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

  • Rob StephensonEmail author
  • Kieran Todd
  • Erin Kahle
  • Stephen P. Sullivan
  • Michael Miller-Perusse
  • Akshay Sharma
  • Keith J. Horvath
Original Paper

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.

Keywords

Transgender Home testing Telehealth Stigma 

Notes

Funding

Eunice Kennedy Shriver National Institute of Child Health & Human Development of the National Institutes of Health (Grant No. R01HD078131).

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.The Center for Sexuality and Health Disparities, University of MichiganAnn ArborUSA
  2. 2.Department of Systems, Population and Leadership, School of NursingUniversity of MichiganAnn ArborUSA
  3. 3.Department of Health Behavior and Biological Sciences, School of NursingUniversity of MichiganAnn ArborUSA
  4. 4.Department of PsychologySan Diego State UniversitySan DiegoUSA

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