You are here

  • Home
  • Archive
  • Volume 6, Issue 10
  • Arts-based HIV and STI prevention intervention with Northern and Indigenous youth in the Northwest Territories: study protocol for a non-randomised cohort pilot study

Article Text

Article menu

Download PDFPDF

XML
HIV/AIDS
Protocol
Arts-based HIV and STI prevention intervention with Northern and Indigenous youth in the Northwest Territories: study protocol for a non-randomised cohort pilot study
  1. Candice Lys1,2,
  2. Carmen H Logie3,4,
  3. Nancy MacNeill2,
  4. Charlotte Loppie5,
  5. Lisa V Dias1,
  6. Renée Masching6,
  7. Dionne Gesink1
  1. 1Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
  2. 2Fostering Open eXpression among Youth (FOXY), Yellowknife, Northwest Territories, Canada
  3. 3Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada
  4. 4Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada
  5. 5School of Public Health and Social Policy, University of Victoria, Victoria, British Columbia, Canada
  6. 6Canadian Aboriginal AIDS Network (CAAN), Vancouver, British Columbia, Canada
  1. Correspondence to Professor Carmen H Logie; carmen.logie{at}utoronto.ca

Abstract

Introduction Indigenous youth are disproportionately represented in new HIV infection rates in Canada. Current and historical contexts of colonisation and racism, disconnection from culture and land, as well as intergenerational trauma resulting from the legacy of residential schools are social drivers that elevate exposure to HIV among Indigenous peoples. Peer-education and arts-based interventions are increasingly used for HIV prevention with youth. Yet limited studies have evaluated longitudinal effects of arts-based approaches to HIV prevention with youth. The authors present a rationale and study protocol for an arts-based HIV prevention intervention with Northern and Indigenous youth in the Northwest Territories (NWT), Canada.

Methods and analysis This is a multicentre non-randomised cohort pilot study using a pretest/post-test design with a 12-month follow-up. The target population is Northern and Indigenous youth in 18 communities in the NWT. The aim is to recruit 150 youth using venue-based sampling at secondary schools. Participants will be involved in an arts-based intervention, Fostering Open eXpression among Youth (FOXY). Participants will complete a pretest, post-test survey directly following the intervention, and a 12-month follow-up. The primary outcome is new or enhanced HIV knowledge, and secondary outcomes to include: new or enhanced sexually transmitted infections knowledge, and increased self-esteem, resilience, empowerment, safer sex self-efficacy and cultural connectedness. Mixed effects regression analyses will be conducted to evaluate pretest and post-test differences in outcome measurement scores.

Ethics and dissemination This study has received approval from the HIV Research Ethics Board at the University of Toronto (REB: 31602). In addition, the project is currently registered in the NWT with the Aurora Research Institute (Licence: 15741). Trial results will be published according to the Transparent Reporting of Evaluations with Nonrandomised Designs statement.

Trial registration number NCT02743026; Pre-results.

  • PREVENTIVE MEDICINE
  • youth
  • indigenous
  • Northern

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

https://doi.org/10.1136/bmjopen-2016-012399

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors CLys conceptualised the intervention with NMacN. CHL designed the analysis and led writing of the manuscript. CLys, LVD, RM and DG contributed to study design and provided edits on the manuscript. All authors approved the final version.

    • Funding This pilot study is funded through the Canadian Institute for Health Research (CIHR), Operating Grant HIV/AIDS Community-Based Research Fund.

    • Competing interests None declared.

    • Ethics approval Research ethics approval was obtained from the Office of Research Ethics (REB: 31602), University of Toronto. This research is also registered with the Aurora Research Institute (ARI) in the Northwest Territories (Licence: 15741).

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data sharing statement Owing to the small population, and therefore the small sample size in some of the communities in the Northwest Territories, we do not wish to compromise participant confidentiality. We will limit data sharing to persons who are research team members.