Strategies to Facilitate Service Utilization Among Youth at Risk for HIV: A Randomized Controlled Trial (ATN 149)

• DOI: 10.1007/s10461-024-04545-2
• Publication Date: 2024-11-28T02:21:12Z
• Authors: Dallas Swendeman; Mary Jane Rothera...; Elizabeth Mayfiel...; Maria Isabel Fern...; W. Scott Comulada; Kelsey Ishimoto; William Gertsch; Debra A. Murphy; Manuel Ocasio; Sung-Jae Lee; Katherine A. Lewis; ; Sue Ellen Abdalian; Robert Bolan; Yvonne Bryson; Antwon Chaplin; Ruth Cortado; Catherine Donahue; Naihua Duan; Risa Flynn; Jasmine Fournier; Sergio Jimenez; Tara Kerin; Jeffrey Klausner; Jody Kussin; Marguerita Lightfoot; Norweeta Milburn; Jasmine Mosafer; Aaron Moses; Karin Nielsen; Wilson Ramos; Cathy J. Reback; Panteha Hayati Re...; Wenze Tang; Yara Tapia; Demi Thomas; Stacey Urauchi; Robert E. Weiss
• Keywords: Peer Support

Abstract Sexual and gender minority youth (SGMY) are vulnerable to acquiring HIV need prevention health services, but may have competing needs. A prior analysis found that PrEP use reports increased in a combination intervention study arm with coaching, peer support, automated text-messages. This paper examines ancillary support healthcare services utilization as secondary objectives. SGMY (N = 895, 40% Black, 29% Latino) Los Angeles New Orleans were recruited from May, 2017 August, 2019 randomized four conditions: (a) text-messaging monitoring (AMMI), (b) AMMI plus online (AMMI+PS), (c) strengths-based coaching by near-peer paraprofessionals (AMMI+C), or (d) all three (AMMI+PS+C). Intent-to-treat multivariate regression analyses evaluated the interventions’ efficacy on past 4-month of use, having regular provider, receiving care doctor’s office clinic mental specialists, participation groups programs. Ancillary declined reporting an average 4.4 at baseline 22.6% 2.5 24 months. Food, housing, transportation, other basic utilized most frequently. Youth two interventions maintained higher over time compared AMMI-only (both OR 1.23, 95%CI 1.12–1.35) AMMI+PS 1.20 1.08–1.33). Our stay engaged services. Results be limited self-report biases. It is unclear if these related better long-term outcomes.