Harnessing the Power of Peer Navigation and mHealth to Reduce Health Disparities in Appalachia
Overview
- Phase
- Not Applicable
- Intervention
- Peer Navigation
- Conditions
- HIV/AIDS
- Sponsor
- Wake Forest University Health Sciences
- Enrollment
- 141
- Locations
- 1
- Primary Endpoint
- Number of participants who have HCV testing
- Status
- Recruiting
- Last Updated
- last month
Overview
Brief Summary
By combining two strategies (i.e., peer navigation and mHealth) into a complete, culturally compatible, bilingual intervention to increase the use of needed HIV, STI, and HCV prevention and care services among racially/ethnically diverse GBMSM and transgender women in rural Appalachia.
Study Investigators anticipate that participants in the intervention group, relative to counterparts in the delayed-intervention group, will demonstrate increased HIV, STI, and HCV testing.
Detailed Description
This CBPR study will advance prevention science and practice through testing an innovative intervention to promote and support the use of needed HIV, STI, and HCV prevention and care services among GBMSM and transgender women; and developing priorities and recommendations to improve their health that will be disseminated to inform public health practice, research, and policy. By integrating peer navigation and mHealth strategies, the proposed study provides a unique opportunity to improve health among vulnerable, hidden, and neglected populations living in rural Appalachia. Findings from this research may inform strategies and approaches to address other health disparities in other rural populations.
Investigators
Eligibility Criteria
Inclusion Criteria
- •reside in one of the rural Appalachian catchment countiesreside in one of the rural Appalachian catchment counties
- •be ≥18 years of age
- •report being assigned male sex at birth and having had sex with at least 1 man in past 12 months
- •provide informed consent
Exclusion Criteria
- Not provided
Arms & Interventions
intervention group
7 community health leaders; 56 social network members
Intervention: Peer Navigation
intervention group
7 community health leaders; 56 social network members
Intervention: mHealth
delayed-intervention
7 community health leaders; 56 social network members
Intervention: Peer Navigation
delayed-intervention
7 community health leaders; 56 social network members
Intervention: mHealth
Outcomes
Primary Outcomes
Number of participants who have HCV testing
Time Frame: 12-month follow-up (24 months post-baseline)
Number of participants who have Human Immunodeficiency Virus (HIV) testing
Time Frame: baseline
Number of participants who have HIV testing
Time Frame: 12-month follow-up (24 months post-baseline)
Number of participants who have Sexually Transmitted Infection (STI) testing
Time Frame: baseline
Number of participants who have Hepatitis C Virus (HCV) testing
Time Frame: baseline
Number of participants who have STI testing
Time Frame: 12-month follow-up (24 months post-baseline)
Number of participants who have HIV testing
Time Frame: immediate post-intervention (12 months post-baseline)
Number of participants who have STI testing
Time Frame: immediate post-intervention (12 months post-baseline)
Number of participants who have HCV testing
Time Frame: immediate post-intervention (12 months post-baseline)
Secondary Outcomes
- Number of participants who use HIV care services(baseline, immediate post-intervention (12 months post-baseline), and 12-month follow-up (24 months post-baseline).)
- Number of participants who use prevention--Pre-exposure prophylaxis (PrEP)(baseline, immediate post-intervention (12 months post-baseline), and 12-month follow-up (24 months post-baseline).)
- Number of participants who use prevention--syringe services(baseline, immediate post-intervention (12 months post-baseline), and 12-month follow-up (24 months post-baseline).)
- Number of participants who use STI treatment services(baseline, immediate post-intervention (12 months post-baseline), and 12-month follow-up (24 months post-baseline).)
- Number of participants who use gender-affirming care services(baseline, immediate post-intervention (12 months post-baseline), and 12-month follow-up (24 months post-baseline).)
- Number of participants who use HCV treatment services(baseline, immediate post-intervention (12 months post-baseline), and 12-month follow-up (24 months post-baseline).)