The Feasibility, Acceptability and Preliminary Impact of Mobile Application to Increase Repeat HIV Testing Among Sexual Minority Men

Horvath, Keith J.; Lammert, Sara; Danh, Thu; Mitchell, Jason W.

doi:10.1007/s10461-019-02755-7

Cited by 13 publications

(45 citation statements)

References 21 publications

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“…Overall, participants in the three different modules accepted the intervention well with acceptability scores no less than 6.8 out of 10. Tang et al, 2016 [ 46 ] Non-inferiority RCT to compare first time HIV self-test rates among participants who viewed HIV test promotion videos. Two groups: (1) group that received crowdsourced HIV test video and (2) group that received health marketing HIV test promotion video.…”

Section: Resultsmentioning

confidence: 99%

“…Horvath et al examined the feasibility and acceptability of an HIV testing reminder app (intervention group) among MSM to increase repeat testing. Findings showed that although more participants in the intervention group (17%) repeatedly tested at the four month mark compared to the control group (4%; no treatment), the difference between the two arms dissipated by the eighth month (50% vs. 40%) [ 46 ]. Investigators examined the feasibility and acceptability of a smartphone app that provided HIV information, test video instructions, and information on how to interpret test results.…”

Section: Resultsmentioning

confidence: 99%

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Technology-Delivered Intervention Strategies to Bolster HIV Testing

et al. 2021

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Since the beginning of the HIV epidemic, there have been more than 75 million cases. Currently, there about 1.2 million living with HIV in the USA. Despite current testing recommendations, test rates continue to be suboptimal. Investigators have studied the use of digital technology to promote HIV testing, especially among high-risk populations. Purpose of Review This non-systematic review provides an overview of the scientific research between 2015 and 2020 focused on the use of digital technology to bolster HIV testing and suggests novel technologies for exploration. Recent Findings A total of 40 studies were included in the review that span a wide range of available technology. Studies effectively increased HIV testing among study participants. Generally, participants in the intervention/exposure groups had significantly higher rates of HIV test uptake compared to participants in the comparison groups at study follow-up. Summary For a variety of reasons (e.g., differences in ways the technologies were used and study design), no digital tool clearly performed better than others, but each have the capacity to increase outreach and self-testing. An exploration of the potential use of nascent technologies is also discussed, as well as the authors’ experiences using a number of these technologies in our research.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Technology-Delivered Intervention Strategies to Bolster HIV Testing

et al. 2021

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“…Likewise, five of the six pilot RCTs were with MSM [25-27, 29, 30]. Intervention delivery of the pilot RCTs varied in format: webapps (i.e., websites that are mobile optimized) [25,30], native mobile apps [26,29], online counseling [28•], and text messaging [27]. Interventions tested through a pilot RCT study design also differed in their types of content and features.…”

Section: Hiv Testing Pilot Designsmentioning

confidence: 99%

“…In the Guy2Guy intervention [27], adolescent MSM were sent 5-10 theoretically grounded text messages per day for five weeks. Other intervention activities used in pilot RCTs included a personalized HIV testing date recommender [29], HIV testing messages and referrals to HIV health services [26], and the provision of sexual health and relationship information [30]. Several (n = 4) pilot RCTs showed some evidence that the intervention had a positive effect on testing behaviors.…”

Section: Hiv Testing Pilot Designsmentioning

confidence: 99%

“…For example, in the Bauermeister [25] study described above, a higher percentage of young MSM in the intervention group tested at the 30-day follow-up assessment than those in the control (32% vs. 26%). Other studies showed higher rates of repeat HIV testing at four months for adult MSM [29], any type of testing among adolescents at five weeks [26,27], and HIVST kit use at six months [26]. Other pilot RCTs found either no difference in HIV testing between groups [30] or had a relatively low uptake of the HIVST online counseling intervention by intervention participants [28•].…”

Section: Hiv Testing Pilot Designsmentioning

confidence: 99%

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A Systematic Review of Technology-Assisted HIV Testing Interventions

et al. 2020

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Purpose of ReviewThe purpose of this review is to describe and assess the literature on mobile health (mHealth) and other technology-based HIV testing interventions published in the 5-year period from 2015 to 2020. Recent Findings We identified 18 published technology-based studies, 6 of which were efficacy trials and the remaining 12 were either pilot randomized controlled trials (RCTs) or quasi-experimental studies. Most (n = 10) interventions were conducted outside the USA, including countries in Sub-Saharan Africa (n = 4), China (n = 3), Latin America (n = 2), and India (n = 1). All efficacy trials showed some evidence of efficacy, although uptake of HIV testing was low among in intervention trials that consisted of a low number of text messages. Most pilot RCTs demonstrated high levels of feasibility and acceptability, as well as some evidence that the intervention participants benefited more than the control group. Many non-randomized trials similarly reported positive appraisal by study participants. Recommendations for future research and practice by the authors of the studies reviewed here are summarized. Summary Technology-assisted HIV testing interventions may be an important strategy to reach national and global targets for HIV status awareness in the general population and for most at-risk groups. Although there appears to be growing evidence of their benefit, questions linger regarding how to leverage existing social media platforms to promote HIV testing, which interventions work for what populations, and best practices for scaling up mHealth and other technology-based interventions.

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