Evidence map›Paper›PMID 39511631›Full record

ArticlePilot and feasibility studies2024

Strengthening Community Responses to Economic vulnerability (SeCuRE): a protocol of an HIV status-neutral pilot randomized clinical trial with transgender women of color in Detroit, Michigan.

Kristi Gamarel, Larissa Jennings Mayo-Wilson, Laura Jadwin-Cakmak, Lilianna Reyes, Dior' Monro, Ini-Abasi Ubong, Stephen Sullivan, Julisa Abad, Jeynce Poindexter, Harmony Harris and 6 more

Registry-linked trialAbstract read
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In one paragraph

Article in Pilot and feasibility studies, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06212544 (Strengthening Community Responses to Economic Vulnerability and HIV Inequities), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06212544 nacompletednot on this map

Strengthening Community Responses to Economic Vulnerability and HIV Inequities

TypeinterventionalSponsorUniversity of MichiganRan2024 to 2025Enrolled39ConditionsFeasibility StudiesArmsImmediate Intervention, Delayed Intervention
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Kristi GamarelDepartment of Health Behavior and Health Equity, University of Michigan School of Public Health, Ann Arbor, MI, 48109, USA. kgamarel@umich.edu.ORCID http://orcid.org/0000-0001-9405-7515
Larissa Jennings Mayo-WilsonDepartment of Health Behavior, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA.
Laura Jadwin-CakmakDepartment of Health Behavior and Health Equity, University of Michigan School of Public Health, Ann Arbor, MI, 48109, USA.
Lilianna ReyesTrans Sistas of Color Project, Detroit, MI, USA.
Dior' MonroDepartment of Health Behavior and Health Equity, University of Michigan School of Public Health, Ann Arbor, MI, 48109, USA.
Ini-Abasi UbongDepartment of Health Behavior and Health Equity, University of Michigan School of Public Health, Ann Arbor, MI, 48109, USA.
Stephen SullivanDepartment of Health Behavior and Health Equity, University of Michigan School of Public Health, Ann Arbor, MI, 48109, USA.
Julisa AbadTrans Sistas of Color Project, Detroit, MI, USA.
Jeynce PoindexterTrans Sistas of Color Project, Detroit, MI, USA.
Harmony HarrisTrans Sistas of Color Project, Detroit, MI, USA.
Chanel RiserTrans Sistas of Color Project, Detroit, MI, USA.
J StephensonDepartment of Health Behavior and Health Equity, University of Michigan School of Public Health, Ann Arbor, MI, 48109, USA.
Gabi OrtizBoston College School of Social Work, Boston, MA, USA.
Sarah M PeitzmeierDepartment of Health Behavior and Biological Sciences, University of Michigan School of Nursing, Ann Arbor, MI, USA.
Torsten B NeilandsDepartment of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Tonia PoteatDuke University School of Nursing, Durham, NC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the United States (US), transgender women of color experience cyclical, interlocking systems of structural and institutional oppression rooted in racism and transphobia, which fuel economic vulnerability. Together, cycles of intersecting racism, transphobia, and economic vulnerability create conditions that give rise to extreme HIV inequities among transgender women of color. Microeconomic interventions - designed to improve financial standing by increasing income generation and access to financial resources through entrepreneurship, cash transfers, and training - have the potential to address structural factors underlying HIV inequities. Over the past few years, several trans-led organizations, including the Trans Sistas of Color Project, have integrated microeconomic strategies, specifically emergency assistance, into their programming. The aim of the current study is to conduct a pilot randomized controlled trial (RCT) to evaluate the feasibility and acceptability of a definitive subsequent RCT and explore initial evidence of an enhanced microeconomic intervention to increase income generation and improve HIV prevention and care continua outcomes.

methodsThis is a two-arm waitlist randomized controlled trial in which transgender women of color will be randomly allocated to either usual care that includes the Trans Sistas of Color Project's existing microeconomic interventions, which includes the following: (1) US $250 in emergency assistance and (2) peer support to obtain legal gender affirmation (i.e., legal name and gender markers on identification documents) or the enhanced microeconomic intervention that includes usual care and will be enhanced to include the following: (1) 12 weekly educational group sessions on economic empowerment (i.e., job acquisition, income generation through micro-business, and financial literacy) and HIV prevention and care, (2) employment-focused mentoring, and (3) an unconditional grant (US $1200) for use towards acquiring self-led or formal employment. Participants in each condition will complete a baseline survey prior to randomization, a follow-up survey immediately following intervention completion, and 3-month survey after intervention completion. Participants will also complete qualitative exit interviews within 1 month of intervention completion for both conditions. DISCUSSION: This study will be one of the first US-based pilot randomized clinical trials that builds upon existing community-led solutions to economic vulnerability to address HIV inequities. Findings will provide the necessary groundwork to examine intervention effectiveness in a future large-scale trial. TRIALS REGISTRATION: NCT06212544. PROTOCOL VERSION: September 25, 2024, version 2.

Indexed as

HIV careHIV preventionMicroeconomic interventionPilotTransgender women

Identifiers

PMID39511631
PMCPMC11545932

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.