An HIV Retention in Care Intervention for Black MSM in Baltimore with a Job Readiness Component

项目摘要 保留高质量的艾滋病毒护理对艾滋病毒感染者的健康至关重要 (PLWH)以及减少艾滋病毒传播。对艾滋病毒连续护理的一种估计 在美国，黑人男性如何与男性发生性关系(BMSM)发现，只有24%的BMSM 保留在护理(RIC)中，20%接受抗逆转录病毒治疗，16%接受病毒抑制。这个 使男性感染艾滋病毒风险增加的结构性因素，如贫困、失业和 监禁，也是艾滋病毒护理的障碍。拟议的项目将开发和试运行一种 居住在巴尔的摩的BMSM在HIV护理干预中的保留与工作 就绪性组件： 目标1：实践环境中干预发展的形成性研究 对携带艾滋病毒的BMSM进行一对一采访将探索促进 参与护理、未满足的需求和工作准备。焦点小组讨论与关键 利益相关者将探讨实施RIC干预措施的障碍和促进者 将工作准备情况纳入RIC计划。 目标2：为有工作准备的BMSM开发和组件测试RIC课程 以自决理论和实施科学为指导的组成部分 框架。 目标3：开展一项试验性随机对照试验，以评估可行性和初步成果。一个RCT 50名未经病毒抑制的BMSM艾滋病毒携带者将使用混合方法进行评估 可接受性、实施性和有限的有效性。令人感兴趣的主要结果将是病毒 压制。 拟议的行为-医学干预将以自决为指导 理论上。此外，将使用实施科学来制定干预措施 达姆施罗尔执行研究综合框架，按顺序 以促进可持续性和传播。这项研究减少了治疗中的差异。 在严重缺乏服务的PLWH人口中取得成果并将提供严格的培训和 学习实施科学。这部作品的新奇之处在于：它关注的是未得到充分服务的人 人口，将工作准备纳入艾滋病毒保留在护理中，并由自我指导 决定论。该研究职业发展奖将为以下人员提供培训 以下三个领域的获奖者：实施科学、干预发展和 实验设计。这项培训将使受助者实现她的职业目标 开展独立研究以开发、测试和研究艾滋病毒的实施情况 针对未得到充分服务的人群的预防方案。

Project Summary Retention in high-quality HIV care is critical for the health of people living with HIV (PLWH) as well as for reducing HIV transmission. One estimate of the HIV Continuum of Care for Black men how have sex with men (BMSM) in the US found that only 24% of BMSM are retained in care (RIC), 20% are on antiretroviral therapy, and 16% are virally suppressed. The structural factors that put men at increased risk for HIV, such as poverty, unemployment, and incarceration, also act as barriers to HIV care. The proposed project will develop and pilot test a retention in HIV care intervention for BMSM living in Baltimore that incorporates a job readiness component: Aim 1: Formative research for intervention development in practice settings One-to-one interviews with BMSM living with HIV will explore factors that facilitate engagement in care, unmet needs, and job readiness. Focus group discussions with key stakeholders will explore barriers and facilitators to implementing RIC interventions and the integration of job readiness into RIC programs. Aim 2: Develop and component test a RIC curriculum for BMSM with a job readiness component that is guided by Self-Determination Theory and an implementation science framework. Aim 3: Conduct a pilot RCT to assess feasibility and preliminary outcomes. A RCT with 50 BMSM living with HIV who are not virally suppressed will use mixed methods to assess acceptability, implementation, and limited efficacy. The primary outcome of interest will be viral suppression. The proposed behavioral-medical intervention will be guided by Self-Determination Theory. In addition, the intervention will be developed using an implementation science framework, the Damschroer's Consolidated Framework for Implementation Research, in order to promote sustainability and dissemination. This research reduces disparities in treatment outcomes in a severely underserved population of PLWH and will provide rigorous training and study in implementation science. This work is novel in that it: focuses on an underserved population, incorporates job readiness into HIV retention in care, and is guided by Self- Determination Theory. This research career development award will provide training to the recipient in the following three areas: implementation science, intervention development, and experimental design. This training will allow the recipient to achieve her career goal of conducting independent research to develop, test, and study the implementation of HIV prevention programs for underserved populations.