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Description:Project Yes! is a HIV clinic-based peer mentoring program designed to improve adherence to ART, decrease internalized HIV stigma, and improve viral suppression. The program consists of multiple components. Participants attend an orientation meeting with a healthcare provider, an adult caregiver (if invited), and an assigned youth peer mentor. Youth peer mentors are young adults aged 21—26 years with HIV who have successfully transitioned to self-management and are trained and hired as paid HIV clinic staff. During the orientation meeting, the healthcare provider reviews the viral load and shares the goal of maintaining viral suppression or becoming virally suppressed. The youth peer mentor then meets separately with the participant while the health care provider meets with the adult caregiver to discuss intervention-related questions. After the orientation meeting, participants meet with their assigned youth peer mentor monthly for one-on-one meetings for 6 months. They are also invited to attend monthly youth group meetings; the first meeting being required to encourage youth to try a group format. Youth group meetings are facilitated by the youth peer mentor and attended by a healthcare provider when clinical or technical information is needed. Adult caregivers are also invited to attend a total of three caregiver group meetings, held every other month to provide enhanced HIV knowledge and skills to support their youth. Journals are provided to participants to track adherence, engage with educational topics, and reflect on their journeys. Prior to the start of the intervention, participants attending the children’s hospital are assessed for physical transition to the adult hospital based on clinical eligibility (e.g., viral load status and opportunistic infections) and psychosocial factors (i.e., not currently experiencing a challenge, such as moving homes or recent death in family). Those who are eligible for transfer are invited to attend a group meeting to tour and familiarize themselves with their new clinic and their assigned youth peer mentor.
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