A Cognitive Behavioral Therapy Group Intervention to Increase HIV Testing and PrEP Use Among Latinx Sexual Minority Men
- Conditions
- HIV
- Interventions
- Behavioral: CBT Coping Intervention
- Registration Number
- NCT04225832
- Lead Sponsor
- RAND
- Brief Summary
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).
- Detailed Description
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.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- Male
- Target Recruitment
- 300
- 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.
- HIV-positive
- cisgender women
- transgender women
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description CBT Coping Intervention CBT Coping Intervention The intervention is an 8-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 among Latinx sexual minority men (SMM). The intervention sessions will address topics such as: understanding and coping with intersectional stigma, multiple identities (e.g., race/ethnicity, sexual orientation), medical mistrust, social support, and structural stigma. Intervention groups will be led by a trained facilitator (with expertise in group therapy with Latinx SMM) and a trained peer co-facilitator matched in identities with participants (Latinx SMM).
- Primary Outcome Measures
Name Time Method Proportion of participants who are HIV tested at least annually from baseline to 12-months Participants report being tested for HIV at least once in the past 12 months
Proportion of participants who have taken PrEP in the past 12 months from baseline to 12-months Participants report taking PrEP at any follow-up time-point
- Secondary Outcome Measures
Name Time Method Change in average level of adaptive coping, measured by the Brief COPE from baseline to 12-months Average adaptive coping rating on the Brief COPE scale (higher=better coping; range=1-4)
Trial Locations
- Locations (1)
Bienestar Human Services, Inc
🇺🇸Los Angeles, California, United States