TY - JOUR
T1 - Accelerating adolescent HIV research in low-income and middle-income countries
T2 - evidence from a research consortium
AU - Tucker, Joseph D.
AU - Iwelunmor, Juliet
AU - Abrams, Elaine
AU - Donenberg, Geri
AU - Wilson, Erin C.
AU - Blachman-Demner, Dara
AU - Laimon, Lauren
AU - Taiwo, Babafemi O.
AU - Kuhns, Lisa M.
AU - John-Stewart, Grace C.
AU - Kohler, Pamela
AU - Subramanian, Sujha
AU - Ayieko, James
AU - Gbaja-Biamila, Titilola
AU - Oladele, David
AU - Obiezu-Umeh, Chisom
AU - Chima, Kelechi P.
AU - Jalil, Emilia M.
AU - Falcao, Joana
AU - Ezechi, Oliver C.
AU - Kapogiannis, Bill G.
N1 - Funding Information:
The current research project is conducted within a cooperation agreement between the French Alternative Energies and Atomic Energy Commission (CEA) and the Swedish Research Council (VR). The authors would like to acknowledge the financial support from the Swedish Research Council (research contract No. B0774701).
Publisher Copyright:
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2021/12/1
Y1 - 2021/12/1
N2 - OBJECTIVE: Many adolescents and young adults (AYA) have unmet HIV prevention needs. We describe the Prevention and Treatment through a Comprehensive Care Continuum for HIV-affected Adolescents in Resource Constrained Settings (PATC3H) consortium organization, transition milestones, and youth engagement strategies. The PATC3H consortium focuses on reducing HIV incidence and related health disparities among AYA. DESIGN AND METHODS: Organizational data were obtained from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and supplemented with a brief survey completed by study principal investigators. Transition from the initial phase (years 1 and 2) to the subsequent phase (years 3 and 5) was contingent on meeting prespecified milestones. We reviewed the structure and function of the research consortium, identified shared elements of transition milestones, and examined common youth engagement strategies. RESULTS: The PATC3H consortium supports eight research studies through a milestone transition mechanism. The consortium includes AYA HIV research studies in seven countries - Brazil, Kenya, Mozambique, Nigeria, South Africa, Uganda, and Zambia. The NIH request for applications required transition milestones that included early consultation with stakeholders. The transition milestones required by NIH for the eight studies included early consultation with health and policy stakeholders, pilot intervention data, and commitment from national government stakeholders. All studies provided multiple pathways for AYA engagement, including AYA advisory boards and youth-led research studies. CONCLUSION: Data suggest that requiring milestones to transition to the final phase may have facilitated health and policy stakeholder engagement and enhanced formative assessment of regulatory protocols. These data have implications for designing engaged research studies in low and middle-income countries.
AB - OBJECTIVE: Many adolescents and young adults (AYA) have unmet HIV prevention needs. We describe the Prevention and Treatment through a Comprehensive Care Continuum for HIV-affected Adolescents in Resource Constrained Settings (PATC3H) consortium organization, transition milestones, and youth engagement strategies. The PATC3H consortium focuses on reducing HIV incidence and related health disparities among AYA. DESIGN AND METHODS: Organizational data were obtained from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and supplemented with a brief survey completed by study principal investigators. Transition from the initial phase (years 1 and 2) to the subsequent phase (years 3 and 5) was contingent on meeting prespecified milestones. We reviewed the structure and function of the research consortium, identified shared elements of transition milestones, and examined common youth engagement strategies. RESULTS: The PATC3H consortium supports eight research studies through a milestone transition mechanism. The consortium includes AYA HIV research studies in seven countries - Brazil, Kenya, Mozambique, Nigeria, South Africa, Uganda, and Zambia. The NIH request for applications required transition milestones that included early consultation with stakeholders. The transition milestones required by NIH for the eight studies included early consultation with health and policy stakeholders, pilot intervention data, and commitment from national government stakeholders. All studies provided multiple pathways for AYA engagement, including AYA advisory boards and youth-led research studies. CONCLUSION: Data suggest that requiring milestones to transition to the final phase may have facilitated health and policy stakeholder engagement and enhanced formative assessment of regulatory protocols. These data have implications for designing engaged research studies in low and middle-income countries.
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U2 - 10.1097/QAD.0000000000003049
DO - 10.1097/QAD.0000000000003049
M3 - Article
C2 - 34870930
AN - SCOPUS:85122503715
VL - 35
SP - 2503
EP - 2511
JO - AIDS
JF - AIDS
SN - 0269-9370
IS - 15
ER -
