The objective is to expand and refine an intervention for transgender women (TW) into a 7-session individual- and group-based intervention that is scalable for community settings to reduce sexual risk and substance use and to increase stigma-coping and risk-buffering behaviors among TW in NYC. The investigators will pilot test the intervention with 20 TW and subsequently, conduct a randomized controlled trial with 240 TW to compare the intervention to a wait list control condition.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
143
The intervention focuses on exploring health goals, creating an action plan, learning about the impact stress, stigma, and substance use can have on health, improving personal growth and social support, and connecting with resources. The first two sessions will be primarily Motivational Interviewing and will explore participants' feelings about their sexual risk, substance use, non-medically monitored hormone and silicone use, and any other issues. Group sessions (Sessions 3-6) will incorporate Cognitive Behavioral Skills Training focusing barriers to physical and mental health. The last session will focus on reviewing progress toward health goals, identifying barriers to change, and generating a plan for connection to ongoing care to reach target health goals.
Center for HIV/AIDS Educational Studies and Training of Hunter College, CUNY
New York, New York, United States
Number of Unprotected Sex Acts in the Past 90 Days
Decreases from Baseline in the Number of Unprotected Sex Acts in the past 90 days at 4 and 8 months
Time frame: every 4 months over the course of 8 months
Number of Days of Drug Use in the Past 90 Days
Decreases from Baseline in the Number of Days of Drug Use in the past 90 days at 4 and 8 months
Time frame: every 4 months over the course of 8 months
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