A couple-based HIV prevention intervention for Latino men who have sex with men: study protocol for a randomized controlled trial

Abstract Background Latino men who have sex with men (MSM) experienced a 13% increase in HIV diagnoses from 2010 to 2014, more than any other racial/ethnic subgroup of MSM in the United States. If current HIV diagnoses rates persist, about one in four Latino MSM in the United States will be diagnose...

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Main Authors: Omar Martinez, M. Isabel Fernandez, Elwin Wu, Alex Carballo-Diéguez, Guillermo Prado, Adam Davey, Ethan Levine, Brian Mattera, Nikki Lopez, Omar Valentin, Ashley Murray, Madeline Sutton
Format: Article
Language:English
Published: BMC 2018-04-01
Series:Trials
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13063-018-2582-y
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author Omar Martinez
M. Isabel Fernandez
Elwin Wu
Alex Carballo-Diéguez
Guillermo Prado
Adam Davey
Ethan Levine
Brian Mattera
Nikki Lopez
Omar Valentin
Ashley Murray
Madeline Sutton
author_facet Omar Martinez
M. Isabel Fernandez
Elwin Wu
Alex Carballo-Diéguez
Guillermo Prado
Adam Davey
Ethan Levine
Brian Mattera
Nikki Lopez
Omar Valentin
Ashley Murray
Madeline Sutton
author_sort Omar Martinez
collection DOAJ
description Abstract Background Latino men who have sex with men (MSM) experienced a 13% increase in HIV diagnoses from 2010 to 2014, more than any other racial/ethnic subgroup of MSM in the United States. If current HIV diagnoses rates persist, about one in four Latino MSM in the United States will be diagnosed with HIV during their lifetime. Although some efficacious HIV prevention interventions for Latino MSM exist, none have focused on couples. This paper describes the protocol of a randomized controlled trial (RCT) to test the preliminary efficacy of a couple-based HIV prevention intervention that is culturally tailored for Latino men and their same-sex partners. Methods The RCT will determine the preliminary efficacy of Connecting Latinos en Pareja (CLP) to increase the proportion of anal sex acts that are HIV protected (i.e., anal sex acts in which condoms, pre-exposure prophylaxis (PrEP), treatment as prevention (TasP), or a combination thereof, are used to reduce risk of HIV transmission). CLP builds upon previous couple-based interventions with white and black MSM by incorporating biomedical prevention techniques, such as PrEP and TasP, implementing a framework responsive to the couple’s serostatus, and addressing the socio-cultural factors that influence HIV risk among Latino MSM. We also include input from community stakeholders, members of the target population, and a community advisory board as part of intervention development. Assessments will be conducted at baseline, and 3- and 6-months post-intervention to examine the intervention effects on outcomes (HIV-protected sex acts), and factors potentially mediating or moderating intervention effects. Discussion This paper describes an innovative RCT that incorporates multiple HIV prevention techniques for Latino MSM in couples, regardless of serostatus. The ongoing involvement of community stakeholders, members of the target population, and a community advisory board is emphasized, and plans for widespread dissemination and application of findings into practice are discussed. Trial registration Trial registration: NCT03048838. Registered on 3 February 2017.
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spelling doaj.art-37d2ef05ea84419fa7e76d57a3b0334b2022-12-22T00:54:35ZengBMCTrials1745-62152018-04-0119111210.1186/s13063-018-2582-yA couple-based HIV prevention intervention for Latino men who have sex with men: study protocol for a randomized controlled trialOmar Martinez0M. Isabel Fernandez1Elwin Wu2Alex Carballo-Diéguez3Guillermo Prado4Adam Davey5Ethan Levine6Brian Mattera7Nikki Lopez8Omar Valentin9Ashley Murray10Madeline Sutton11Temple University’s School of Social WorkNova Southeastern UniversityColumbia University School of Social WorkNew York State Psychiatric Institute and Columbia UniversityUniversity of MiamiUniversity of DelawareTemple University’s School of Social WorkTemple University’s School of Social WorkGALAEITemple University’s School of Social WorkCenters for Disease Control and Prevention, Division of HIV/AIDS Prevention, National Center for HIV/AIDS Prevention, TB, Hepatitis, Epidemiology BranchMinority HIV/AIDS Research Initiative, Centers for Disease Control and Prevention, Division of HIV/AIDS Prevention, National Center for HIV/AIDS Prevention, TB, Hepatitis, Epidemiology BranchAbstract Background Latino men who have sex with men (MSM) experienced a 13% increase in HIV diagnoses from 2010 to 2014, more than any other racial/ethnic subgroup of MSM in the United States. If current HIV diagnoses rates persist, about one in four Latino MSM in the United States will be diagnosed with HIV during their lifetime. Although some efficacious HIV prevention interventions for Latino MSM exist, none have focused on couples. This paper describes the protocol of a randomized controlled trial (RCT) to test the preliminary efficacy of a couple-based HIV prevention intervention that is culturally tailored for Latino men and their same-sex partners. Methods The RCT will determine the preliminary efficacy of Connecting Latinos en Pareja (CLP) to increase the proportion of anal sex acts that are HIV protected (i.e., anal sex acts in which condoms, pre-exposure prophylaxis (PrEP), treatment as prevention (TasP), or a combination thereof, are used to reduce risk of HIV transmission). CLP builds upon previous couple-based interventions with white and black MSM by incorporating biomedical prevention techniques, such as PrEP and TasP, implementing a framework responsive to the couple’s serostatus, and addressing the socio-cultural factors that influence HIV risk among Latino MSM. We also include input from community stakeholders, members of the target population, and a community advisory board as part of intervention development. Assessments will be conducted at baseline, and 3- and 6-months post-intervention to examine the intervention effects on outcomes (HIV-protected sex acts), and factors potentially mediating or moderating intervention effects. Discussion This paper describes an innovative RCT that incorporates multiple HIV prevention techniques for Latino MSM in couples, regardless of serostatus. The ongoing involvement of community stakeholders, members of the target population, and a community advisory board is emphasized, and plans for widespread dissemination and application of findings into practice are discussed. Trial registration Trial registration: NCT03048838. Registered on 3 February 2017.http://link.springer.com/article/10.1186/s13063-018-2582-yCouple-based HIV prevention interventionHIV and AIDSHealth disparitiesImplementation science
spellingShingle Omar Martinez
M. Isabel Fernandez
Elwin Wu
Alex Carballo-Diéguez
Guillermo Prado
Adam Davey
Ethan Levine
Brian Mattera
Nikki Lopez
Omar Valentin
Ashley Murray
Madeline Sutton
A couple-based HIV prevention intervention for Latino men who have sex with men: study protocol for a randomized controlled trial
Trials
Couple-based HIV prevention intervention
HIV and AIDS
Health disparities
Implementation science
title A couple-based HIV prevention intervention for Latino men who have sex with men: study protocol for a randomized controlled trial
title_full A couple-based HIV prevention intervention for Latino men who have sex with men: study protocol for a randomized controlled trial
title_fullStr A couple-based HIV prevention intervention for Latino men who have sex with men: study protocol for a randomized controlled trial
title_full_unstemmed A couple-based HIV prevention intervention for Latino men who have sex with men: study protocol for a randomized controlled trial
title_short A couple-based HIV prevention intervention for Latino men who have sex with men: study protocol for a randomized controlled trial
title_sort couple based hiv prevention intervention for latino men who have sex with men study protocol for a randomized controlled trial
topic Couple-based HIV prevention intervention
HIV and AIDS
Health disparities
Implementation science
url http://link.springer.com/article/10.1186/s13063-018-2582-y
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