Intervention for HIV-Positive Black Young Men Who Have Sex With Men (YMSM)

Development of a Secondary Prevention Intervention Targeting HIV-Positive Black Young Men Who Have Sex With Men

NCT01502618•University of North Carolina, Chapel Hill

Summary

This study involves conducting formative research to develop a culturally appropriate secondary prevention intervention for HIV-positive Black young men who have sex with men (B-YMSM). The intervention draws upon the principles of Critical Consciousness Theory (CCT). The formative research includes reviewing data and findings from relevant ATN protocols (i.e., 070, 068, and 073) and existing health promotion interventions targeting young men of color (i.e., the Young Warriors program, Hermanos de Luna y Sol \[HLS\]) and conducting focus groups with up to 32 HIV- positive B-YMSM.

Detailed Description

Focus groups will be conducted at two Adolescent Medicine Trials Unit (AMTU) sites and will guide the selection of the intervention content areas and the development of the intervention manual. The intervention aims to increase participation in health promoting behaviors and improve self-worth and self-concept among HIV-positive B-YMSM. Specifically, the intervention aims to address the following health promoting behaviors: 1) increasing engagement in HIV treatment; 2) improving medication adherence; 3) reducing sexual risk behaviors; 4) reducing substance use behaviors; and 5) increasing HIV status disclosure. Based on reviews of ATN 070 data and existing related interventions (ATN 068, ATN 073, Young Warriors, HLS), draft components of the intervention curriculum for B-YMSM will be developed. Four focus groups will then be convened (two per AMTU) with HIV-positive B-YMSM to a) obtain input on the draft intervention curriculum, b) refine intervention components, and c) examine psychosocial factors that may mediate or moderate the intervention effect. The focus groups will be implemented using a "Rapid Approach" which allows for a focus on key areas of inquiry by asking fewer questions and focusing on targeted responses of focus group participants. All focus groups will be digitally recorded and transcribed. The transcripts will be reviewed and data analyzed using a phenomenological approach; protocol team members and members of two Youth Advisory Boards (YABs), which will include youth who are existing members of ATN site CABs as well as youth recruited from other local agencies and organizations), will work on the analysis of the data.

Eligibility

Age

16 - 24 years

Sex

MALE

Healthy Volunteers

Inclusion Criteria

•1. Receives services at one of the selected AMTU sites;
•2. Male sex at birth and male gender at the time of the study;
•3. Self identifies as "Black" (including Black/African-American, Black Latino, Black/Afro-Caribbean, Black/African immigrant, or any self-identified member of the African Diaspora);
•4. HIV-infected as documented by medical record review or verification with referring medical professional;
•5. Between the ages of 16-24 years inclusive at the time of consent;
•6. HIV-infected through sexual behavior;
•7. At least one sexual encounter involving oral or anal sex with a male partner in the past year;
•8. Ability to understand both written and spoken English;
•9. Willingness to participate in a focus group discussion with other HIV-positive B-YMSM; and
•10. Willingness to provide signed informed consent or assent with parental permission as applicable for study participation.

Exclusion Criteria

•1. Active psychiatric condition that in the opinion of the site personnel would interfere with the ability to give true informed consent and to adhere to the study requirements;
•2. Visibly distraught and/or visibly emotionally unstable (i.e., exhibiting suicidal, homicidal, or violent behavior);
•3. Active drug or alcohol use or dependence that, in the opinion of the site personnel, would interfere with the ability to give true informed consent and to adhere to the study requirements;
•4. Acute illness that, in the opinion of the treating clinician, would interfere with the participant's ability to adhere to the protocol requirements and/or interfere with the protocol objectives.

Key Dates

Start Date

August 1, 2010

Primary Completion Date

January 1, 2011

Completion Date

January 1, 2011

Last Updated

February 28, 2017

Enrollment

ACTUAL participants

Conditions

Acquired Immunodeficiency Syndrome

Interventions

Focus Group

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Data Source & Attribution

This clinical trial information is sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

ClinicalTrials.gov last update: February 28, 2017Data synced to Clareo: March 29, 2026

Modifications: This data has been reformatted for display purposes. Eligibility criteria have been parsed into inclusion/exclusion sections. Location data has been geocoded to enable distance-based search. For the authoritative and most current information, please visit ClinicalTrials.gov.

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Intervention for HIV-Positive Black Young Men Who Have Sex With Men (YMSM)

Inclusion Criteria

Exclusion Criteria

Managing Hypertension Among People Living With HIV

Point of Care Tests to Identify Opportunistic Infections in Advanced HIV Patients in Mexico City

Efficacy and Tolerability of DTG Plus 3TC in HIV Infected Adults With Virologically Suppression and TDF Toxicity

Cisplatin and Radiation Therapy in Treating Patients With HIV-Associated Locally Advanced Cervical Cancer

POC Strategies to Improve TB Care in Advanced HIV Disease

HIV Indicator Diseases in Hospital and Primary Care