A Multicomponent Intervention to Increase HIV Risk Perceptions and PrEP Initiation Among Black Men Who Have Sex With Men

Completed · Not applicable

Conditions studied: HIV Risk Perception, PrEP

In brief

Tragically, HIV infections among Black sexual minority men (BSMM) in the U.S. persist. Despite the availability of pre-exposure prophylaxis (PrEP) for HIV prevention, effective uptake among BSMM remains low. It is imperative to support PrEP initiation among this group. The proposed multi-component interventional study is designed to increase HIV risk perceptions and subsequent PrEP initiation through the use of our team's existing mobile application called PrEPme and a peer change agent (PCA) to record and review sexual risk behaviors and subsequent PrEP interest. Few have studied whether reviewing sexual diaries with a PCA increases HIV risk perceptions and PrEP initiation among BSMM. This strategy will allow BSMM who are not using PrEP to record their sexual behaviors using a PrEPme-based diary, review their sexual histories with a PCA, and assess PrEP interest. The PCA will be trained in motivational interviewing techniques to facilitate discussions. The PCA will provide HIV prevention education, sexual risk evaluation, and PrEP navigation. BSMM who become interested in initiating PrEP will be referred to our team's ongoing PrEP tele-medicine study (PI: Jason Farley, co-investigator) or other PrEP care services in the greater Baltimore area. The proposed intervention targets a high priority population in HIV prevention and mitigates structural barriers to PrEP uptake such as perceived judgement, stigma, and discrimination from clinical providers.

Key facts

Study ID

NCT04533386

Run by

George Washington University

People needed

69

Starts

2020-09-05

Expected to finish

2022-06-02

Last updated by the study team

2025-03-14

Who can join

Age: 18 and older. Sex: male. Healthy volunteers: accepted.

You may qualify if…

• ≥18 years of age
• Identify as cis-gender man
• Self-reporting being HIV-negative or status unknown
• Identify as Black or African American
• Report anal intercourse with ≥ 1 male partner in the past 12 months
• Has mobile smartphone
• Not currently taking Truvada or Descovy as pre-exposure prophylaxis (PrEP)

You may not qualify if…

• ≤18 years of age
• Identify as woman or transgender
• Self-reporting being HIV-positive
• Identify as race/ethnicity other than Black or African American
• Report no anal intercourse with male partner in the past 12 months
• Report not having a mobile smartphone
• Currently taking Truvada or Descovy as pre-exposure prophylaxis (PrEP)

Where it is running

• Johns Hopkins School of Nursing — Baltimore, Maryland, United States

Full record on ClinicalTrials.gov

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