{"doi":"10.1007/s10461-022-03595-8","title":"Peer Navigation to Support Transgender Women’s Engagement in HIV Care: Findings from the Trans Amigas Pilot Trial in São Paulo, Brazil","abstract":"Trans women living with HIV (TWH) have suboptimal HIV care engagement. We pilot tested Trans Amigas, a theory-based, trans-specific peer navigation (PN) intervention to address barriers to care in São Paulo, Brazil. TWH were randomized to the PN intervention (n = 75) or control (n = 38) condition. Control participants were referred to trans-friendly HIV care. Intervention participants were assigned a navigator who conducted nine in-person one-on-one sessions and bi-weekly phone or text check-ins to help participants overcome barriers to care and work towards gender affirmation and healthcare goals. We followed participants for 9 months to determine intervention feasibility, acceptability, and preliminary efficacy in improving retention in care. Analyses were intention to treat (ITT). Intervention acceptability was high: at end line, 85.2% of PN participants said they would continue receiving services and 94.4% would recommend peer navigation to a friend. A priori feasibility criteria were met: 92% of eligible participants enrolled and 70% were retained at 9 months; however, only 47% achieved moderate or better adherence to both in-person and phone/text program components. Though the pilot was not powered for efficacy, ITT findings trended toward significance, with intervention participants 40% more likely to be retained in care at the end of the study. Population-specific peer programming to support care engagement is acceptable, feasible, and can improve HIV outcomes for Trans women living with HIV.","journal":"AIDS and Behavior","year":2022,"id":249704,"datarank":0.49983067652628066,"base_score":3.332204510175204,"endowment":3.332204510175204,"self_citation_contribution":0.49983067652628066,"citation_network_contribution":0.0,"self_endowment_contribution":0.49983067652628066,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":27,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9604,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":255173,"name":"Jae Sevelius","orcid":"0000-0002-8318-038X","position":1,"is_corresponding":false},{"id":890518,"name":"Gustavo Santa Roza Saggese","orcid":"0000-0003-0406-3271","position":2,"is_corresponding":false},{"id":277336,"name":"Hailey Gilmore","orcid":"0000-0002-1584-3233","position":3,"is_corresponding":false},{"id":890519,"name":"Kátia Cristina Bassichetto","orcid":"0000-0003-3645-025X","position":4,"is_corresponding":false},{"id":890520,"name":"Daniel Dutra de Barros","orcid":"0000-0002-5599-7915","position":5,"is_corresponding":false},{"id":891079,"name":"Renata Batisteli de Oliveira","orcid":null,"position":6,"is_corresponding":false},{"id":890521,"name":"Luca Fasciolo Maschião","orcid":"0000-0001-5736-9368","position":7,"is_corresponding":false},{"id":891080,"name":"Dorothy Chen","orcid":null,"position":8,"is_corresponding":false},{"id":890522,"name":"Maria Amélia de Sousa Mascena Veras","orcid":"0000-0002-1159-5762","position":9,"is_corresponding":false},{"id":277333,"name":"Sheri A. Lippman","orcid":"0000-0003-3152-9372","position":0,"is_corresponding":true}],"reference_count":48,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-19T00:24:23.754337Z","pmid":"35119537","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}