作者: Charles H Klein , Tamara Kuhn , Danielle Huxley , Jamie Kennel , Elizabeth Withers
DOI: 10.2196/PUBLICHEALTH.7933
关键词:
摘要: Background: Human immunodeficiency virus (HIV) disproportionately affects black men who have sex with (MSM), yet there are few evidence-based interventions specifically designed for MSM communities. In response, the authors created Real Talk, a technology-delivered, sexual health program MSM. Objective: The objective of our study was to determine whether Talk positively affected risk reduction intentions, disclosure practices, condom use, and overall practices. Methods: used quasi-experimental, 2-arm methodology. During first session, participants completed baseline assessment, (intervention condition) or reviewed 4 brochures (the standard care control condition), 10-minute user-satisfaction survey. Six months later, from both conditions returned complete follow-up assessment. Results: A total 226 were enrolled in study, 144 6-month follow-up. more likely disagree that they had intended last 6 bottom without partner unknown status (mean difference=−0.608, P=.02), anal positive man on HIV medications difference=−0.471, P=.055), their pull out when bottoming difference=−0.651, P=.03), topping difference=−0.644, P=.03). also significantly statement “I will sometimes lie about my people I am going with” difference=−0.411, P=.04). terms attitudes toward prevention, group agree less concern becoming because availability antiretroviral difference=0.778, P=.03) pre-exposure prophylaxis (PReP) difference=0.658, P=.05). There were, however, no significant differences between regarding actual use other strategies. Conclusions: Our findings suggest supports engagement prevention issues. lack behavior may relate insufficient power fact 2-hour, standalone intervention be motivate behavioral change. conclusion, we argue Talk’s modular format facilitates its utilization within broader array activities contribute higher PReP [JMIR Public Health Surveill 2017;3(4):e78]