nach oben

AIDS and Behavior

Erschienen in:

01.11.2013 | Original Paper

Feasibility, Acceptability, and Preliminary Efficacy of an Online HIV Prevention Program for Diverse Young Men who have Sex with Men: The Keep It Up! Intervention

verfasst von: Brian Mustanski, Robert Garofalo, Colleen Monahan, Beau Gratzer, Rebecca Andrews

Erschienen in: AIDS and Behavior | Ausgabe 9/2013

Einloggen, um Zugang zu erhalten

Abstract

Young men who have sex with men (YMSM) are disproportionately infected with HIV/AIDS and there are few prevention programs with published efficacy for this population. This study evaluated the feasibility, acceptability, and preliminary efficacy of an online, interactive, and highly engaging HIV prevention program called Keep It Up! The intervention was designed to be delivered to diverse YMSM upon receiving an HIV negative text result, with the goal for them to “Keep It Up” and stay negative. In a randomized clinical trial, the intervention was compared to an online didactic HIV knowledge condition. The study sample included 102 sexually active YMSM. Participants reported completing online modules in settings that were private and not distracting. Mixed methods data showed intervention participants felt the program was valuable and acceptable. Compared to the control condition, participants in the intervention arm had a 44 % lower rate of unprotected anal sex acts at the 12-week follow-up (p < 0.05).

The KIU intervention described here should not be confused with another branded with the same name at the same time, but focused on health screening for young African American men [39].

CDC. Diagnoses of HIV infection and AIDS among adolescents and young adults in the United States and 5 U.S. dependent areas, 2006–2009. HIV Surveillance Supplemental Report; 2012:17.

Prejean J, Song R, Hernandez A, et al. Estimated HIV Incidence in the United States, 2006–2009. PLoS One. 2011;6:e17502.PubMedCrossRef

CDC. Prevalence and awareness of HIV infection among men who have sex with men—21 cities, United States, 2008. MMWR Morb Mortal Wkly Rep. 2010;59:1201–7.

UNAIDS. UNAIDS Report on the Global AIDS Epidemic, 2010. Geneva: Joint United Nations Programme on HIV/AIDS (UNAIDS); 2010.

CDC. HIV and AIDS among gay and bisexual men. Atlanta: US Department of Health and Human Services; 2010.

Harper GW. Sex isn’t that simple: culture and context in HIV prevention interventions for gay and bisexual male adolescents. Am Psychol. 2007;62:803–19.PubMedCrossRef

Herbst JH, Sherba RT, Crepaz N, et al. A meta-analytic review of HIV behavioral interventions for reducing sexual risk behavior of men who have sex with men. J Acquir Immune Defic Syndr. 2005;39:228–41.PubMed

CDC. Compendium of evidence-based HIV prevention interventions. http://www.cdc.gov/hiv/topics/research/prs/evidence-based-interventions.htm (2011). Accessed 9 Oct 2011.

Kegeles SM, Hays RB, Coates TJ. The Mpowerment Project: a community-level HIV prevention intervention for young gay men. Am J Public Health. 1996;86:1129–36.PubMedCrossRef

10.

Lyles CM, Kay LS, Crepaz N, et al. Best-evidence interventions: findings from a systematic review of HIV behavioral interventions for US populations at high risk, 2000–2004. Am J Public Health. 2007;97:133–43.PubMedCrossRef

11.

Garofalo R, Harper GW. Not all adolescents are the same: addressing the unique needs of gay and bisexual male youth. Adolesc Med. 2003;14:595–611.PubMed

12.

Rosario M, Schrimshaw EW, Hunter J. A model of sexual risk behaviors among young gay and bisexual men: longitudinal associations of mental health, substance abuse, sexual abuse, and the coming-out process. AIDS Educ Prev. 2006;18:444–60.PubMedCrossRef

13.

Coker TR, Austin SB, Schuster MA. The health and health care of lesbian, gay, and bisexual adolescents. Annu Rev Public Health. 2010;31:457–77.PubMedCrossRef

14.

Mustanski BS, Newcomb ME, Du Bois SN, Garcia SC, Grov C. HIV in young men who have sex with men: a review of epidemiology, risk and protective factors, and interventions. Annual Review of Sex Research Special Issue. J Sex Res. 2011;48:218–53.PubMedCrossRef

15.

Goodenow C, Netherland J, Szalacha L. AIDS-related risk among adolescent males who have sex with males, females, or both: evidence from a statewide survey. Am J Public Health. 2002;92:203–10.PubMedCrossRef

16.

Santelli J, Ott MA, Lyon M, Rogers J, Summers D, Schleifer R. Abstinence and abstinence-only education: a review of U.S. policies and programs. J Adolesc Health. 2006;38:72–81.PubMedCrossRef

17.

McKirnan DJ, Peterson PL. Psychosocial and cultural factors in alcohol and drug abuse: an analysis of a homosexual community. Addict Behav. 1989;14:555–63.PubMedCrossRef

18.

Arnett JJ. Emerging adulthood. A theory of development from the late teens through the twenties. Am Psychol. 2000;55:469–80.PubMedCrossRef

19.

Arnett JJ. Conceptions of the transition to adulthood: perspectives from adolescence through midlife. J Adult Dev. 2001;8:133–43.CrossRef

20.

Arnett JJ. Conceptions of the transition to adulthood among emerging adults in American ethnic groups. New Dir Child Adolesc Dev. 2003;100:63–75.PubMedCrossRef

21.

Steinberg L. A social neuroscience perspective on adolescent risk-taking. Dev Rev. 2008;28:78–106.PubMedCrossRef

22.

Bingham TA, Harawa NT, Johnson DF, Secura GM, MacKellar DA, Valleroy LA. The effect of partner characteristics on HIV infection among African American men who have sex with men in the Young Men’s Survey, Los Angeles, 1999–2000. AIDS Educ Prev. 2003;15:39–52.PubMedCrossRef

23.

Hurt CB, Matthews DD, Calabria MS, et al. Sex with older partners is associated with primary HIV infection among men who have sex with men in North Carolina. J Acquir Immune Defic Syndr. 2010;54:185–90.PubMed

24.

Mustanski B, Newcomb ME, Clerkin EM. Relationship characteristics and sexual risk-taking in young men who have sex with men. Health Psychol. 2011;30:597–605.PubMedCrossRef

25.

Mustanski B. Moderating effects of age on the alcohol and sexual risk taking association: an online daily diary study of men who have sex with men. AIDS Behav. 2008;12:118–26.PubMedCrossRef

26.

Johnson WD, Diaz RM, Flanders WD, et al. Behavioral interventions to reduce risk for sexual transmission of HIV among men who have sex with men. Cochrane Database Syst Rev. 2008;CD001230.

27.

Herbst JH, Beeker C, Mathew A, et al. The effectiveness of individual-, group-, and community-level HIV behavioral risk-reduction interventions for adult men who have sex with men: a systematic review. Am J Prev Med. 2007;32:S38–67.PubMedCrossRef

28.

Mullen PD, Ramirez G, Strouse D, Hedges LV, Sogolow E. Meta-analysis of the effects of behavioral HIV prevention interventions on the sexual risk behavior of sexually experienced adolescents in controlled studies in the United States. J Acquir Immune Defic Syndr. 2002;30(Suppl 1):S94–105.PubMed

29.

Pedlow CT, Carey MP. Developmentally appropriate sexual risk reduction interventions for adolescents: rationale, review of interventions, and recommendations for research and practice. Ann Behav Med. 2004;27:172–84.PubMedCrossRef

30.

Jemmott JB 3rd, Jemmott LS. HIV risk reduction behavioral interventions with heterosexual adolescents. AIDS. 2000;14(Suppl 2):S40–52.PubMed

31.

Kelly JA, Spielberg F, McAuliffe TL. Defining, designing, implementing, and evaluating phase 4 HIV prevention effectiveness trials for vulnerable populations. J Acquir Immune Defic Syndr. 2008;47(Suppl 1):S28–33.PubMedCrossRef

32.

Rietmeijer CA. Risk reduction counselling for prevention of sexually transmitted infections: how it works and how to make it work. Sex Transm Infect. 2007;83:2–9.PubMedCrossRef

33.

Solomon J, Card JJ, Malow RM. Adapting efficacious interventions: advancing translational research in HIV prevention. Eval Health Prof. 2006;29:162–94.PubMedCrossRef

34.

Bell SG, Newcomer SF, Bachrach C, et al. Challenges in replicating interventions. J Adolesc Health. 2007;40:514–20.PubMedCrossRef

35.

Neumann MS, Sogolow ED. Replicating effective programs: HIV/AIDS prevention technology transfer. AIDS Educ Prev. 2000;12:35–48.PubMed

36.

Ybarra ML, Bull SS. Current trends in internet- and cell phone-based HIV prevention and intervention programs. Curr HIV/AIDS Rep. 2007;4:201–7.PubMedCrossRef

37.

Swendeman D, Rotheram-Borus MJ. Innovation in sexually transmitted disease and HIV prevention: internet and mobile phone delivery vehicles for global diffusion. Curr Opin Psychiatry. 2010;23:139–44.PubMedCrossRef

38.

Noar SM, Black HG, Pierce LB. Efficacy of computer technology-based HIV prevention interventions: a meta-analysis. AIDS. 2009;23:107–15.PubMedCrossRef

39.

O’Donnell L, Bonaparte B, Joseph H, et al. Keep It Up: development of a community-based health screening and HIV prevention strategy for reaching young African American men. AIDS Educ Prev. 2009;21:299–313.PubMedCrossRef

40.

CDC. National HIV behavioral surveillance: HIV risk and testing behaviors among young MSM. Atlanta: US DHHS; 2009.

41.

Pew Internet & American Life Project. Trend Data. www.pewinternet.org (2009). Accessed 4 Sept 2009.

42.

Mustanski B, Lyons T, Garcia SC. Internet use and sexual health of young men who have sex with men: a mixed-methods study. Arch Sex Behav. 2011;40:289–300.PubMedCrossRef

43.

Rosser BR, Oakes JM, Horvath KJ, Konstan JA, Danilenko GP, Peterson JL. HIV sexual risk behavior by men who use the internet to seek sex with men: results of the Men’s INTernet Sex Study-II (MINTS-II). AIDS Behav. 2009;13:488–98.PubMedCrossRef

44.

Rosser BR, Miner MH, Bockting WO, et al. HIV risk and the internet: results of the Men’s INTernet Sex (MINTS) Study. AIDS Behav. 2009;13:746–56.PubMedCrossRef

45.

Raymond HF, Rebchook G, Curotto A, et al. Comparing internet-based and venue-based methods to sample MSM in the San Francisco Bay area. AIDS Behav. 2010;14:218–24.PubMedCrossRef

46.

Bull SS, Lloyd L, Rietmeijer C, McFarlane M. Recruitment and retention of an online sample for an HIV prevention intervention targeting men who have sex with men: the Smart Sex Quest Project. AIDS Care. 2004;16:931–43.PubMedCrossRef

47.

Chiasson MA, Hirshfield S, Remien RH, Humberstone M, Wong T, Wolitski RJ. A comparison of on-line and off-line sexual risk in men who have sex with men: an event-based on-line survey. J Acquir Immune Defic Syndr. 2007;44:235–43.PubMedCrossRef

48.

Hirshfield S, Remien RH, Walavalkar I, Chiasson MA. Crystal methamphetamine use predicts incident STD infection among men who have sex with men recruited online: a nested case-control study. J Med Internet Res. 2004;6:e41.PubMedCrossRef

49.

Halkitis PN, Parsons JT. Intentional unsafe sex (barebacking) among HIV-positive gay men who seek sexual partners on the internet. AIDS Care. 2003;15:367–78.PubMedCrossRef

50.

Du Bois SN, Johnson SE, Mustanski B. Examining racial and ethnic minority differences among YMSM during recruitment for an online HIV prevention intervention study. AIDS Behav. 2012;16:1430–5.PubMedCrossRef

51.

Higgins DL, Galavotti C, O’Reilly KR, et al. Evidence for the effects of HIV antibody counseling and testing on risk behaviors. JAMA. 1991;266:2419–29.PubMedCrossRef

52.

Wolitski RJ, MacGowan RJ, Higgins DL, Jorgensen CM. The effects of HIV counseling and testing on risk-related practices and help-seeking behavior. AIDS Educ Prev. 1997;9:52–67.PubMed

53.

Weinhardt LS, Carey MP, Johnson BT, Bickham NL. Effects of HIV counseling and testing on sexual risk behavior:a meta-analytic review of published research, 1985–1997. Am J Public Health. 1999;89:1397–405.PubMedCrossRef

54.

Kamb ML, Fishbein M, Douglas JM Jr, et al. Efficacy of risk-reduction counseling to prevent human immunodeficiency virus and sexually transmitted diseases: a randomized controlled trial. Project RESPECT Study Group. JAMA. 1998;280:1161–7.PubMedCrossRef

55.

Lawson PJ, Flocke SA. Teachable moments for health behavior change: a concept analysis. Patient Educ Couns. 2009;76:25–30.PubMedCrossRef

56.

Du Bois SN, Emerson E, Mustanski B. Condom-related problems among a racially diverse sample of young men who have sex with men. AIDS Behav. 2011;15:1342–6.PubMedCrossRef

57.

Fisher JD, Fisher WA, Williams SS, Malloy TE. Empirical tests of an information-motivation-behavioral skills model of AIDS-preventive behavior with gay men and heterosexual university students. Health Psychol. 1994;13:238–50.PubMedCrossRef

58.

Fisher JD, Fisher WA. The information-motivation-behavioral skills model. In: DiClemente RJ, Crosby RA, Kegler MC, editors. Emerging theories in health promotion practice and research: Strategies for improving public health. San Francisco: Jossey-Bass; 2002. p. 40–70.

59.

Fisher CM. Are information, motivation, and behavioral skills linked with HIV-related sexual risk among young men who have sex with men? J HIV/AIDS Soc Serv. 2011;10:5–21.CrossRef

60.

Mustanski B. The influence of state and trait affect on HIV risk behaviors: a daily diary study of MSM. Health Psychol. 2007;26:618–26.PubMedCrossRef

61.

Crepaz N, Marks G. Are negative affective states associated with HIV sexual risk behaviors? A meta-analytic review. Health Psychol. 2001;20:291–9.PubMedCrossRef

62.

Valleroy LA, MacKellar DA, Karon JM. HIV prevalence and associated risks in young men who have sex with men: Young Men’s Survey Study Group. J Am Med Assoc. 2000;284:198–204.CrossRef

63.

Tarnowski KJ, Simonian SJ. Accessing treatment acceptability: the abbreviated acceptability rating profile. J Behav Ther Exp Psychiatry. 1992;23:101–6.PubMedCrossRef

64.

Donenberg GR, Emerson E, Bryant FB, Wilson H, Weber-Shifrin E. Understanding AIDS-risk behavior among adolescents in psychiatric care: links to psychopathology and peer relationships. J Am Acad Child Adolesc Psychiatry. 2001;40:642–53.PubMedCrossRef

65.

Carey MP, Schroder KE. Development and psychometric evaluation of the brief HIV knowledge questionnaire. AIDS Educ Prev. 2002;14:172–82.PubMedCrossRef

66.

Parsons JT, Halkitis PN, Borkowski T, Bimbi D. Perceptions of the benefits and costs associated with condom use and unprotected sex among late adolescent college students. J Adolesc. 2000;23:377–91.PubMedCrossRef

67.

Crosby RA, Sanders SA, Yarber WL, Graham CA, Dodge B. Condom use errors and problems among college men. Sex Transm Dis. 2002;29:552–7.PubMedCrossRef

68.

Kalichman SC, Picciano JF, Roffman RA. Motivation to reduce HIV risk behaviors in the context of the information, motivation and behavioral skills (IMB) model of HIV prevention. J Health Psychol. 2008;13:680–9.PubMedCrossRef

69.

Begg C, Cho M, Eastwood S, et al. Improving the quality of reporting of randomized controlled trials. The CONSORT statement. JAMA. 1996;276:637–9.PubMedCrossRef

70.

Friedman LM, Furberg C, DeMets DL. Fundamentals of clinical trials. 4th ed. New York: Springer; 2010.CrossRef

71.

Rosnow RL, Rosenthal R, Rubin DB. Contrasts and correlations in effect-size estimation. Psychol Sci. 2000;11:446–53.PubMedCrossRef

72.

Gardner W, Mulvey EP, Shaw EC. Regression analyses of counts and rates: Poisson, overdispersed Poisson, and negative binomial models. Psychol Bull. 1995;118:392–404.PubMedCrossRef

73.

Rosser BR, Oakes JM, Konstan J, et al. Reducing HIV risk behavior of men who have sex with men through persuasive computing: results of the Men’s INTernet Study-II. AIDS. 2010;24:2099–107.PubMedCrossRef

74.

Leaity S, Sherr L, Wells H, et al. Repeat HIV testing: high-risk behaviour or risk reduction strategy? AIDS. 2000;14:547–52.PubMedCrossRef

75.

Norton J, Elford J, Sherr L, Miller R, Johnson MA. Repeat HIV testers at a London same-day testing clinic. AIDS. 1997;11:773–81.PubMed

76.

Ackers ML, Greenberg AE, Lin CY, et al. High and persistent HIV seroincidence in men who have sex with men across 47 U.S. cities. PLoS One. 2012;7:e34972.PubMedCrossRef

77.

Williams JK, Ramamurthi HC, Manago C, Harawa NT. Learning from successful interventions: a culturally congruent HIV risk-reduction intervention for African American men who have sex with men and women. Am J Public Health. 2009;99:1008–12.PubMedCrossRef

78.

Long JS, Freese J. Regression models for categorical dependent variables using Stata. 2nd ed. College Station: StataCorp LP; 2006.

79.

Finlayson TJ, Le B, Smith A, et al. HIV risk, prevention, and testing behaviors among men who have sex with men–National HIV Behavioral Surveillance System, 21 U.S. cities United States. MMWR Surveill Summ. 2011;60:1–34.PubMed

Titel: Feasibility, Acceptability, and Preliminary Efficacy of an Online HIV Prevention Program for Diverse Young Men who have Sex with Men: The Keep It Up! Intervention
verfasst von: Brian Mustanski
Robert Garofalo
Colleen Monahan
Beau Gratzer
Rebecca Andrews
Publikationsdatum: 01.11.2013
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 9/2013
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-013-0507-z

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

25.04.2024 | Hypotonie | Nachrichten

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Feasibility, Acceptability, and Preliminary Efficacy of an Online HIV Prevention Program for Diverse Young Men who have Sex with Men: The Keep It Up! Intervention

Abstract

Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Viel Bewegung in der Parkinsonforschung

Adjuvante Immuntherapie verlängert Leben bei RCC

Update Innere Medizin

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 9/2013

Results of a Pilot Test of a Brief Computer-Assisted Tailored HIV Prevention Intervention for Use with a Range of Demographic and Risk Groups

Randomized Controlled Trial to Test the RHANI Wives HIV Intervention for Women in India at Risk for HIV from Husbands

Test of a Web-Based Program to Improve Adherence to HIV Medications

WiLLOW: Reaching HIV-Positive African-American Women Through a Computer-Delivered Intervention

The Utility of a Composite Biological Endpoint in HIV/STI Prevention Trials

Personal Health Record Use and Its Association with Antiretroviral Adherence: Survey and Medical Record Data from 1871 US Veterans Infected with HIV

Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Viel Bewegung in der Parkinsonforschung

Adjuvante Immuntherapie verlängert Leben bei RCC

Update Innere Medizin