학술논문

Improving the Youth HIV Prevention and Care Cascades: Innovative Designs in the Adolescent Trials Network for HIV/AIDS Interventions
Document Type
article
Source
AIDS Patient Care and STDs. 33(9)
Subject
Paediatrics
Biomedical and Clinical Sciences
Public Health
Health Sciences
Behavioral and Social Science
Adolescent Sexual Activity
Pediatric
Clinical Trials and Supportive Activities
Prevention
Vaccine Related
Clinical Research
Infectious Diseases
Vaccine Related (AIDS)
Pediatric AIDS
HIV/AIDS
Immunization
Prevention of disease and conditions
and promotion of well-being
3.1 Primary prevention interventions to modify behaviours or promote wellbeing
Infection
Good Health and Well Being
Acquired Immunodeficiency Syndrome
Adolescent
Adolescent Behavior
Antiretroviral Therapy
Highly Active
HIV Infections
Humans
Pre-Exposure Prophylaxis
Young Adult
adolescent
behavioral
HIV
methods
Public Health and Health Services
Virology
Clinical sciences
Public health
Language
Abstract
Dramatic decreases in HIV transmission are achievable with currently available biomedical and behavioral interventions, including antiretroviral therapy and pre-exposure prophylaxis. However, such decreases have not yet been realized among adolescents and young adults. The Adolescent Medicine Trials Network (ATN) for HIV/AIDS interventions is dedicated to research addressing the needs of youth at high risk for HIV acquisition as well as youth living with HIV. This article provides an overview of an array of efficient and effective designs across the translational spectrum that are utilized within the ATN. These designs maximize methodological rigor and real-world applicability of findings while minimizing resource use. Implementation science and cost-effectiveness methods are included. Utilizing protocol examples, we demonstrate the feasibility of such designs to balance rigor and relevance to shorten the science-to-practice gap and improve the youth HIV prevention and care continua.