HIV Prevention, Wellbeing
Conditions
Brief summary
During the development phase (Aim 1), investigators will use a community-driven process to further refine a preliminary intervention design that was developed based on previous research. For the intervention phase (Aim 2), investigators will conduct a pilot randomized controlled trial of the multi-level intervention. For the individual-level component of the intervention, investigators will recruit 70 Chinese immigrant FSWs who work in MPs in Queens, NYC (n=35 intervention participants and n=35 control participants). To assess the feasibility and acceptability of intervention implementation (Aim 3), investigators will conduct in-depth qualitative interviews with 12 FSW study participants and the 2 peer advocates and focus groups with 4-5 staff from each of the 3 organizations (3 focus groups total and 12-15 focus group participants in total).
Interventions
Culturally relevant, multi-level intervention designed to increase HIV testing through reducing intersectional stigma. Intervention includes series of four one-on-one conversations (45 minutes each over a six-week period) via mobile phone between the Hunter peer advocates and FSWs, which are reinforced through weekly text messages from the peer advocates and through role-model stories shared online.
Standard HIV prevention information with no tailored components via one mobile phone verbal conversation with peer advocates.
Sponsors
Study design
Eligibility
Inclusion criteria
* Female Sex Workers: A person who identifies as a woman, Chinese, a massage parlor (MP) worker in Queens, who is at least 18 years old, and has provided sexual services in the past 12 months, will be eligible. * Community advisory board (CAB) members: self identifies as a community member providing services to immigrant Chinese women and is at least 18 years old. * Peer Advocates: self identifies as current or previous sex worker, is a Chinese adult woman, and speaks both Mandarin and English. * Medical Providers: self identifies as a current medical provider who works with Chinese immigrant adults and speaks English.
Exclusion criteria
* Female Sex Workers: Because completion of HIV testing is our primary study outcome, women who received an HIV test in the previous 3 months or who know they are HIV-positive will be excluded from the study. * Community advisory board (CAB) members: Does not speak English or is under the age of 18. * Peer Advocates: Does not speak English/Mandarin or is under the age of 18. * Medical Providers: Does not speak English or does not provide care to Chinese immigrant adults (e.g., pediatricians).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants who Completed HIV Testing | Follow-Up Visit 1 (Approximately Week 6) | Assessed via self-report. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants with PrEP Uptake | Follow-Up Visit 1 (Approximately Week 6) | Assessed via self-report; percentage of participants who begin PrEP treatment. |
Countries
United States
Contacts
NYU Langone Health