@article{Yu2024,

title = {The Relationship Between a Hospital's Magnet Status and LGBTQ+ Inclusivity in Policies and Practices in US Hospitals},

author = {Hyunmin Yu and Stephen Bonett and Dalmacio Dennis Flores and Steven Meanley and Seul Ki Choi and Tari Hanneman and José A. Bauermeister},

doi = {10.1002/nur.22422},

issn = {1098-240X},

year  = {2025},

date = {2025-02-00},

journal = {Research in Nursing & Health},

volume = {48},

number = {1},

pages = {30--40},

publisher = {Wiley},

abstract = {ABSTRACTLGBTQ+ individuals face discrimination in healthcare settings. Magnet hospitals have been associated with positive patient outcomes, yet it remains uncertain whether Magnet designation is associated with hospitals' LGBTQ+ inclusivity in policies and practices. This study examined 801 American hospitals across 47 states that participated in the Healthcare Equality Index (HEI) in 2021. Multilevel modeling was utilized to investigate the association between Magnet status and HEI scores, adjusting for hospital type and state‐level covariates, including LGBTQ+ inclusiveness in laws, political climate, racial/ethnic minority population, and Medicaid expansion status. Among the 801 hospitals, 32.1% (257 hospitals) held Magnet status. Magnet hospitals demonstrated higher HEI scores compared to non‐Magnet hospitals (γ = 2.13, p = 0.022), despite significant variations across states (intraclass correlation = 0.22). No significant cross‐level interactions were found. Overall, Magnet designation is independently associated with improved LGBTQ+ inclusivity in hospitals regardless of the state in which the hospital is located. Policymakers and healthcare leaders should consider leveraging the Magnet Recognition Program as a benchmark for promoting LGBTQ+ inclusivity within hospitals. Additionally, all healthcare institutions should prioritize comprehensive evaluations and improvements to their policies and practices to ensure inclusivity for LGBTQ+ patients.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Tran2025,

title = {Experiences of Peer Mentoring Sexual and Gender Minority Emerging Adults Who Are at Risk for Suicide: Mixed Methods Study},

author = {Jennifer T. Tran and Jessica Webster and James R. Wolfe and Jennifer Ben Nathan and Lindiwe Mayinja and Marin Kautz and Maria A. Oquendo and Gregory K. Brown and David Mandell and Danielle Mowery and José A. Bauermeister and Lily A. Brown},

doi = {10.2196/67814},

issn = {2561-326X},

year  = {2025},

date = {2025-01-29},

urldate = {2025-01-29},

journal = {JMIR Form Res},

volume = {9},

publisher = {JMIR Publications Inc.},

abstract = {<jats:sec>

            <jats:title>Background</jats:title>

            <jats:p>Sexual and Gender Diverse Youth (SGDY) are at increased risk for suicide due to unique experiences including discrimination, family or friend rejection, and low positive affect. Peer mentors (PMs) may offer a unique opportunity for intervention but are underutilized for suicide prevention among SGDY.</jats:p>

          </jats:sec>

          <jats:sec>

            <jats:title>Objective</jats:title>

            <jats:p>Little is known about the training needed for PMs when working with SGDY at risk for suicide. We developed an intervention, Supporting Transitions to Adulthood and Reducing Suicide (STARS), to improve suicide prevention among SGDY and increase social support, coping, and positive effects. PMs were trained by a licensed clinical therapist and provided a manual. PMs meet virtually for 6 weeks, providing social support, strategies to diminish the impact of discrimination, connection to safe spaces, and reinforcement of intentions to use Safety Plans with mentees.</jats:p>

          </jats:sec>

          <jats:sec>

            <jats:title>Methods</jats:title>

            <jats:p>To understand PMs’ experiences in their role, including distress, fidelity to the manual, and perceptions of feasibility and acceptability of STARS and mentees’ Safety Plan, we collected survey data from mentees and PMs as well as in-depth interviews with PMs after the completion of the intervention.</jats:p>

          </jats:sec>

          <jats:sec>

            <jats:title>Results</jats:title>

            <jats:p>As of September 2024, all peer mentees (N=64) have completed the study and all PMs have finished providing sessions for peer mentees. PMs (n=5) reported overall high comfort (8.52) and low distress (1.93) during sessions. All 5 PMs had high fidelity (>90%) to the PM intervention training. All 5 PMs reported high feasibility (17.50), acceptability (20), and appropriateness (20) of the STARS intervention. Mentees (n=27) reported high confidence ratings (3.54) in speaking with their PMs.</jats:p>

          </jats:sec>

          <jats:sec>

            <jats:title>Conclusions</jats:title>

            <jats:p>Peer mentorship for SGDY who are at risk for suicide was feasible and acceptable by PMs and mentees alike. PMs reported that they felt comfortable and confident during the sessions. Mentees also reported confidence in working with their PMs. Future research should explore the optimal strategies to support PMs and mentees as they engage in suicide prevention work as well as incorporate feedback from the PMs in this study to ensure optimal outcomes.</jats:p>

          </jats:sec>

          <jats:sec>

            <jats:title>Trial Registration</jats:title>

            <jats:p>ClinicalTrials.gov NCT05018143; https://clinicaltrials.gov/study/NCT05018143</jats:p>

          </jats:sec>

          <jats:sec>

            <jats:title>International Registered Report Identifier (IRRID)</jats:title>

            <jats:p>RR2-10.2196/48177</jats:p>

          </jats:sec>},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Choi2025,

title = {Impact of a Virtual Care Navigation Service on Member-Reported Outcomes Among Lesbian, Gay, Bisexual, Transgender, and Queer Populations: Case Study},

author = {Seul Ki Choi and Jaclyn Marshall and Patrina Sexton Topper and Andrew Pregnall and José A. Bauermeister},

doi = {10.2196/64137},

issn = {2561-326X},

year  = {2025},

date = {2025-01-09},

urldate = {2025-01-09},

journal = {JMIR Form Res},

volume = {9},

pages = {e64137--e64137},

publisher = {JMIR Publications Inc.},

abstract = {<jats:title>Abstract</jats:title>

          <jats:sec sec-type="background">

            <jats:title>Background</jats:title>

            <jats:p>While the significance of care navigation in facilitating access to health care within the lesbian, gay, bisexual, transgender, queer, and other (LGBTQ+) communities has been acknowledged, there is limited research examining how care navigation influences an individual’s ability to understand and access the care they need in real-world settings. By analyzing private sector data, we can bridge the gap between theoretical research findings and practical applications, ultimately informing both business strategies and public policy with evidence grounded in real-world efficacy.</jats:p>

          </jats:sec>

          <jats:sec sec-type="objective">

            <jats:title>Objective</jats:title>

            <jats:p>The objective of this study was to evaluate the impact of specialized virtual care navigation services on LGBTQ+ individuals’ ability to comprehend and access necessary care within a national cohort of commercially insured members.</jats:p>

          </jats:sec>

          <jats:sec sec-type="methods">

            <jats:title>Methods</jats:title>

            <jats:p>This case study is based on the experience of commercially insured members, aged 18 or older, who used the LGBTQ+ Health Care Navigation (LGBTQ+ Navigation) service by Included Health between January 26 and July 31, 2023. Care coordinators assisted members by connecting them with vetted identity-affirming in-network providers, helping them navigate and understand their LGBTQ+ health benefits, and providing education and advocacy for clinical and nonclinical needs. We examined the impact of navigation on 5 member-reported outcomes. In addition to reporting the proportion who agreed or strongly agreed, we calculated an impact score that averaged assigned numerical values to all 5 question responses (1=strongly disagree to 5=strongly agree) for each respondent. We used ANOVA with Tukey post hoc tests and <jats:italic>t</jats:italic> tests to explore the relationships between the impact score and member characteristics, including optional self-reported demographics.</jats:p>

          </jats:sec>

          <jats:sec sec-type="results">

            <jats:title>Results</jats:title>

            <jats:p>Out of 4703 LGBTQ+ Navigation cases, 7.53% (n=354) had member-reported outcomes. A large majority of LGBTQ+ members agreed or strongly agreed that care navigation resulted in less stress (315/354, 89%), less care avoidance (305/354, 86.2%), higher confidence in finding an identity-affirming provider (327/354, 92.4%), improved ability to comprehend health care information (312/354, 88.1%), and improved ability to engage with providers (308/354, 87%). The average impact score was 4.44 (SD 0.69), with statistically significant differences by gender identity (<jats:italic>P</jats:italic>=.003), race (<jats:italic>P</jats:italic>=.01), ethnicity (<jats:italic>P</jats:italic>=.008), and pronouns (<jats:italic>P</jats:italic>=.02). The scores were highest for members with multiple gender identities (mean 4.56, SD 0.37), and members who did not provide their race, ethnicity, or their pronouns (mean 4.55, SD 0.64). Impact scores were lowest for transgender members (mean 4.11, SD 0.95).</jats:p>

          </jats:sec>

          <jats:sec sec-type="conclusions">

            <jats:title>Conclusions</jats:title>

            <jats:p>The LGBTQ+ Navigation service, by enhancing members’ comprehension and use of necessary care, demonstrates potential public health utility and value. Continuous evaluation of navigation services can serve as a supplementary tool for employers seeking to promote health equity and improve belonging among employees. This is particularly important as discrimination and stigma against LGBTQ+ communities persist in the United States. Therefore, scalable and system-level changes that use navigation services are essential to reach a larger proportion of the LGBTQ+ population.</jats:p>

          </jats:sec>},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Marshall2025,

title = {Recruitment of Young Gay, Bisexual, and Other Men Who Have Sex With Men for a Web-Based Human Papillomavirus Vaccination Intervention: Differences in Participant Characteristics and Study Engagement by Recruitment Source in a Randomized Controlled Trial},

author = {Daniel J Marshall and Amy L Gower and Mira L Katz and José A Bauermeister and Abigail B Shoben and Paul L Reiter},

doi = {10.2196/64668},

issn = {1438-8871},

year  = {2025},

date = {2025-01-03},

journal = {J Med Internet Res},

volume = {27},

publisher = {JMIR Publications Inc.},

abstract = {

            Background

            Young gay, bisexual, and other men who have sex with men have been referred to as a “hard-to-reach” or “hidden” community in terms of recruiting for research studies. With widespread internet use among this group and young adults in general, web-based avenues represent an important approach for reaching and recruiting members of this community. However, little is known about how participants recruited from various web-based sources may differ from one another.

          

          

            Objective

            This study aimed to determine how young gay, bisexual, and other men who have sex with men recruited from various web-based sources differ from one another in terms of participant characteristics and study engagement.

          

          

            Methods

            Data were collected as part of a randomized controlled trial of Outsmart HPV, a web-based human papillomavirus (HPV) vaccination intervention for young gay, bisexual, and other men who have sex with men. From 2019 to 2021, we recruited young gay, bisexual, and other men who have sex with men in the United States who were aged 18-25 years and not vaccinated against HPV (n=1227) through various web-based avenues. We classified each participant as being recruited from either (1) social media (eg, Facebook, Instagram, Snapchat), (2) a dating app (eg, Grindr, Scruff), or (3) some other digital recruitment source (eg, existing research panel, university-based organization). Analyses compared participants from these 3 groups on demographic and health-related characteristics and metrics involving study engagement.

          

          

            Results

            Most demographic and health-related characteristics differed by web-based recruitment source, including race or ethnicity (P<.001), relationship status (P<.001), education level (P<.001), employment status (P<.001), sexual self-identity (P<.001), health insurance status (P<.001), disclosure of sexual orientation (P=.048), and connectedness to the LGBTQ (lesbian, gay, bisexual, transgender, queer) community (P<.001) The type of device used by participants during study enrollment also differed across groups, with smartphone use higher among participants recruited via dating apps (n=660, 96.6%) compared to those recruited via social media (n=318, 78.9%) or other digital sources (n=85, 60.3%; P<.001). Participants recruited via social media were more likely than those recruited via dating apps to complete follow-up surveys at 3 different timepoints (odds ratios 1.52-2.09, P=.001-.008). These participants also spent a longer amount of time viewing intervention content about HPV vaccination (3.14 minutes vs 2.67 minutes; P=.02).

          

          

            Conclusions

            We were able to recruit a large national sample of young gay, bisexual, and other men who have sex with men for a web-based HPV vaccination intervention via multiple methodologies. Participants differed on a range of demographic and health-related characteristics, as well as metrics related to study engagement, based on whether they were recruited from social media, a dating app, or some other digital recruitment source. Findings highlight key issues and considerations that can help researchers better plan and customize future web-based recruitment efforts of young gay, bisexual, and other men who have sex with men.

          

          

            Trial Registration

            ClinicalTrials.gov NCT04032106; https://clinicaltrials.gov/study/NCT04032106

          

          

            International Registered Report Identifier (IRRID)

            RR2-10.2196/16294

          },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Giguere2025,

title = {Defining Study Populations in HIV Prevention Implementation Science Studies: A Case Comparison of 3 Ending the HIV Epidemic Projects},

author = {Rebecca Giguere and Okeoma Mmeje and Viraj V. Patel and Uriel R. Felsen and Jenell S. Coleman Fennell and Iván C. Balán and Andrea Cheshure and Seul Ki Choi and Sara K. Shaw Green and Willey Lin and Jonathan Morgan and José Bauermeister and Sylvie Naar},

doi = {10.1097/qai.0000000000003634},

issn = {1944-7884},

year  = {2025},

date = {2025-00-00},

volume = {98},

number = {5S},

pages = {e124--e128},

publisher = {Ovid Technologies (Wolters Kluwer Health)},

abstract = {

            Introduction:

            Implementation studies include both recipient populations, who will benefit from the study's evidence-based intervention, and study populations, who will participate in the intervention and contribute data to implementation outcomes. Decision making around inclusion criteria for the study population and whether to include the recipient population have significant implications for study design. We present 3 case studies of HIV prevention implementation studies that feature diverse study populations and describe the decision-making process around defining study populations to share generalizable lessons for the field.

          

          

            Methods:

            We identified recipient and study populations for each study, described decision making regarding inclusion and exclusion criteria, and identified implications for measuring study aims.

          

          

            Results:

            HIV prevention interventions focus on pre-exposure prophylaxis uptake and HIV testing in settings such as emergency departments, obstetrics/gynecology clinical practices, and free HIV testing sites. These studies were designed to inform scale-up of intervention strategies based on effectiveness, affordability, and feasibility. Decisions about whom to include in the study populations were based on context, strategies, and implementation outcomes.

          

          

            Discussion:

            We identified important considerations across projects, including study context, strategies, and approaches. These factors can inform decisions around defining study populations to ensure successful measurement of study aims and sustainability of implementation outcomes.

          },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Marotta2025,

title = {Strengthening the US Health Workforce to End the HIV Epidemic: Lessons Learned From 11 EHE Jurisdictions},

author = {Phillip L. Marotta and Debbie Humphries and Daniel Escudero and David A. Katz and Joseph G. Rosen and Samantha Veronica Hill and Jennifer L. Glick and Dennis H. Li and Latosha Elopre and Fatemeh Ghadimi and Rinad S. Beidas and Jose Bauermeister and Stephen Bonett and Drew B. Cameron and LaRon E. Nelson and Serena Rajabiun and Larry R. Hearld and Mansoorah Kermani and Sarah Stoltman and Darjai Payne and Tobeya Ibitayo and Faiad Alam and Amanda Williams and Corilyn Ott and Emma Kay and Sarah Chrestman and Scott Batey and Laramie R. Smith and Robin Gaines Lanzi and Karen Musgrove and Mayra Malagon and Jeannette Bailey-Webb and Florence Momplaisir and Robert Gross and Gregory Gross and Taylor Kaser and Tawnya Brown and Chelsey R. Carter and Michael Mugavero and Tequetta Valeriano and Sarah Shaw and Anjuli D. Wagner and Bakari Atiba and Russell A. Brewer},

doi = {10.1097/qai.0000000000003625},

issn = {1944-7884},

year  = {2025},

date = {2025-00-00},

volume = {98},

number = {5S},

pages = {e181--e191},

publisher = {Ovid Technologies (Wolters Kluwer Health)},

abstract = {

            Background:

            Supplements were awarded under the National Institutes of Health, ending the HIV epidemic (EHE) initiative to foster implementation science through community-engaged research. The objective of this study was to synthesize lessons learned, identify areas of research sufficiently studied, and present an agenda for future research on HIV health workforce development from a collaboration across 9 EHE projects in 11 jurisdictions in the United States.

          

          

            Methods:

            EHE supplement recipients completed a semistructured questionnaire to identify shared lessons learned about common themes of workforce development using the Consolidated Framework for Implementation Research and Expert Recommendation for Implementing Change frameworks. Data were synthesized to identify shared lessons learned, topic areas no longer in need of research, and next steps.

          

          

            Results:

            Project teams emphasized several strategies including clarifying roles and responsibilities, the need for dynamic training, and stigma mitigation as strategies to enhance the implementation of HIV prevention and treatment services. Strengthening organizational support through supportive supervision structures, ensuring sustainable funding, preventing turnover, addressing salary constraints, and establishing clear promotion and educational pathways were identified as useful workplace development strategies. Supplements identified lessons learned about deploying community engagement strategies to ensure communities were aware of HIV prevention and treatment services. Several areas sufficiently studied that can be deprioritized were identified and discussed.

          

          

            Conclusion:

            A research agenda for workplace development moving forward is discussed with several recommendations to improve the implementation of HIV prevention and treatment programs.

          },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Yu2024b,

title = {Nurse leaders’ recommendations for implementing LGBTQ+ inclusive practices in health systems: A qualitative descriptive study},

author = {Hyunmin Yu and April J. Ancheta and Dalmacio Dennis Flores and Stephen Bonett and Steven Meanley and Seul Ki Choi and José A. Bauermeister},

doi = {10.1016/j.ijnsa.2024.100262},

issn = {2666-142X},

year  = {2024},

date = {2024-12-00},

journal = {International Journal of Nursing Studies Advances},

volume = {7},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Bauermeister2024b,

title = {Enhancing routine HIV and STI testing among young men who have sex with men: primary outcomes of the get connected clinical randomized trial (ATN 139)},

author = {J.A. Bauermeister and K.J. Horvath and W.Y. Lin and J.M. Golinkoff and K.F. Claude and N. Dowshen and M. Castillo and P.S. Sullivan and M. Paul and L. Hightow-Weidman and R. Stephenson},

doi = {10.1186/s12889-024-18522-w},

issn = {1471-2458},

year  = {2024},

date = {2024-12-00},

journal = {BMC Public Health},

volume = {24},

number = {1},

publisher = {Springer Science and Business Media LLC},

abstract = {Abstract

                Background

                Regular HIV and STI testing remain a cornerstone of comprehensive sexual health care. In this study, we examine the efficacy of Get Connected, a WebApp that combines test locators with personalized educational resources, in motivating young men who have sex with men (YMSM) to undergo regular HIV and STI testing.

              

                Methods

                Participants were randomly placed in one of two conditions. The first condition included the full version of GC (GC-PLUS), which included content tailored to users’ psychosocial characteristics (e.g., age, race/ethnicity, relationship status, HIV/STI testing history). The second condition served as our attention-control and only included the testing locator (GC-TLO) for HIV/STI testing services. Participants were recruited from three cities (Houston, Philadelphia, and Atlanta) characterized by high HIV incidence. Assessments were collected at 1, 3-, 6-, 9- and 12-month follow-ups.

              

                Results

                Both versions of GC were acceptable and efficacious in increasing routine HIV and STI testing over a 12-month period. 40% of the sample reported testing at least twice, with no main effects observed across the two intervention arms (OR = 1.11; 95% CI: 0.69, 1.80), p =.66). Greater intervention effects were observed among YMSM who engaged more frequently with the intervention, with regional differences observed.

              

                Conclusions

                Our findings underscore the need to cater to the diverse needs of YMSM through multilevel approaches. Broadly, mHealth HIV/STI testing interventions, such as Get Connected, would benefit from matching technologies to the local context to have the greatest impact.

              

                Trial Registration

                This study is registered on ClinicalTrials.gov (NCT03132415).

              },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Bonett2024,

title = {Advancing the community plan to end the HIV Epidemic in Philadelphia: a qualitative descriptive evaluation of low-threshold PrEP services in sexual health clinics},

author = {Stephen Bonett and Anjali Mahajan and Daniel Teixeira da Silva and Javontae Williams and Kathleen Brady and José Bauermeister and Sarah M. Wood},

doi = {10.1186/s43058-023-00543-y},

issn = {2662-2211},

year  = {2024},

date = {2024-12-00},

journal = {Implement Sci Commun},

volume = {5},

number = {1},

publisher = {Springer Science and Business Media LLC},

abstract = {Abstract

                Background

                Pre-exposure prophylaxis (PrEP) is an effective HIV prevention method and a key component of Philadelphia’s Community Plan to End the HIV Epidemic (EHE). However, significant barriers to accessing PrEP exist among people at risk for HIV. Low-threshold models for PrEP services that minimize barriers to entry and service engagement could help bolster access to PrEP through community-based clinics. This study aimed to describe the initial implementation of low-threshold PrEP services in three sexual health clinics funded by the Philadelphia Department of Public Health and explore strategies for delivering low-threshold PrEP services.

              

                Methods

                We conducted three focus groups with staff (i.e., providers, prevention navigators, and administrative staff, N = 21) at each of three participating PDPH-funded sexual health clinics from November 2021 to January 2022. Discussion topics included details about the PrEP delivery process, clinic strengths and assets, resource gaps, and PrEP implementation goals. Follow-up interviews with staff members (N = 8) between March 2022 and May 2022 focused on identifying successful strategies for PrEP delivery and adaptations needed to optimize low-threshold PrEP service delivery. Rapid qualitative methods and the Consolidated Framework for Implementation Science were used to analyze data from focus groups and interviews.

              

                Results

                Participants collaborated to create process maps that visualized the steps involved in delivering PrEP services within their respective settings. These maps highlighted several stages in PrEP service delivery, such as connecting individuals to services, providing prevention navigation, conducting clinical encounters, and ensuring follow-up care. Participants described effective strategies for implementing PrEP, which included integrating and co-locating services on-site, strengthening staffing resources and capacity, and addressing barriers experienced by clients.

              

                Conclusions

                Lessons from the implementation of low-threshold PrEP service delivery in Philadelphia can guide ongoing local adaptations and future scale-up of these models to improve access to PrEP and advance the goals of the EHE initiative.

              },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Giguere2024c,

title = {The Young Adult Centered Healthforce Training (YACHT) Program to Increase HIV Testing and Pre-Exposure Prophylaxis Referrals Among Young Sexual Minority Men in Florida: Protocol for a Type 2 Implementation-Effectiveness Hybrid Trial With a Stepped Wedge Design},

author = {Rebecca Giguere and Maria Isabel Fernandez and Jose A Bauermeister and Iván C Balán and Subhash Aryal and Andrea Cheshure and Sara Green and Willey Lin and Jonathan Morgan and Sylvie Naar},

doi = {10.2196/63191},

issn = {1929-0748},

year  = {2024},

date = {2024-11-20},

journal = {JMIR Res Protoc},

volume = {13},

publisher = {JMIR Publications Inc.},

abstract = {

            Background

            There is a high incidence of HIV among young sexual minority men in Florida. Many are unaware of their status due to low testing rates. Counseling, testing, and referral (CTR) services are essential for diagnosis and prevention of HIV and are integral to the Ending the HIV Epidemic (EHE) strategic plan. However, efforts to increase CTR among young sexual minority men have not been successful.

          

          

            Objective

            The Young Adult Centered Healthforce Training (YACHT) program promotes developmentally sensitive, culturally appropriate, and evidence-based CTR services for young sexual minority men. This study tests whether the YACHT program increases HIV testing among young sexual minority men and fidelity to evidence-based CTR among testing providers.

          

          

            Methods

            Agencies in Florida EHE counties that tested at least 24 young sexual minority men aged 18 to 29 years in 2021 will be invited to participate. The sites (N=42) will be randomized in blocks of 6 to participate in the YACHT program, following a stepped wedge design. Through YACHT, all sites will receive visits from mystery shoppers (MSs), who are trained to evaluate HIV testing services and complete postvisit quality monitoring assessments. Sites will be offered the opportunity to review their MS feedback and to receive tailored motivational interviewing training and evidence-based technical assistance to address areas of need identified through MS assessments. The study will evaluate whether YACHT leads to increased HIV testing by comparing numbers of young sexual minority men testing for HIV before versus after YACHT’s implementation. The Exploration, Preparation, Implementation and Sustainment framework will help understand the barriers to and facilitators of the program’s implementation and sustainment.

          

          

            Results

            YACHT was funded in August 2022. Data collection began in June 2023. As of June 2024, 194 MS visits have taken place at 42 sites; 4 (67%) sites from the first block and 1 (33%) site from the second block have engaged with the study. At baseline, sites exhibited the lowest competencies in relationship context, counseling sessions, and safer sex education and the highest competency in privacy and confidentiality. Data collection will continue through May 2027, with results published by the end of 2027.

          

          

            Conclusions

            To address the high incidence of HIV among young sexual minority men in Florida, YACHT aims to support testing sites with tailored motivational interviewing training and technical assistance to address needs identified by MS assessments. The program seeks to improve delivery of evidence-based CTR services, thereby increasing HIV testing, counseling, and pre-exposure prophylaxis referrals and reducing HIV incidence among this population.

          

          

            Trial Registration

            ClinicalTrials.gov NCT06015581; https://classic.clinicaltrials.gov/ct2/show/NCT06015581

          

          

            International Registered Report Identifier (IRRID)

            DERR1-10.2196/63191

          },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Rosario2024,

title = {Decolonizing nursing for health equity: A scoping review},

author = {Andre A. Rosario and Adrien Gau and Ellen Munsterman and April J. Ancheta},

doi = {10.1016/j.outlook.2024.102230},

issn = {0029-6554},

year  = {2024},

date = {2024-09-00},

journal = {Nursing Outlook},

volume = {72},

number = {5},

publisher = {Elsevier BV},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Halem2024,

title = {A Legacy of Cruelty to Sexual and Gender Minority Groups},

author = {Jessica Halem and Jen Manion and Carl G. Streed},

doi = {10.1056/nejmp2407068},

issn = {1533-4406},

year  = {2024},

date = {2024-08-00},

journal = {N Engl J Med},

volume = {391},

number = {5},

pages = {385--391},

publisher = {Massachusetts Medical Society},

keywords = {},

pubstate = {published},

tppubtype = {article}

}