Research to Evaluate an Effective Community-level Intervention for Young Black Men Who Have Sex with Men
This study is designed to test the efficacy of a proven community level intervention adapted for a different community. The Black Mpowerment Project intervention will be overseen by researchers at uCSF. uT Southwestern will conduct intervention evaluations. The Young Black Men's Survey (YBMS) began with a quantitative evaluation component, added a qualitative component in 2013 and added a third component in 2014 that will recruit an HiV+ cohort of YBMSM. These three components expand provide a comprehensive evaluation of the uBe intervention and a sub-intervention of HiV positive YBMSM referred to as uBe+ in this protocol. Brief summaries of components follow.
Quantitative Sample: The efficacy of the uBe intervention will be assessed through the use of surveys conducted with YBMSM before (pre-intervention), during (interim) and after the intervention (post-intervention). each data collection period will take 3-6 months. uT Southwestern has completed formative work and is currently conducting the [Quote]Young Black Men's Survey[Quote] (YBM Survey) with a cross-section of approximately 333 YBMSM annually for seven data collection waves. The YBM Survey is self-administered using handheld computers. all questionnaires are completed anonymously.
Qualitative Method: The qualitative evaluation includes conducting participant observations and interviewing a cohort of 30 young african american MSM (YBMSM) twice each year for three years in order explore how the intervention being studied penetrates diverse sub-communities of YBMSM in Dallas, and how the intervention impacts individual, interpersonal, and social level factors related to risk behavior and testing. The research team aims to better understand how u-Be reaches diverse YBMSM be examining changes in individual-level variables, interpersonal dynamics, and the social environment. The qualitative methods that will be conducted by uT Southwestern include Participant observation and in-depth interviews.
HiV+ Cohort: Formative research will consist of Focus Groups (n[?]27) and Cognitive interviews (n[?]10), followed by recruitment of the Dallas HiV+ Cohort (n[?]133). in order to avoid bias, initially we will recruit YBMSM ages of 18-29, regardless of HiV status. Participants will take a brief assessment survey and be tested for HiV. Men who report being HiV+ during the brief survey will be offered immediate participation in the cohort. Participants who test HiV- will be thanked for their participation and offered an opportunity to recruit peers for the study. Participants who test HiV+ for the first time will recieve routine counseling and linkage to care services and be offered the opportunity to participate in the cohort at a future date/time. after the initial study survey, cohort participants for complete a survey annually for three years. The sampling method is fully described in the attached protocol.
Total number of Possible Participants:
Research activity n
Focus Groups with YBMSM: Dallas (6 in each group) - Completed 12 or more
Cognitive individual interviews with YBMSM: Dallas - Completed 30
YBM Surveys: Dallas (n[?]333 respectively for pre, interim, and post intervention surveys) 2,430
YBM Survey : Projected screen failures (n[?]83+ respectively for pre, interim, and post intervention surveys) 600
Qualitative interviews: 30 YBMSM (2 interviews/year x 3 years) and ethnographic (participant observations). 30
Cohort Formative - Focus Groups (HiV+ and HiV- YBMSM) 20
Cohort Formative x Cognitive interviews (HiV+ YBMSM) 10
YBMSM assessment/Study: 500 Brief assessments to recruit 133 HiV+ men (who will complete 4 interviews x 3 years) 500
YBMSM assessment: Projected screen failures (Year 1 recruitment) 100
CRITERIA FOR INCLUSION OF SUBJECTS: The target population for this study is YBMSM living in Dallas who are: 1) 18-29 years old, 2) African-American/Black, 3) male, 4) English speaking, 5) report having sexual contact with another man in the previous 12 months, and 6) have the ability to provide informed consent. For inclusion in the HIV+ Cohort component only, participants must have a valid HIV positive status.