Background: HIV testing
is critical to HIV prevention
and care. Infrequent HIV testing
and late HIV diagnosis have been observed among young Black men who have sex with men
and transwomen. Novel interventions to increase HIV testing
rates among young Black men who have sex with men
and transwomen are needed.
A randomized controlled trial among 236 young Black men and transwomen who have sex with men or transwomen evaluated the efficacy of an intervention that included completion of a brief survey and receipt of a personalized recommendation of an optimal HIV testing
approach. Participants completed a computerized baseline assessment and were randomized to electronically receive either a personalized recommendation or standard HIV testing
information. Follow-up surveys were conducted online at 3 and 6 months.
Retention was 92% and 93% at 3-month and 6-month follow-up, respectively. At baseline, 41% of participants reported that they tested for HIV in the past 3 months and another 25% between 4 and 6 months ago. Intent-to-treat analyses found that participants randomized to the experimental arm (personalized recommendation) were not significantly more likely to test for HIV compared with participants in the standard HIV testing
information control arm at 3 months (76% vs. 71%; P
= 0.40) and 6 months (73% vs. 72%; P
= 0.81), respectively.
This study evaluated an innovative intervention to increase HIV testing
by matching individuals to optimal HIV testing
approaches. Participants in both arms increased past 3-month HIV testing
, suggesting that providing information on options and/or raising risk awareness is sufficient to significantly increase HIV testing
ClinicalTrial.gov NCT02834572 https://clinicaltrials.gov/ct2/show/NCT02834572