HIV, Substance Use
Conditions
Keywords
HIV, Substance Use
Brief summary
The purpose of this study is to assess the feasibility, acceptability and test the initial efficacy of eSBI, (electronic screening and brief intervention for alcohol use) coupled with STTR (Seek, Test, Treat, and Retain) in comparison to STTR only among YMSM (young men who have sex with men) and YTW (young transgender women) on frequency of substance use and engagement within the HIV (human immunodeficiency virus) and PrEP (pre-exposure prophylaxis) care continuum.
Detailed description
The purpose of this study is to assess the feasibility, acceptability and test the initial efficacy of eSBI, (electronic screening and brief intervention for alcohol use) coupled with STTR (Seek, Test, Treat, and Retain) in comparison to STTR only among YMSM (young men who have sex with men) and YTW (young transgender women) on frequency of substance use and engagement within the HIV and PrEP (pre-exposure prophylaxis) care continuum. We will do this with the following aims: Aim 1: Assess the feasibility, acceptability and initial efficacy of electronic Screening & Brief Intervention + Seek, Test, Treat and Retain (eSBI+ STTR) compared to STTR-only to reduce alcohol and other substance use among 450 YMSM and YTW in Chicago, ages 16-25, at 1, 3, 6, and 12 months post-intervention. Aim 2: To explore the initial efficacy of eSBI+STTR in comparison to STTR-only on secondary exploratory outcomes within the HIV and PrEP care continuum among YMSM and YTW. Aim 3: Determine the degree to which sub-groups of youth are differentially impacted by eSBI+STTR based on socio-demographic characteristics and co-morbid mental health problems to inform future targeting and/or tailoring of the intervention.
Interventions
BEHAVIORALAlcohol Use BI
Those who are randomized to the intervention will complete eSBI, an electronic brief intervention for substance use, which is comprised of 11 topical areas, each with a single webpage, in a motivational interviewing (MI) format. MI is a client-centered behavioral change approach.
BEHAVIORALNutrition Intervention
Those randomized to the control will complete the attention control modules, a non-active brief time-matched attention control intervention of equal length (i.e., encouraging nutrition).
Sponsors
National Institute on Drug Abuse (NIDA)
Ann & Robert H Lurie Children's Hospital of Chicago
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
16 Years to 25 Years
Healthy volunteers
Yes
Inclusion criteria
* aged 16 to 25 years * seeking testing for HIV infection * HIV-negative or HIV status unknown (per self-report) * Male who has had sex with men OR transgender woman who has had sex with men (i.e., born male, identify as female/transgender, and at any point in the gender transition process) * English-speaking.
Exclusion criteria
* volunteer seems distraught or emotionally unstable (i.e. suicidal, manic, exhibiting violent behavior) * volunteer seems intoxicated or under the influence of psychoactive agents
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Frequency of Alcohol Use | 1, 3, 6 and 12 months post-intervention | Self-reported frequency of alcohol use in the previous 1 and 12 months assessed via computer-assisted self-interviewing. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PrEP and HIV-related Care Engagement | 1, 3, 6 and 12 months post-intervention | PrEP and HIV-related medical care engagement (completed clinical visits) will be abstracted from medical records. |
Countries
United States
Outcome results
None listed