scholarly journals Text-Messaging, Online Peer Support Group, and Coaching Strategies to Optimize the HIV Prevention Continuum for Youth: Protocol for a Randomized Controlled Trial

10.2196/11165 ◽  
2019 ◽  
Vol 8 (8) ◽  
pp. e11165 ◽  
Author(s):  
Dallas Swendeman ◽  
Elizabeth Mayfield Arnold ◽  
Danielle Harris ◽  
Jasmine Fournier ◽  
W Scott Comulada ◽  
...  
Keyword(s):  
High Risk ◽  
Hiv Prevention ◽  
Peer Support ◽  
Text Messaging ◽  
Behavioral Interventions ◽  
Homeless Youth ◽  
Cost Effective ◽  
Evidence Based ◽  
Transgender Youth ◽  
Sti Testing

Background America’s increasing HIV epidemic among youth suggests the need to identify novel strategies to leverage services and settings where youth at high risk (YAHR) for HIV can be engaged in prevention. Scalable, efficacious, and cost-effective strategies are needed, which support youth during developmental transitions when risks arise. Evidence-based behavioral interventions (EBIs) have typically relied on time-limited, scripted, and manualized protocols that were often delivered with low fidelity and lacked evidence for effectiveness. Objective This study aims to examine efficacy, implementation, and cost-effectiveness of easily mountable and adaptable, technology-based behavioral interventions in the context of an enhanced standard of care and study assessments that implement the guidelines of Centers for Disease Control and Prevention (CDC) for routine, repeat HIV, and sexually transmitted infection (STI) testing for high-risk youth. Methods Youth aged between 12 and 24 years (n=1500) are being recruited from community-based organizations and clinics serving gay, bisexual, and transgender youth, homeless youth, and postincarcerated youth, with eligibility algorithms weighting African American and Latino youth to reflect disparities in HIV incidence. At baseline and 4-month intervals over 24 months (12 months for lower-risk youth), interviewers monitor uptake of HIV prevention continuum steps (linkage to health care, use of pre- or postexposure prophylaxis, condoms, and prevention services) and secondary outcomes of substance use, mental health, and housing security. Assessments include rapid diagnostic tests for HIV, STIs, drugs, and alcohol. The study is powered to detect modest intervention effects among gay or bisexual male and transgender youth with 70% retention. Results The project was funded in September 2016 and enrollment began in May 2017. Enrollment will be completed between June and August 2019. Data analysis is currently underway, and the first results are expected to be submitted for publication in 2019. Conclusions This hybrid implementation-effectiveness study examines alternative models for implementing the CDC guidelines for routine HIV/STI testing for YAHR of acquiring HIV and for delivering evidence-based behavioral intervention content in modular elements instead of scripted manuals and available over 24 months of follow-up, while also monitoring implementation, costs, and effectiveness. The greatest impacts are expected for coaching, whereas online group peer support is expected to have lower impact but may be more cost-effective. Trial Registration ClinicalTrials.gov NCT03134833; https://clinicaltrials.gov/ct2/show/NCT03134833 (Archived by WebCite at http://www.webcitation.org/76el0Viw9) International Registered Report Identifier (IRRID) DERR1-10.2196/11165

scholarly journals Text-Messaging, Online Peer Support Group, and Coaching Strategies to Optimize the HIV Prevention Continuum for Youth: Protocol for a Randomized Controlled Trial (Preprint)

2018 ◽  
Author(s):  
Dallas Swendeman ◽  
Elizabeth Mayfield Arnold ◽  
Danielle Harris ◽  
Jasmine Fournier ◽  
W Scott Comulada ◽  
...  
Keyword(s):  
High Risk ◽  
Hiv Prevention ◽  
Peer Support ◽  
Text Messaging ◽  
Behavioral Interventions ◽  
Cost Effective ◽  
Standard Of Care ◽  
Evidence Based ◽  
Sti Testing ◽  
Online Group

BACKGROUND America’s increasing HIV epidemic among youth suggests the need to identify novel strategies to leverage services and settings where youth at high risk (YAHR) for HIV can be engaged in prevention. Scalable, efficacious, and cost-effective strategies are needed, which support youth during developmental transitions when risks arise. Evidence-based behavioral interventions (EBIs) have typically relied on time-limited, scripted, and manualized protocols that were often delivered with low fidelity and lacked evidence for effectiveness. OBJECTIVE This study aims to examine efficacy, implementation, and cost-effectiveness of easily mountable and adaptable, technology-based behavioral interventions in the context of an enhanced standard of care and study assessments that implement the guidelines of Centers for Disease Control and Prevention (CDC) for routine, repeat HIV, and sexually transmitted infection (STI) testing for high-risk youth. METHODS Youth aged between 12 and 24 years (n=1500) are being recruited from community-based organizations and clinics serving gay, bisexual, and transgender youth, homeless youth, and postincarcerated youth, with eligibility algorithms weighting African American and Latino youth to reflect disparities in HIV incidence. At baseline and 4-month intervals over 24 months (12 months for lower-risk youth), interviewers monitor uptake of HIV prevention continuum steps (linkage to health care, use of pre- or postexposure prophylaxis, condoms, and prevention services) and secondary outcomes of substance use, mental health, and housing security. Assessments include rapid diagnostic tests for HIV, STIs, drugs, and alcohol. The study is powered to detect modest intervention effects among gay or bisexual male and transgender youth with 70% retention. Youth are randomized to 4 conditions: (1) enhanced standard of care of automated text-messaging and monitoring (AMM) and repeat HIV/STI testing assessment procedures (n=690); (2) online group peer support via private social media plus AMM (n=270); (3) coaching that is strengths-based, youth-centered, unscripted, based on common practice elements of EBI, available over 24 months, and delivered by near-peer paraprofessionals via text, phone, and in-person, plus AMM (n=270); and (4) online group peer support plus coaching and AMM (n=270). RESULTS The project was funded in September 2016 and enrollment began in May 2017. Enrollment will be completed between June and August 2019. Data analysis is currently underway, and the first results are expected to be submitted for publication in 2019. CONCLUSIONS This hybrid implementation-effectiveness study examines alternative models for implementing the CDC guidelines for routine HIV/STI testing for YAHR of acquiring HIV and for delivering evidence-based behavioral intervention content in modular elements instead of scripted manuals and available over 24 months of follow-up, while also monitoring implementation, costs, and effectiveness. The greatest impacts are expected for coaching, whereas online group peer support is expected to have lower impact but may be more cost-effective. CLINICALTRIAL ClinicalTrials.gov NCT03134833; https://clinicaltrials.gov/ct2/show/NCT03134833 (Archived by WebCite at http://www.webcitation.org/76el0Viw9) INTERNATIONAL REGISTERED REPOR DERR1-10.2196/11165

Selecting Evidence-Based HIV Prevention Behavioral Interventions for HIV-Negative Persons for National Dissemination

2019 ◽  
Vol 23 (9) ◽  
pp. 2226-2237 ◽  
Author(s):  
Charles B. Collins ◽  
Brittney N. Baack ◽  
Hank Tomlinson ◽  
Cindy Lyles ◽  
Janet C. Cleveland ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Behavioral Interventions ◽  
Evidence Based ◽  
Hiv Negative

Incorporating Health Behavior Theory into mHealth (Preprint)

2018 ◽  
Author(s):  
Jessica Keefe Salwen-Deremer ◽  
Alyssa Khan ◽  
Seth Martin ◽  
Breanna M Holloway ◽  
Janelle W Coughlin
Keyword(s):  
Health Behavior ◽  
Behavioral Interventions ◽  
Technology Development ◽  
Cost Effective ◽  
Future Research ◽  
Evidence Based ◽  
Lifestyle Behaviors ◽  
Behavioral Strategies ◽  
Mobile Phone Use ◽  
Health Behavior Interventions

UNSTRUCTURED Health behavior interventions are effective for many modifiable lifestyle behaviors. In some cases, remotely-delivered behavioral interventions, particularly those that include some form of contact with a provider and strong behavioral strategies, have been shown to be as effective as traditional in-person interventions; they are also more flexible, disseminable, and cost-effective. With ubiquitous increases in mobile phone use, opportunities for remote delivery of health interventions (mHealth) have grown exponentially, particularly in the use of behavioral smartphone applications. Despite research suggesting that mHealth interventions can be effective at initiating and maintaining behavior changes, many mHealth interventions are not theoretically-based, and evidence-based behavioral strategies are not often adapted into the mobile format. Thus, there is a need for clear summaries of behavioral change theories and examples of theoretically driven behavioral strategies to unify and improve the field of mHealth. Herein, we briefly summarize both traditional and contemporary theories of behavior change, evidence-based behavioral strategies, and the methods for evaluating the degree to which they are included in existing mHealth behavioral interventions. We also discuss future research design and mobile technology development considerations.

scholarly journals A Model for Adapting Evidence-based Behavioral Interventions to a New Culture: HIV Prevention for Psychiatric Patients in Rio de Janeiro, Brazil

2007 ◽  
Vol 11 (6) ◽  
pp. 872-883 ◽  
Author(s):  
Milton L. Wainberg ◽  
◽  
Karen McKinnon ◽  
Paulo E. Mattos ◽  
Diana Pinto ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Behavioral Interventions ◽  
Rio De Janeiro ◽  
Psychiatric Patients ◽  
Evidence Based

scholarly journals You Don't Need an App—Conducting Mobile Smoking Research Using a Qualtrics-Based Approach

2022 ◽  
Vol 3 ◽  
Author(s):  
Yong Cui ◽  
Jason D. Robinson ◽  
Rudel E. Rymer ◽  
Jennifer A. Minnix ◽  
Paul M. Cinciripini
Keyword(s):  
Smoking Cessation ◽  
Text Messaging ◽  
Behavioral Interventions ◽  
Online Survey ◽  
Cost Effective ◽  
Outcome Evaluation ◽  
Mobile Platforms ◽  
Cost Effective Approach ◽  
Amazon Web Services ◽  
Ecological Momentary

With the increasing availability of smartphones, many tobacco researchers are exploring smartphone-delivered mobile smoking interventions as a disseminable means of treatment. Most effort has been focused on the development of smartphone applications (apps) to conduct mobile smoking research to implement and validate these interventions. However, developing project-specific smartphone apps that work across multiple mobile platforms (e.g., iOS and Android) can be costly and time-consuming. Here, using a hypothetical study, we present an alternate approach to demonstrate how mobile smoking cessation and outcome evaluation can be conducted without the need of a dedicated app. Our approach uses the Qualtrics platform, a popular online survey host that is used under license by many academic institutions. This platform allows researchers to conduct device-agnostic screening, consenting, and administration of questionnaires through Qualtrics's native survey engine. Researchers can also collect ecological momentary assessment data using text messaging prompts with the incorporation of Amazon Web Services' Pinpoint. Besides these assessment capabilities, Qualtrics has the potential for delivering personalized behavioral interventions through the use of JavaScript code. By customizing the question's web elements in Qualtrics (e.g., using texts, images, videos, and buttons), researchers can integrate interactive web-based interventions and complicated behavioral and cognitive tasks into the survey. In conclusion, this Qualtrics-based methodology represents a novel and cost-effective approach for conducting mobile smoking cessation and assessment research.

scholarly journals Exploring Implementation and Fidelity of Evidence-Based Behavioral Interventions for HIV Prevention: Lessons Learned From the Focus on Kids Diffusion Case Study

2008 ◽  
Vol 36 (3) ◽  
pp. 532-549 ◽  
Author(s):  
Jennifer S. Galbraith ◽  
Bonita Stanton ◽  
Bradley Boekeloo ◽  
Winifred King ◽  
Sharon Desmond ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Behavioral Interventions ◽  
Technical Assistance ◽  
Lessons Learned ◽  
Evidence Based ◽  
Cross Sectional ◽  
Staff Members ◽  
Hiv Intervention ◽  
Core Elements

Evidence-based interventions (EBIs) are used in public health to prevent HIV infection among youth and other groups. EBIs include core elements, features that are thought to be responsible for the efficacy of interventions. The authors evaluate experiences of organizations that adopted an HIV-prevention EBI, Focus on Kids (FOK), and their fidelity to the intervention's eight core elements. A cross-sectional telephone survey was administered to 34 staff members from organizations that had previously implemented FOK. Questions assessed how the organization adhered to, adapted, dropped, or altered the intervention. None of the organizations implemented all eight core elements. This study underscores the importance for HIV intervention researchers to clearly identify and describe core elements. More effort is needed to reflect the constraints practitioners face in nonresearch settings. To ensure intervention effectiveness, additional research and technical assistance are needed to help organizations implement HIV prevention EBIs with fidelity.

scholarly journals Adaptation and National Dissemination of a Brief, Evidence-Based, HIV Prevention Intervention for High-Risk Men Who Have Sex with Men

2016 ◽  
Vol 65 (01) ◽  
pp. 42-50 ◽  
Author(s):  
Jeffrey H. Herbst ◽  
Jerris L. Raiford ◽  
Monique G. Carry ◽  
Aisha L. Wilkes ◽  
Renata D. Ellington ◽  
...  
Keyword(s):  
High Risk ◽  
Hiv Prevention ◽  
Evidence Based ◽  
Prevention Intervention ◽  
Hiv Prevention Intervention ◽  
Sex With Men
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