Evidence map›Paper›PMID 41288881›Full record

Trial reportAIDS and behavior2026

Acceptability, Feasibility, and Safety of the Shauriana Intervention for Young Kenyan Gay, Bisexual, and Other Men who Have Sex with Men, and Exploration of Potential Impact on Sexual Health Outcomes.

Susan M Graham, Liying Wang, Laura Jadwin-Cakmak, Elijah O Odhiambo, Kenneth Bauman, Duncan Okall, Wilson Odero, Fredrick Otieno, K Rivet Amico, Gary W Harper

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04550221 (Randomized Controlled Trial of the Shauriana Intervention to Integrate PrEP, Sexual Health, and Mental Health Support for Gay, Bisexual, and Other Men Who Have Sex With Men in Kenya), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT04550221 nacompletednot on this map

Randomized Controlled Trial of the Shauriana Intervention to Integrate PrEP, Sexual Health, and Mental Health Support for Gay, Bisexual, and Other Men Who Have Sex With Men in Kenya

TypeinterventionalSponsorUniversity of WashingtonRan2021 to 2022Enrolled63ConditionsHIV PreventionArmsShauriana
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Susan M GrahamDepartments of Global Health, Medicine, and Epidemiology, University of Washington, 325 Ninth Avenue, Box 139909, Seattle, WA, 98104, USA. grahamsm@uw.edu.ORCID http://orcid.org/0000-0001-7847-8686
Liying WangCollege of Nursing, Florida State University, Tallahassee, FL, USA.
Laura Jadwin-CakmakDepartment of Health Behavior & Health Equity, University of Michigan, Ann Arbor, MI, USA.
Elijah O OdhiamboSalina Youth Initiative, Kisumu, Kenya.
Kenneth BaumanDepartment of Health Behavior & Health Equity, University of Michigan, Ann Arbor, MI, USA.
Duncan OkallNyanza Reproductive Health Society, Kisumu, Kenya.
Wilson OderoSchool of Medicine, Maseno University, Maseno, 40105, Kenya.
Fredrick OtienoNyanza Reproductive Health Society, Kisumu, Kenya.
K Rivet AmicoDepartment of Health Behavior & Health Equity, University of Michigan, Ann Arbor, MI, USA.
Gary W HarperDepartment of Health Behavior & Health Equity, University of Michigan, Ann Arbor, MI, USA.

Funding

University of Washington Developmental AIDS Research Center for Mental Health (UW ARCH)P30MH123248 · NIMH · UNIVERSITY OF WASHINGTON · PI RAO, DEEPA · 2021 to 2024
$5.8M
Shikamana PrEP: A Community Participatory Approach to Integrating PrEP, Sexual Health, and Mental Health Services for GBMSM in KenyaR34MH118950 · NIMH · UNIVERSITY OF WASHINGTON · PI GRAHAM, SUSAN MARIE, HARPER, GARY W · 2019 to 2021
$638k
NIMH NIH HHS P30MH123248NIMH NIH HHS R34 MH118950NIMH NIH HHS R34MH118950
6 · The paper itself

Abstract

In rights-constrained settings with pervasive stigma, a holistic approach to HIV prevention is needed to ensure knowledge and use of different HIV prevention tools and promote both sexual and mental health. In close collaboration with GBMSM community leaders in Kisumu, we developed a theory-based, culturally-tailored HIV prevention intervention that integrates sexual health and mental health support for young Kenyan GBMSM. We conducted a randomized trial with 6 months of follow-up to assess acceptability, feasibility, and safety of the intervention and explore its potential impact on secondary outcomes, compared to standard care. Among 60 participants, median age was 25 years (inter-quartile range 22-28). Retention at month 6 was 93.1% (27 of 29) in the intervention arm and 87.1% (27 of 31) in standard care. Acceptability was high, with most participants rating each session's value and relevance at 1 ("strongly agree"). Intervention delivery was feasible and attendance was excellent, with 29 (100%) intervention participants completing all five sessions and 18 (62.1%) attending an optional session to consolidate learning. No social harms occurred. Exploratory analyses suggest improved PrEP knowledge and improved knowledge about healthy relationships and communication, as well as higher condom use at last sex. The intervention was found to be acceptable, feasible and safe in this small study. Future work is warranted to evaluate this intervention in a larger trial, given the need for person-centered, holistic interventions supporting sexual health, mental well-being, and the full range of HIV prevention tools available.Clinical trial registration: NCT04550221, registered on 9/8/2020.

Indexed as

BisexualityHIV InfectionsHomosexuality, MalePatient Acceptance of Health CareSexual and Gender MinoritiesSexual HealthAdultFeasibility StudiesHealth Knowledge, Attitudes, PracticeHumansKenyaMaleMental HealthSocial StigmaYoung AdultBehavioral interventionHIV preexposure prophylaxisMental healthMen who have sex with menMotivational interviewingPeer groupSexual health

Identifiers

PMID41288881
PMCPMC13167893

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.