Trial Outcomes & Findings for Evaluating a Structural and Behavioral HIV Risk Reduction Program for Black Men (NCT NCT01694121)

NCT ID: NCT01694121

Last Updated: 2018-12-28

Results Overview

Behavioral assessment of the ratio of protected to total number of sex episodes -- changed to sexual risk inclusive of inconsistent condom use in past 90 days + multiple sex partners + sex trade involvement. Very low sexual risk was defined as having one partner and consistent condom use. Low sexual risk was defined as having multiple partners and consistent condom use OR one partner and no/inconsistent condom use. Medium sexual risk was defined as having multiple partners, no/inconsistent condom use and not participating in transactional sex. High risk was defined as having multiple partners, no/inconsistent condom use, and participating in transactional sex. Participants reporting sex with men in the prior 90 days or who reported that they themselves or (one of) their partner(s) was HIV-positive were excluded from the sexual risk outcome given the known differential HIV risk profile for these subpopulations and small numbers of participants in each.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

455 participants

Primary outcome timeframe

12 month follow-up

Results posted on

2018-12-28

Participant Flow

one individual was enrolled and surveyed twice. He remained in the study, but the initial survey was not included.

Participant milestones

Participant milestones
Measure
MEN Count
3 session HIV intervention including a) HIV risk reduction, inclusive of gender equity and healthy relationship counseling and b) case management support for stable employment and housing. MEN Count: The MEN Count model integrates HIV risk reduction and gender-equity counseling with housing and employment case management via multiple one-on-one sessions delivered by a peer case manager over 60-90 day period.
Comparison
An attention comparison program similar to the MEN Count intervention in structure (3 one-on-one sessions delivered over 60-90 days) but focused on stress reduction and healthy lifestyle. Comparison: general health intervention for men, not inclusive of HIV or relationship health
Overall Study
STARTED
228
227
Overall Study
COMPLETED
227
227
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
MEN Count
3 session HIV intervention including a) HIV risk reduction, inclusive of gender equity and healthy relationship counseling and b) case management support for stable employment and housing. MEN Count: The MEN Count model integrates HIV risk reduction and gender-equity counseling with housing and employment case management via multiple one-on-one sessions delivered by a peer case manager over 60-90 day period.
Comparison
An attention comparison program similar to the MEN Count intervention in structure (3 one-on-one sessions delivered over 60-90 days) but focused on stress reduction and healthy lifestyle. Comparison: general health intervention for men, not inclusive of HIV or relationship health
Overall Study
Participant used false ID, was withdrawn
1
0

Baseline Characteristics

Evaluating a Structural and Behavioral HIV Risk Reduction Program for Black Men

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MEN Count
n=227 Participants
3 session HIV intervention including a) HIV risk reduction, inclusive of gender equity and healthy relationship counseling and b) case management support for stable employment and housing. MEN Count: The MEN Count model integrates HIV risk reduction and gender-equity counseling with housing and employment case management via multiple one-on-one sessions delivered by a peer case manager over 60-90 day period.
Comparison
n=227 Participants
An attention comparison program similar to the MEN Count intervention in structure (3 one-on-one sessions delivered over 60-90 days) but focused on stress reduction and healthy lifestyle. Comparison: general health intervention for men, not inclusive of HIV or relationship health
Total
n=454 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
227 Participants
n=5 Participants
227 Participants
n=7 Participants
454 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
227 Participants
n=5 Participants
227 Participants
n=7 Participants
454 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
227 Participants
n=5 Participants
227 Participants
n=7 Participants
454 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
227 Participants
n=5 Participants
227 Participants
n=7 Participants
454 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
227 Participants
n=5 Participants
227 Participants
n=7 Participants
454 Participants
n=5 Participants
full time employment status
19 Participants
n=5 Participants
34 Participants
n=7 Participants
53 Participants
n=5 Participants
non-Viral STI
55 Participants
n=5 Participants
51 Participants
n=7 Participants
106 Participants
n=5 Participants
homeless in a shelter or on the streets in past 90 days
116 Participants
n=5 Participants
104 Participants
n=7 Participants
220 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 month follow-up

Population: Those retained at 12 mo follow up

Behavioral assessment of the ratio of protected to total number of sex episodes -- changed to sexual risk inclusive of inconsistent condom use in past 90 days + multiple sex partners + sex trade involvement. Very low sexual risk was defined as having one partner and consistent condom use. Low sexual risk was defined as having multiple partners and consistent condom use OR one partner and no/inconsistent condom use. Medium sexual risk was defined as having multiple partners, no/inconsistent condom use and not participating in transactional sex. High risk was defined as having multiple partners, no/inconsistent condom use, and participating in transactional sex. Participants reporting sex with men in the prior 90 days or who reported that they themselves or (one of) their partner(s) was HIV-positive were excluded from the sexual risk outcome given the known differential HIV risk profile for these subpopulations and small numbers of participants in each.

Outcome measures

Outcome measures
Measure
MEN Count
n=120 Participants
3 session HIV intervention including a) HIV risk reduction, inclusive of gender equity and healthy relationship counseling and b) case management support for stable employment and housing. MEN Count: The MEN Count model integrates HIV risk reduction and gender-equity counseling with housing and employment case management via multiple one-on-one sessions delivered by a peer case manager over 60-90 day period.
Comparison
n=123 Participants
An attention comparison program similar to the MEN Count intervention in structure (3 one-on-one sessions delivered over 60-90 days) but focused on stress reduction and healthy lifestyle. Comparison: general health intervention for men, not inclusive of HIV or relationship health
Condom Use/Unprotected Sex - Redefined as Sexual Risk - 12 Month Follow-up
Very low risk
28 Participants
18 Participants
Condom Use/Unprotected Sex - Redefined as Sexual Risk - 12 Month Follow-up
Low risk
26 Participants
40 Participants
Condom Use/Unprotected Sex - Redefined as Sexual Risk - 12 Month Follow-up
Medium risk
30 Participants
34 Participants
Condom Use/Unprotected Sex - Redefined as Sexual Risk - 12 Month Follow-up
High risk
7 Participants
9 Participants
Condom Use/Unprotected Sex - Redefined as Sexual Risk - 12 Month Follow-up
Excluded or missing risk
29 Participants
22 Participants

PRIMARY outcome

Timeframe: 6 month follow-up

Population: Those retained at 6 mo follow up

Behavioral assessment of the ratio of protected to total number of sex episodes -- changed to sexual risk inclusive of inconsistent condom use in past 90 days + multiple sex partners + sex trade involvement. Very low sexual risk was defined as having one partner and consistent condom use. Low sexual risk was defined as having multiple partners and consistent condom use OR one partner and no/inconsistent condom use. Medium sexual risk was defined as having multiple partners, no/inconsistent condom use and not participating in transactional sex. High risk was defined as having multiple partners, no/inconsistent condom use, and participating in transactional sex. Participants reporting sex with men in the prior 90 days or who reported that they themselves or (one of) their partner(s) was HIV-positive were excluded from the sexual risk outcome given the known differential HIV risk profile for these subpopulations and small numbers of participants in each.

Outcome measures

Outcome measures
Measure
MEN Count
n=95 Participants
3 session HIV intervention including a) HIV risk reduction, inclusive of gender equity and healthy relationship counseling and b) case management support for stable employment and housing. MEN Count: The MEN Count model integrates HIV risk reduction and gender-equity counseling with housing and employment case management via multiple one-on-one sessions delivered by a peer case manager over 60-90 day period.
Comparison
n=105 Participants
An attention comparison program similar to the MEN Count intervention in structure (3 one-on-one sessions delivered over 60-90 days) but focused on stress reduction and healthy lifestyle. Comparison: general health intervention for men, not inclusive of HIV or relationship health
Condom Use/Unprotected Sex - Redefined as Sexual Risk - 6 Month Follow-up
Very low risk
15 Participants
18 Participants
Condom Use/Unprotected Sex - Redefined as Sexual Risk - 6 Month Follow-up
Low risk
32 Participants
29 Participants
Condom Use/Unprotected Sex - Redefined as Sexual Risk - 6 Month Follow-up
Medium risk
25 Participants
28 Participants
Condom Use/Unprotected Sex - Redefined as Sexual Risk - 6 Month Follow-up
High risk
6 Participants
8 Participants
Condom Use/Unprotected Sex - Redefined as Sexual Risk - 6 Month Follow-up
Excluded or missing risk
17 Participants
22 Participants

SECONDARY outcome

Timeframe: 12 month follow-up

Population: Participants retained at 12mo follow-up

HIV and STI testing via blood and urine tests was conducted; outcome based on non-viral STI to allow for incidence assessment and change over time

Outcome measures

Outcome measures
Measure
MEN Count
n=120 Participants
3 session HIV intervention including a) HIV risk reduction, inclusive of gender equity and healthy relationship counseling and b) case management support for stable employment and housing. MEN Count: The MEN Count model integrates HIV risk reduction and gender-equity counseling with housing and employment case management via multiple one-on-one sessions delivered by a peer case manager over 60-90 day period.
Comparison
n=123 Participants
An attention comparison program similar to the MEN Count intervention in structure (3 one-on-one sessions delivered over 60-90 days) but focused on stress reduction and healthy lifestyle. Comparison: general health intervention for men, not inclusive of HIV or relationship health
Non-viral STI - 12 Month Follow-up
Positive for non-viral STI at 12mo follow-up
17 Participants
15 Participants
Non-viral STI - 12 Month Follow-up
Negative for all non-viral STI at 12mo follow-up
87 Participants
98 Participants
Non-viral STI - 12 Month Follow-up
Did not complete STI testing at 12mo follow-up
16 Participants
10 Participants

SECONDARY outcome

Timeframe: 6 month follow-up

Population: Participants retained at 6mo follow-up

HIV and STI testing via blood and urine tests was conducted; outcome based on non-viral STI to allow for incidence assessment and change over time

Outcome measures

Outcome measures
Measure
MEN Count
n=95 Participants
3 session HIV intervention including a) HIV risk reduction, inclusive of gender equity and healthy relationship counseling and b) case management support for stable employment and housing. MEN Count: The MEN Count model integrates HIV risk reduction and gender-equity counseling with housing and employment case management via multiple one-on-one sessions delivered by a peer case manager over 60-90 day period.
Comparison
n=105 Participants
An attention comparison program similar to the MEN Count intervention in structure (3 one-on-one sessions delivered over 60-90 days) but focused on stress reduction and healthy lifestyle. Comparison: general health intervention for men, not inclusive of HIV or relationship health
Non-viral STI - 6 Month Follow-up
Positive for non-viral STI at 6mo follow-up
7 Participants
13 Participants
Non-viral STI - 6 Month Follow-up
Negative for all non-viral STI at 6mo follow-up
83 Participants
85 Participants
Non-viral STI - 6 Month Follow-up
Did not complete STI testing at 6mo follow-up
5 Participants
7 Participants

Adverse Events

MEN Count

Serious events: 0 serious events
Other events: 0 other events
Deaths: 1 deaths

Comparison

Serious events: 0 serious events
Other events: 0 other events
Deaths: 1 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Anita Raj

Center on Gender Equity and Health at UCSD

Phone: 8588220229

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place