Skip to main content
Top
Published in: AIDS and Behavior 5/2020

01-05-2020 | Human Immunodeficiency Virus | Original Paper

Project Moxie: Results of a Feasibility Study of a Telehealth Intervention to Increase HIV Testing Among Binary and Nonbinary Transgender Youth

Authors: Rob Stephenson, Kieran Todd, Erin Kahle, Stephen P. Sullivan, Michael Miller-Perusse, Akshay Sharma, Keith J. Horvath

Published in: AIDS and Behavior | Issue 5/2020

Login to get access

Abstract

Transgender youth have low rates of engagement in HIV prevention, shaped in part by experiences of transphobia and lack of access to culturally competent care. Project Moxie tested the feasibility of an intervention that provides home-based HIV self-testing coupled with video-chat counseling. A diverse sample of 202 binary and nonbinary transgender youth (TY) were recruited online, and randomized 2:1 to receive the intervention or a control condition of only home-based HIV self-testing. TY were willing to order HIV self-testing kits and report their results. Half of those in the intervention arm opted to use the video-chat counseling and, among those who did, levels of satisfaction were high. Project Moxie demonstrates the ability to recruit TY online and provide them with access to home HIV testing. Further work is required to develop online interventions for youth who do not wish to receive counseling through video-chat formats.
Literature
2.
go back to reference Horvath KJ, Iantaffi A, Swinburne-Romine R, Bockting W. A comparison of mental health, substance use, and sexual risk behaviors between rural and non-rural transgender persons. J Homosex. 2014;61(8):1117–30.PubMedPubMedCentral Horvath KJ, Iantaffi A, Swinburne-Romine R, Bockting W. A comparison of mental health, substance use, and sexual risk behaviors between rural and non-rural transgender persons. J Homosex. 2014;61(8):1117–30.PubMedPubMedCentral
3.
go back to reference Io Medicine. The health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding. Washington, DC: The National Academic Press; 2011. Io Medicine. The health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding. Washington, DC: The National Academic Press; 2011.
4.
go back to reference Nemoto T, Bödeker B, Iwamoto M, Sakata M. Practices of receptive and insertive anal sex among transgender women in relation to partner types, sociocultural factors, and background variables. AIDS Care. 2014;26(4):434–40.PubMed Nemoto T, Bödeker B, Iwamoto M, Sakata M. Practices of receptive and insertive anal sex among transgender women in relation to partner types, sociocultural factors, and background variables. AIDS Care. 2014;26(4):434–40.PubMed
5.
go back to reference Nemoto T, Cruz TM, Iwamoto M, Sakata M. A tale of two cities: access to care and services among african-american transgender women in Oakland and San Francisco. LGBT Health. 2015;2(3):235–42.PubMedPubMedCentral Nemoto T, Cruz TM, Iwamoto M, Sakata M. A tale of two cities: access to care and services among african-american transgender women in Oakland and San Francisco. LGBT Health. 2015;2(3):235–42.PubMedPubMedCentral
6.
go back to reference Reisner SL, Vetters R, White JM, Cohen EL, LeClerc M, Zaslow S, et al. Laboratory-confirmed HIV and sexually transmitted infection seropositivity and risk behavior among sexually active transgender patients at an adolescent and young adult urban community health center. AIDS Care. 2015;27(8):1031–6.PubMedPubMedCentral Reisner SL, Vetters R, White JM, Cohen EL, LeClerc M, Zaslow S, et al. Laboratory-confirmed HIV and sexually transmitted infection seropositivity and risk behavior among sexually active transgender patients at an adolescent and young adult urban community health center. AIDS Care. 2015;27(8):1031–6.PubMedPubMedCentral
7.
go back to reference Green N, Hoenigl M, Morris S, Little SJ. Risk behavior and sexually transmitted infections among transgender women and men undergoing community-based screening for acute and early hiv infection in San Diego. Medicine (Baltimore). 2015;94(41):e1830. Green N, Hoenigl M, Morris S, Little SJ. Risk behavior and sexually transmitted infections among transgender women and men undergoing community-based screening for acute and early hiv infection in San Diego. Medicine (Baltimore). 2015;94(41):e1830.
8.
go back to reference Shields JP, Cohen R, Glassman JR, Whitaker K, Franks H, Bertolini I. Estimating population size and demographic characteristics of lesbian, gay, bisexual, and transgender youth in middle school. J Adolesc Health. 2013;52(2):248–50.PubMed Shields JP, Cohen R, Glassman JR, Whitaker K, Franks H, Bertolini I. Estimating population size and demographic characteristics of lesbian, gay, bisexual, and transgender youth in middle school. J Adolesc Health. 2013;52(2):248–50.PubMed
9.
go back to reference Reisner SL, Jadwin-Cakmak L, WhiteHughto JM, Martinez M, Salomon L, Harper GW. Characterizing the HIV prevention and care continua in a sample of transgender youth in the U.S. AIDS and Behav. 2017;21(12):3312–27. Reisner SL, Jadwin-Cakmak L, WhiteHughto JM, Martinez M, Salomon L, Harper GW. Characterizing the HIV prevention and care continua in a sample of transgender youth in the U.S. AIDS and Behav. 2017;21(12):3312–27.
10.
go back to reference Kuhns LM, Reisner SL, Mimiaga MJ, Gayles T, Shelendich M, Garofalo R. Correlates of PrEP indication in a multi-site cohort of young HIV-uninfected transgender women. AIDS Behav. 2016;20(7):1470–7.PubMedPubMedCentral Kuhns LM, Reisner SL, Mimiaga MJ, Gayles T, Shelendich M, Garofalo R. Correlates of PrEP indication in a multi-site cohort of young HIV-uninfected transgender women. AIDS Behav. 2016;20(7):1470–7.PubMedPubMedCentral
11.
go back to reference Bockting WO, Miner MH, Swinburne Romine RE, Hamilton A, Coleman E. Stigma, mental health, and resilience in an online sample of the US transgender population. Am J Public Health. 2013;103(5):943–51.PubMedPubMedCentral Bockting WO, Miner MH, Swinburne Romine RE, Hamilton A, Coleman E. Stigma, mental health, and resilience in an online sample of the US transgender population. Am J Public Health. 2013;103(5):943–51.PubMedPubMedCentral
12.
go back to reference Brennan J, Kuhns LM, Johnson AK, Belzer M, Wilson EC, Garofalo R, et al. Syndemic theory and HIV-related risk among young transgender women: the role of multiple, co-occurring health problems and social marginalization. Am J Public Health. 2012;102(9):1751–7.PubMedPubMedCentral Brennan J, Kuhns LM, Johnson AK, Belzer M, Wilson EC, Garofalo R, et al. Syndemic theory and HIV-related risk among young transgender women: the role of multiple, co-occurring health problems and social marginalization. Am J Public Health. 2012;102(9):1751–7.PubMedPubMedCentral
13.
go back to reference Herek GM. Sexual stigma and sexual prejudice in the United States: a conceptual framework. Nebr Symp Motiv. 2009;54:65–111.PubMed Herek GM. Sexual stigma and sexual prejudice in the United States: a conceptual framework. Nebr Symp Motiv. 2009;54:65–111.PubMed
14.
go back to reference James S, Herman J, Rankin S, Keisling M, Mottet L, Anafi M. The Report of the 2015 US Transgender Survey, viewed 30 January 2018. 2016. James S, Herman J, Rankin S, Keisling M, Mottet L, Anafi M. The Report of the 2015 US Transgender Survey, viewed 30 January 2018. 2016.
15.
go back to reference Fredriksen-Goldsen KI, Cook-Daniels L, Kim HJ, Erosheva EA, Emlet CA, Hoy-Ellis CP, et al. Physical and mental health of transgender older adults: an at-risk and underserved population. Gerontologist. 2014;54(3):488–500.PubMed Fredriksen-Goldsen KI, Cook-Daniels L, Kim HJ, Erosheva EA, Emlet CA, Hoy-Ellis CP, et al. Physical and mental health of transgender older adults: an at-risk and underserved population. Gerontologist. 2014;54(3):488–500.PubMed
16.
go back to reference Ramirez-Valles J, Kuhns LM, Campbell RT, Diaz RM. Social integration and health: community involvement, stigmatized identities, and sexual risk in Latino sexual minorities. J Health Soc Behav. 2010;51(1):30–47.PubMedPubMedCentral Ramirez-Valles J, Kuhns LM, Campbell RT, Diaz RM. Social integration and health: community involvement, stigmatized identities, and sexual risk in Latino sexual minorities. J Health Soc Behav. 2010;51(1):30–47.PubMedPubMedCentral
17.
go back to reference Garofalo R, Deleon J, Osmer E, Doll M, Harper GW. Overlooked, misunderstood and at-risk: exploring the lives and HIV risk of ethnic minority male-to-female transgender youth. J Adolesc Health. 2006;38(3):230–6.PubMed Garofalo R, Deleon J, Osmer E, Doll M, Harper GW. Overlooked, misunderstood and at-risk: exploring the lives and HIV risk of ethnic minority male-to-female transgender youth. J Adolesc Health. 2006;38(3):230–6.PubMed
18.
go back to reference Edmiston EK, Donald CA, Sattler AR, Peebles JK, Ehrenfeld JM, Eckstrand KL. Opportunities and gaps in primary care preventative health services for transgender patients: a Systemic review. Transgend Health. 2016;1(1):216–30.PubMedPubMedCentral Edmiston EK, Donald CA, Sattler AR, Peebles JK, Ehrenfeld JM, Eckstrand KL. Opportunities and gaps in primary care preventative health services for transgender patients: a Systemic review. Transgend Health. 2016;1(1):216–30.PubMedPubMedCentral
19.
go back to reference Connolly MD, Zervos MJ, Barone CJ 2nd, Johnson CC, Joseph CL. The mental health of transgender youth: advances in understanding. J Adolesc Health. 2016;59(5):489–95.PubMed Connolly MD, Zervos MJ, Barone CJ 2nd, Johnson CC, Joseph CL. The mental health of transgender youth: advances in understanding. J Adolesc Health. 2016;59(5):489–95.PubMed
20.
go back to reference Reisner SL, Vetters R, Leclerc M, Zaslow S, Wolfrum S, Shumer D, et al. Mental health of transgender youth in care at an adolescent urban community health center: a matched retrospective cohort study. J Adolesc Health. 2015;56(3):274–9.PubMedPubMedCentral Reisner SL, Vetters R, Leclerc M, Zaslow S, Wolfrum S, Shumer D, et al. Mental health of transgender youth in care at an adolescent urban community health center: a matched retrospective cohort study. J Adolesc Health. 2015;56(3):274–9.PubMedPubMedCentral
21.
go back to reference Bockting WO. Transgender identity and HIV: resilience in the face of stigma. Focus. 2008;23(2):1–4.PubMed Bockting WO. Transgender identity and HIV: resilience in the face of stigma. Focus. 2008;23(2):1–4.PubMed
22.
go back to reference Sevelius JM. Gender affirmation: a framework for conceptualizing risk behavior among transgender women of color. Sex Roles. 2013;68(11–12):675–89.PubMed Sevelius JM. Gender affirmation: a framework for conceptualizing risk behavior among transgender women of color. Sex Roles. 2013;68(11–12):675–89.PubMed
23.
go back to reference MacCarthy S, Reisner SL, Nunn A, Perez-Brumer A, Operario D. The time is now: attention increases to transgender health in the united states but scientific knowledge gaps remain. LGBT Health. 2015;2(4):287–91.PubMedPubMedCentral MacCarthy S, Reisner SL, Nunn A, Perez-Brumer A, Operario D. The time is now: attention increases to transgender health in the united states but scientific knowledge gaps remain. LGBT Health. 2015;2(4):287–91.PubMedPubMedCentral
24.
go back to reference Doorduin T, van Berlo W. Trans people’s experience of sexuality in the Netherlands: a pilot study. J Homosex. 2014;61(5):654–72.PubMed Doorduin T, van Berlo W. Trans people’s experience of sexuality in the Netherlands: a pilot study. J Homosex. 2014;61(5):654–72.PubMed
25.
go back to reference Scheer S, Kellogg T, Klausner J, Schwarcz S, Colfax G, Bernstein K, et al. HIV is hyperendemic among men who have sex with men in San Francisco: 10-year trends in HIV incidence, HIV prevalence, sexually transmitted infections and sexual risk behaviour. Sex Transm Infect. 2008;84(6):493–8.PubMed Scheer S, Kellogg T, Klausner J, Schwarcz S, Colfax G, Bernstein K, et al. HIV is hyperendemic among men who have sex with men in San Francisco: 10-year trends in HIV incidence, HIV prevalence, sexually transmitted infections and sexual risk behaviour. Sex Transm Infect. 2008;84(6):493–8.PubMed
26.
go back to reference Kenagy GP, Hsieh C-M. The risk less known: Female-to-male transgender persons’ vulnerability to HIV infection. AIDS Care. 2005;17(2):195–207.PubMed Kenagy GP, Hsieh C-M. The risk less known: Female-to-male transgender persons’ vulnerability to HIV infection. AIDS Care. 2005;17(2):195–207.PubMed
27.
go back to reference Herbst JH, Jacobs ED, Finlayson TJ, McKleroy VS, Neumann MS, Crepaz N, et al. Estimating HIV prevalence and risk behaviors of transgender persons in the United States: a systematic review. AIDS Behav. 2008;12(1):1–17.PubMed Herbst JH, Jacobs ED, Finlayson TJ, McKleroy VS, Neumann MS, Crepaz N, et al. Estimating HIV prevalence and risk behaviors of transgender persons in the United States: a systematic review. AIDS Behav. 2008;12(1):1–17.PubMed
28.
go back to reference Poteat T, Scheim A, Xavier J, Reisner S, Baral S. Global epidemiology of HIV infection and related syndemics affecting transgender people. JAIDS. 2016;72(Suppl 3):S210.PubMed Poteat T, Scheim A, Xavier J, Reisner S, Baral S. Global epidemiology of HIV infection and related syndemics affecting transgender people. JAIDS. 2016;72(Suppl 3):S210.PubMed
29.
go back to reference Harrison J, Grant J, Herman JL. A gender not listed here: Genderqueers, gender rebels, and otherwise in the National Transgender Discrimination Survey. 2012. Harrison J, Grant J, Herman JL. A gender not listed here: Genderqueers, gender rebels, and otherwise in the National Transgender Discrimination Survey. 2012.
30.
go back to reference Operario D, Gamarel KE, Iwamoto M, Suzuki S, Suico S, Darbes L, et al. Couples-focused prevention program to reduce HIV risk among transgender women and their primary male partners: feasibility and promise of the couples HIV intervention program. AIDS Behav. 2017;21(8):2452–63.PubMedPubMedCentral Operario D, Gamarel KE, Iwamoto M, Suzuki S, Suico S, Darbes L, et al. Couples-focused prevention program to reduce HIV risk among transgender women and their primary male partners: feasibility and promise of the couples HIV intervention program. AIDS Behav. 2017;21(8):2452–63.PubMedPubMedCentral
31.
go back to reference Alemagno SA, Stephens RC, Stephens P, Shaffer-King P, White P. Brief motivational intervention to reduce HIV risk and to increase HIV testing among offenders under community supervision. J Correct Health Care. 2009;15(3):210–21.PubMed Alemagno SA, Stephens RC, Stephens P, Shaffer-King P, White P. Brief motivational intervention to reduce HIV risk and to increase HIV testing among offenders under community supervision. J Correct Health Care. 2009;15(3):210–21.PubMed
32.
go back to reference Outlaw AY, Naar-King S, Parsons JT, Green-Jones M, Janisse H, Secord E. Using motivational interviewing in HIV field outreach with young African American men who have sex with men: a randomized clinical trial. Am J Public Health. 2010;100(S1):S146–51.PubMedPubMedCentral Outlaw AY, Naar-King S, Parsons JT, Green-Jones M, Janisse H, Secord E. Using motivational interviewing in HIV field outreach with young African American men who have sex with men: a randomized clinical trial. Am J Public Health. 2010;100(S1):S146–51.PubMedPubMedCentral
34.
go back to reference Brown CH, Mohr DC, Gallo CG, Mader C, Palinkas L, Wingood G, et al. A computational future for preventing HIV in minority communities: How advanced technology can improve implementation of effective programs. J Acquir Immune Defic Syndrom. 2013;63(0 1):S72. Brown CH, Mohr DC, Gallo CG, Mader C, Palinkas L, Wingood G, et al. A computational future for preventing HIV in minority communities: How advanced technology can improve implementation of effective programs. J Acquir Immune Defic Syndrom. 2013;63(0 1):S72.
35.
go back to reference Simoni JM, Kutner BA, Horvath KJ. Opportunities and challenges of digital technology for HIV treatment and prevention. Curr HIV/AIDS Rep. 2015;12(4):437–40.PubMedPubMedCentral Simoni JM, Kutner BA, Horvath KJ. Opportunities and challenges of digital technology for HIV treatment and prevention. Curr HIV/AIDS Rep. 2015;12(4):437–40.PubMedPubMedCentral
36.
go back to reference Mitchell KJ, Ybarra ML, Korchmaros JD, Kosciw JG. Accessing sexual health information online: use, motivations and consequences for youth with different sexual orientations. Health Educ Res. 2013;29(1):147–57.PubMedPubMedCentral Mitchell KJ, Ybarra ML, Korchmaros JD, Kosciw JG. Accessing sexual health information online: use, motivations and consequences for youth with different sexual orientations. Health Educ Res. 2013;29(1):147–57.PubMedPubMedCentral
37.
go back to reference Ybarra ML, Liu W, Prescott TL, Phillips G, Mustanski B. The effect of a text messaging based hiv prevention program on sexual minority male youths: A national evaluation of information, motivation and behavioral skills in a randomized controlled trial of guy2guy. AIDS and Behav. 2018;22(10):3335–44. Ybarra ML, Liu W, Prescott TL, Phillips G, Mustanski B. The effect of a text messaging based hiv prevention program on sexual minority male youths: A national evaluation of information, motivation and behavioral skills in a randomized controlled trial of guy2guy. AIDS and Behav. 2018;22(10):3335–44.
38.
go back to reference Koblin B, Hirshfield S, Chiasson MA, Wilton L, Usher D, Nandi V, et al. Intervention to match young black men and transwomen who have sex with men or transwomen to HIV testing options (all about me): protocol for a randomized controlled trial. JMIR Res Protoc. 2017;6(12):e254.PubMedPubMedCentral Koblin B, Hirshfield S, Chiasson MA, Wilton L, Usher D, Nandi V, et al. Intervention to match young black men and transwomen who have sex with men or transwomen to HIV testing options (all about me): protocol for a randomized controlled trial. JMIR Res Protoc. 2017;6(12):e254.PubMedPubMedCentral
39.
go back to reference Patel VV, Masyukova M, Sutton D, Horvath KJ. Social media use and HIV-related risk behaviors in young Black and Latino gay and bi men and transgender individuals in New York City: implications for online interventions. J Urban Health. 2016;93(2):388–99.PubMedPubMedCentral Patel VV, Masyukova M, Sutton D, Horvath KJ. Social media use and HIV-related risk behaviors in young Black and Latino gay and bi men and transgender individuals in New York City: implications for online interventions. J Urban Health. 2016;93(2):388–99.PubMedPubMedCentral
40.
go back to reference Stephenson R, Metheny N, Sharma A, Sullivan S, Riley E. Providing home-based HIV testing and counseling for transgender youth (project moxie): protocol for a pilot randomized controlled trial. JMIR Res Protoc. 2017;6(11):e237.PubMedPubMedCentral Stephenson R, Metheny N, Sharma A, Sullivan S, Riley E. Providing home-based HIV testing and counseling for transgender youth (project moxie): protocol for a pilot randomized controlled trial. JMIR Res Protoc. 2017;6(11):e237.PubMedPubMedCentral
42.
go back to reference Lenth RV. Some practical guidelines for effective sample size determination. Am Stat. 2001;55(3):187–93. Lenth RV. Some practical guidelines for effective sample size determination. Am Stat. 2001;55(3):187–93.
45.
go back to reference VSee. VSee: Video Telemedicine that Works. 2017. VSee. VSee: Video Telemedicine that Works. 2017.
46.
go back to reference Association GaLM. Ten things transgender persons should discuss with their healthcare provider 2017. Association GaLM. Ten things transgender persons should discuss with their healthcare provider 2017.
47.
go back to reference Bazzi AR, Fergus KB, Stephenson R, Finneran CA, Coffey-Esquivel J, Hidalgo MA, et al. A dyadic behavioral intervention to optimize same sex male couples’ engagement across the HIV care continuum: development of and protocol for an innovative couples-based approach (partner steps). JMIR Res Protoc. 2016;5(3):e168.PubMedPubMedCentral Bazzi AR, Fergus KB, Stephenson R, Finneran CA, Coffey-Esquivel J, Hidalgo MA, et al. A dyadic behavioral intervention to optimize same sex male couples’ engagement across the HIV care continuum: development of and protocol for an innovative couples-based approach (partner steps). JMIR Res Protoc. 2016;5(3):e168.PubMedPubMedCentral
48.
go back to reference Branson BM, Handsfield HH, Lampe MA, Janssen RS, Taylor AW, Lyss SB, et al. Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. Morb Mortal Wkly Rep. 2006;55(14):1. Branson BM, Handsfield HH, Lampe MA, Janssen RS, Taylor AW, Lyss SB, et al. Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. Morb Mortal Wkly Rep. 2006;55(14):1.
49.
go back to reference Testa RJ, Habarth J, Peta J, Balsam K, Bockting W. Development of the gender minority stress and resilience measure. Psychol Sex Orient Gender Divers. 2015;2(1):65. Testa RJ, Habarth J, Peta J, Balsam K, Bockting W. Development of the gender minority stress and resilience measure. Psychol Sex Orient Gender Divers. 2015;2(1):65.
50.
go back to reference Grant JM, Mottet L, Tanis JE, Harrison J, Herman J, Keisling M. Injustice at every turn: A report of the national transgender discrimination survey: National Center for Transgender Equality; 2011. Grant JM, Mottet L, Tanis JE, Harrison J, Herman J, Keisling M. Injustice at every turn: A report of the national transgender discrimination survey: National Center for Transgender Equality; 2011.
51.
go back to reference Lim JR, Sullivan PS, Salazar L, Spaulding AC, Dinenno EA. History of arrest and associated factors among men who have sex with men. J Urban Health. 2011;88(4):677–89.PubMedPubMedCentral Lim JR, Sullivan PS, Salazar L, Spaulding AC, Dinenno EA. History of arrest and associated factors among men who have sex with men. J Urban Health. 2011;88(4):677–89.PubMedPubMedCentral
52.
go back to reference Sullivan PS, Peterson J, Rosenberg ES, Kelley CF, Cooper H, Vaughan A, et al. Understanding racial HIV/STI disparities in black and white men who have sex with men: a multilevel approach. PLoS ONE. 2014;9(3):e90514.PubMedPubMedCentral Sullivan PS, Peterson J, Rosenberg ES, Kelley CF, Cooper H, Vaughan A, et al. Understanding racial HIV/STI disparities in black and white men who have sex with men: a multilevel approach. PLoS ONE. 2014;9(3):e90514.PubMedPubMedCentral
53.
go back to reference Spicer CM, Ford MA. Monitoring HIV care in the United States: indicators and data systems. Washington, DC: National Academies Press; 2012. Spicer CM, Ford MA. Monitoring HIV care in the United States: indicators and data systems. Washington, DC: National Academies Press; 2012.
54.
go back to reference Gardner LI, Marks G, Craw J, Metsch L, Strathdee S, Anderson-Mahoney P, et al. Demographic, psychological, and behavioral modifiers of the Antiretroviral Treatment Access Study (ARTAS) intervention. AIDS Patient Care STDS. 2009;23(9):735–42.PubMed Gardner LI, Marks G, Craw J, Metsch L, Strathdee S, Anderson-Mahoney P, et al. Demographic, psychological, and behavioral modifiers of the Antiretroviral Treatment Access Study (ARTAS) intervention. AIDS Patient Care STDS. 2009;23(9):735–42.PubMed
55.
go back to reference Rebchook G, Keatley J, Contreras R, Perloff J, Molano LF, Reback CJ, et al. The transgender women of color initiative: implementing and evaluating innovative interventions to enhance engagement and retention in HIV care. Am J Public Health. 2017;107(2):224–9.PubMedPubMedCentral Rebchook G, Keatley J, Contreras R, Perloff J, Molano LF, Reback CJ, et al. The transgender women of color initiative: implementing and evaluating innovative interventions to enhance engagement and retention in HIV care. Am J Public Health. 2017;107(2):224–9.PubMedPubMedCentral
56.
go back to reference Cunningham WE, Weiss RE, Nakazono T, Malek MA, Shoptaw SJ, Ettner SL, et al. Effectiveness of a peer navigation intervention to sustain viral suppression among HIV-positive men and transgender women released from jail: the LINK LA randomized clinical trial. JAMA Intern Med. 2018;178(4):542–53.PubMedPubMedCentral Cunningham WE, Weiss RE, Nakazono T, Malek MA, Shoptaw SJ, Ettner SL, et al. Effectiveness of a peer navigation intervention to sustain viral suppression among HIV-positive men and transgender women released from jail: the LINK LA randomized clinical trial. JAMA Intern Med. 2018;178(4):542–53.PubMedPubMedCentral
57.
go back to reference Grinsztejn B, Hoagland B, Moreira RI, Kallas EG, Madruga JV, Goulart S, et al. Retention, engagement, and adherence to pre-exposure prophylaxis for men who have sex with men and transgender women in PrEP Brasil: 48 week results of a demonstration study. Lancet HIV. 2018;5(3):e136–45.PubMed Grinsztejn B, Hoagland B, Moreira RI, Kallas EG, Madruga JV, Goulart S, et al. Retention, engagement, and adherence to pre-exposure prophylaxis for men who have sex with men and transgender women in PrEP Brasil: 48 week results of a demonstration study. Lancet HIV. 2018;5(3):e136–45.PubMed
58.
go back to reference Kuhns LM, Mimiaga MJ, Reisner SL, Biello K, Garofalo R. Project LifeSkills—a randomized controlled efficacy trial of a culturally tailored, empowerment-based, and group-delivered HIV prevention intervention for young transgender women: study protocol. BMC Public Health. 2017;17(1):713.PubMedPubMedCentral Kuhns LM, Mimiaga MJ, Reisner SL, Biello K, Garofalo R. Project LifeSkills—a randomized controlled efficacy trial of a culturally tailored, empowerment-based, and group-delivered HIV prevention intervention for young transgender women: study protocol. BMC Public Health. 2017;17(1):713.PubMedPubMedCentral
59.
go back to reference McGowan I, Cranston RD, Mayer KH, Febo I, Duffill K, Siegel A, et al. Project gel a randomized rectal microbicide safety and acceptability study in young men and transgender women. PLoS ONE. 2016;11(6):e0158310.PubMedPubMedCentral McGowan I, Cranston RD, Mayer KH, Febo I, Duffill K, Siegel A, et al. Project gel a randomized rectal microbicide safety and acceptability study in young men and transgender women. PLoS ONE. 2016;11(6):e0158310.PubMedPubMedCentral
60.
go back to reference Bauermeister JA, Pingel E, Zimmerman M, Couper M, Carballo-Dieguez A, Strecher VJ. Data quality in HIV/AIDS web-based surveys: handling invalid and suspicious data. Field methods. 2012;24(3):272–91.PubMedPubMedCentral Bauermeister JA, Pingel E, Zimmerman M, Couper M, Carballo-Dieguez A, Strecher VJ. Data quality in HIV/AIDS web-based surveys: handling invalid and suspicious data. Field methods. 2012;24(3):272–91.PubMedPubMedCentral
Metadata
Title
Project Moxie: Results of a Feasibility Study of a Telehealth Intervention to Increase HIV Testing Among Binary and Nonbinary Transgender Youth
Authors
Rob Stephenson
Kieran Todd
Erin Kahle
Stephen P. Sullivan
Michael Miller-Perusse
Akshay Sharma
Keith J. Horvath
Publication date
01-05-2020
Publisher
Springer US
Published in
AIDS and Behavior / Issue 5/2020
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-019-02741-z

Other articles of this Issue 5/2020

AIDS and Behavior 5/2020 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.