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Using Text Messaging to Connect At-Risk Youth to Testing

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Come and learn about how using youth generated text messages can link more youth to health services and HIV testing!

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Using Text Messaging to Connect At-Risk Youth to Testing

  1. 1. BAYVIEW HUNTERS POINT • TOTAL POPULATION=35,890 (SAN FRANCISCO FOUNDATION, 2010) • ONE OF THE LARGEST NEIGHBORHOODS THAT COMPRISE D10 • AVERAGE PER CAPITA INCOME=$19,484 VS. $26,880 DISTRICT-WIDE AND $44,373 CITY-WIDE • GREATER THAN 50% OF RESIDENTS HAVE AN EDUCATIONAL LEVEL OF HIGH SCHOOL OR LESS
  2. 2. UNIQUE PROBLEMS WE FACE • SUPERFUND SITE: HIGHEST RATES OF CHRONIC DISEASES (I.E. ASTHMA, DIABETES AND CANCER) • HIGHEST RATES OF ARRESTS AND INCARCERATION IN SF • HIGHER UNEMPLOYMENT RATES • HIGHER RATES OF STDS IN BOTH ADULTS AND YOUTH • INCREASED EXPOSURE TO TRAUMA
  3. 3. ADOLESCENTS… HOW DO WE CONNECT WITH YOUTH? DO THEY WANT TO ATTEND GROUPS OR COME TO THERAPY?
  4. 4. ADOLESCENT COMMUNICATION PREFERENCES
  5. 5. TEXT MESSAGE INTERVENTIONS • INDICATIONS OF SUCCESS: ASTHMA MANAGEMENT, WEIGHT LOSS, MEDICATION ADHERENCE, DIABETES MANAGEMENT, SMOKING CESSATION • DISEASE MANAGEMENT, DISEASE PREVENTION • PROVIDE INFORMATION • REMINDERS
  6. 6. OUTCOMES • GREATER HIV KNOWLEDGE • IMPROVED CONDOM ATTITUDES • INCREASED PERCEIVED HIV RISK SCORE • TREND IN NUMBER ENGAGED IN UNPROTECTED SEXUAL INTERCOURSE
  7. 7. WHY SCREEN?
  8. 8. STUDY DESIGN
  9. 9. CLINIC DATA
  10. 10. TEXTING DATA • APPROACHED: 153 • REFUSED: 28 (18%) • INELIGIBLE: 25 (16%) • CONSENTED: 100 • SENT TEXT: 97 • 5 TEXTS 79 • 5+ TEXTS: 18 • POST-TEST: 88
  11. 11. EXAMPLE TEXTS • HEY YOU GUYS THIS __, DID YOU KNOW THIRD ST YOUTH CLINIC IS NOW LOCATED ON 1728 BANCROFTS AVE. RIGHT AROUND THE CORNER FROM WINGSTOP • HEY GIRL THIS _____________ WEN U CUM BCK FRM TEXAS HERE AT THE CLINIC ON 3RD U SHULD STP BI THEY HAV GUD CLASSES N PROGRAM N ULL FEL LYK HOME • COME TO THE THIRD ST YOUTH CLINIC FOR STD CHECK • HEY. SO I'M AT THE CLINIC AND I'M GONNA GET TESTED. YOU SHOULD COME GET CHECKED TOO. I'LL COME WITH YOU IF YOU WANT. IT'S OVER ON 3RD NEXT TO THE NEW WINGSTOP. • HEY I'M AT THE THIRD STREET CLINIC IT'S A GOOD IDEA TO GET CHECKED OUT • I JUST GOT CHECKED OUT AT THE 3RD ST CLINIC AND THEY WERE REALLY NICE THEY OFFER FREE TESTING AND HELPED ME A LOT, YOU SHOULD COME DOWN TOO.
  12. 12. CONCERNS • NOTHING (N=55) • RESPONSE FROM FRIEND (N=17) • OTHER (N=28) • THAT FRIENDS WOULD REMEMBER • THEY WON’T TAKE MY ADVICE • NOT AGREE TO GO TO CLINIC • THINK I HAVE SOMETHING • TOO MANY PEOPLE CALL CLINIC PHONE
  13. 13. •“ARE YOU OK” •“ARE YOU FINNA BE A DADDY? •“LOL. WHAT? THAT WAS HECCA RANDOM” •“LMFAO. NICE. OKAY WELL WHEN I GET HOME” •“OK!! LET ME CHECK IT RIGHT OUT” •“FA SHO. WHAT TIME IT ENDS? I GET OUT @ 4” •“I JUST GOT CHECK, THAT SHIT AIN’T NOTHING TO BE PLAYED WITH” •“BITCH WHAT YOU TELLING ME FOR? I GO TO MY DR. EVERY 3 MONTHS FOR THE •FREE AND I DAMN SHO AINT GOT HIV” RESPONSES
  14. 14. NUMBER OF PATIENTS
  15. 15. STI TESTS
  16. 16. POSITIVE STI
  17. 17. HIV TESTING
  18. 18. CONCLUSIONS & LESSONS LEARNED • GET RID OF SMALL GROUP INTERVENTIONS? • TRADE OFFS: INTENSITY VS. REACH • BEHAVIOR CHANGE MODELS STILL HOLD • USE THE STRENGTHS OF TECHNOLOGY • DON’T FORGET THE SCIENCE • DANGERS? • OPPORTUNITIES
  19. 19. THANK YOU Dr. Marguerita Lightfoot Dr. Ayanna Bennett National Institute of Drug Abuse National Institute of Mental Health William T. Grant Foundation MAC Foundation Research Team Agencies, schools, providers 3rd Street Youth Center & Clinic Youth willing to share their lives

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