Technology Enhanced Substance Use and HIV Service Navigation for Sexual and Gender Minority Young Adults Surveilled by the Carceral System

技术增强了监狱系统监控的性少数群体年轻人的药物使用和艾滋病毒服务导航

• 批准号: 10771060
• 负责人: Emily F Dauria
• 金额: $ 10万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10771060
• 关键词: AIDS prevention; Address; Adherence; Administrative Supplement; Adult; Affect; Award; Awareness; Characteristics; Clinical Trials; Community of Practice; Complex; Consolidated Framework for Implementation Research; Continuity of Patient Care; Enhancement Technology; Feedback; Focus Groups; Funding; Future; Goals; HIV; HIV Seropositivity; Healthcare; Heterosexuals; Imprisonment; Improve Access; Individual; Inequity; Intervention; Intervention Studies; Interview; Jail; Lead; Link; Literature; Measures; Mental Health; Modeling; Movement; Outcome; Parents; Participant; Patient Self-Report; Persons; Population; Prevention strategy; Prisons; Process; Publishing; Research; Risk; Services; Sexual Health; Sexual and Gender Minorities; Structure; Subgroup; Substance Use Disorder; System; Technology; Testing; Time; Trust; United States; Work; acceptability and feasibility; barrier to care; behavioral health; behavioral health intervention; cisgender; disorder prevention; disparity reduction; eHealth; effective intervention; efficacy testing; experience; gender minority; gender minority group; health care availability; high risk; implementation process; improved; informant; innovation; intervention delivery; meetings; minority stress; minority stressor; multidisciplinary; peer; pilot test; pre-exposure prophylaxis; prevention service; preventive intervention; racism; satisfaction; service intervention; sexual minority; social; social stigma; study population; substance use; substance use treatment; theories; treatment services; uptake; young adult

Project Summary/Abstract There is a strong scientific premise for the study of integrated substance use disorders (SUDs) and HIV- prevention interventions for individuals surveilled by the carceral system (CS). SUDs lead to increased rates of CS involvement as well as increased risk for HIV-acquisition. Estimates of the proportion of the CS-involved population with a SUD reach 72%, and ~150,000 persons with HIV pass through a detention facility annually. Individuals with a self-reported sexual or gender minority (SGM) identity are overrepresented in the CS, and experience well established HIV and substance use inequities. Although pre-exposure prophylaxis (PrEP) is a proven effective intervention for HIV-prevention, its maximal impact depends on uptake, and adherence among those at high risk. To date, few published studies have examined substance use treatment and HIV-prevention uptake among CS-involved populations, including among SGM adults. Peer-led navigation interventions have demonstrated efficacy in building trust and reducing barriers to healthcare engagement, and hold strong potential to address multiple, and complex barriers to treatment and HIV-prevention linkage for SGMYA surveilled by the CS. eHealth approaches to SUD and HIV prevention also hold promise because they improve access to effective intervention services, particularly for SGM groups and younger people. As a multidisciplinary team with expertise in behavioral health (substance use, mental health, HIV prevention), SGM and CS involved adults, and eHealth enhanced and navigator-led behavioral health interventions, we propose to address notable gaps in the literature by expanding the aims of our parent award to examine the feasibility and acceptability of an eHealth enhanced navigator-led SUD and HIV-prevention referral and linkage intervention for SGMYA surveilled by the CS. Study aims are to: 1) Tailor the content and structure of an eHealth technology-supported navigation intervention for substance use treatment and HIV-prevention (PrEP) services to the unique needs of SGMYA (18 to 29 years) surveilled by the CS; 2) Refine and test the tailored eHealth enhanced, navigator-led substance use treatment and HIV prevention (PrEP) intervention for SGMYA surveilled by the CS, for appropriateness, satisfaction, and fidelity. This administrative supplement appropriately expands the scope of the parent award and will directly inform a future R01 clinical trial study to test the efficacy of the eHealth enhanced navigation intervention for improving uptake of substance use treatment and HIV prevention services for SGMYA impacted by the CS.