HIV Infections, Substance Use, Sexual Assault
Conditions
Brief summary
The purpose of this study is to tailor existing sexual assault nurse examiner (SANE) services with same-day HIV prophylaxis and substance use screening, brief intervention, or referral using semi-structured adolescents and young adults (AYA) survivor and key informant interviews, and iterative co-design/pilot testing of adapted strategies with the youth working group (YWG), to optimize study mechanisms and outcome measures using cognitive interviews, analysis of community partner data, and recruitment and retention strategies with the youth working group (YWG) and community advisory board (CAB), to conduct a pilot randomized controlled trial with 40 AYA to test feasibility, acceptability, and initial efficacy compared to usual care, to evaluate recruitment, randomization, and follow-up strategies; adherence to intervention dose; retention benchmarks; and acceptability and to evaluate preliminary efficacy of outcome measures (uptake of post-assault HIV prevention and substance use treatment).
Interventions
BEHAVIORALEnhanced intervention
The intervention has three components: 1). Exploring how to increase access to and promotion of SANE services among vulnerable AYA within the 72 hr window for nPEP treatment; 2). Enhanced SANE services to increase same-day access to nPEP and DoxyPEP and 3). An advocate-delivered screening, brief intervention, and referral to prevent and address substance misuse.
BEHAVIORALUsual Care
The usual care condition will be used with control participants and entail receiving typical SANE services without modifications to enhance HIV prevention or substance use screening, brief intervention, or referral to treatment
Sponsors
National Institute on Drug Abuse (NIDA)
The University of Texas Health Science Center, Houston
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Masking description
Data collectors will be blinded
Eligibility
Sex/Gender
ALL
Age
17 Years to 25 Years
Healthy volunteers
No
Inclusion criteria
* experienced a sexual assault within the last 72 hours * speak English * not planning to move out of the metro area during the study.
Exclusion criteria
* noticeably intoxicated or under the influence * are overtly having severe, untreated mental illness symptoms
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acceptability as measured by score on the credibility/expectancy questionnaire | end of study (1 month after baseline) | The Credibility and Expectancy Questionnaire (CEQ) was used to assess the acceptability of the intervention. All participants completed both subscales: the credibility subscale and the expectancy subscale. Each subscale total score ranges from 0 to 10, with higher scores indicating greater perceived acceptability. The expectancy subscale is reported. |
| Retention as measured by the number of participants that completed the one month follow-up survey | end of study (1 month after baseline) | — |
| Retention of the intervention group as measured by the number of participants that completed the one month follow-up survey | end of study (1 month after baseline) | — |
| Retention of the control group as measured by the number of participants that completed the one month follow-up survey | end of study (1 month after baseline) | — |
| Adherence to intervention as measured by percentage of content completed in the fidelity checklist | end of study (1 month after baseline) | — |
| Acceptability as measured by percentage of data loss | end of study (1 month after baseline) | — |
| Recruitment feasibility as measured by percentage of eligible individuals screened | end of study (1 month after baseline) | — |
| Recruitment feasibility as measured by percentage of eligible individuals enrolled | end of study (1 month after baseline) | — |
| Recruitment feasibility as measured by time delay from screening to enrollment | end of study (1 month after baseline) | — |
| Recruitment feasibility as measured by time to enroll sufficient sample size | end of study (1 month after baseline) | — |
| Recruitment feasibility as measured by percentage loss to exclusion criteria. | end of study (1 month after baseline) | — |
| Randomization strategies as measured by proportion randomized to intervention and control | end of study (1 month after baseline) | — |
Secondary
| Measure | Time frame |
|---|---|
| Uptake of substance use treatment as self reported as reported on the self report questionnaire | 1-month follow-up |
| Uptake of post-assault HIV prevention as measured by self report of Doxycycline Post-Exposure Prophylaxis (DoxyPEP) uptake | 1-month follow-up |
| Adherence of non-occupational Post-Exposure Prophylaxis (nPEP) as reported on the self report questionnaire | 1-month follow-up |
| Adherence of substance use treatment as reported on the self report questionnaire | 1-month follow-up |
| Uptake of post-assault HIV prevention as measured by self report of nPEP uptake | 1-month follow-up |
Countries
United States
Contacts
Primary ContactDiane M Santa Maria, DrPH,MSN,FAANRN,PHNA-BC,FSAHM
Backup ContactJennifer T Jones
Outcome results
None listed