Project ESTEEM protocol

A randomized controlled trial of an LGBTQ-affirmative treatment for young adult sexual minority men's mental and sexual health

John E. Pachankis, Erin M. McConocha, Jesse S. Reynolds, Roxanne Winston, Oluwaseyi Adeyinka, Audrey Harkness, Charles L. Burton, Kriti Behari, Timothy J. Sullivan, Adam I. Eldahan, Denise A. Esserman, Mark L. Hatzenbuehler, Steven Safren

Research output: Contribution to journalArticle

Abstract

Background: Young gay and bisexual men disproportionately experience depression, anxiety, and substance use problems and are among the highest risk group for HIV infection in the U.S. Diverse methods locate the source of these health disparities in young gay and bisexual men's exposure to minority stress. In fact, minority stress, psychiatric morbidity, substance use, and HIV risk fuel each other, forming a synergistic threat to young gay and bisexual men's health. Yet no known intervention addresses minority stress to improve mental health, substance use problems, or their joint impact on HIV risk in this population. This paper describes the design of a study to test the efficacy of such an intervention, called ESTEEM (Effective Skills to Empower Effective Men), a 10-session skills-building intervention designed to reduce young gay and bisexual men's co-occurring health risks by addressing the underlying cognitive, affective, and behavioral pathways through which minority stress impairs health. Methods: This study, funded by the National Institute of Mental Health, is a three-arm randomized controlled trial to examine (1) the efficacy of ESTEEM compared to community mental health treatment and HIV counseling and testing and (2) whether ESTEEM works through its hypothesized cognitive, affective, and behavioral minority stress processes. Our primary outcome, measured 8 months after baseline, is condomless anal sex in the absence of PrEP or known undetectable viral load of HIV+ primary partners. Secondary outcomes include depression, anxiety, substance use, sexual compulsivity, and PrEP uptake, also measured 8 months after baseline. Discussion: Delivering specific stand-alone treatments for specific mental, behavioral, and sexual health problems represents the current state of evidence-based practice. However, dissemination and implementation of this one treatment-one problem approach has not been ideal. A single intervention that reduces young gay and bisexual men's depression, anxiety, substance use, and HIV risk by reducing the common minority stress pathways across these problems would represent an efficient, cost-effective alternative to currently isolated approaches, and holds great promise for reducing sexual orientation health disparities among young men. Trial registration: Registered October 10, 2016 to ClinicalTrials.gov Identifier: NCT02929069.

Original languageEnglish (US)
Article number1086
JournalBMC public health
Volume19
Issue number1
DOIs
StatePublished - Aug 9 2019

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Minority Health
Men's Health
Reproductive Health
Young Adult
Mental Health
Randomized Controlled Trials
HIV
Therapeutics
Anxiety
Depression
Sexual Behavior
Health
Sexual Minorities
National Institute of Mental Health (U.S.)
Evidence-Based Practice
Viral Load
HIV Infections
Psychiatry
Counseling

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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Project ESTEEM protocol : A randomized controlled trial of an LGBTQ-affirmative treatment for young adult sexual minority men's mental and sexual health. / Pachankis, John E.; McConocha, Erin M.; Reynolds, Jesse S.; Winston, Roxanne; Adeyinka, Oluwaseyi; Harkness, Audrey; Burton, Charles L.; Behari, Kriti; Sullivan, Timothy J.; Eldahan, Adam I.; Esserman, Denise A.; Hatzenbuehler, Mark L.; Safren, Steven.

In: BMC public health, Vol. 19, No. 1, 1086, 09.08.2019.

Research output: Contribution to journalArticle

Pachankis, JE, McConocha, EM, Reynolds, JS, Winston, R, Adeyinka, O, Harkness, A, Burton, CL, Behari, K, Sullivan, TJ, Eldahan, AI, Esserman, DA, Hatzenbuehler, ML & Safren, S 2019, 'Project ESTEEM protocol: A randomized controlled trial of an LGBTQ-affirmative treatment for young adult sexual minority men's mental and sexual health', BMC public health, vol. 19, no. 1, 1086. https://doi.org/10.1186/s12889-019-7346-4
Pachankis, John E. ; McConocha, Erin M. ; Reynolds, Jesse S. ; Winston, Roxanne ; Adeyinka, Oluwaseyi ; Harkness, Audrey ; Burton, Charles L. ; Behari, Kriti ; Sullivan, Timothy J. ; Eldahan, Adam I. ; Esserman, Denise A. ; Hatzenbuehler, Mark L. ; Safren, Steven. / Project ESTEEM protocol : A randomized controlled trial of an LGBTQ-affirmative treatment for young adult sexual minority men's mental and sexual health. In: BMC public health. 2019 ; Vol. 19, No. 1.
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