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Идёт набор NCT07512869

Host Led Harm Reduction Approach Among Men Who Have Sex With Men Who Engaged in Chemsex in Bangkok, Thailand: A Pre-Implementation Study

— Наблюдательное HIV Prevention Substance Use Mental Health Sexually Transmitted Infections (STIs)

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: Self-administered questionnaire assessment, Semi-structured in-depth interviews (IDIs), Development and refinement of harm reduction model.
Кому может быть актуально
Состояния в реестре: HIV Prevention, Substance Use, Mental Health, Sexually Transmitted Infections (STIs). 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
Таиланд
Следующий шаг
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Обзор

This study evaluates the pre-implementation phase of a host-led harm reduction model for men who have sex with men (MSM) engaging in chemsex in Bangkok, Thailand, focusing on understanding harms, contexts, and needs to develop a tailored intervention.

Подробное описание

HAMMOCK is a cross-sectional mixed-methods study designed to explore chemsex practices among MSM, including both hosts and guests, as well as key stakeholders such as CSOs, hospital staff, and police.

The study aims to:

* Explore substance-related, sexual health, mental health, and socio-legal harms * Understand the context and dynamics of private chemsex parties * Co-develop a novel host-led harm reduction model * Identify barriers and facilitators to implementation The study includes both quantitative (self-administered questionnaires) and qualitative (in-depth interviews) components and follows a two-phase approach: exploration and preparation phases under the EPIS framework.

Вмешательства

  • Поведенческое Self-administered questionnaire assessment
    Participants (chemsex party hosts and guests) will complete structured self-administered questionnaires to assess: * Substance use patterns and related harms * Sexual health risks (e.g., condom use, HIV/STI testing, PrEP/ART adherence) * Mental health status using validated tools: * Patient Health Questionnaire-9 (PHQ-9) * Generalized Anxiety Disorder-7 (GAD-7) * Socio-legal harms including stigma and discrimination
  • Поведенческое Semi-structured in-depth interviews (IDIs)
    All stakeholders will participate in semi-structured in-depth interviews: * Exploration phase: guided by EPIS framework * Preparation phase: guided by * Theoretical Domains Framework (TDF) (hosts \& guests) * Consolidated Framework for Implementation Research (CFIR) (organizational stakeholders) The interviews aim to: * Identify harms associated with chemsex * Explore current practices and contexts * Identify barriers and facilitators * Inform development and refinement of a harm reducti
  • Поведенческое Development and refinement of harm reduction model
    A novel four-pronged harm reduction model will be developed and refined based on quantitative and qualitative findings. Domains include: * Substance use harm reduction * Sexual health harm reduction * Mental health harm reduction * Socio-legal harm reduction

Первичные конечные точки

  • Substance use-related harm assessed by self-administered questionnaire [Срок оценки: Baseline (during Exploration phase, prior to model development)]
  • Sexual health risk behaviors assessed by self-administered questionnaire [Срок оценки: Baseline (during Exploration phase, prior to model development)]
  • Depression severity assessed by Patient Health Questionnaire-9 (PHQ-9) [Срок оценки: Baseline (during Exploration phase, prior to model development)]
  • Anxiety severity assessed by Generalized Anxiety Disorder-7 (GAD-7) [Срок оценки: Baseline (during Exploration phase, prior to model development)]
Вторичные конечные точки (1)
  • Perceived stigma and socio-legal harm assessed by structured questionnaire [Срок оценки: Baseline (during Exploration phase, prior to model development)]

Критерии участия

Критерии включения

  • MSM aged ≥18 years
  • Able to communicate in Thai
  • Specific by group:
  • Chemsex hosts: hosted ≥2 times in past 6 months
  • Chemsex guests: attended ≥2 times in past 6 months
  • CSO / hospital / police staff: working ≥3 months in related roles
  • Provide informed consent

Критерии исключения

  • Unable to provide informed consent (e.g., under substance influence at consent)

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Модель наблюдения
Когортное

Центры проведения

Таиланд · 1 центр
  • Tangerine Clinic, Institute of HIV Research and Innovation — Pathum Wan

Идентификаторы

NCT: NCT07512869 · IHRI037

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗