Assessing the Feasibility and Acceptability of Implementing an Enhanced Social Network Strategy to Reduce HIV Within Recent Transmission Networks in the US South

Black sexual and gender minorities (BSGM) in the U.S. South experience high HIV incidence and low engagement in prevention and treatment services. We conducted a mixed-methods implementation science study to assess perceived drivers of aspects of the feasibility and acceptability of implementing an enhanced Social Network Strategy (eSNS). We did this to further inform its adaptation for BSGM in Charlotte, NC from CDC’s evidence-based program. The adaptation incorporated PrEP referrals and HIV care re-engagement. We conducted Personal Network Surveys (PNS) (n=59) and in-depth interviews (IDIs) (n=17 initial, n=8 follow-up). In the eSNS, community members ( Ambassadors) are coached by disease intervention specialists to refer people from their social networks to HIV testing, prevention, or treatment. The 59 survey participants (median age 28) were 79% cisgender men, 7% transgender women; 66% living with HIV. Most PNS participants reported comfort discussing HIV. Most of the IDI participants were interested in serving as Ambassadors . The eSNS demonstrated strong feasibility and acceptability among BSGM. Implementation recommendations included augmenting both confidentiality protections and Ambassador training.