About this trial
The overall hypothesis is that stabilizing transgender women financially while providing them tailored counselling will increase their odds of them linking to substance use services, PrEP services if they do not have HIV, and transgender women who are living with HIV will be more adherent to their ART treatment.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged ≥18 years
Male at birth
Identify as a woman/transgender woman
Should not be consistently using PrEP (less than four doses per week)
Disqualifiers
Unwilling to adhere to study procedures
Participation in an HIV vaccine trial
Have a life-threatening SUD*
Any condition, that in the opinion of the study staff, would make participation in the study unsafe, or interfere with achieving the study objective such as medical conditions which prevents the use of PrEP
Trial design
Parallel
Treatments tested in this trial
Baseline
Other interventionAt the baseline visits, all study participants will be complete an interviewer-assisted questionnaire using REDCap, and will also receive the SBIRT-T MI-based intervention. Participants randomized to the ENTRUST intervention group will also be assigned to a cohort for strength sessions, and they will be provided with a schedule of strength session visits
ENTRUST
Other interventionParticipants randomized to the ENTRUST intervention group will also be assigned to a cohort for economic strength sessions, group-based economic training through photovoice activities and adapted screening brief intervention and treatment (SBIRT-T) adapted for transgender women delivered by a facilitator or digitally.
Control
Other interventionparticipants assigned to the control arm will have the option of participating in the four additional strength sessions.
Treatment groups
Trial outcomes
Primary outcomes
Number of participants with substance abuse
The rate of change of substance abuse incidence for both arms
Secondary outcomes
Rate of substance use in transgender women
The rate of stabilizing transgender women financially while providing them tailored counselling to increase their odds of them linking to substance use services, pre-exposure prophylaxis (PrEP) services if they do not have HIV, and transgender women who are living with HIV to be more adherent to their antiretroviral therapy (ART) treatment.
Sponsors and contacts
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University of Central Florida
Lead sponsor
Sunserve
Collaborator
Survivor's Pathway
Collaborator
26Health
Collaborator
National Institute of Drug Abuse
Collaborator