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The methods used for this intervention pilot test indicate that the study was acceptable to participants and feasible to conduct. The results demonstrate that Baynetna— a behavioral group support trans-delivered intervention—was feasible and acceptable in Lebanon.
The importance of identifying appropriate venues for promoting healthy behavior has been established as a key component for HIV prevention strategies Baytop et al. The venue where Baynetna was held was indeed found to be regarded as a safe and accessible space and location.
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However, prior to the implementation of this study, information was unavailable about the cultural acceptance and logistical feasibility of a group intervention in the Middle Eastern context. In a country where psychological counseling is only beginning to be culturally acceptable in the general population, it was unclear whether giving and receiving psychological support in a group of peers would be viewed as desirable among trans women in Lebanon, where relationships within the trans community had been historically disconnected and competitive Kaplan et al.
Within-community violence had been reported prior to study implementation. Existing literature emphasizes the importance of peer involvement in health promoting strategies among trans women, including peer-delivered HIV testing and counseling Veronese et al.
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One limitation of this study is that it was implemented with a small sample size, which restricted the ability to draw statistically-significant conclusions. Feasibility and acceptability data were collected by research team members who also implemented Baynetna, thereby introducing the possibility of social desirability bias. In summary, we have shown for the first time that a group support trans-facilitated HIV intervention developed in the United States can be adapted for feasible and acceptable use in Lebanon.
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