Employing eSBI in HIV Testing for At-risk Youth

The purpose of this study is to assess the feasibility, acceptability and test the initial
efficacy of eSBI, (electronic screening and brief intervention for alcohol use) coupled with
STTR (Seek, Test, Treat, and Retain) in comparison to STTR only among YMSM (young men who
have sex with men) and YTW (young transgender women) on frequency of substance use and
engagement within the HIV and PrEP (pre-exposure prophylaxis) care continuum. We will do this
with the following aims:

Aim 1: Assess the feasibility, acceptability and initial efficacy of electronic Screening &
Brief Intervention + Seek, Test, Treat and Retain (eSBI+ STTR) compared to STTR-only to
reduce alcohol and other substance use among 450 YMSM and YTW in Chicago, ages 16-25, at 1,
3, 6, and 12 months post-intervention.

Aim 2: To explore the initial efficacy of eSBI+STTR in comparison to STTR-only on secondary
exploratory outcomes within the HIV and PrEP care continuum among YMSM and YTW.

Aim 3: Determine the degree to which sub-groups of youth are differentially impacted by
eSBI+STTR based on socio-demographic characteristics and co-morbid mental health problems to
inform future targeting and/or tailoring of the intervention.

Inclusion Criteria:

- aged 16 to 25 years

- seeking testing for HIV infection

- HIV-negative or HIV status unknown (per self-report)

- Male who has had sex with men OR transgender woman who has had sex with men (i.e.,
born male, identify as female/transgender, and at any point in the gender transition
process)

- English-speaking.

Exclusion Criteria:

- volunteer seems distraught or emotionally unstable (i.e. suicidal, manic, exhibiting
violent behavior)

- volunteer seems intoxicated or under the influence of psychoactive agents