alexa Project nGage: Network Supported HIV Care Engagement for Younger Black Men Who Have Sex with Men and Transgender Persons
ISSN 2155-6113

Journal of AIDS & Clinical Research
Open Access

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Research Article

Project nGage: Network Supported HIV Care Engagement for Younger Black Men Who Have Sex with Men and Transgender Persons

Alida Bouris1,2*, Dexter Voisin1,2, Molly Pilloton3, Natasha Flatt3, Rebecca Eavou3, Kischa Hampton4, Lisa M Kuhns5, Milton Eder4 and John A Schneider2,3,6

1School of Social Service Administration, University of Chicago, Chicago, IL, USA

2STI/HIV Intervention Network, University of Chicago, Chicago, IL, USA

3Department of Medicine, University of Chicago, Chicago, IL, USA

4Access Community Health Network, Chicago, IL, USA

5Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA

6Department of Health Studies, University of Chicago, Chicago, IL, USA

*Corresponding Author:
Alida Bouris
Assistant Professor
School of Social Service Administration
University of Chicago
Chicago, IL 60637, USA
Tel: 773-834-4304
E-mail: [email protected]

Received Date: July 17, 2013; Accepted Date: August 28, 2013; Published Date: August 31, 2013

Citation: Bouris A, Voisin D, Pilloton M, Flatt N, Eavou R, et al. (2013) Project nGage: Network Supported HIV Care Engagement for Younger Black Men Who Have Sex with Men and Transgender Persons. J AIDS Clin Res 4:236. doi:10.4172/2155-6113.1000236

Copyright: © 2013 Bouris A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Background: Young Black men who have sex with men and transgender persons (YBMSMT) aged 13-29 carry the nation’s highest burden of new HIV infections. Studies indicate that YBMSMT have poor retention in care, which is associated with reduced medication adherence and increased virologic failure.

Objective: Project nGage is a randomized controlled (RCT) trial evaluating the feasibility and preliminary efficacy of a brief, dyadic intervention designed to promote adherence to HIV primary care in safety-net clinics. Network visualization is used to identify and engage a support confidant (SC) from participants\\\' social networks. A social work interventionist then meets with the SC and SC-participant dyad to activate and maintain HIV-specific social support.

Methods: Project nGage is operating in two phases. In Phase I, the Team refined study protocols based on pilot testing. In Phase II, 94 HIV infected YBMSMT ages 16-29 will be recruited, enrolled and randomly assigned to receive Project nGage or treatment as usual (TAU). The primary outcome is appointment attendance; the secondary outcomes are medication adherence and viral load. Results: Implementation challenges include coordinating sites, managing dyadic intervention logistics, and recruiting non-adherent patients or those who have fallen out of care. The team continues to address implementation issues as the study progresses.

Conclusions: Project nGage is addressing a gap in HIV care-related research by focusing on supportive relationships as a mechanism through which to promote retention in care. Pending study results, a larger RCT would compare the relative effectiveness of the Project nGage intervention versus TAU over 18 to 24 months.

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