Набор скоро начнётся NCT06132672

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

Без фазы С лечением Human Immunodeficiency Virus

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают: В протоколе указаны: Navigators (peer navigator) training, delayed-intervention.
Кому может быть актуально: Состояния в реестре: Human Immunodeficiency Virus. Базовые параметры: от 18 лет · Мужчины.
Что важно проверить: Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится: США
Следующий шаг: Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

Identifying and Addressing Historical and Structural Drivers of Medical Mistrust Among Hispanic/Latino Gay, Bisexual and Other Men Who Have Sex With Men

Обзор

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).

Подробное описание

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.

Вмешательства

Поведенческое Navigators (peer navigator) training
The Navigators training will be designed to increase knowledge and skills to help others (i.e., social network members). Navigators in the intervention group will be trained and supported for 12 months of implementation across years 3 and 4
Поведенческое delayed-intervention
Those in the delayed-intervention group will be trained in year 5

Первичные конечные точки

Change in Rate of medical mistrust [Срок оценки: baseline to post-intervention up to 18 months]
Change in Rate of Human Immunodeficiency Virus (HIV) testing [Срок оценки: baseline to post-intervention up to 18 months]
Change in Rate of pre-exposure prophylaxis (PrEP) uptake [Срок оценки: baseline to post-intervention up to 18 months]
Change in the amount of use of HIV care services [Срок оценки: baseline to post-intervention up to 18 months]

Критерии участия

Критерии включения

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