Development and effectiveness of a mobile phone application conducting health behavioral intervention among men who have sex with men, a randomized controlled trial: study protocol

Abstract Background Behavioral intervention is a key approach to HIV prevention among men who have sex with men (MSM). Widespread use of mobile phones provide us with novel opportunities to decrease HIV infection and transmission of MSM. The objective of the study was to design and develop a mobile...

Full description

Bibliographic Details
Main Authors: Jin Yan, Aidi Zhang, Liang Zhou, Zhulin Huang, Pan Zhang, Guoli Yang
Format: Article
Language:English
Published: BMC 2017-04-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-017-4235-6
_version_ 1811206348631703552
author Jin Yan
Aidi Zhang
Liang Zhou
Zhulin Huang
Pan Zhang
Guoli Yang
author_facet Jin Yan
Aidi Zhang
Liang Zhou
Zhulin Huang
Pan Zhang
Guoli Yang
author_sort Jin Yan
collection DOAJ
description Abstract Background Behavioral intervention is a key approach to HIV prevention among men who have sex with men (MSM). Widespread use of mobile phones provide us with novel opportunities to decrease HIV infection and transmission of MSM. The objective of the study was to design and develop a mobile phone application (app) aims to conduct behavioral intervention to MSM and to evaluate the efficacy of the app-based intervention compared to usual care, to analyze cost-effectiveness and mechanism of the intervention. Methods This study involves 2 phases, phase 1 use qualitative method and phase 2 is a randomized controlled trial lasting for 18 months, they will be conducted in Chagnsha, Hunan Province, China. Phase 1 is to design and develop the app, procedures including retrieval of domestic apps related to prevention and treatment about HIV and sexually transmitted diseases (HIV/STDs), personal interviews with MSM about preferences and functional needs of the HIV prevention app, multidisciplinary experts focused group discussions of the app, software engineers’ development and users test of the app will be performed. In phase 2, we will recruit 800 MSM by cooperating with the local center of disease control and prevention and nongovernmental organizations, and divide them into intervention and control group evenly. Intervention group participants will receive app-based HIV prevention. Control group participants will be provided with usual care including HIV/STDs knowledge brochure and free voluntary counseling services. Data will be collected at baseline, 6, 12 and 18 months since subject’s participation. Effectiveness of the intervention includes HIV/STDs infection rates, adherence to regularly HIV testing, sexual risk behavior, consistent condom use and relative risk of HIV infection. Cost-effectiveness will be analyzed by decision-analytic modeling, and mechanism analysis of this app-based intervention will be performed by path analysis. Discussion This will be the first study of its kind in China to develop an app and implement app-based HIV prevention intervention among MSM. It is of great potential to determine whether app-based intervention is a cost-effective way to decrease HIV infection among MSM and explore intervention mechanism with an accurate method. Trial registration Chinese Clinical Trial Register ( ChiCTR-IOR-15006724 ). Registered 10 July 2015.
first_indexed 2024-04-12T03:45:57Z
format Article
id doaj.art-038d0f31b8b1449d968713c5a9204a36
institution Directory Open Access Journal
issn 1471-2458
language English
last_indexed 2024-04-12T03:45:57Z
publishDate 2017-04-01
publisher BMC
record_format Article
series BMC Public Health
spelling doaj.art-038d0f31b8b1449d968713c5a9204a362022-12-22T03:49:08ZengBMCBMC Public Health1471-24582017-04-011711810.1186/s12889-017-4235-6Development and effectiveness of a mobile phone application conducting health behavioral intervention among men who have sex with men, a randomized controlled trial: study protocolJin Yan0Aidi Zhang1Liang Zhou2Zhulin Huang3Pan Zhang4Guoli Yang5The Third Xiangya Hospital, Central South UniversityThe Third Xiangya Hospital, Central South UniversityGuangzhou Brain HospitalChangsha Center for Disease Control and PreventionThe Third Xiangya Hospital, Central South UniversityThe Third Xiangya Hospital, Central South UniversityAbstract Background Behavioral intervention is a key approach to HIV prevention among men who have sex with men (MSM). Widespread use of mobile phones provide us with novel opportunities to decrease HIV infection and transmission of MSM. The objective of the study was to design and develop a mobile phone application (app) aims to conduct behavioral intervention to MSM and to evaluate the efficacy of the app-based intervention compared to usual care, to analyze cost-effectiveness and mechanism of the intervention. Methods This study involves 2 phases, phase 1 use qualitative method and phase 2 is a randomized controlled trial lasting for 18 months, they will be conducted in Chagnsha, Hunan Province, China. Phase 1 is to design and develop the app, procedures including retrieval of domestic apps related to prevention and treatment about HIV and sexually transmitted diseases (HIV/STDs), personal interviews with MSM about preferences and functional needs of the HIV prevention app, multidisciplinary experts focused group discussions of the app, software engineers’ development and users test of the app will be performed. In phase 2, we will recruit 800 MSM by cooperating with the local center of disease control and prevention and nongovernmental organizations, and divide them into intervention and control group evenly. Intervention group participants will receive app-based HIV prevention. Control group participants will be provided with usual care including HIV/STDs knowledge brochure and free voluntary counseling services. Data will be collected at baseline, 6, 12 and 18 months since subject’s participation. Effectiveness of the intervention includes HIV/STDs infection rates, adherence to regularly HIV testing, sexual risk behavior, consistent condom use and relative risk of HIV infection. Cost-effectiveness will be analyzed by decision-analytic modeling, and mechanism analysis of this app-based intervention will be performed by path analysis. Discussion This will be the first study of its kind in China to develop an app and implement app-based HIV prevention intervention among MSM. It is of great potential to determine whether app-based intervention is a cost-effective way to decrease HIV infection among MSM and explore intervention mechanism with an accurate method. Trial registration Chinese Clinical Trial Register ( ChiCTR-IOR-15006724 ). Registered 10 July 2015.http://link.springer.com/article/10.1186/s12889-017-4235-6Men who have sex with menMobile phone applicationBehavioral interventionHIV/STDsHIV testingCondom use
spellingShingle Jin Yan
Aidi Zhang
Liang Zhou
Zhulin Huang
Pan Zhang
Guoli Yang
Development and effectiveness of a mobile phone application conducting health behavioral intervention among men who have sex with men, a randomized controlled trial: study protocol
BMC Public Health
Men who have sex with men
Mobile phone application
Behavioral intervention
HIV/STDs
HIV testing
Condom use
title Development and effectiveness of a mobile phone application conducting health behavioral intervention among men who have sex with men, a randomized controlled trial: study protocol
title_full Development and effectiveness of a mobile phone application conducting health behavioral intervention among men who have sex with men, a randomized controlled trial: study protocol
title_fullStr Development and effectiveness of a mobile phone application conducting health behavioral intervention among men who have sex with men, a randomized controlled trial: study protocol
title_full_unstemmed Development and effectiveness of a mobile phone application conducting health behavioral intervention among men who have sex with men, a randomized controlled trial: study protocol
title_short Development and effectiveness of a mobile phone application conducting health behavioral intervention among men who have sex with men, a randomized controlled trial: study protocol
title_sort development and effectiveness of a mobile phone application conducting health behavioral intervention among men who have sex with men a randomized controlled trial study protocol
topic Men who have sex with men
Mobile phone application
Behavioral intervention
HIV/STDs
HIV testing
Condom use
url http://link.springer.com/article/10.1186/s12889-017-4235-6
work_keys_str_mv AT jinyan developmentandeffectivenessofamobilephoneapplicationconductinghealthbehavioralinterventionamongmenwhohavesexwithmenarandomizedcontrolledtrialstudyprotocol
AT aidizhang developmentandeffectivenessofamobilephoneapplicationconductinghealthbehavioralinterventionamongmenwhohavesexwithmenarandomizedcontrolledtrialstudyprotocol
AT liangzhou developmentandeffectivenessofamobilephoneapplicationconductinghealthbehavioralinterventionamongmenwhohavesexwithmenarandomizedcontrolledtrialstudyprotocol
AT zhulinhuang developmentandeffectivenessofamobilephoneapplicationconductinghealthbehavioralinterventionamongmenwhohavesexwithmenarandomizedcontrolledtrialstudyprotocol
AT panzhang developmentandeffectivenessofamobilephoneapplicationconductinghealthbehavioralinterventionamongmenwhohavesexwithmenarandomizedcontrolledtrialstudyprotocol
AT guoliyang developmentandeffectivenessofamobilephoneapplicationconductinghealthbehavioralinterventionamongmenwhohavesexwithmenarandomizedcontrolledtrialstudyprotocol