Reducing HIV Vulnerability Through a Multilevel Life Skills Intervention for Adolescent Men (The iREACH Project): Protocol for a Randomized Controlled Trial
- PMID: 29991470
- PMCID: PMC6058092
- DOI: 10.2196/10174
Reducing HIV Vulnerability Through a Multilevel Life Skills Intervention for Adolescent Men (The iREACH Project): Protocol for a Randomized Controlled Trial
Abstract
Background: Few HIV interventions have demonstrated efficacy in reducing HIV risk among adolescent men who have sex with men (AMSM), and fewer still have recognized the unique needs of AMSM based on race/ethnicity or geographical setting. Recognizing that youths' HIV vulnerability is intricately tied to their development and social context, delivering life skills training during adolescence might delay the onset or reduce the consequences of risk factors for HIV acquisition and equip AMSM with the skills to navigate HIV prevention. This protocol describes the development and testing of iREACH, an online multilevel life skills intervention for AMSM.
Objective: This randomized controlled trial (RCT) aims to test the efficacy of an online-delivered life skills intervention, iREACH, on cognitive and behavioral HIV-related outcomes for AMSM.
Methods: iREACH is a prospective RCT of approximately 600 cisgender adolescent males aged 13 to 18 years who report same-sex attractions. The intervention will be tested with a racial/ethnically diverse sample (≥50% racial/ethnic minority) of AMSM living in four regions in the United States: (1) Chicago to Detroit, (2) Washington, DC to Atlanta, (3) San Francisco to San Diego, and (4) Memphis to New Orleans.
Results: This project is currently recruiting participants. Recruitment began in March 2018.
Conclusions: iREACH represents a significant innovation in the development and testing of a tailored life skills-focused intervention for AMSM, and has the potential to fill a significant gap in HIV prevention intervention programming and research for AMSM.
Registered report identifier: RR1-10.2196/10174.
Keywords: HIV; LGBTQ; adolescence; life skills; mHealth; prevention; sexuality.
©Jose Bauermeister, Patrick S Sullivan, Laura Gravens, James Wolfe, Kristina Countryman, Neena Smith-Bankhead, Ryan A Drab, Gregory Sallabank, Jordan D Helms, Kristie Khatibi, Rebecca Filipowicz, Keith Joseph Horvath, Erin Bonar, Amanda Castel, Lisa Hightow-Weidman, Jodie Guest, Rob Stephenson. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 10.07.2018.
Conflict of interest statement
Conflicts of Interest: None declared.
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References
-
- Centers for Disease Control and Prevention . Diagnoses of HIV Infection in the United States and Dependent Areas. Atlanta, GA: Centers for Disease Control and Prevention; 2016.
-
- Wejnert C, Le B, Rose CE, Oster AM, Smith AJ, Zhu J, Gabriela Paz-Bailey for the NHBS Study Group HIV infection and awareness among men who have sex with men-20 cities, United States, 2008 and 2011. PLoS One. 2013;8(10):e76878. doi: 10.1371/journal.pone.0076878. http://dx.plos.org/10.1371/journal.pone.0076878 PONE-D-13-21760 - DOI - DOI - PMC - PubMed
-
- Millett G, Peterson J, Flores S, Hart T, Jeffries W, Wilson P, Rourke S, Heilig C, Elford J, Fenton K, Remis R. Comparisons of disparities and risks of HIV infection in black and other men who have sex with men in Canada, UK, and USA: a meta-analysis. Lancet. 2012 Jul 28;380(9839):341–348. doi: 10.1016/S0140-6736(12)60899-X.S0140-6736(12)60899-X - DOI - PubMed
-
- Millett GA, Ding H, Marks G, Jeffries WL, Bingham T, Lauby J, Murrill C, Flores S, Stueve A. Mistaken assumptions and missed opportunities: correlates of undiagnosed HIV infection among black and Latino men who have sex with men. J Acquir Immune Defic Syndr. 2011 Sep 01;58(1):64–71. doi: 10.1097/QAI.0b013e31822542ad. - DOI - PubMed
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