Proyecto Compadre: Using Implementation Science to Tailor Peer Navigation for Latino Men in the US-Mexico Border...

Area of Science:

• Implementation Science
• Public Health
• Health Disparities

Background:

• Latino men who have sex with men (MSM) in San Diego exhibit poorer HIV testing and prevention outcomes compared to non-Latino White men.
• Peer navigation (PN) is an evidence-based intervention that shows promise in reducing these disparities but requires adaptation for the Latino MSM population.

Purpose of the Study:

• To explore and prepare for the implementation of a tailored Peer Navigation (PN) intervention for Latino men who have sex with men (MSM) to improve HIV testing and prevention outcomes.
• To identify key factors and strategies for successful implementation and sustainment of PN programs within this population.

Main Methods:

• A mixed-methods implementation science study using the Exploration, Preparation, Implementation, Sustainment (EPIS) framework.
• Phase I involved interviews with Latino men (n=15) and focus groups with staff (n=7) to understand barriers and facilitators.
• Phase II utilized web-based surveys (n=31) with Latino men and staff to prioritize intervention and implementation strategies, followed by community-academic partnership review.

Main Results:

• Latino men suggested peer referral, utilizing Latino social networks, and social media for intervention delivery.
• Staff recommended culturally appropriate materials in Spanish, status/identity-neutral programs, and a structured support system for PNs.
• Key findings highlighted the need for a formalized PN model focused on referrals and leveraging existing community social networks.

Conclusions:

• The study provides a foundation for packaging findings for future implementation of PN programs specifically for Latino MSM.
• Tailoring PN interventions to address cultural nuances and community structures is crucial for reducing HIV disparities in this population.