Procedures
enema
The protocol established that the participants in the intervention group would attend at least one monthly face-to-face meeting with their respective PN, holding individual thematic sessions on self-esteem, self-care, communication strategies, and ART adherence, over nine months. All participants had to be undergoing follow-up for HIV at their partner health service.At enrollment, a baseline questionnaire was applied face-to-face by trained interviewers. After three months, participants received a phone call to confirm contact, check the quality of the intervention, and be reminded to return at nine months to complete the follow-up questionnaire, either face-to-face or remotely, ending their participation in the project. The initial protocol estimated 70% retention in this stageTo facilitate retention to the project, all participants received a BRL 30.00 compensation at the time of the interviews, regardless of the group to which they were randomized, to cover transportation and food expenses. Moreover, at enrollment, they received a small snack and a kit with beauty products, condoms, an enema, a lubricant gel, and a guide to services for TrTGW, besides BRL 20.00 per month to add minutes on their cell phones to maintain contact with the research team. As an additional incentive for the participants of the intervention group to attend the face-to-face meetings, PNs distributed small gifts, such as pill boxes, appointment books, stylized panties, among others.