Robert L Nix, Karen L Bierman, Brenda S Heinrichs, Scott D Gest, Janet A Welsh, Celene E Domitrovich
The randomized controlled trial of Head Start REDI: Sustained effects on developmental trajectories of social-emotional functioning
Journal of consulting and clinical psychology
sexually transmitted infections stis human immunodeficiency virus hiv disproportionately affect young gay bisexual men sex men gbmsm transgender women colour explored experiences communitybased peer navigators community navigators participated impact triad bilingual multilevel intervention developed communitybased participatory research partnership reduce stis hiv address social determinants health eg employment education social support discrimination among young gbmsm transgender women colour individual indepth interviews conducted 15 community navigators participated impact triad themes identified constant comparison community navigators mean age 314 years seven selfidentified african americanblack 5 latine 2 multiracialmultiethnic 1 asian american 10 cisgender men 4 transgender women 1 gender nonbinary thirteen themes emerged three domains 1 key aspects community navigator role eg desire serve community resource importance part communities one working value official role connected community navigators problemsolving sustaining intervention aspects longterm 2 experiences implementing impact triad eg engaging community members meeting prioritized needs building trust using social media increasing awareness knowledge challenges related covid19 3 lessons learned future interventions eg facilitating access broader resources building additional skills increasing interactions among community navigators interviews identified important learnings serving community navigators implementing impact triad guide future efforts address stihiv disparities social determinants health communitybased peer navigation throughout intervention trial partnership worked collaboratively studyspecific community advisory board cab comprised primarily young gbmsm transgender women colour members cab participated aspects trial including trial design intervention development recruitment retention strategies data collection analysis interpretation findings dissemination