Peer Navigation to Support Transgender Women's Engagement in HIV Care : Findings from the Trans Amigas Pilot Trial in São Paulo, Brazil
© 2022. The Author(s)..
Trans women living with HIV (TWH) have suboptimal HIV care engagement. We pilot tested Trans Amigas, a theory-based, trans-specific peer navigation (PN) intervention to address barriers to care in São Paulo, Brazil. TWH were randomized to the PN intervention (n = 75) or control (n = 38) condition. Control participants were referred to trans-friendly HIV care. Intervention participants were assigned a navigator who conducted nine in-person one-on-one sessions and bi-weekly phone or text check-ins to help participants overcome barriers to care and work towards gender affirmation and healthcare goals. We followed participants for 9 months to determine intervention feasibility, acceptability, and preliminary efficacy in improving retention in care. Analyses were intention to treat (ITT). Intervention acceptability was high: at end line, 85.2% of PN participants said they would continue receiving services and 94.4% would recommend peer navigation to a friend. A priori feasibility criteria were met: 92% of eligible participants enrolled and 70% were retained at 9 months; however, only 47% achieved moderate or better adherence to both in-person and phone/text program components. Though the pilot was not powered for efficacy, ITT findings trended toward significance, with intervention participants 40% more likely to be retained in care at the end of the study. Population-specific peer programming to support care engagement is acceptable, feasible, and can improve HIV outcomes for Trans women living with HIV.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:26 |
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| Enthalten in: |
AIDS and behavior - 26(2022), 8 vom: 04. Aug., Seite 2588-2599 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Lippman, Sheri A [VerfasserIn] |
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| Links: |
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| Themen: |
Behavioral intervention |
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| Anmerkungen: |
Date Completed 06.07.2022 Date Revised 16.09.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s10461-022-03595-8 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
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| 520 | |a © 2022. The Author(s). | ||
| 520 | |a Trans women living with HIV (TWH) have suboptimal HIV care engagement. We pilot tested Trans Amigas, a theory-based, trans-specific peer navigation (PN) intervention to address barriers to care in São Paulo, Brazil. TWH were randomized to the PN intervention (n = 75) or control (n = 38) condition. Control participants were referred to trans-friendly HIV care. Intervention participants were assigned a navigator who conducted nine in-person one-on-one sessions and bi-weekly phone or text check-ins to help participants overcome barriers to care and work towards gender affirmation and healthcare goals. We followed participants for 9 months to determine intervention feasibility, acceptability, and preliminary efficacy in improving retention in care. Analyses were intention to treat (ITT). Intervention acceptability was high: at end line, 85.2% of PN participants said they would continue receiving services and 94.4% would recommend peer navigation to a friend. A priori feasibility criteria were met: 92% of eligible participants enrolled and 70% were retained at 9 months; however, only 47% achieved moderate or better adherence to both in-person and phone/text program components. Though the pilot was not powered for efficacy, ITT findings trended toward significance, with intervention participants 40% more likely to be retained in care at the end of the study. Population-specific peer programming to support care engagement is acceptable, feasible, and can improve HIV outcomes for Trans women living with HIV | ||
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| 650 | 4 | |a Behavioral intervention | |
| 650 | 4 | |a Gender affirmation | |
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| 650 | 4 | |a Peer navigation | |
| 650 | 4 | |a Stigma | |
| 650 | 4 | |a Transgender | |
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| 700 | 1 | |a Saggese, Gustavo Santa Roza |e verfasserin |4 aut | |
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| 700 | 1 | |a Maschião, Luca Fasciolo |e verfasserin |4 aut | |
| 700 | 1 | |a Chen, Dorothy |e verfasserin |4 aut | |
| 700 | 1 | |a de Sousa Mascena Veras, Maria Amelia |e verfasserin |4 aut | |
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