TY - JOUR
T1 - Project nGage
T2 - Results of a Randomized Controlled Trial of a Dyadic Network Support Intervention to Retain Young Black Men Who Have Sex With Men in HIV Care
AU - Bouris, Alida
AU - Jaffe, Kaitlyn
AU - Eavou, Rebecca
AU - Liao, Chuanhong
AU - Kuhns, Lisa
AU - Voisin, Dexter
AU - Schneider, John A.
N1 - Funding Information:
Acknowledgements This work was supported by the National Institute of Mental Health (R34MH097622, R01DA039934 and R01DA033875). ClinicalTrials.gov Identifier: NCT01726712. This manuscript was also made possible with help from the Third Coast Center for AIDS Research (P30 AI 117943). We would like to thank the study participants for their participation and Milton “Mickey” Eder, Molly Pilloton, Natasha Flatt, Tim Walsh, Tiffany Washington, Keisha Hampton and Montre Washington for their valuable contributions to the project.
Publisher Copyright:
© 2017, Springer Science+Business Media, LLC.
PY - 2017/12/1
Y1 - 2017/12/1
N2 - HIV-positive young black MSM (YBMSM) experience poor outcomes along the HIV care continuum, yet few interventions have been developed expressly for YBMSM retention in care. Project nGage was a randomized controlled trial conducted across five Chicago clinics with 98 HIV-positive YBMSM aged 16–29 between 2012 and 2015. The intervention used a social network elicitation approach with index YBMSM (n = 45) to identify and recruit a support confidant (SC) to the study. Each index-SC dyad met with a social worker to improve HIV-care knowledge, activate dyadic social support, and develop a retention in care plan. Each index and SC also received four mini-booster sessions. Control participants (n = 53) received treatment as usual. Surveys and medical records at baseline, 3-, and 12-months post-intervention assessed visit history (3 or more visits over 12 months; primary outcome), and sociodemographic, network, social-psychological, and behavioral factors. At baseline, there were no differences in age (M = 23.8 years), time since diagnosis (M ≤ 2 years), clinic visits in the previous 12 months (M = 4.1), and medication adherence (68.6 ≥ 90% adherence). In multivariate logistic regression analysis, intervention participants were 3.01 times more likely to have had at least 3 provider visits (95% CI 1.0–7.3) than were control participants over 12 months. Project nGage demonstrates preliminary efficacy in improving retention in care among YBMSM. Results suggest that engaging supportive network members may improve key HIV care continuum outcomes.
AB - HIV-positive young black MSM (YBMSM) experience poor outcomes along the HIV care continuum, yet few interventions have been developed expressly for YBMSM retention in care. Project nGage was a randomized controlled trial conducted across five Chicago clinics with 98 HIV-positive YBMSM aged 16–29 between 2012 and 2015. The intervention used a social network elicitation approach with index YBMSM (n = 45) to identify and recruit a support confidant (SC) to the study. Each index-SC dyad met with a social worker to improve HIV-care knowledge, activate dyadic social support, and develop a retention in care plan. Each index and SC also received four mini-booster sessions. Control participants (n = 53) received treatment as usual. Surveys and medical records at baseline, 3-, and 12-months post-intervention assessed visit history (3 or more visits over 12 months; primary outcome), and sociodemographic, network, social-psychological, and behavioral factors. At baseline, there were no differences in age (M = 23.8 years), time since diagnosis (M ≤ 2 years), clinic visits in the previous 12 months (M = 4.1), and medication adherence (68.6 ≥ 90% adherence). In multivariate logistic regression analysis, intervention participants were 3.01 times more likely to have had at least 3 provider visits (95% CI 1.0–7.3) than were control participants over 12 months. Project nGage demonstrates preliminary efficacy in improving retention in care among YBMSM. Results suggest that engaging supportive network members may improve key HIV care continuum outcomes.
KW - Randomized controlled trial
KW - Retention in HIV care
KW - Social networks
KW - Social support
KW - Young black men who have sex with men
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U2 - 10.1007/s10461-017-1954-8
DO - 10.1007/s10461-017-1954-8
M3 - Article
C2 - 29079949
AN - SCOPUS:85032498255
VL - 21
SP - 3618
EP - 3629
JO - AIDS and Behavior
JF - AIDS and Behavior
SN - 1090-7165
IS - 12
ER -