A Randomized Trial to Evaluate the Efficacy of a Web-Based HIV Behavioral Intervention for High-Risk African American Women

Billings, Douglas W.; Leaf, Samantha L.; Spencer, Joy; Crenshaw, Terrlynn; Brockington, S; Dalal, Reeshad S.

doi:10.1007/s10461-015-0999-9

Cited by 40 publications

(72 citation statements)

References 62 publications

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“…Although 16 of 25 studies recruited subjects either from an education setting (n = 7; 7,[11][12][13][14][15][16] e.g. high schools, middle schools and universities) or a health setting (n = 9; [3][4][5]8,[17][18][19][20][21] including sexual health clinics and hospitals), the remaining nine studies were defined by the recruitment method rather than a particular physical setting. These nine studies recruited participants directly online through new digital media, such as Facebook or location-based social mobile applications.…”

Section: Population Of Interestmentioning

confidence: 99%

“…Within the US, African American communities were the primary focus. 3,4,7,8,12,17,20,21,27 One intervention was delivered to a Latino/Hispanic population. 13 The three studies conducted in low-to middle-income countries were based in Chile, Uganda and Thailand.…”

Section: Population Of Interestmentioning

confidence: 99%

“…4,[8][9][10]19,23,24 In 13 studies, participants were predominantly male, with eight of the interventions focusing solely on men. 4,[8][9][10]12,19,20,24 Women were the sole focus of five studies, 3,5,12,17,21 and women were the predominant participants in 11 of the 25 studies. 3,5,12,13,15,17,18,21,[25][26][27] In two studies, the prioritisation of youth focused on the related issue of substance abuse disorders.…”

Section: Population Of Interestmentioning

confidence: 99%

“…4,[8][9][10]12,19,20,24 Women were the sole focus of five studies, 3,5,12,17,21 and women were the predominant participants in 11 of the 25 studies. 3,5,12,13,15,17,18,21,[25][26][27] In two studies, the prioritisation of youth focused on the related issue of substance abuse disorders. 7,9 Intervention design Although participants' age ranged from 12 to >50 years, most participants were in the range 15-24 years (n = 17 studies).…”

Section: Population Of Interestmentioning

confidence: 99%

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New digital media interventions for sexual health promotion among young people: a systematic review

et al. 2019

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New digital media platforms (e.g. social networking sites, web pages and text messaging) have dramatically changed interpersonal communication and present novel opportunities for health interventions. Due to the high uptake and use of digital media among young people, advances in digital media provide potential new opportunities in delivering health interventions to this audience to reduce sexually transmissible infection (STI) risk. The aim of this study was to assess the effectiveness of sexual health interventions delivered via new digital media to young people (aged 13-24 years). A systematic search was conducted of seven databases for peer-reviewed literature published between January 2010 and April 2017 that evaluated a sexual health intervention delivered to young people (aged 13-24 years). Of 2017 papers reviewed, 25 met the inclusion criteria and were assessed. Sixteen studies used web-based platforms to deliver their intervention. A large proportion of studies (11/25) specifically focused on HIV prevention. Seven studies found a statistically significant effect of the intervention on knowledge levels regarding the prevention HIV and other STI, as well as general sexual health knowledge, but only one-fifth of interventions evaluating intentions to use condoms reported significant effects due to the intervention. Nine studies focused on individuals from an African American background. Although new media has the capacity to expand efficiencies and coverage, the technology itself does not guarantee success. It is essential that interventions using new digital media have high-quality, evidence-based content that engages with individual participants.

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Section: Population Of Interestmentioning

confidence: 99%

Section: Population Of Interestmentioning

confidence: 99%

Section: Population Of Interestmentioning

confidence: 99%

Section: Population Of Interestmentioning

confidence: 99%

See 2 more Smart Citations

New digital media interventions for sexual health promotion among young people: a systematic review

et al. 2019

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“…This is cause for concern, particularly for social networking daters who may be presented with multiple opportunities for sexual encounters. Although social media networking has been criticized for influencing sexual self-objectification [17], particularly among adolescent and adult women, social media and networking sites can be an excel- web-based interventions such as Safe Sistah [18] has been shown to increase safe-sex behaviors among African American women by taking into consideration and addressing cultural norms surrounding sexual behavior.…”

Section: Discussionmentioning

confidence: 99%

Latent Profiles of Social Media Users, STI Knowledge, and Condom Use among African American Young Adults

Carmack¹,

Rodriguez²,

Coleman³

et al. 2020

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The abundance of social networking platforms has increased the frequency and the availability for which individuals communicate with one another. The feasibility and accessibility to go online to find sexual partners pose opportunity for contracting sexually transmitted infections (STI) in the absence of safe sexual practices. Low condom use has been reported among young adults who seek sexual partners online. African American young adults have some of the highest rates of infection for certain STIs. In order to mitigate the incidence and prevalence of STIs in at-risk populations, sexually active young adults must use condoms consistently and correctly during sexual activities. The present study sought to uncover the heterogeneity within African American young adults regarding their online networking utilization, STI knowledge, and sexual risk behavior. African American young adults (N = 236), ages 18 -23, completed private online survey administration. Using latent class analysis, three classes were identified: Social Network Communicators (43%; N = 101), Social Networking Daters (36%; N = 83), and Media Sharers (21%; N = 52). Social Networking Daters exhibited the highest probability of using online dating sites daily, low STI knowledge, and a zero probability of consistent condom use. All three groups exhibited relatively low STI knowledge. Furthermore, having a history of STI increased the likelihood of being classified into the Social Networking Daters class relative to the other classes. Findings highlight the need to capitalize upon online platforms for African American young adults who utilize online dating sites and other online environments.

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Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections

Henderson

Senger

Henninger

et al. 2020

JAMA

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Increasing rates of preventable sexually transmitted infections (STIs) in the US pose substantial burdens to health and well-being. OBJECTIVE To update evidence for the US Preventive Services Task Force (USPSTF) on effectiveness of behavioral counseling interventions for preventing STIs. DATA SOURCES Studies from the previous USPSTF review (2014); literature published January 2013 through May 31, 2019, in MEDLINE, PubMed (for publisher-supplied records only), PsycINFO, and Cochrane Central Register of Controlled Trials. Ongoing surveillance through May 22, 2020. STUDY SELECTION Good-and fair-quality randomized and nonrandomized controlled intervention studies of behavioral counseling interventions for adolescents and adults conducted in primary care settings were included. Studies with active comparators only or limited to individuals requiring specialist care for STI risk-related comorbidities were excluded. DATA EXTRACTION AND SYNTHESIS Dual risk of bias assessment, with inconsistent ratings adjudicated by a third team member. Study data were abstracted into prespecified forms. Pooled odds ratios (ORs) were estimated using the DerSimonian and Laird method or the restricted maximum likelihood method with Knapp-Hartung adjustment. MAIN OUTCOMES AND MEASURES Differences in STI diagnoses, self-reported condom use, and self-reported unprotected sex at 3 months or more after baseline. RESULTS The review included 37 randomized trials and 2 nonrandomized controlled intervention studies (N = 65 888; 13 good-quality, 26 fair-quality) recruited from primary care settings in the US. Study populations were composed predominantly of heterosexual adolescents and young adults (12 to 25 years), females, and racial and ethnic minorities at increased risk for STIs. Nineteen trials (n = 52 072) reported STI diagnoses as outcomes (3 to 17 months' follow-up); intervention was associated with reduced STI incidence (OR, 0.66 [95% CI, 0.54-0.81; I 2 = 74%]). Absolute differences in STI acquisition between groups varied widely depending on baseline population STI risk and intervention effectiveness, ranging from 19% fewer to 4% more people acquiring STI. Thirty-four trials (n = 21 417) reported behavioral change outcomes. Interventions were associated with self-reported behavioral change (eg, increased condom use) that reduce STI risk (OR, 1.31 [95% CI, 1.10-1.56; I 2 = 40%, n = 5253). There was limited evidence on persistence of intervention effects beyond 1 year. No harms were identified in 7 studies (n = 3458) reporting adverse outcomes. CONCLUSIONS AND RELEVANCE Behavioral counseling interventions for individuals seeking primary health care were associated with reduced incidence of STIs. Group or individual counseling sessions lasting more than 2 hours were associated with larger reductions in STI incidence, and interventions of shorter duration also were associated with STI prevention, although evidence was limited on whether the STI reductions associated with these interventions persisted beyond 1 year.

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A Randomized Trial to Evaluate the Efficacy of a Web-Based HIV Behavioral Intervention for High-Risk African American Women

Cited by 40 publications

References 62 publications

New digital media interventions for sexual health promotion among young people: a systematic review

New digital media interventions for sexual health promotion among young people: a systematic review

Latent Profiles of Social Media Users, STI Knowledge, and Condom Use among African American Young Adults

Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections

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