Integrating Sexual Pleasure Into Harm Reduction Services for Men Who Have Sex With Men and Transgender Persons Who Engage in Chemsex or Substance Use in Thailand
Institute of HIV Research and Innovation Foundation, Thailand
300 participants
May 1, 2025
INTERVENTIONAL
Conditions
Summary
The study evaluates the integration of a sexual pleasure-based approach into harm reduction services for MSM and transgender persons engaging in chemsex or substance use in Thailand, using the "Pleasuremeter" tool to improve sexual health and related outcomes.
Eligibility
Inclusion Criteria4
- MSM, transgender women, transgender men, or non-binary persons
- Age ≥18 years
- Engaged in chemsex or substance use within past 12 months
- Able to provide informed consent
Exclusion Criteria1
- • Unable to communicate in Thai sufficiently to complete study procedures
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Interventions
Semi-structured in-depth interviews guided by the Pleasuremeter framework, covering 7 domains of sexual pleasure: * Physical and psychological satisfaction * Self-determination * Consent * Safety * Privacy * Confidence * Communication/negotiation
Participants will undergo: * Sexual pleasure assessment using Pleasuremeter (0-10 scale, 3-month recall) * Behavioral risk and substance use assessment * HIV/STI testing * Mental health screening using Electronic Mental Wellness Tool (e-mwTool) * Social and stigma assessment * Harm reduction services (drug literacy, counseling, referral, harm reduction kits) The intervention aims to facilitate structured discussions on sexual pleasure within harm reduction services.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT07509853