Community-Based Adolescent Recruitment & Engagement Studies ATN CARES: Community-Based Adolescent Recruitment & Engagement Studies
Structural/Lifetime Risks Recruiting High-risk HIV-Negative and HIV+ Youth in L.A. and New Orleans Eligibility based on the structural and behavioral risk factors in youth ages 12-24. Behavioral Risks Sexual behaviors Substance use Gender and Sexual identity Structural/Lifetime Risks Homelessness Mental Health hospitalization Substance abuse treatment
Los Angeles Recruitment Sites
New Orleans Recruitment Sites
Seronegative Youth Demographics
Cross-Cutting Themes Same interventions tailored to HIV+ & HIV- youth Technology-focused, platform agnostic Evidence-based practices (EBP), not manualized EBI Cost-feasibility data of the CDC recommended interventions: repeat testing & sustained follow-up; care linkage
Intervention Issues Across Studies: AMMI Peer Support (Muut) Coaching
Automated Messaging & Monitoring (AMMI) Five text-message content streatms that participants may opt out of 3 messages Daily - Healthcare, Wellness, Medication Adherence 2 more messages Thurs-Sun - Sexual Health and Substance Use Participants may decide the time of day, opt-out of each stream 7-question survey that is also sent weekly for monitoring
AMMI cont.
Weekly SMS Survey Response Trends
Online Peer Support Muut is an open-source, mobile optimized platform we are using to host private, online discussion boards
Coaching The CARES coaching model is client/youth centered, strengths-based approach in which EBPs are applied to content areas Engage youth Strengths Assessment Set Goals & Solve Daily Problems Leverage Existing Resources & Support (community, family, friends, and providers) Fill in gaps in support
Skills Common to EBI Used by Coaches % of Utilization
Target Areas Discussed by Coaches % of Utilization