentEffectivenessEnvironmentEvidence based interventionExclusionFaceGaysGoalsHIVHIV InfectionsHIV SeropositivityHIV diagnosisHIV/STDHealthHealth Services AccessibilityHealthcareHearingInterventionInvestmentsLearningLettersLifeLouisianaMeasuresMedia CampaignMediatingMethodsModelingOutcomeParticipantPersonsPopulationPopulation StudyRandomizedReportingResearchResearch DesignResearch PersonnelRunningSamplingSan FranciscoTestingTextTimeTrustViralWomanWorkcis-malecommunity cliniccommunity engagementdesigndigitaldigital interventionempowermentevidence baseexperiencehigh riskimprovedinnovationmHealthmembermenmotivational enhancement therapynovelpeerpilot testpopulation basedpre-exposure prophylaxisprevention servicepsychological distressracial diversityrecruitresponsesocial health determinantssocial mediasocial stigmasubstance usesurveillance datasurveillance studytherapy designtransgendertransgender womenuptakeweb site
项目摘要
Abstract
Trans women are highly underserved in the response to HIV, especially in the deep south. Southern states are
disproportionately impacted by HIV. Among states in the deep south, which face the vast majority of new HIV infections,
HIV diagnosis rates in Louisiana were second only to Georgia. In New Orleans, our team conducted the first population-
base HIV surveillance study of trans women and 46% tested positive for HIV. These findings are consistent with the most
recent Louisiana Department of Health (LDH) STD/HIV annual report in 2018 that identified Black gay/bisexual men and
transgender women as bearing the largest burden of HIV of any population in Louisiana. Despite the impact of HIV on
trans women in New Orleans, no evidence-based PrEP interventions or efforts are underway to meet community needs. In
response to RFA-MH-21-151 Strengthening HIV Prevention Efforts for Women in the Southern U.S., our team proposes
to test the T'Cher, Take Charge intervention to increase PrEP awareness, uptake, and adherence among trans women in
New Orleans. T'Cher builds off the work conducted to inform and implement the first population-based study of trans
women in 2019 with the adaptation of two evidence-based interventions for trans women recently completed by
investigators. The intervention will include a social media campaign to increase PrEP awareness among trans women. It
will also include peer navigation to build trust among trans people and provide PrEP navigation. We will tailor the peer
navigation model from the Stay Study to be implemented digitally and enhanced using Health eNav methods. Namely, we
will also use motivational interviewing and EMAs to increase health care empowerment and address social determinants
of health barriers to PrEP uptake and adherence. We will recruit 200 trans women to participate in our study using
methods proven successful in our prior HIV research with trans women. Trans women will be engaged in the intervention
for 12 months, providing enough time to address barriers to PrEP and support adherence. The goals of this proposed
T'Cher, Take Charge intervention are: (1) To develop, implement and measure the impact of a T'Cher, Take Charge
social media campaign on PrEP awareness among trans women in New Orleans, LA using a population-based sample of
trans women; (2) To test the impact of the T'Cher, Take Charge digital mHealth peer navigation model on increasing
PrEP uptake and adherence among trans women in New Orleans, LA, using a randomized stepped wedge cross-over study
design; and, (3) To assess changes in health care empowerment and support for social determinants of health as mediating
factors in PrEP uptake and adherence. Our goal is to used lessons learned to adapt promising trans-specific HIV
interventions to meet the HIV prevention needs of trans women in New Orleans, Louisiana. With evidence of
effectiveness, we are prepared to test the intervention at scale throughout Louisiana to strengthen PrEP access and
utilization among trans women Louisiana and throughout the deep south.
摘要
项目成果
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Erin Meek其他文献
Erin Meek的其他文献
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{{ truncateString('Erin Meek', 18)}}的其他基金
Sweekar - Multi-level intersectional stigma reduction to increase HIV testing and care engagement among trans women in Nepal
Sweekar - 多层次交叉耻辱减少,以增加尼泊尔跨性别女性的艾滋病毒检测和护理参与度
- 批准号:
10650167 - 财政年份:2022
- 资助金额:
$ 65.47万 - 项目类别:
Sweekar - Multi-level intersectional stigma reduction to increase HIV testing and care engagement among trans women in Nepal
Sweekar - 多层次交叉耻辱减少,以增加尼泊尔跨性别女性的艾滋病毒检测和护理参与度
- 批准号:
10542580 - 财政年份:2022
- 资助金额:
$ 65.47万 - 项目类别:
The BeT intervention to reduce HIV prevention and care disparities among young transwomen in Rio De Janeiro
BeT 干预措施旨在减少里约热内卢年轻跨性别女性的艾滋病毒预防和护理差异
- 批准号:
10468192 - 财政年份:2018
- 资助金额:
$ 65.47万 - 项目类别:
The BeT intervention to reduce HIV prevention and care disparities among young transwomen in Rio De Janeiro
BeT 干预措施旨在减少里约热内卢年轻跨性别女性的艾滋病毒预防和护理差异
- 批准号:
10252952 - 财政年份:2018
- 资助金额:
$ 65.47万 - 项目类别:
The BeT intervention to reduce HIV prevention and care disparities among young transwomen in Rio De Janeiro
BeT 干预措施旨在减少里约热内卢年轻跨性别女性的艾滋病毒预防和护理差异
- 批准号:
10228248 - 财政年份:2018
- 资助金额:
$ 65.47万 - 项目类别:
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