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Technology-Based Stepped Care to Stem Transgender Adolescent Risk Transmission: Protocol for a Randomized Controlled
Cathy J Reback1,2, Joshua A Rusow1, Demetria Cain3
1Friends Research Institute, Inc, Los Angeles, CA, United States.
JMIR Research Protocols
|August 14, 2020
Summary
This study tested technology-based interventions, including text messaging and WebApp, to reduce sexual risk behaviors and increase pre-exposure prophylaxis (PrEP) uptake in transgender youth. Results will inform tailored, scalable HIV prevention strategies.
Area of Science:
- Public Health
- Intervention Science
- Digital Health
Background:
- Transgender youth face higher HIV risks due to syndemic disparities like sexual risk behaviors and abuse.
- These disparities necessitate targeted HIV prevention strategies for this vulnerable population.
Purpose of the Study:
- To evaluate the immediate and sustained effects of text messaging, WebApp, and information-only interventions.
- To reduce sexual risk behaviors and increase pre-exposure prophylaxis (PrEP) uptake among high-risk, HIV-negative transgender youth and young adults (15-24 years).
Main Methods:
- A randomized controlled trial (RCT) involving 250 participants.
- Interventions included text messaging, WebApp, or an information-only control for 6 months.
- Rerandomization for enhanced support (eCoaching) was offered if initial interventions were ineffective.
Main Results:
- Recruitment for Phase 2 (RCT) began in November 2018, with data collection expected to conclude in April 2021.
- As of March 2020, 54 participants were enrolled.
- Final results are anticipated in May 2021.
Conclusions:
- Culturally responsive, technology-based interventions can improve sexual health outcomes for transgender youth.
- TechStep evaluates the efficacy of digital interventions for reducing HIV risk and increasing PrEP use.
- This study advances intervention science for developing scalable HIV prevention tools for transgender youth.
Keywords:
HIVacquired immunodeficiency syndromemobile phonepre-exposure prophylaxistechnologytransgenderMore Related Videos
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