Reducing HIV risk behavior of men who have sex with men through persuasive computing: results of the Men's INTernet Study-II

Rosser, B. R. Simon; Oakes, J. Michael; Konstan, Joseph A.; Hooper, Simon; Horvath, Keith J.; Danilenko, Gene P.; Nygaard, Katherine E; Smolenski, Derek J.

doi:10.1097/qad.0b013e32833c4ac7

Cited by 94 publications

(109 citation statements)

References 28 publications

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“…The Internet thus may provide an efficient means to disseminate information about HIV and HIV testing. Several studies in the US have successfully promoted STI/HIV testing using interactive Internet games and activities that educate adolescents and young adults about sexual health risks [56][57][58]. Findings from our study provide further evidence of the Internet's importance in promoting HIV testing.…”

Section: Overcome Psychosocial Barriers: Weakening Social Taboos and supporting

confidence: 57%

Social Network and Other Correlates of HIV Testing: Findings from Male Sex Workers and Other MSM in Shanghai, China

Huang

Nehl

et al. 2012

AIDS Behav

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Although the Chinese government provides free-of-charge voluntary HIV counseling and testing, HIV testing rates among men who have sex with men (MSM) are reported to be extremely low. This study examines the association of structural and psychosocial factors and social network characteristics with HIV testing behaviors among "money boys" and general MSM in Shanghai. Overall, 28.5% of "money boys" and 50.5% of general MSM had never tested for HIV despite high rates of reported HIV risk behaviors. Factors associated with not testing for HIV included: not knowing of a testing site, limited HIV knowledge, low perceived HIV risk, concern about HIV testing confidentiality, being a closeted gay, not using the Internet, and having a small social network or network with few members who had tested for HIV. Future efforts to promote HIV testing should focus on outreach to general MSM, confidentiality protection, decreasing the stigma of homosexuality, and encouraging peer education and support through the Internet and social networks.

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Section: Overcome Psychosocial Barriers: Weakening Social Taboos and supporting

confidence: 57%

Social Network and Other Correlates of HIV Testing: Findings from Male Sex Workers and Other MSM in Shanghai, China

Huang

Nehl

et al. 2012

AIDS Behav

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“…237 A study conducted among MSM showed that the mean number of unprotected anal sex partners in both the study arms declined over time during the 12-month follow-up period. 239 It is difficult to know if this observed decline was caused by real decline in both the study arms (which can potentially suggest measurement reactivity), regression to the mean, or if it was caused by other coincidental factors. Collecting only minimal baseline data prior to allocation to study arms could be one way to minimise measurement reactivity.…”

Section: Measurement Reactivitymentioning

confidence: 99%

“…230,247,254 However, some online trials have shown higher retention rates, for example 90% at 1 month, 255 72% at 3 months 185 and > 70% in a trial with a follow-up period of 1 year. 239 In a trial of an IDI delivered by automated voice message, 86% follow-up was achieved for self-reported data at 4 months. 83 A trial of a digital intervention delivered by text message to increase safer sex behaviours achieved 93% follow-up for self-reported data at 1 month and 86% follow-up for chlamydia tests at 3 months.…”

Section: Retention In Randomised Controlled Trials Of Digital Intervementioning

confidence: 99%

“…The internet has provided a platform to study HIV/AIDS risk behaviours among hard-to-reach populations, 233 for example via chat rooms on gay websites. [238][239][240] Digitally mediated research methods have facilitated the recruitment of MSM in communities where homosexuality is stigmatised. 240 Less is known about the potential for recruitment of young people to research through dating sites.…”

Section: Convenience and Cost Of Online Recruitment Of Study Participmentioning

confidence: 99%

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Sexual health promotion for young people delivered via digital media: a scoping review

et al. 2015

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BackgroundYoung people are at risk of poor sexual health and are, therefore, in need of comprehensive, effective sexual health education. Young people are confident and constant users of digital technology, such as the internet and mobile phones, and there are many innovative possibilities for sexual health education involving these technologies.ObjectivesTo summarise evidence on effectiveness, cost-effectiveness and mechanism of action of interactive digital interventions (IDIs) for sexual health; optimal practice for intervention development; contexts for successful implementation; research methods for digital intervention evaluation; and the future potential of sexual health promotion via digital media.DesignLiterature review of evidence on digital interventions for sexual health for young people, integrating the findings with the views of young people, parents and experts in digital media/sexual health. IDIs are defined as digital media programmes that provide health information and tailored decision support, behaviour-change support and/or emotional support. We focus on sexual well-being for young people aged 13–24 years in the UK.ResultsThere are many imaginative IDIs for sexual health promotion, but few interventions address issues that are important to young people, such as sexual pleasure and relationships. It is vital to collaborate with young people and to use Behaviour-Change Theory in designing interventions. We located 19 randomised controlled trials of IDIs for sexual health promotion for young people, finding a moderate effect on sexual health knowledge [standardised mean difference (SMD) 0.54, 95% confidence interval (CI) 0.17 to 0.92], a small effect on confidence (self-efficacy) (SMD 0.11, 95% CI 0.02 to 0.20) and a positive effect on sexual behaviour (odds ratio 1.28, 95% CI 1.01 to 1.61), but no significant effects on safer sex intention or biological outcomes. One study suggests that IDIs may be as good as face-to-face interventions for sexual health knowledge and safer sex intention. There are no existing data on the cost-effectiveness of IDIs for sexual health promotion. The impact of an IDI will be determined by the proportion of the target population reached, intervention efficacy, adoption in a setting, how well it is delivered and maintenance/sustainability. All of these elements must be addressed for IDIs to be successful. More collaboration is needed to capitalise on the knowledge of users and stakeholders, the design and software skills of the commercial sector and the theoretical expertise and evaluation skills of academia.ConclusionsIDIs are effective for knowledge acquisition and sexual behaviour, and could usefully contribute to sexual health education in schools, in clinic settings and online; however, there are obstacles to overcome, such as access to information technology and ensuring the quality and safety of interventions.Future workMore evidence is needed on the best designs for interventions (e.g. choice of behaviour-change mechanisms and interactive features) and the best models of delivery (e.g. setting, modes of delivery, methods of facilitation and support for engagement) to improve sexual behaviour, biological outcomes and sexual well-being in a cost-effective way.FundingThe National Institute for Health Research Public Health Research programme.

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“…[12][13][14][15] Recently, Internet access has greatly expanded with over half of Internet users living in middle income countries in Asia and Latin America. 16 These countries could now use web-based HIV prevention for MSMs.…”

mentioning

confidence: 99%

Developing a Web Site for Human Immunodeficiency Virus Prevention in a Middle Income Country: A Pilot Study from Thailand

Kasatpibal

Viseskul

Srikantha³

et al. 2012

Cyberpsychology, Behavior, and Social Networking

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Reducing HIV risk behavior of men who have sex with men through persuasive computing: results of the Men's INTernet Study-II

Cited by 94 publications

References 28 publications

Social Network and Other Correlates of HIV Testing: Findings from Male Sex Workers and Other MSM in Shanghai, China

Social Network and Other Correlates of HIV Testing: Findings from Male Sex Workers and Other MSM in Shanghai, China

Sexual health promotion for young people delivered via digital media: a scoping review

Developing a Web Site for Human Immunodeficiency Virus Prevention in a Middle Income Country: A Pilot Study from Thailand

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