Thailand Transgender Women Stigma Study

Aim 1 (Formative Research and Beta-Testing) Transgender women

Inclusion Criteria:

• Ages between 18 and 29 years

• Male sex at birth

• Self-identifies as women, transgender women or culturally identifies with the femalespectrum

• Laboratory-confirmed HIV-negative status

• Self-reported recent history of condomless sex

• Able to understand, read and speak Thai

• Either not started PrEP or currently on PrEP but not adherent (taking ≤3 pills/week)in the past month.

Exclusion Criteria:

• Have a serious cognitive or psychiatric problem compromising ability to provideinformed consent

• Have active suicidal ideation or major mental illness at the time of interview (these patients will be referred for treatment)

• Laboratory or clinical findings that would preclude PrEP initiation (e.g., decreasedcreatinine clearance)

• Currently enrolled in another HIV intervention study.

Healthcare providers Inclusion criteria

• Age 18 or above

• Has provided HIV prevention or treatment services for TGW for at least one yearExclusion criteria

• None

Aim 2 (Pilot RCT) Transgender women Inclusion criteria

• Ages between 18 and 29 years

• Male sex at birth

• Self-identifies as women, transgender women or culturally identifies with the femalespectrum

• Laboratory-confirmed HIV-negative status

• Self-reported recent history of condomless sex

• Able to understand, read and speak Thai

• Either not started PrEP or currently on PrEP but not adherent (taking ≤3 pills/week)in the past month.

Exclusion criteria

• Have a serious cognitive or psychiatric problem compromising ability to provideinformed consent

• Have active suicidal ideation or major mental illness at the time of interview (these patients will be referred for treatment)

• Laboratory or clinical findings that would preclude PrEP initiation (e.g., decreasedcreatinine clearance)

• Currently enrolled in another HIV intervention study.