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Pilot Trial of a Critical Consciousness-Based Intervention for Black Young Gay and Bisexual Men Living with HIV: Mobilizing Our Voices for Empowerment (MOVE)

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Abstract

HIV in the USA disproportionately affects Black young gay and bisexual men (Y-GBM). This article presents outcomes of a pilot randomized controlled trial comparing Mobilizing our Voices for Empowerment (MOVE), a culturally and developmentally tailored critical consciousness-based intervention for Black Y-GBM living with HIV (ages 16–24), with a comparison health promotion intervention. Black Y-GBM (n = 54) from four cities participated. Mixed effects models across four assessment points revealed participants in MOVE showed greater increases over time in perceived stress of HIV disclosure, self-efficacy for limiting HIV risk behavior, and condom use self-efficacy. Examining mean difference scores separately, participants in MOVE demonstrated increases in self-efficacy for HIV disclosure, perceived policy control, and self-efficacy for limiting HIV risk behavior. Immediately post-intervention, MOVE participants reported greater decreases in condomless intercourse with negative/unknown partners. MOVE may have potential to improve the health of Black Y-GBM living with HIV and reduce further transmission.

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Data Availability

Data from this study are publicly available from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Data and Specimen Hub (DASH) https://dash.nichd.nih.gov/.

Code Availability

Not applicable.

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Acknowledgements

The authors thank Betty Rupp and Kinsey Helton for their coordination and technical support with regard to the data analysis. The authors thank the former ATN’s Behavioral Leadership Group for scientific review and guidance, the former ATN’s Coordinating Center for Network scientific and logistical support, the former ATN’s Community Advisory Board, and the youth who participated in the study. We acknowledge the contribution of the investigators and staff at the following sites that participated in this study: The Children’s Hospital of Philadelphia, Ruth M. Rothstein CORE Center/John H. Stroger Jr. Hospital, Children’s Hospital of Los Angeles, Montefiore Medical Center, St. Jude Children’s Research Hospital, and Baylor College of Medicine.

Funding

The Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN) is funded by the National Institutes of Health through the Eunice Kennedy Shriver National Institute of Child Health and Human Development with supplemental funding from the National Institute of Mental Health, the National Institute on Drug Abuse, and the National Institute on Minority Health and Health Disparities. This research was supported by NIH grants U24HD089880, U01 HD040533, and U01 HD040474. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

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Authors and Affiliations

  1. Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA

    Gary W. Harper & Laura Jadwin-Cakmak

  2. Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA

    Emily M. Cherenack

  3. Department of Psychology and Neuroscience, Duke University, Durham, NC, USA

    Emily M. Cherenack

  4. Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA

    Nicole Slye & Michael Hudgens

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  1. Gary W. Harper
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  5. Michael Hudgens
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Contributions

Conceptualization and design of study: GWH, EC, LJC; data collection: GWH, EC, LJC; data analysis and interpretation: GWH, EC, NS, MH; drafting the manuscript: GWH, EC, NS, LJC; critical revision of the manuscript: GWH, EC, NS, MH, LJC; FINAL approval of the manuscript: GWH, EC, NS, MH, LJC

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Correspondence to Gary W. Harper.

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Ethics Approval

Institutional review boards at all sites and at the investigators’ institutions approved all study procedures, including Children’s Hospital of Philadelphia, Ruth M. Rothstein CORE Center/John H. Stroger Jr. Hospital, Children’s Hospital of Los Angeles, Montefiore Medical Center, St. Jude Children’s Research Hospital, Baylor College of Medicine, DePaul University, Columbia University, University of Michigan, and University of North Carolina. All study procedures were also in accordance with the 1964 Helsinki Declaration and its later amendments.

Consent to Participate

All participants provided written informed consent to participate in the study, with a waiver of parental consent for individuals under 18 to maintain confidentiality around HIV status.

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Not applicable.

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The authors declare no competing interests.

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Harper, G.W., Cherenack, E.M., Slye, N. et al. Pilot Trial of a Critical Consciousness-Based Intervention for Black Young Gay and Bisexual Men Living with HIV: Mobilizing Our Voices for Empowerment (MOVE). J. Racial and Ethnic Health Disparities 10, 64–82 (2023). https://doi.org/10.1007/s40615-021-01197-z

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