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Intervention to Increase HIV Testing Among Substance-Using Young Men Who Have Sex With Men: Protocol for a Randomized Controlled Trial.
JMIR Res Protoc. 2018 Apr 30; 7(4):e114.JR

Abstract

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.

TRIAL REGISTRATION

ClinicalTrials.gov NCT02945436; http://clinicaltrials.gov/ct2/show/NCT02945436 (Archived by WebCite at http://www.webcitation.org/6yFyOK57w).

Authors+Show Affiliations

Center for Sexuality & Health Disparities, University of Michigan, Ann Arbor, MI, United States.Addiction Center, Department of Psychiatry, University of Michigan, Ann Arbor, MI, United States.School of Public Health, University of Miami, Miami, FL, United States.Center for Sexuality & Health Disparities, University of Michigan, Ann Arbor, MI, United States.Program on Sexuality, Technology & Action Research, School of Nursing, University of Pennsylvania, Philadelphia, PA, United States.Center for Sexuality & Health Disparities, University of Michigan, Ann Arbor, MI, United States.Program on Sexuality, Technology & Action Research, School of Nursing, University of Pennsylvania, Philadelphia, PA, United States.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29712625

Citation

Stephenson, Rob, et al. "Intervention to Increase HIV Testing Among Substance-Using Young Men Who Have Sex With Men: Protocol for a Randomized Controlled Trial." JMIR Research Protocols, vol. 7, no. 4, 2018, pp. e114.
Stephenson R, Bonar EE, Carrico A, et al. Intervention to Increase HIV Testing Among Substance-Using Young Men Who Have Sex With Men: Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2018;7(4):e114.
Stephenson, R., Bonar, E. E., Carrico, A., Hunter, A., Connochie, D., Himmelstein, R., & Bauermeister, J. (2018). Intervention to Increase HIV Testing Among Substance-Using Young Men Who Have Sex With Men: Protocol for a Randomized Controlled Trial. JMIR Research Protocols, 7(4), e114. https://doi.org/10.2196/resprot.9414
Stephenson R, et al. Intervention to Increase HIV Testing Among Substance-Using Young Men Who Have Sex With Men: Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2018 Apr 30;7(4):e114. PubMed PMID: 29712625.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intervention to Increase HIV Testing Among Substance-Using Young Men Who Have Sex With Men: Protocol for a Randomized Controlled Trial. AU - Stephenson,Rob, AU - Bonar,Erin E, AU - Carrico,Adam, AU - Hunter,Alexis, AU - Connochie,Daniel, AU - Himmelstein,Rebecca, AU - Bauermeister,Jose, Y1 - 2018/04/30/ PY - 2017/11/14/received PY - 2018/03/09/accepted PY - 2018/02/24/revised PY - 2018/5/2/entrez PY - 2018/5/2/pubmed PY - 2018/5/2/medline KW - HIV KW - drug abuse KW - men who have sex with men KW - motivational interviewing KW - substance use disorders SP - e114 EP - e114 JF - JMIR research protocols JO - JMIR Res Protoc VL - 7 IS - 4 N2 - 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. TRIAL REGISTRATION: ClinicalTrials.gov NCT02945436; http://clinicaltrials.gov/ct2/show/NCT02945436 (Archived by WebCite at http://www.webcitation.org/6yFyOK57w). SN - 1929-0748 UR - https://www.unboundmedicine.com/medline/citation/29712625/Intervention_to_Increase_HIV_Testing_Among_Substance_Using_Young_Men_Who_Have_Sex_With_Men:_Protocol_for_a_Randomized_Controlled_Trial_ L2 - https://www.researchprotocols.org/2018/4/e114/ DB - PRIME DP - Unbound Medicine ER -
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