Estimating the Impact of a Multilevel, Multicomponent Intervention to Increase Uptake of HIV Testing and Biomedical HIV Prevention Among African-American/Black Gay, Bisexual and Same-gender Loving Men
Led by Columbia University · Updated on 2025-01-21
480
Participants Needed
1
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Columbia University
Lead Sponsor
N
National Institute of Mental Health (NIMH)
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What this Trial Is About
Researchers are evaluating a multi-component, multilevel HIV prevention program aimed at overcoming barriers to HIV testing and the use of PEP/PrEP among Black men who have sex with men (MSM) aged 18 to 65 living in the New York City area. This research combines proven and new strategies within a community-based organization's standard care program, using a 2x2 factorial design to study 480 participants over 18 months. The study also looks at the impact of a social and print media campaign launched midway through recruitment to reduce HIV stigma and encourage testing and prevention uptake.
The study compares four groups receiving different combinations of interventions: the standard of care peer navigation alone, standard of care plus TRUST (a single-session HIV self-testing training), standard of care plus DIY (a three-session sexual health and HIV prevention program), and standard of care with both TRUST and DIY. The media campaign targets both geographic and Black MSM communities through print and social media. Each intervention aims to increase recent HIV testing and PrEP uptake.
Participants will be followed for 18 months with regular assessments including self-reported HIV testing and PrEP use, medical record reviews, and urine tests to monitor adherence to medication. Researchers will evaluate outcomes such as recent HIV testing, time to PrEP uptake, consistent testing over nine months, PEP uptake, and adherence to PrEP and PEP. The study also examines the feasibility and acceptability of the interventions as implemented by the community organization.
CONDITIONS
Brief Title
P3 Trial: Estimating the Impact of a Multilevel, Multicomponent Intervention to Increase Uptake of HIV Testing and Biomedical HIV Prevention Among African-American/Black Gay, Bisexual, and Same-gender Loving Men
Who Can Participate
Age: 18Years - 65Years
MALE
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
Assigned biological male sex at birth
Age between 18 and 65 years
Self-identify as Black, African-American, Afro-Caribbean, Black African, Afro-Latino, or multiethnic Black
Reside in the New York City metropolitan area
Not HIV-positive before randomization
Report insertive or receptive anal intercourse with another man in the past six months
Not currently on PEP or PrEP
Able to communicate in English or Spanish
Provide informed consent to participate in the study
You will not qualify if you...
Sexual identity is not an exclusion criterion
Participants who identify as Latino must also identify as Black to be included
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Outpatient Treatment
Duration - 3 sessions for DIY component or single sessions for other components, over a few weeks
Participants receive behavioral interventions that include a single-session peer navigation to PrEP, a single-session HIV self-testing training, and/or a three-session sexual health promotion and HIV prevention training with a facilitator depending on their assigned group.
1 to 3 visits depending on assigned intervention components
Long-term Monitoring
Duration - Up to 18 months
Participants are followed for up to 18 months to assess HIV testing, PrEP and PEP uptake, and adherence through self-report, medical records, and urine testing.
Periodic visits throughout the follow-up period to collect outcome data
Designing Pleasure-Centered, Culturally Relevant PrEP Messaging for Black Gay, Bisexual, Queer, Same-Gender-Loving, and Other Men Who have Sex with Men (SGL/MSM) in New York City.