scholarly journals Clinic-Based Delivery of the Young Men’s Health Project (YMHP) Targeting HIV Risk Reduction and Substance Use Among Young Men Who Have Sex with Men: Protocol for a Type 2, Hybrid Implementation-Effectiveness Trial

10.2196/11184 ◽  
2019 ◽  
Vol 8 (5) ◽  
pp. e11184 ◽  
Author(s):  
Jeffrey T Parsons ◽  
Tyrel Starks ◽  
Sitaji Gurung ◽  
Demetria Cain ◽  
Jonathan Marmo ◽  
...  
Keyword(s):  
Substance Use ◽  
Risk Reduction ◽  
Hiv Risk ◽  
Young Men ◽  
Effectiveness Trial ◽  
Implementation Effectiveness ◽  
Hiv Risk Reduction ◽  
Health Project ◽  
Sex With Men

scholarly journals Clinic-Based Delivery of the Young Men’s Health Project (YMHP) Targeting HIV Risk Reduction and Substance Use Among Young Men Who Have Sex with Men: Protocol for a Type 2, Hybrid Implementation-Effectiveness Trial (Preprint)

2018 ◽  
Author(s):  
Jeffrey T Parsons ◽  
Tyrel Starks ◽  
Sitaji Gurung ◽  
Demetria Cain ◽  
Jonathan Marmo ◽  
...  
Keyword(s):  
At Risk ◽  
Substance Use ◽  
Focus Groups ◽  
Real World ◽  
Phase 1 ◽  
Young Men ◽  
Phase 2 ◽  
Health Project ◽  
Sex With Men

BACKGROUND Young men who have sex with men (YMSM) are disproportionately at risk for HIV and sexually transmitted infections. Adapting and testing the effectiveness of the Young Men’s Health Project (YMHP), an efficacious intervention designed to reduce substance use and condomless anal sex (CAS) among YMSM, at clinics in Miami, Detroit, and Philadelphia has the potential to reduce HIV and STI disparities among urban YMSM. OBJECTIVE This study (Adolescent Medicine Trials Network for HIV/AIDS Interventions [ATN] 145 YMHP) aims to adapt YMHP for clinic and remote delivery by existing clinic staff and compare their effectiveness in real-world adolescent HIV clinics. This protocol is part of the ATN Scale It Up program described in a recently published article by Naar et al. METHODS This is a comparative effectiveness hybrid type-2 trial of the YMHP intervention with 2 delivery formats—clinic-based versus remote delivery—offered following HIV counseling and testing. Phase 1 includes conducting focus groups with youth to obtain implementation feedback about the delivery of the YMHP intervention and intervention components to ensure culturally competent, feasible, and scalable implementation. Phase 2 includes recruitment and enrollment of 270 YMSM, aged 15 to 24 years, 90 at each of the 3 sites. Enrollment will be limited to HIV-negative YMSM who report recent substance use and either CAS or a positive STI test result. Participants will be randomized to receive the YMHP intervention either in person or by remote delivery. Both conditions involve completion of the 4 YMHP sessions and the delivery of pre-exposure prophylaxis information and navigation services. A minimum of 2 community health workers (CHWs) will be trained to deliver the intervention sessions at each site. Sessions will be audio-recorded for Motivational Interviewing Treatment Integrity (MITI) fidelity coding, and CHWs and supervisors will be given implementation support throughout the study period. RESULTS Phase 1 focus groups were completed in July 2017 (n=25). Feedback from these focus groups at the 3 sites informed adaptations to the YMHP intervention manual, implementation of the intervention, and recruitment plans for phase 2. Baseline enrollment for phase 2 began in November 2018, and assessments will be at immediate posttest (IP)-, 3-, 6-, 9-, and 12-months after the intervention. Upon collection of both baseline and follow-up data, we will compare the effectiveness and cost-effectiveness of clinic-based versus remote delivery of YMHP in the context of health care access. CONCLUSIONS We are conducting YMHP in 3 cities with high rates of YMSM at risk for HIV and STIs. When adapted for real-world clinics, this study will help substance-using YMSM at risk for HIV and STIs and allow us to examine differences in effectiveness and cost by the method of delivery. CLINICALTRIAL ClinicalTrials.gov NCT03488914; https://clinicaltrials.gov/ct2/show/NCT03488914 (Archived by WebCite at http://www.webcitation.org/770WaWWfi) INTERNATIONAL REGISTERED REPOR DERR1-10.2196/11184

Effects of mobile health on HIV risk reduction for men who have sex with men

AIDS Care ◽  
2019 ◽  
Vol 32 (3) ◽  
pp. 316-324 ◽  
Author(s):  
Piao-Yi Chiou ◽  
Pei-Hung Liao ◽  
Chieh-Yu Liu ◽  
Yu-Tz Hsu
Keyword(s):  
Risk Reduction ◽  
Hiv Risk ◽  
Mobile Health ◽  
Hiv Risk Reduction ◽  
Sex With Men

scholarly journals Beyond Anal Sex: Sexual Practices Associated with HIV Risk Reduction among Men Who Have Sex with Men in Boston, Massachusetts

2009 ◽  
Vol 23 (7) ◽  
pp. 545-550 ◽  
Author(s):  
Sari L. Reisner ◽  
Matthew J. Mimiaga ◽  
Margie Skeer ◽  
Kenneth H. Mayer
Keyword(s):  
Risk Reduction ◽  
Hiv Risk ◽  
Sexual Practices ◽  
Anal Sex ◽  
Hiv Risk Reduction ◽  
Sex With Men

scholarly journals Reducing shame in a game that predicts HIV risk reduction for young adult men who have sex with men: a randomized trial delivered nationally over the web

2013 ◽  
Vol 16 ◽  
pp. 18716 ◽  
Author(s):  
John L Christensen ◽  
Lynn Carol Miller ◽  
Paul Robert Appleby ◽  
Charisse Corsbie-Massay ◽  
Carlos Gustavo Godoy ◽  
...  
Keyword(s):  
Young Adult ◽  
Randomized Trial ◽  
Risk Reduction ◽  
Hiv Risk ◽  
Hiv Risk Reduction ◽  
Adult Men ◽  
Sex With Men ◽  
The Web

scholarly journals Are HIV-Negative Men Who Have Sex with Men and Who Bareback Concerned About HIV Infection? Implications for HIV Risk Reduction Interventions

2012 ◽  
Vol 42 (2) ◽  
pp. 279-289 ◽  
Author(s):  
Iván C. Balán ◽  
Alex Carballo-Diéguez ◽  
Ana Ventuneac ◽  
Robert H. Remien ◽  
Curtis Dolezal ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Risk Reduction ◽  
Hiv Risk ◽  
Hiv Risk Reduction ◽  
Sex With Men ◽  
Hiv Risk Reduction Interventions ◽  
Hiv Negative

scholarly journals Race-Related Social Contextual Factors, Substance Use, and HIV Among Young Men Who Have Sex with Men in Chicago

2019 ◽  
Author(s):  
Elizabeth McConnell
Keyword(s):  
Substance Use ◽  
Risk Behaviors ◽  
Hiv Risk ◽  
Young Men ◽  
Individual Risk ◽  
Risk Environments ◽  
Sex With Men ◽  
The Individual ◽  
Structural Mechanisms ◽  
Neighborhood Level

Black men who have sex with men (MSM), especially young MSM, are more likely to contract Human Immunodeficiency Virus (HIV) than MSM of other races. However, Black MSM consistently report comparable or fewer individual risk behaviors than MSM of other races. Research thus far has largely targeted individual risk factors and has been unable to account for the mechanisms driving this racial disparity. In addition, although individual risk behaviors occur within particular risk environments, little research examining HIV racial disparities has acknowledged that substance use and other HIV risk behaviors are socially and spatially dependent. Emerging research with Black MSM documents racial/ethnic differences in the individual, venue, and neighborhood level networks of young men who have sex with men (YMSM). These findings suggest that although rates of drug use and other individual risk behaviors may be lower among Black YMSM than other racial/ethnic groups, their consequences may be different due to the nature of the risk environments experienced by these young men. The overall objective of this project was to contribute to knowledge about structural mechanisms (e.g., stigma, discrimination, and resource inequality) that shape risk environments, which in turn shape consequences of substance use and other HIV risk behaviors for YMSM of different races/ethnicities. However, quantitative data describing these social and spatial contexts (i.e., the structure of individual, venue, and neighborhood networks) has limited capacity to explore and explain these complex phenomena, and interpreting these data is problematic without the incorporation of the voices, lived experiences, and insights of YMSM themselves. Therefore, thisstudy used an innovative mixed methods approach to visualize and guide the interpretation of individual, venue, and neighborhood level networks captured within an existing NIH-funded cohort of YMSM. Using an explanatory sequential design, multilevel network and geospatial data were visualized (Phase 1) and subsequently used to guide interviews with YMSM (Phase 2). Grounded theory was used to analyze interview data, leading to a theory of mechanisms that shape HIV racial disparities in this population. The overall project had two aims: 1) demonstrate several mechanisms through networks at the individual, venue, and neighborhood levels form risk environments that shape substance use and HIV risk for White, Black, and Hispanic/Latino YMSM, and 2) demonstrate several structural mechanisms, such as stigma, discrimination, and resource inequality, that shape the individual, venue, and neighborhood level networks and risk environments of White, Black, and Hispanic/Latino YMSM.

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