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Wellness-based HIV prevention counseling for young sexual/gender minorities of color in the United States

Pilot protocol and preliminary results

Bibliographic Data

ID19441830
AuthorsMarie C D Stoner (0000-0002-7189-8669, RTI International), Adam C Sukhija-Cohen (Sutter Health), Antón Castellanos-Usigli (ABS Consulting (United States)), Ariana Katz (0000-0001-5742-4953, RTI International), Ariana W K Katz (RTI International), Amparo Rodríguez Cestero (Family Health International 360), Yancy Granados (AIDS Healthcare Foundation), Antigone Robinson (AIDS Healthcare Foundation), Antigone Contessa Robinson, Allysha C Maragh-Bass (Johns Hopkins University Center for AIDS Research, corresponding author)
Year2026
Volume38
Issue3
Pages607-619
Publication date2026-03-04
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2025.2609899
PMID41524334
OpenAlexW7122738643
LanguageEN
Citations received1
References cited39

Providers often counsel young sexual/gender minority (YSGM) of color about HIV "risk" in ways that feel unrelatable and stigmatizing. Our study explored: (1) needs for sexual wellness-based HIV prevention among 18-29-year-old YSGM of color, (2) challenges and opportunities in using this counseling approach, and (3) preliminary feasibility and acceptability of a wellness-based counseling intervention. Aim 1 collected surveys and in-depth interviews with YSGM of color. Aim 2 recruited providers to understand their needs when counseling YSGM of color and implementing wellness-based approaches. Aim 3 piloted the intervention with providers and included exit surveys and focus groups to assess acceptability and feasibility; however, this aim was cut short due to funding cuts in early 2025. In Aim 1, 23 interviews and 70 surveys were completed, with 94.3% identifying as sexual minorities. Nearly two-thirds reported that consulting a health professional who uses a sex-positive approach for HIV prevention would increase their ability to effectively use pre-exposure prophylaxis (PrEP). In Aim 3, we trained 23 providers across three sites and conducted one site debrief. If feasibility and acceptability are demonstrated, this intervention is positioned for rapid dissemination to reduce HIV prevalence among a group that has historically benefitted less from PrEP

Confidentiality · Focus group · Human immunodeficiency virus (HIV) · Intervention (counseling) · Men who have sex with men · Program evaluation · Protocol (science) · Public health · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy

  • Counselling students’ readiness for HIV prevention

    Tuan Norbalkish Tuan Abdullah, Hon Kai Yee et al.•AIDS Care•2026

  • Attitudes and Program Preferences of African-American Urban Young Adults About Pre-Exposure Prophylaxis (PrEP)

    Dawn K Smith, Lauren Toledo et al.•AIDS Education•2012

  • Rapid versus traditional qualitative analysis using the Consolidated Framework for Implementation Research (CFIR)

    Open Access•Andrea Nevedal, Caitlin M Reardon et al.•Implementation Science•2021

  • Racial/Ethnic Disparities in HIV Preexposure Prophylaxis Among Men Who Have Sex with Men — 23 Urban Areas, 2017

    Open Access•Dafna Kanny, William L Jeffries et al.•MMWR. Surveillance Summaries•2019

  • Psychometric assessment of three newly developed implementation outcome measures

    Open Access•Bryan J Weiner, Cara C Lewis et al.•Implementation Science•2017

  • Stakeholder perspectives on interventions to improve HIV pre-exposure prophylaxis uptake and continuation in Lesotho

    Open Access•Joy J Chebet, Shannon A Mcmahon et al.•PLOS Global Public Health•2023

  • Knowledge and attitudes about HIV pre-exposure prophylaxis

    Open Access•Pascal Geldsetzer, Joy J Chebet et al.•PLOS Global Public Health•2022

  • How qualitative methods contribute to intervention adaptation

    Open Access•Rochelle K Rosen, Caroline Kuo et al.•Qualitative Psychology•2018

  • Three limited interaction approaches to understanding the epidemiology of HIV among YMSM in the US

    Open Access•Rebecca Schnall, Dustin T Duncan et al.•BMC Public Health•2024

  • Developing an mHealth program to improve HIV care continuum outcomes among young Black gay and bisexual men

    Open Access•Aaron Plant, Paul Sparks et al.•BMC Public Health•2024

  • A community-based healthcare package combining testing and prevention tools, including pre-exposure prophylaxis (PrEP), immediate HIV treatment, management of hepatitis B virus, and sexual and reproductive health (SRH), targeting female sex workers (FSWs) in Côte d’Ivoire

    Open Access•Valentine Becquet, Marcellin Nouaman et al.•BMC Public Health•2021

  • Using Participatory Methods to Assess PrEP Interest and Uptake Among Young People Living in the Southeastern US

    Open Access•Marie C D Stoner, Nivedita L Bhushan et al.•AIDS and Behavior•2021

  • Acceptability, Feasibility, and Preliminary Impact of 4 Remotely-Delivered Interventions for Rural Older Adults Living with HIV

    Open Access•Jennifer L Walsh, K G Quinn et al.•AIDS and Behavior•2024

  • A Pilot Study to Evaluate a Novel Pre-exposure Prophylaxis Peer Outreach and Navigation Intervention for Women at High Risk for HIV Infection

    Open Access•Oni J Blackstock, Joey Platt et al.•AIDS and Behavior•2020

  • Applying Core Quality Criteria of Mixed Methods Research to an Empirical Study

    Open Access•Mariko Hirose, John W Creswell•Journal of Mixed Methods Research•2022

  • The pursuit of quality in grounded theory

    Open Access•Kathy Charmaz, Robert Thornberg•Qualitative Research in Psychology•2020

  • Feasibility, Acceptability, and Initial Efficacy of an Online Sexual Health Promotion Program for LGBT Youth

    Brian Mustanski, George J Greene et al.•The Journal of Sex Research•2014

Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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