Lay Health Advisors for Sexually Transmitted Disease Prevention

Study Overview
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Brief Summary
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Non-professional community leaders may be at a great advantage in reaching otherwise hard to reach populations for the purpose of advising on sexually transmitted disease (STD) prevention (lay health advisors), health care access, and model health behavior. Latino migrant farm workers are at increased risk for STD and might benefit from such lay health advisors. The study will examine whether this strategy is a useful one for STD prevention in Latino migrant farm workers in rural and small town areas of North Carolina.

Detailed Description
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This is a demonstration project which includes the development, implementation, and evaluation of HoMBReS: Hombres Manteniendo Bienestar y Relaciones Saludables (Men Maintaining Wellness and Healthy Relationships). Applying a community-based participatory research (CBPR) approach, this 3-year study uses a quasi-experimental delayed-intervention comparison group design to assess the feasibility of implementing and the potential efficacy of an adult soccer league-based lay health advisor intervention. The intervention is designed to: reduce sexual risk behaviors among Latino seasonal farmworkers; enhance access to sexually transmitted disease/HIV healthcare services; and develop effective data collection methods among Latino men.

Official Title
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HoMBReS: A Lay Health Advisor Approach to Sexually Transmitted Disease Prevention

Conditions
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Syphilis, Gonorrhea, Chlamydia Infections, HIV Infections

Intervention / Treatment
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* Behavioral: HoMBReS: A lay health advisor approach to STD prevention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: LHA (lay health advisor) and participants: To be eligible for participation in this study as a lay health advisor (LHA), an LHA must: self-identify as Latino or Hispanic; work as a migrant or seasonal farmworker; be a member of the Liga Hispana de Fútbol de NC; be 18 years of age; be literate in Spanish; and provide informed consent. Exclusion Criteria: Based on the characteristics of the league population, the researchers anticipate that few potential LHAs or participants will be excluded.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)


Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: HoMBReS: A lay health advisor approach to STD prevention|nan|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reduced STD morbidity |  |  | 
| Reduced risk behavior |  |  | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improved access to services |  |  | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Latino, Lay Health, Access, Prevention, HIV Seronegativity, HIV