Continuum of Care, HIV (Human Immunodeficiency Virus), Stigma
Conditions
Keywords
HIV, Implementation Science, Continuum of Care
Brief summary
Transgender women in the intervention condition will attend TransAction individual risk reduction sessions; skill building and open group support sessions, and social events between baseline and 3-month assessment. Transgender women participants in the control condition will be invited to social events only.
Detailed description
80 transgender women will be randomized to either an intervention condition (receiving all TransAction activities) or a control condition (being invited to TransAction social events only). We will evaluate outcomes such as advancement along the HIV prevention/care continua, sexual risks, substance use, self-efficacy in services seeking, social support, stigma, general well-being, and quality of life at baseline, 3-month, and 6-month follow-ups. Furthermore, we will assess implementation outcomes such as fidelity, adaptation, feasibility, acceptability, and sustainability through implementation documentation, investigator evaluation, and survey/focus groups with peer facilitators and TW participants.
Interventions
BEHAVIORALTransAction
Immediately following the baseline, participants in the intervention condition will be invited to participate in the individual and group sessions, with topics around reducing HIV risk behaviors, regular HIV/CD4/viral load testing, ART/PrEP uptake and adherence, and family/social support, all to be completed within three months. All participants, including those in both intervention and control conditions, will be invited to two social events to disseminate health information, HIV prevention messages, and foster social support in a festive, party-style atmosphere.
Sponsors
University of California, Los Angeles
University of Medicine and Pharmacy at Ho Chi Minh City
Friends Research Institute, Inc.
National Institute of Mental Health (NIMH)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
MALE
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 16 years of age or older * being male at birth and currently self-identified as a TW * currently living in Ho Chi Minh City adjacent areas and having no plans to move out of the areas in the next 6 months - have the cognitive capacity to participate in study activities as judged by the study recruiter.
Exclusion criteria
* have been involved in intervention adaptation activities previously with the study team * inability to give informed consent/assent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Placement on HIV prevention/care continua | Baseline, 3-, and 6-months | An ordinal outcome from 1) HIV+; not taking ART; 2) HIV+; taking ART but not virally suppressed (including no viral load test in the last 6 months); 3) HIV+; taking ART and virtually suppressed; 4) HIV-, not having regular HIV testing; 5) HIV-, having regular HIV testing but not taking PrEP; and 6) HIV-; currently on PrEP. A higher value indicates better placement in HIV prevention/care continua. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Self-efficacy | Baseline, 3-, and 6-months | Self-efficacy in seeking healthcare and social services, as well as self-efficacy in negotiating condom use. |
| Social support | Baseline, 3-, and 6-months | Perceived support from family members, peers, service providers, and online resources |
| General wellbeing and quality of life | Baseline, 3-, and 6-months | General wellbing and quality of life will be measured using Short Form-12 and Hospital Anxiety and Depression Scale |
Countries
Vietnam
Contacts
CONTACTChunqing Lin, PhD
Outcome results
None listed