Technology-Based Interventions, with a Stepped Care Approach, for Reducing Sexual Risk Behaviors and Increasing PrEP Initiation Among Transgender and Gender Expansive Youth and Young Adults.
TechStep was a technology-based trial, with a stepped care approach, to reduce sexual risks and increase PrEP uptake among transgender and gender expansive youth and young adults (15–24 years old). From October 2019 to September 2021, 254 participants were randomized into: 1) Text (n = 82), or 2) We...
| Publicado en: | AIDS & Behavior Vol. 28; no. 12; pp. 3956 - 3970 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Dec2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181065288&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181065288 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Dec2024 vid: 28 iid: 12 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 181065288 179731682 181065288 181065288 10.1007/s10461-024-04513-w 181065288 ppf: 3956 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Technology-Based Interventions, with a Stepped Care Approach, for Reducing Sexual Risk Behaviors and Increasing PrEP Initiation Among Transgender and Gender Expansive Youth and Young Adults. aug: au: Reback, Cathy J. Cain, Demetria Rusow, Joshua A. Benkeser, David Schader, Lindsey Gwiazdowski, Bevin A. Skeen, Simone J. Hannah, Marissa Belzer, Marvin Castillo, Marne Mayer, Kenneth H. Paul, Mary E. Hill-Rorie, Jonathan Johnson, Nathan Dorcey McAvoy-Banerjea, Julie Sanchez, Travis Hightow-Weidman, Lisa B. Sullivan, Patrick S. Horvath, Keith J. affil: https://ror.org/03qjb5r86 Friends Research Institute, Inc., Los Angeles, CA, USA sug: subj: HIV Infections Prevention and Control Pre-Exposure Prophylaxis Methods Transgender Persons Psychosocial Factors Text Messaging Sexual Behavior Risk Taking Behavior Unsafe Sex Telemedicine Technology Treatment Outcomes Human Male Female Adolescence Adult Mobile Applications Online Education Confidence Intervals Academic Medical Centers Statistical Significance Data Analysis Software Descriptive Statistics Funding Source Adolescent: 13-18 years Adult: 19-44 years Male Female ab: TechStep was a technology-based trial, with a stepped care approach, to reduce sexual risks and increase PrEP uptake among transgender and gender expansive youth and young adults (15–24 years old). From October 2019 to September 2021, 254 participants were randomized into: 1) Text (n = 82), or 2) Webapp (n = 87), or 3) Control (n = 85). At the 3-month follow-up assessment, those randomized to Text and Webapp and did not demonstrate improvement on primary outcomes were re-randomized to receive virtual eCoaching (Text + or Webapp +), or to remain in their initial condition without eCoaching. Results showed no effect on condomless encounters at 6-month, the primary endpoint, when comparing the Webapp + (0.33 decrease; 95%CI: -0.01, 0.67, p-value = 0.057) or the Text + (0.27 decrease; 95%CI: -0.13, 0.68, p-value = 0.181) conditions to the Control condition. However, in secondary analyses, condomless encounters were significantly reduced for Text compared to Control. The rate of PrEP uptake was low for all study arms. Trial registration: Clinical Trials # NCT04000724 (registered June 26, 2019). pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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