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The Stepped Care Intervention to Suppress Viral Load in Youth Living With HIV: Protocol for a Randomized Controlled Trial

The Stepped Care Intervention to Suppress Viral Load in Youth Living With HIV: Protocol for a Randomized Controlled Trial

Note that these interventions overlap with our team’s other study of HIV-negative youths and are also described in Swendeman et al [49]. To assess dose of the interventions, we will examine the number of responses to the AMMI surveys (Level 1), the number of peer support posts and logins (Level 2), and the number of coaching sessions (Level 3). Level 1 of the Enhanced Stepped Care model is Enhanced Care plus AMMI.

Elizabeth Mayfield Mayfield Arnold, Dallas Swendeman, Danielle Harris, Jasmine Fournier, Leslie Kozina, Susan Abdalian, Mary Jane Rotheram, Adolescent Medicine Trials Network CARES Team

JMIR Res Protoc 2019;8(2):e10791

Strategies to Treat and Prevent HIV in the United States for Adolescents and Young Adults: Protocol for a Mixed-Methods Study

Strategies to Treat and Prevent HIV in the United States for Adolescents and Young Adults: Protocol for a Mixed-Methods Study

Peer support via social media, detailed by Swendeman et al [8], is also used in these studies to engage and support youth. Both AMMI and social media-based peer support are important because they are scalable intervention strategies [32,33]. Paraprofessional coaching is a concept with wide cultural appeal and a more intensive interpersonal strategy to create healthy routines among YLH and YHR [34-36].

Mary Jane Rotheram, Maria Isabel Fernandez, Sung-Jae Lee, Sue Ellen Abdalian, Leslie Kozina, Maryann Koussa, Warren Scott Comulada, Jeffrey D Klausner, Elizabeth Mayfield Arnold, Manuel A Ocasio, Dallas Swendeman, Adolescent Medicine Trials Network (ATN) CARES Team

JMIR Res Protoc 2019;8(1):e10759