The Effect of a Text Messaging Based HIV Prevention Program on Sexual Minority Male Youths: A National Evaluation of Information, Motivation and Behavioral Skills in a Randomized Controlled Trial of Guy2Guy

Ybarra, Michele L.; Liu, Weiwei; Prescott, Tonya L.; Phillips, Gregory; Mustanski, Brian

doi:10.1007/s10461-018-2118-1

Cited by 31 publications

(17 citation statements)

References 40 publications

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“…Therefore, it is important to develop an HIV prevention program for consistent condom use under the guidance of health promotion theoretical frameworks. The IMB model is one theory that effectively predicts the condom use [10–13] and guides condom promotion interventions in various populations, including MSM [14–16].…”

Section: Discussionmentioning

confidence: 99%

“…Specifically, the Information-Motivation-Behavioral Skills (IMB) model has been found to significantly predict condom use among MSM [10], female sex workers [11], people attending sexually transmitted infection (STI) clinics [12], and students [13]. Consequently, interventions designed along IMB constructs have been found to increase condom use among MSM [14], HIV-infected patients [15], and students [16]. The IMB model proposes that information, motivation, and behavioral skills are fundamental determinants of HIV-preventive behaviors, e.g.…”

Section: Introductionmentioning

confidence: 99%

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Predictors of condom use behavior among men who have sex with men in China using a modified information-motivation-behavioral skills (IMB) model

Jiang

Chen

et al. 2019

BMC Public Health

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Background Men who have sex with men (MSM) are at high risk for human immunodeficiency virus (HIV) infection in China. Correct and consistent condom use is one of the most effective strategies for preventing the spread of HIV. This study developed a modified Information-Motivation-Behavioral Skills (IMB) model to predict condom use behavior among Chinese MSM. Methods A cross-sectional study was conducted to collect data using self-administered electronic questionnaire. Participants were recruited from HIV Voluntary Counseling and Testing clinics in six district Centers for Disease Control and Prevention in Guangzhou and two community-based HIV service centers (Lingnan Partners and Zhitong Charity) from May to September 2017. Structural equation modeling was performed to develop the modified IMB model with extended multilevel factors. Results Among the 976 MSM included, 52.05% had engaged in anal intercourse with a condom every time. The final modified IMB model fitted the data more ideally than the conventional model. The final modified IMB model revealed that behavioral skills positively contributed directly to condom use ( β = 0.385, p < 0.001) and partially mediated the associations between information ( β = 0.106, p = 0.005) and motivation ( β = 0.390, p < 0.001) and condom use. Regarding the extended multilevel factors, education, income, receiving HIV prevention services, sexual partner seeking behavior, depression, intimate partner violence, and child sexual abuse had indirect impacts on condom use that were mediated by information, motivation, and/or behavioral skills ( p < 0.05). All paths from the latent variable to the corresponding observed variables were statistically significant ( p < 0.001). Conclusion The modified IMB model with extended multilevel factors could serve as a theoretical framework for behavioral interventions for condom use among Chinese MSM. Further prospective studies are needed to examine the predictive power of the modified IMB model. Electronic supplementary material The online version of this article (10.1186/s12889-019-6593-8) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Predictors of condom use behavior among men who have sex with men in China using a modified information-motivation-behavioral skills (IMB) model

Jiang

Chen

et al. 2019

BMC Public Health

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“…Fisher and Fisher (1992) developed this theoretical model to explain sexual behavior based on three elements, which can serve to explain the relationship between CSA and the performance of risky sexual behaviors. They suggest that information (on the transmission, prevention, and consequences of STI), motivation (to protect oneself, about safe sex), and behavioral skills (to discuss safe sex with a partner and to use condoms) influence sexual behavior, as several studies have shown (Johnson et al, 2006; Fisher et al, 2014; Jones et al, 2018; Ybarra et al, 2018).…”

Section: Theoretical Models: Traumatogenic Dynamics and Information-mmentioning

confidence: 99%

Childhood Sexual Abuse, Sexual Behavior, and Revictimization in Adolescence and Youth: A Mini Review

et al. 2019

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Childhood sexual abuse (CSA) is considered as an activity aimed at providing sexual pleasure, stimulation, or sexual gratification to an adult who uses a minor for this purpose, taking advantage of the situation of superiority. CSA can have devastating consequences for the child. Previous studies have concluded that those who suffer an episode of CSA perform more risky sexual behaviors and are more likely to experience further episodes of sexual victimization during adolescence and early youth. There are two theoretical contributions that, although they offer partial views, can help to understand the association between CSA, sexual behavior, and revictimization in adulthood: the traumagenic dynamics model and the information-motivation-behavioral skills model. This short review provides an overview of the problems and theoretical explanations that have been presented up to the present, underlining the importance of prevention and sex education as of childhood, as well as the need to continue investigating in order to develop specific theoretical models that help to understand and prevent CSA and its consequences.

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“…Carefully selected information and educational materials can have a positive effect on patients’ health literacy, risk behaviors, and, in turn, clinical outcomes [ 32 ]. In particular, STD prevention materials are aimed at successfully motivating behavioral change, knowledge, and attitudes [ 33 ]. When health education and communication materials are available in a medical institution, its physicians may be more interested in adopting new technologies to improve health care services.…”

Section: Discussionmentioning

confidence: 99%

The Web-Based Physician is Ready to See You: A Nationwide Cross-Sectional Survey of Physicians Using a Mobile Medical App to Evaluate Patients With Sexually Transmitted Diseases in China

Cao¹,

Zhao²,

Bien-Gund³

et al. 2018

JMIR Mhealth Uhealth

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BackgroundWeb-based medical service provision is increasingly becoming common. However, it remains unclear how physicians are responding to this trend and how Web-based and offline medical services are linked.ObjectiveThe objectives of this study were to examine physicians’ use of mobile medical apps for sexually transmitted disease (STD) consultations and identify the physicians who frequently use mobile medical apps to evaluate patients with STD.MethodsIn August 2017, we conducted a nationwide cross-sectional survey among physicians registered on a mobile medical app in China. We collected data on physicians’ demographic information, institutional information, and Web-based medical practices. We compared physicians who used mobile medical apps to evaluate patients with STD frequently (at least once a week) with infrequent users. Bivariate and multivariate logistic regressions were used to identify physicians who frequently evaluated patients with STD on mobile medical apps.ResultsA total of 501 physicians participated in the survey. Among them, three-quarters were men and the average age was 37.6 (SD 8.2) years. Nearly all physicians (492/501, 98.2%) recommended their last Web-based patient with STD to subsequently see a physician in the clinic. More than half (275/501, 54.9%) of physicians recommended STD testing to Web-based patients, and 43.9% (220/501) provided treatment advice to patients with STD. Of all physicians, 21.6% (108/501) used mobile medical apps to evaluate patients with STD through Web more than once a week. Overall, 85.2% (427/501) physicians conducted follow-up consultation for patients with STD using mobile medical apps. Physicians working at institutions with STD prevention materials were associated with frequent evaluation of patients with STD on mobile medical apps (adjusted odds ratio=2.10, 95% CI 1.18-3.74).ConclusionsPhysicians use mobile medical apps to provide a range of services, including Web-based pre- and posttreatment consultations and linkage to offline clinical services. The high rates of referral to clinics suggest that mobile medical apps are used to promote clinic-seeking, and not replace it. Physicians’ use of mobile medical apps could benefit sexual minorities and others who avoid formal clinic-based services.

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The Effect of a Text Messaging Based HIV Prevention Program on Sexual Minority Male Youths: A National Evaluation of Information, Motivation and Behavioral Skills in a Randomized Controlled Trial of Guy2Guy

Abstract: ClinicalTrials.gov ID# NCT02113956.

Cited by 31 publications

References 40 publications

Predictors of condom use behavior among men who have sex with men in China using a modified information-motivation-behavioral skills (IMB) model

Predictors of condom use behavior among men who have sex with men in China using a modified information-motivation-behavioral skills (IMB) model

Childhood Sexual Abuse, Sexual Behavior, and Revictimization in Adolescence and Youth: A Mini Review

The Web-Based Physician is Ready to See You: A Nationwide Cross-Sectional Survey of Physicians Using a Mobile Medical App to Evaluate Patients With Sexually Transmitted Diseases in China

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