Medical Mistrust Among Hispanic/Latino Gay, Bisexual and Other Men Who Have Sex With Men (HLMSM)

Wake Forest University (WFU)

Status: Not yet enrolling

Conditions: Human Immunodeficiency Virus

Treatments: Behavioral: Navigators (peer navigator) training; Behavioral: delayed-intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT06132672

IRB00101348

1U01PS005250 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

There is an urgent need to address HIV inequities and disparities in the US, particularly within vulnerable communities such as Hispanic/Latino gay, bisexual, and other men who have sex with men (HLMSM).

Full description

Medical mistrust is associated with HIV disparities among HLMSM because mistrust may result in delayed or reduced use of needed HIV prevention (e.g., HIV testing and Pre-exposure prophylaxis (PrEP) uptake) and care (e.g., AntiretroViral Therapy [ART]) services.

While advances have been made to increase the use of HIV prevention and care services, profound disparities persist, and a need remains for increased understanding of the multilevel drivers of medical mistrust and for effective interventions to address these drivers among HLMSM in the US.

This research proposes a mixed-method study that includes rigorous qualitative and quantitative methods to better understand the drivers of medical mistrust among Spanish-speaking, English-speaking, and bilingual (including Spanish and English, or an indigenous language and Spanish and/or English) HLMSM. This study also proposes to refine and test a multilevel intervention designed to address medical mistrust and increase the use of needed HIV prevention and care services among diverse HLMSM in Mecklenburg County, NC, a jurisdiction prioritized by the Ending the HIV Epidemic in the US (EHE) initiative.

Enrollment: 144 estimated patients

Sex: Male

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• reside in Mecklenburg County, NC
• identify as Hispanic/Latino
• be ≥18 years of age
• speak English and Spanish
• report identifying as male and having had sex with at least 1 man in the past 6 months
• provide informed consent

Exclusion criteria

• less than 18 years of age
• female

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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144 participants in 2 patient groups

Navigators (peer navigator) training

Experimental group

Description:

Training is designed to increase knowledge and skills. Navigators in the intervention group will be trained and supported for 12 months of implementation across years 3 and 4

Treatment:

Behavioral: Navigators (peer navigator) training

delayed-intervention group

Experimental group

Description:

Training is designed to increase knowledge and skills. The delayed-intervention group will be trained in year 5

Treatment:

Behavioral: delayed-intervention