RecruitingNCT07512869

Host Led Harm Reduction Approach Among Men Who Have Sex With Men Who Engaged in Chemsex in Bangkok, Thailand: A Pre-Implementation Study

Sponsor

Institute of HIV Research and Innovation Foundation, Thailand

Enrollment

76 participants

Start Date

Feb 17, 2025

Study Type

OBSERVATIONAL

Conditions

Mental Health Substance Use HIV Prevention Sexually Transmitted Infections (STIs)

Summary

This study evaluates the pre-implementation phase of a host-led harm reduction model for men who have sex with men (MSM) engaging in chemsex in Bangkok, Thailand, focusing on understanding harms, contexts, and needs to develop a tailored intervention.

Eligibility

Sex: MALEMin Age: 18 Years

Inclusion Criteria7

MSM aged ≥18 years
Able to communicate in Thai
Specific by group:
Chemsex hosts: hosted ≥2 times in past 6 months
Chemsex guests: attended ≥2 times in past 6 months
CSO / hospital / police staff: working ≥3 months in related roles
Provide informed consent

Exclusion Criteria1

Unable to provide informed consent (e.g., under substance influence at consent)

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

BEHAVIORALSelf-administered questionnaire assessment

Participants (chemsex party hosts and guests) will complete structured self-administered questionnaires to assess: * Substance use patterns and related harms * Sexual health risks (e.g., condom use, HIV/STI testing, PrEP/ART adherence) * Mental health status using validated tools: * Patient Health Questionnaire-9 (PHQ-9) * Generalized Anxiety Disorder-7 (GAD-7) * Socio-legal harms including stigma and discrimination

BEHAVIORALSemi-structured in-depth interviews (IDIs)

All stakeholders will participate in semi-structured in-depth interviews: * Exploration phase: guided by EPIS framework * Preparation phase: guided by * Theoretical Domains Framework (TDF) (hosts \& guests) * Consolidated Framework for Implementation Research (CFIR) (organizational stakeholders) The interviews aim to: * Identify harms associated with chemsex * Explore current practices and contexts * Identify barriers and facilitators * Inform development and refinement of a harm reduction model

BEHAVIORALDevelopment and refinement of harm reduction model

A novel four-pronged harm reduction model will be developed and refined based on quantitative and qualitative findings. Domains include: * Substance use harm reduction * Sexual health harm reduction * Mental health harm reduction * Socio-legal harm reduction