Acquired Immunodeficiency Syndrome Clinical Trial
Official title:
Development of a Secondary Prevention Intervention Targeting HIV-Positive Black Young Men Who Have Sex With Men
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.
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.
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