A randomized controlled efficacy trial of an mHealth HIV prevention intervention for sexual minority young men: MyPEEPS mobile study protocol
Abstract Background Young sexual minority men in the United States have a high incidence rate of HIV infection. Early intervention among this group, that is timed to precede or coincide with sexual initiation, is of critical importance to prevent HIV infection. Despite this, there are very few publi...
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| Format: | Article |
| Language: | English |
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BMC
2020-01-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-020-8180-4 |
| _version_ | 1818429907659653120 |
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| author | Lisa M. Kuhns Robert Garofalo Marco Hidalgo Sabina Hirshfield Cynthia Pearson Josh Bruce D. Scott Batey Asa Radix Uri Belkind Haomiao Jia Rebecca Schnall |
| author_facet | Lisa M. Kuhns Robert Garofalo Marco Hidalgo Sabina Hirshfield Cynthia Pearson Josh Bruce D. Scott Batey Asa Radix Uri Belkind Haomiao Jia Rebecca Schnall |
| author_sort | Lisa M. Kuhns |
| collection | DOAJ |
| description | Abstract Background Young sexual minority men in the United States have a high incidence rate of HIV infection. Early intervention among this group, that is timed to precede or coincide with sexual initiation, is of critical importance to prevent HIV infection. Despite this, there are very few published randomized controlled efficacy trials testing interventions to reduce sexual vulnerability for HIV acquisition among racially/ethnically diverse, very young, sexual minority men (aged ≤18 years). This paper describes the design of a mobile app-based intervention trial to reduce sexual risk for HIV acquisition and promote health protection in this group. Methods This study is a randomized controlled trial of an mHealth-based HIV prevention intervention, MyPEEPS Mobile, among diverse sexual minority cisgender young men, aged 13–18 years. The mobile intervention was adapted from a prior group-based intervention curriculum with evidence of efficacy, designed to be specific to the risk contexts and realities of young sexual minority men, and to include psychoeducational and skill-building components with interactive games and activities. Participants are recruited locally within four regional hubs (Birmingham, AL, Chicago, IL, New York City, NY, Seattle, WA) and nationwide via the Internet, enrolled in-person or remotely (via videoconference), and randomized (1:1) to either the MyPEEPS Mobile intervention or delayed intervention condition. Post-hoc stratification by age, race/ethnicity, and urban/suburban vs. rural statuses is used to ensure diversity in the sample. The primary outcomes are number of male anal sex partners and frequency of sexual acts with male partners (with and without condoms), sex under the influence of substances, and uptake of pre-and post-exposure prophylaxis, as well as testing for HIV and other sexually transmitted infections at 3-, 6- and 9-month follow-up. Discussion Behavioral interventions for very young sexual minority men are needed to prevent sexual risk early in their sexual development and maturation. This study will provide evidence to determine feasibility and efficacy of a mobile app-based HIV prevention intervention to reduce sexual risk among this very young group. Trial registration ClinicalTrials.gov number, NCT03167606, registered May 30, 2017. |
| first_indexed | 2024-12-14T15:24:59Z |
| format | Article |
| id | doaj.art-cdf84e00b25a4129ab4370bb642f9ad4 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-14T15:24:59Z |
| publishDate | 2020-01-01 |
| publisher | BMC |
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| series | BMC Public Health |
| spelling | doaj.art-cdf84e00b25a4129ab4370bb642f9ad42022-12-21T22:56:04ZengBMCBMC Public Health1471-24582020-01-012011610.1186/s12889-020-8180-4A randomized controlled efficacy trial of an mHealth HIV prevention intervention for sexual minority young men: MyPEEPS mobile study protocolLisa M. Kuhns0Robert Garofalo1Marco Hidalgo2Sabina Hirshfield3Cynthia Pearson4Josh Bruce5D. Scott Batey6Asa Radix7Uri Belkind8Haomiao Jia9Rebecca Schnall10Division of Adolescent Medicine, Ann & Robert H. Lurie Children’s Hospital of ChicagoDivision of Adolescent Medicine, Ann & Robert H. Lurie Children’s Hospital of ChicagoChildren’s Hospital of LADepartment of Medicine, SUNY Downstate Health Sciences UniversityUniversity of WashingtonBirmingham AIDS OutreachUniversity of Alabama at BirminghamCallen-Lorde Community Health Center,Callen-Lorde Community Health Center,Columbia University Mailman School of Public HealthColumbia University, School of NursingAbstract Background Young sexual minority men in the United States have a high incidence rate of HIV infection. Early intervention among this group, that is timed to precede or coincide with sexual initiation, is of critical importance to prevent HIV infection. Despite this, there are very few published randomized controlled efficacy trials testing interventions to reduce sexual vulnerability for HIV acquisition among racially/ethnically diverse, very young, sexual minority men (aged ≤18 years). This paper describes the design of a mobile app-based intervention trial to reduce sexual risk for HIV acquisition and promote health protection in this group. Methods This study is a randomized controlled trial of an mHealth-based HIV prevention intervention, MyPEEPS Mobile, among diverse sexual minority cisgender young men, aged 13–18 years. The mobile intervention was adapted from a prior group-based intervention curriculum with evidence of efficacy, designed to be specific to the risk contexts and realities of young sexual minority men, and to include psychoeducational and skill-building components with interactive games and activities. Participants are recruited locally within four regional hubs (Birmingham, AL, Chicago, IL, New York City, NY, Seattle, WA) and nationwide via the Internet, enrolled in-person or remotely (via videoconference), and randomized (1:1) to either the MyPEEPS Mobile intervention or delayed intervention condition. Post-hoc stratification by age, race/ethnicity, and urban/suburban vs. rural statuses is used to ensure diversity in the sample. The primary outcomes are number of male anal sex partners and frequency of sexual acts with male partners (with and without condoms), sex under the influence of substances, and uptake of pre-and post-exposure prophylaxis, as well as testing for HIV and other sexually transmitted infections at 3-, 6- and 9-month follow-up. Discussion Behavioral interventions for very young sexual minority men are needed to prevent sexual risk early in their sexual development and maturation. This study will provide evidence to determine feasibility and efficacy of a mobile app-based HIV prevention intervention to reduce sexual risk among this very young group. Trial registration ClinicalTrials.gov number, NCT03167606, registered May 30, 2017.https://doi.org/10.1186/s12889-020-8180-4HIV preventionYoung menSexual minorityIntervention |
| spellingShingle | Lisa M. Kuhns Robert Garofalo Marco Hidalgo Sabina Hirshfield Cynthia Pearson Josh Bruce D. Scott Batey Asa Radix Uri Belkind Haomiao Jia Rebecca Schnall A randomized controlled efficacy trial of an mHealth HIV prevention intervention for sexual minority young men: MyPEEPS mobile study protocol BMC Public Health HIV prevention Young men Sexual minority Intervention |
| title | A randomized controlled efficacy trial of an mHealth HIV prevention intervention for sexual minority young men: MyPEEPS mobile study protocol |
| title_full | A randomized controlled efficacy trial of an mHealth HIV prevention intervention for sexual minority young men: MyPEEPS mobile study protocol |
| title_fullStr | A randomized controlled efficacy trial of an mHealth HIV prevention intervention for sexual minority young men: MyPEEPS mobile study protocol |
| title_full_unstemmed | A randomized controlled efficacy trial of an mHealth HIV prevention intervention for sexual minority young men: MyPEEPS mobile study protocol |
| title_short | A randomized controlled efficacy trial of an mHealth HIV prevention intervention for sexual minority young men: MyPEEPS mobile study protocol |
| title_sort | randomized controlled efficacy trial of an mhealth hiv prevention intervention for sexual minority young men mypeeps mobile study protocol |
| topic | HIV prevention Young men Sexual minority Intervention |
| url | https://doi.org/10.1186/s12889-020-8180-4 |
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