Methodological strategies to engage young black and Latino heterosexual couples in sexual and reproductive health research

Abstract

Background: Approaches that move beyond individuals and target couples may be an effective strategy for reducing sexual and reproductive health (SRH) disparities among adolescents and young adults (AYA). However, few researchers have attempted to recruit couples due to feasibility and methodological issues. This study aims to enhance implementation and methodological approaches to successfully engage heterosexual Black and Latino adolescent and young adult (AYA) couples in sexual reproductive health (SRH) research. Methods: We developed a four-step approach to systematically engage AYA couples in a qualitative study examining factors that influence uptake of combination HIV prevention methods: 1) understanding barriers and facilitators to engaging AYA couples, (2) identifying AYAs living in geographic areas of HIV vulnerability, (3) recruiting and screening AYA couples, and (4) scheduling and completion of the interview session. Results: Black and Latino youth aged 16 to 24 and their opposite sex romantic were recruited in the South Bronx, New York from September 2017-May 2018. Three hundred and seventy-two men and women completed screening procedures to determine eligibility for the index participant; 125 were eligible and enrolled into the study. Forty-nine nominated partners (NPs) participated in screening procedures and enrolled into the study. A total of 49 couples enrolled into the study; 23 couples completed study activities. Conclusions: Developing a systematic recruitment plan aided in successfully engaging Black and Latino heterosexual youth. Nevertheless, barriers to study enrollment remained including locating eligible IPs and screening of the NP. Targeting both young men and women was an effective recruitment strategy. Moreover, dyadic strategies that allow for simultaneous interaction with both couple members may be a beneficial strategy to couples' study enrollment and completion of study activities.

A Qualitative Investigation of Facilitators to Black and Latino Adolescent and Young Adults’ Participation in a Couple-Based HIV Prevention Study

“…Detailed screening information is presented elsewhere. 21 Three hundred and seventy-two IPs were screened for eligibility. Of those, 132 meet eligibility criteria and 125 decided to provide contact information.…”

“…One reason for the absence of dyadic HIV/STI research targeting AYAs is that engaging young couples is challenging. 20 -22 In general, there are methodological challenges associated with the recruitment and retention of dyads. Unlike studies that include only one member of the couple, studies that target the dyad require that both couple members meet study eligibility criteria, are willing to participate, and are jointly available to complete study activities.…”

“…For example, young couples may have more difficulty arranging their schedules and coordinating a participation time that best fits both of their availabilities thus increasing their likelihood of non-participation. 21…”

Attitudes Toward the Uptake of Combination HIV Prevention Methods Among Young Black and Latino Heterosexual Couples Living in New York City: A Qualitative Study

“…Eligible couples were invited to participate in an in-person interview session located at the PIs home institution or at a partnering community site located in the target recruitment area. Additional recruitment details have been published elsewhere (Lanier et al, 2020).…”