A Novel Adaptation of Peer Health Navigation and Contingency Management for Advancement Along the HIV Care Continuum Among Transgender Women of Color
Transgender women, particularly racial/ethnic minority transgender women, evidence disproportionately high rates of untreated HIV infection and disproportionately low rates of HIV viral suppression. The Alexis Project was a combined peer health navigation (PHN) and contingency management (CM) interv...
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| Veröffentlicht in: | AIDS and behavior 2021-07, Vol.25 (Suppl 1), p.40-51 |
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| creator | Reback, Cathy J. Kisler, Kimberly A. Fletcher, Jesse B. |
| description | Transgender women, particularly racial/ethnic minority transgender women, evidence disproportionately high rates of untreated HIV infection and disproportionately low rates of HIV viral suppression.
The Alexis Project
was a combined peer health navigation (PHN) and contingency management (CM) intervention that targeted HIV milestones associated with advancement along the HIV care continuum. From February 2014 through August 2016, 139 transgender women of color (TWOC) enrolled and received unlimited PHN sessions and an escalating CM rewards schedule for confirmed achievement of both behavioral (e.g., HIV care visits) and biomedical (e.g., viral load reductions and achieved/sustained viral suppression) HIV milestones. Results demonstrated that increased attendance to PHN sessions was associated with significant achievement of both behavioral (coef. range 0.12–0.38) and biomedical (coef. = 0.10) HIV milestones (all p ≤ 0.01); 85% were linked to HIV care, and 83% who enrolled detectable and achieved the minimum 1 log viral load reduction advanced to full viral suppression. The combined PHN and CM intervention successfully promoted advancement along the HIV Care Continuum, with particularly robust effects for behavioral HIV milestones. |
| doi_str_mv | 10.1007/s10461-019-02554-0 |
| format | Article |
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The Alexis Project
was a combined peer health navigation (PHN) and contingency management (CM) intervention that targeted HIV milestones associated with advancement along the HIV care continuum. From February 2014 through August 2016, 139 transgender women of color (TWOC) enrolled and received unlimited PHN sessions and an escalating CM rewards schedule for confirmed achievement of both behavioral (e.g., HIV care visits) and biomedical (e.g., viral load reductions and achieved/sustained viral suppression) HIV milestones. Results demonstrated that increased attendance to PHN sessions was associated with significant achievement of both behavioral (coef. range 0.12–0.38) and biomedical (coef. = 0.10) HIV milestones (all p ≤ 0.01); 85% were linked to HIV care, and 83% who enrolled detectable and achieved the minimum 1 log viral load reduction advanced to full viral suppression. The combined PHN and CM intervention successfully promoted advancement along the HIV Care Continuum, with particularly robust effects for behavioral HIV milestones.</description><identifier>ISSN: 1090-7165</identifier><identifier>ISSN: 1573-3254</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-019-02554-0</identifier><identifier>PMID: 31187355</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Antiretroviral drugs ; Biomedicine ; Contingency ; Continuity of Patient Care ; Ethnicity ; Female ; Health behavior ; Health Psychology ; Health services ; HIV ; HIV Infections - drug therapy ; Human immunodeficiency virus ; Humans ; Infectious Diseases ; Male ; Medicine ; Medicine & Public Health ; Minority & ethnic groups ; Minority Groups ; Original Paper ; Peers ; Public Health ; Racial Groups ; Schedules ; Transgender Persons ; Women ; Womens health</subject><ispartof>AIDS and behavior, 2021-07, Vol.25 (Suppl 1), p.40-51</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>AIDS and Behavior is a copyright of Springer, (2019). All Rights Reserved.</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c502t-8a471ce2b2d204ee567a9bf9bbc7ad509ab3baa117b15f5bcecd4e783a713b203</citedby><cites>FETCH-LOGICAL-c502t-8a471ce2b2d204ee567a9bf9bbc7ad509ab3baa117b15f5bcecd4e783a713b203</cites><orcidid>0000-0003-4375-7452</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-019-02554-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-019-02554-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,777,781,882,27325,27905,27906,33755,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31187355$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Reback, Cathy J.</creatorcontrib><creatorcontrib>Kisler, Kimberly A.</creatorcontrib><creatorcontrib>Fletcher, Jesse B.</creatorcontrib><title>A Novel Adaptation of Peer Health Navigation and Contingency Management for Advancement Along the HIV Care Continuum Among Transgender Women of Color</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>Transgender women, particularly racial/ethnic minority transgender women, evidence disproportionately high rates of untreated HIV infection and disproportionately low rates of HIV viral suppression.
The Alexis Project
was a combined peer health navigation (PHN) and contingency management (CM) intervention that targeted HIV milestones associated with advancement along the HIV care continuum. From February 2014 through August 2016, 139 transgender women of color (TWOC) enrolled and received unlimited PHN sessions and an escalating CM rewards schedule for confirmed achievement of both behavioral (e.g., HIV care visits) and biomedical (e.g., viral load reductions and achieved/sustained viral suppression) HIV milestones. Results demonstrated that increased attendance to PHN sessions was associated with significant achievement of both behavioral (coef. range 0.12–0.38) and biomedical (coef. = 0.10) HIV milestones (all p ≤ 0.01); 85% were linked to HIV care, and 83% who enrolled detectable and achieved the minimum 1 log viral load reduction advanced to full viral suppression. The combined PHN and CM intervention successfully promoted advancement along the HIV Care Continuum, with particularly robust effects for behavioral HIV milestones.</description><subject>Antiretroviral drugs</subject><subject>Biomedicine</subject><subject>Contingency</subject><subject>Continuity of Patient Care</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Health behavior</subject><subject>Health Psychology</subject><subject>Health services</subject><subject>HIV</subject><subject>HIV Infections - drug therapy</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Minority & ethnic groups</subject><subject>Minority Groups</subject><subject>Original Paper</subject><subject>Peers</subject><subject>Public Health</subject><subject>Racial Groups</subject><subject>Schedules</subject><subject>Transgender Persons</subject><subject>Women</subject><subject>Womens health</subject><issn>1090-7165</issn><issn>1573-3254</issn><issn>1573-3254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9ks1u1DAUhSMEoqXwAiyQJTZsAv6J43iDFEXQqVQKiwJL69pxZlIl9mAnI_VBeN86ZCg_i65s65z7XV_7ZNlLgt8SjMW7SHBRkhwTmWPKeZHjR9kp4YLljPLicdpjiXNBSn6SPYvxBmMsSyGfZieMkEowzk-znzW68gc7oLqF_QRT7x3yHfpibUAbC8O0Q1dw6LerAq5FjXdT77bWmVv0CRxs7WjdhDofEuMAzqznevBui6adRZuLb6iBYI-V8zyielzE6wAuJlCben33qWrp3PjBh-fZkw6GaF8c17Ps68cP180mv_x8ftHUl7nhmE55BYUgxlJNW4oLa3kpQOpOam0EtBxL0EwDECI04R3Xxpq2sKJiIAjTFLOz7P3K3c96tK1JFw8wqH3oRwi3ykOv_lVcv1Nbf1ClxAVnMgHeHAHB_5htnNTYR2OHAZz1c1Q0vXRZMF5Vyfr6P-uNn4NL4ynKmahKhrl80EVZRXlViIVFV5cJPsZgu_srE6yWbKg1GyplQ_3KhlqGffX3sPclv8OQDGw1xCSlHw5_ej-AvQPI68Yi</recordid><startdate>20210701</startdate><enddate>20210701</enddate><creator>Reback, Cathy J.</creator><creator>Kisler, Kimberly A.</creator><creator>Fletcher, Jesse B.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7T2</scope><scope>7U3</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AM</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGRYB</scope><scope>BHHNA</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HEHIP</scope><scope>K7.</scope><scope>K9.</scope><scope>KB0</scope><scope>M0O</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4375-7452</orcidid></search><sort><creationdate>20210701</creationdate><title>A Novel Adaptation of Peer Health Navigation and Contingency Management for Advancement Along the HIV Care Continuum Among Transgender Women of Color</title><author>Reback, Cathy J. ; Kisler, Kimberly A. ; Fletcher, Jesse B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c502t-8a471ce2b2d204ee567a9bf9bbc7ad509ab3baa117b15f5bcecd4e783a713b203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Antiretroviral drugs</topic><topic>Biomedicine</topic><topic>Contingency</topic><topic>Continuity of Patient Care</topic><topic>Ethnicity</topic><topic>Female</topic><topic>Health behavior</topic><topic>Health Psychology</topic><topic>Health services</topic><topic>HIV</topic><topic>HIV Infections - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>AIDS and behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reback, Cathy J.</au><au>Kisler, Kimberly A.</au><au>Fletcher, Jesse B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Novel Adaptation of Peer Health Navigation and Contingency Management for Advancement Along the HIV Care Continuum Among Transgender Women of Color</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2021-07-01</date><risdate>2021</risdate><volume>25</volume><issue>Suppl 1</issue><spage>40</spage><epage>51</epage><pages>40-51</pages><issn>1090-7165</issn><issn>1573-3254</issn><eissn>1573-3254</eissn><abstract>Transgender women, particularly racial/ethnic minority transgender women, evidence disproportionately high rates of untreated HIV infection and disproportionately low rates of HIV viral suppression.
The Alexis Project
was a combined peer health navigation (PHN) and contingency management (CM) intervention that targeted HIV milestones associated with advancement along the HIV care continuum. From February 2014 through August 2016, 139 transgender women of color (TWOC) enrolled and received unlimited PHN sessions and an escalating CM rewards schedule for confirmed achievement of both behavioral (e.g., HIV care visits) and biomedical (e.g., viral load reductions and achieved/sustained viral suppression) HIV milestones. Results demonstrated that increased attendance to PHN sessions was associated with significant achievement of both behavioral (coef. range 0.12–0.38) and biomedical (coef. = 0.10) HIV milestones (all p ≤ 0.01); 85% were linked to HIV care, and 83% who enrolled detectable and achieved the minimum 1 log viral load reduction advanced to full viral suppression. The combined PHN and CM intervention successfully promoted advancement along the HIV Care Continuum, with particularly robust effects for behavioral HIV milestones.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31187355</pmid><doi>10.1007/s10461-019-02554-0</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-4375-7452</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | AIDS and behavior, 2021-07, Vol.25 (Suppl 1), p.40-51 |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals; Sociological Abstracts |
| subjects | Antiretroviral drugs Biomedicine Contingency Continuity of Patient Care Ethnicity Female Health behavior Health Psychology Health services HIV HIV Infections - drug therapy Human immunodeficiency virus Humans Infectious Diseases Male Medicine Medicine & Public Health Minority & ethnic groups Minority Groups Original Paper Peers Public Health Racial Groups Schedules Transgender Persons Women Womens health |
| title | A Novel Adaptation of Peer Health Navigation and Contingency Management for Advancement Along the HIV Care Continuum Among Transgender Women of Color |
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