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ATN CARES: Community-Based Adolescent Recruitment & Engagement Studies

ATN.CARES aims to recruit and engage high-risk HIV-negative and HIV+ youth in LA and New Orleans based on behavioral and structural risk factors. With a focus on behavioral risks, substance use, gender and sexual identity, and structural/lifetime risks like homelessness and mental health hospitalization, the project uses technology-focused interventions and evidence-based practices. The intervention includes automated messaging and monitoring, peer support, and coaching, with the aim of improving healthcare, wellness, medication adherence, and sexual health.

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ATN CARES: Community-Based Adolescent Recruitment & Engagement Studies

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  1. ATN CARES: Community-Based Adolescent Recruitment & Engagement Studies

  2. 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

  3. Los Angeles Recruitment Sites

  4. New Orleans Recruitment Sites

  5. Seronegative Youth Demographics

  6. 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

  7. Intervention Issues Across Studies: • AMMI • Peer Support (Muut) • Coaching

  8. 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

  9. AMMI cont.

  10. Weekly SMS Survey Response Trends

  11. Online Peer Support • Muut is an open-source, mobile optimized platform we are using to host private, online discussion boards

  12. 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

  13. Skills Common to EBI Used by Coaches % of Utilization

  14. Target Areas Discussed by Coaches % of Utilization

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