A Cognitive Behavioral Therapy Group Intervention to Increase HIV Testing and PrEP Use Among Latinx Sexual Minority Men

RAND289 enrolled

Overview

This study consists of a randomized controlled trial (RCT) of a multi-session cognitive behavior therapy (CBT) group intervention that aims to improve HIV outcomes by increasing adaptive, effective coping responses to stigma from intersectional identities related to ethnicity, immigration status, sexual minority identity, HIV status, and PrEP use among Latinx sexual minority men (SMM). We will test intervention effects on regular HIV testing and use of prevention strategies. The intervention was developed in partnership with community stakeholders at Bienestar Human Services, Inc., a Latinx-focused organization in Los Angeles County (LAC), CA. The intervention is flexible for use in community-based organizations, such as in ongoing support groups. The Specific Aims are: Aim 1. To conduct a randomized controlled trial of a culturally congruent cognitive behavior therapy group intervention for immigrant Latinx sexual minority men, to test intervention effects on regular HIV testing and PrEP uptake. Aim 2. To examine mechanisms of intervention effects on regular HIV testing and PrEP uptake, including more effective coping (e.g., reduced internalized stigma). Aim 3. To conduct a cost-effectiveness analysis of the intervention.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

289

Conditions

HIV

Interventions

CBT Coping InterventionBEHAVIORAL

A cognitive behavior therapy group intervention for HIV-negative Latinx sexual minority men aimed at increasing HIV testing and prevention strategies.

Eligibility

Sex: MALEMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * at least 18 years-old * biologically male at birth * identify as male * identify as Latino * is an immigrant * report having sex with men in the past 12 months * report HIV-negative or unknown serostatus * anticipate being available for the next 12 months to attend study visits * able to interact and communicate in spoken Spanish or English. Exclusion Criteria: * HIV-positive * cisgender women * transgender women

Locations (1)

Bienestar Human Services, Inc

Los Angeles, California, United States

Outcomes

Primary Outcomes

HIV Test at Least Annually

Participants report being tested for HIV at least once in the 12 months after baseline

Time frame: from baseline to 12-months

Took PrEP in the Past 12 Months

Participants report taking PrEP at any follow-up time-point (within the 12-month follow-up time period)

Time frame: from baseline to 12-months

Secondary Outcomes

Level of Adaptive Coping

Participants completed the Brief COPE, a general measure of coping strategies. Items have the instruction "indicate the extent you do what the item says when you are faced with discrimination," and response options 1 = "I haven't been doing this at all," 2 = "I've been doing this a little bit," 3 = "I've been doing this a medium amount" and 4 = "I've been doing this a lot." This scale (identified by EFA) is the mean of 4 items such as "I get emotional support from others". Higher values indicate more use of these coping strategies.

Time frame: measured at 4-months, 8-months, and 12-months post baseline

Data from ClinicalTrials.gov

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