Community and Systems-level HIV Prevention in Peru
25. april 2022 oppdatert av: University of California, San Francisco
Combination HIV Prevention, Linking Prevention and Care, for Hispanic Men
This project involves adapting 3 new intervention components, and then testing them, in combination with a multi-level, community-based intervention, to promote HIV prevention and sexual health among men who have sex with men and transgender women in Lima, Peru.
The total intervention has a community-based intervention and a systems-level intervention at the hospital where people living with HIV get care and medications.
Studieoversikt
Detaljert beskrivelse
Mpowerment (MP) is an evidence-based community-level, structural, social and behavioral intervention for HIV prevention for young men who have sex with men (MSM).
MP targets individual and community empowerment and community mobilization, self-affirmation, sexual self-knowledge and creation of a supportive and affirming social environment.
MP has been widely used in the U.S. but not in Peru, with the exception of earlier pilot research.
In the earlier research, MP was adapted for the sociocultural issues facing MSM and transgender (trans) women in Peru, and only focused risk reduction and increasing HIV testing.
In addition to the MP (which is called the community-based intervention), a health systems component has been added.
The health systems includes (1) sensitization of hospital staff (where people living with HIV obtain their medication) to the issues facing transgender women and MSM; (2) the use of Navigators, who help MSM and trans women at the hospital navigate the system of care and remain in care; and (3) a focus on "positive prevention", in which providers talk about the positive aspects of maintaining in care and being virally suppressed instead of only talking about "avoiding death."
There is a 2.5 year implementation of the intervention, called "Projecto Orgullo Plus" or Project Pride Plus, which involves a longitudinal cohort of MSM/trans in two large districts of Lima, Peru.
Primary outcomes will be unprotected anal sex and HIV testing.
Secondary outcomes will be self-reported visits to hospital for care and adherence to medications.
Studietype
Intervensjonell
Registrering (Faktiske)
458
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
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Lima, Peru
- Cayetano Heredia University
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
18 år til 40 år (Voksen)
Tar imot friske frivillige
Ja
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
Inclusion Criteria:
- Must live in either East Lima District or South Lima District
- identify as man who has sex with men or transgender woman who has sex with men
- be between the ages of 18 - 40
Exclusion Criteria:
- not residing in either East or South District of Lima
- not MSM or transgender woman
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Forebygging
- Tildeling: Ikke-randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
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Eksperimentell: Generacion Actual
Generacion Actual includes Community-based and a Health Systems Components.
This multi-level intervention reaches out to all MSM/trans by mobilizing them to encourage friends to reduce risk behavior and increase HIV testing, and for HIV+ friends, encourage them to link, stay in care, and take medications regularly.
The community based component includes a leadership group, community space, community mobilization events, and group sessions to address a variety of psychosocial issues as well as HIV literacy.
The Health Systems component includes sensitization of the HIV testing and care staff to working with MSM and trans, Navigators to help MSM/trans to navigate the complex health system; and positive prevention training of providers; all evidence-based approaches.
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See description in arm description.
Andre navn:
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Ingen inngripen: Comparison
No intervention is implemented in the comparison arm.
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
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condomless anal sex
Tidsramme: 37 months post-baseline
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condomless anal sex with HIV+ or unknown status partners, assessed via questionnaire
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37 months post-baseline
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HIV testing ever
Tidsramme: 37 months post-baseline
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if have ever tested for HIV
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37 months post-baseline
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HIV testing frequency
Tidsramme: 37 months post-baseline
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frequency of HIV testing by report on questionnaire
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37 months post-baseline
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
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If enrolled in care
Tidsramme: 37 months post-baseline
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Has the person, after testing HIV+, enroll in care
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37 months post-baseline
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Seeking regular HIV care
Tidsramme: 37 months post-baseline
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If have seen HIV provider recently by report on questionnaire
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37 months post-baseline
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Taking medications adherently
Tidsramme: 37 months post-baseline
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If have missed any times of taking HIV medications by report on questionnaire
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37 months post-baseline
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If virally suppressed
Tidsramme: 37 months post-baseline
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Has the person been told that he/she is virally suppressed
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37 months post-baseline
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Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Samarbeidspartnere
Etterforskere
- Hovedetterforsker: Susan M Kegeles, PhD, University of California, San Francisco
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart (Faktiske)
6. april 2017
Primær fullføring (Faktiske)
30. januar 2021
Studiet fullført (Faktiske)
30. januar 2021
Datoer for studieregistrering
Først innsendt
13. november 2018
Først innsendt som oppfylte QC-kriteriene
10. desember 2018
Først lagt ut (Faktiske)
12. desember 2018
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
26. april 2022
Siste oppdatering sendt inn som oppfylte QC-kriteriene
25. april 2022
Sist bekreftet
1. april 2022
Mer informasjon
Begreper knyttet til denne studien
Andre studie-ID-numre
- 5R01MH109401-04 (U.S. NIH-stipend/kontrakt)
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
NEI
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Nei
Studerer et amerikansk FDA-regulert enhetsprodukt
Nei
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