Examining Community-based Effectiveness of a Substance Use and HIV Risk Reduction Intervention for Young Men of Color (YMHP-CBO)

Hunter College of City University of New York

Status: Completed

Conditions: Substance Use; Sexual Risk

Treatments: Behavioral: YMHP Intervention; Behavioral: Enhanced Treatment as Usual

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03488914

R01DA041262

Details and patient eligibility

About

This study will conduct an effectiveness trial of the 4-session evidence-based YMHP intervention for young men who have sex with men (YMSM) of color ages 15-29 at two CBOs in New York City, compared to usual care.

Full description

We will conduct a comparative effectiveness trial (CET) with two intensities of treatment to be offered following field-based HIV counseling and testing (C&T) - the young men's health project (YMHP) intervention and an enhanced "treatment as usual" (eTAU) condition involving HIV prevention services provided at two community based organizations (CBOs) to test their relative effectiveness in reducing substance use and sexual risk behavior among HIV-negative YMSM. In collaboration with two CBOs, our goals are to better understand substance use and sexual health-related outcomes among HIV-negative YMSM who are unlikely to be treatment seeking and to implement the YMHP intervention in a way that will maximize portability and scalability. Working together with our collaborators will help to address practical problems at the frontline of service provision to pave the way for a comprehensive program to reduce substance use and HIV infection among YMSM.

Enrollment: 86 patients

Sex: Male

Ages: 15 to 29 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• HIV-negative test result from the past 90 days
• 15-29 years of age
• Born biologically male or currently identifying as male
• Sex with men in the past 90 days
• ≥ 5 days of illicit drug use in the past 90 days
• ≥ 1 episode of condomless anal sex (CAS) in the past 90 days, or a positive sexually transmitted infection test result in the past 90 days.
• Living in the New York City area
• Able to communicate in English

Exclusion criteria

• Serious cognitive or psychiatric impairments
• ≥5 days of injection drug use in the past 90 days
• Currently taking Truvada as Pre-Exposure Prophylaxis (PrEP)

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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86 participants in 2 patient groups

Intervention

Other group

Description:

The YMHP intervention is a 4 session Motivational Interviewing (MI) intervention. In session 1, youth will choose which behavior to discuss first (substance use or sexual risk behavior), and the Health Educator counselor will elicit the client's view of the problem using standard MI techniques, building motivation for change by eliciting and reinforcing change talk, and clarifying the youth's own personal goals for maintaining their sexual health/considering changes in their substance use. The second session follows the same format for the second target behavior. In the subsequent two sessions, the counselor will discuss Pre-exposure Prophylaxis (PrEP) uptake as part of a change plan, continue to elicit and reinforce change talk, problem-solve barriers, consolidate commitment, and consider strategies to maintain behavior change.

Treatment:

Behavioral: YMHP Intervention

Enhanced Treatment as Usual

Other group

Description:

The Enhanced Treatment as Usual arm involves referring youth to standard of care services available at the community based organization for substance use and sexual health. This includes available services for Pre-exposure prophylaxis.

Treatment:

Behavioral: Enhanced Treatment as Usual