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Published Online: 11 September 2019

Improving the Youth HIV Prevention and Care Cascades: Innovative Designs in the Adolescent Trials Network for HIV/AIDS Interventions

Publication: AIDS Patient Care and STDs
Volume 33, Issue Number 9


Dramatic decreases in HIV transmission are achievable with currently available biomedical and behavioral interventions, including antiretroviral therapy and pre-exposure prophylaxis. However, such decreases have not yet been realized among adolescents and young adults. The Adolescent Medicine Trials Network (ATN) for HIV/AIDS interventions is dedicated to research addressing the needs of youth at high risk for HIV acquisition as well as youth living with HIV. This article provides an overview of an array of efficient and effective designs across the translational spectrum that are utilized within the ATN. These designs maximize methodological rigor and real-world applicability of findings while minimizing resource use. Implementation science and cost-effectiveness methods are included. Utilizing protocol examples, we demonstrate the feasibility of such designs to balance rigor and relevance to shorten the science-to-practice gap and improve the youth HIV prevention and care continua.

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Published In

cover image AIDS Patient Care and STDs
AIDS Patient Care and STDs
Volume 33Issue Number 9September 2019
Pages: 388 - 398
PubMed: 31517525


Published online: 11 September 2019
Published in print: September 2019


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Sylvie Naar [email protected]
Center for Translational Behavioral Science, Florida State University, Tallahassee, Florida.
Michael G. Hudgens
Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Ron Brookmeyer
Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, California.
April Idalski Carcone
Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit, Michigan.
Jason Chapman
Oregon Social Learning Center, Eugene, Oregon.
Shrabanti Chowdhury
Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, New York.
Andrea Ciaranello
Division of Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts.
W. Scott Comulada
Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, California.
Samiran Ghosh
Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit, Michigan.
Keith J. Horvath
Department of Psychology, San Diego State University, San Diego, California.
LaDrea Ingram
Arnold School of Public Health, University of South Carolina, Columbia, South Carolina.
Sara LeGrand
Duke Global Health Institute, Duke University, Durham, North Carolina.
Cathy J. Reback
Friends Research Institute, Los Angeles, California.
Kit Simpson
Department of Healthcare Leadership and Management, Medical University of South Carolina, Charleston, South Carolina.
Bonita Stanton
Hackensack Meridian School of Medicine, Seton Hall University, Newark, New Jersey.
Tyrel Starks
Department of Psychology, City University of New York–Hunter College, New York, New York.
Dallas Swendeman
Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, California.


Address correspondence to: Sylvie Naar, PhD, Department of Behavioral Sciences and Social Medicine, Florida State University, 1115 West Call Street, Tallahassee, FL 32306-4300 [email protected]

Author Disclosure Statement

No competing financial interests exist.

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