Developing an HIV prevention text messaging-based intervention for adolescent gay, bisexual, and queer males: Online focus groups to confirm program components
Similar to Developing an HIV prevention text messaging-based intervention for adolescent gay, bisexual, and queer males: Online focus groups to confirm program components
Effects of Cash Transfers on Protection & Wellbeing of Women & ChildrenThe Transfer Project
Similar to Developing an HIV prevention text messaging-based intervention for adolescent gay, bisexual, and queer males: Online focus groups to confirm program components (20)
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Developing an HIV prevention text messaging-based intervention for adolescent gay, bisexual, and queer males: Online focus groups to confirm program components
1. 11th International AIDS Impact Conference
September 30, 2013, 14:30-16:00pm
Session: Information Technologies
Developing an HIV prevention text messaging-
based intervention for adolescent
gay, bisexual, and queer males: Online focus
groups to confirm program components
Tonya Prescott BA1
Brian Mustanski PhD2
L. Zachary DuBois PhD 2
Michele Ybarra MPH PhD1
1Center for Innovative Public Health
Research, San Clemente, California, USA
2 Impact Program, Northwestern
University, Chicago, Illinois, USA
2. Acknowledgements
The project described is supported by Award Number R01
MH096660 from the National Institute of Mental Health. The
content is solely the responsibility of the authors and does not
necessarily represent the official views of the National Institute of
Mental Health.
We would like to thank the entire G2G Team from Center for
Innovative Public Health Research and Northwestern University.
We’d also like to acknowledge the contributions of our
consultants, Drs. Sheana Bull and Jeffrey Parsons. Finally, we thank
the participants for their time and willingness to participate in this
study.
3. Background
HIV among adolescent males who have sex with
males (AMSM):
AMSM account for almost 70% of HIV diagnoses among all
young people in the US (CDC, 2010)
AMSM are alone in facing increasing incidence of HIV/AIDS
(CDC, 2008)
Few HIV prevention programs are targeted
specifically towards gay, bisexual, and queer (GBQ)
adolescents
Mobile phone use:
78% of US teens report mobile phone ownership (Madden, 2013)
75% of US teens text and 63% exchange text messages daily
(Lenhart, 2012)
4. Guy2Guy (G2G): Brief program
overview
Text-messaging-based healthy sexuality and
HIV-prevention program specifically for
GBQ male adolescents
Six-module program based upon the IMB
model
Attention-matched control group
Main outcomes: Condom use, abstinence
Content tailored on sexual experience
5. Eligibility criteria
14-18 years of age
Self-identifies as gay, bisexual, or queer
Owns mobile phone
Enrolled in unlimited text messaging plan
Has texted for at least 6 months
Plans to have cell phone number for at least 6
months
6. Online focus groups
Aim: Guide program content and logistic decisions
Four focus groups (n=75)
November 2012 and January 2013
3 consecutive days
Stratified by sexual experience (anal/vaginal sex ever)
Asynchronous, bulletin-board style format
Password-protected website
Participants created anonymous username
Daily moderation and probing
7. Designing and implementing a national
recruitment and enrollment strategy
National, online sampling frame
Online strategies to recruit participants:
Facebook
Google Ads
Partnership with community organizations
GLSEN (Gay, Lesbian, Straight Education Network)
TrevorProject
8. Designing and implementing a national
recruitment and enrollment strategy
Online strategies to recruit participants:
Recruitment source Eligible screeners
received
Ineligible screeners
received
Total cost
Facebook 86 43 $378.35
GoogleAds 0 6 $0
TrevorProject 78 56 $0
GLSEN 59 49 $0
Recruitment source FG #1 (n=37) FG #2 (n=38)
Facebook 0 12
GoogleAds Not used 0
TrevorProject 37 3
GLSEN Not used 23
Source for enrolled participants:
10. Confirming program components
Text Buddy
Participants liked the idea. Suggested matching on many things:
age, sexual orientation, interests, outness, etc.
Some were concerned that it might get ‘creepy’ and encouraged
plans to protect against this
SOS Tonight (on-demand dating tips)
The idea was well-received
It has been re-conceptualized as G2Genie (on-demand tips about
sex, relationships, condoms, HIV testing)
Message timing
Participants identify their text message time frame
Vary message window during school week vs. weekend
11. Conclusions
Use of multiple recruitment strategies allows you to
purposefully target and recruit a diverse national
sample in a cost-effective manner
Facebook targeted advertising options allows for further
refinement of ad for sub-populations
Community partners allowed us to recruit half of focus
group participants at no cost
Proposed G2G program components appear to be
acceptable among GBQ youth recruited nationally
12. Thank you!
For more information, please contact:
Tonya Prescott
tonya@innovativepublichealth.org
* Thank you for your interest in this presentation. Please note that analyses
included herein are preliminary. More recent, finalized analyses may be available
by contacting CiPHR for further information.
Editor's Notes
Good afternoon. I’ve very pleased to be here. My name is Tonya Prescott with CiPHR. Today I’m going to be talking about developing…. including recruitment and enrollment strategies
Before I begin I want to acknowledge our funding from the NIMH and our partners at Northwestern University, as well as our consultants.
Half will be randomized to RCT and half will be randomized to the control group. Topics included: Communication Skills, Healthy Relationships, HIV information, How to Use Condoms Correctly, How to Negotiate Condoms, Motivations to have sex/ not have sex.
We utilized a national sampling frame. We also paid special attention to reach a diverse group of participants… Diversity defined as race/ethnicity… but also purposeful for age, region, urban/ rural by sexual experience. We used a purposeful recruitment strategy to reach a diverse sample – though not specific quotas we would monitor enrollment demographics – but we aimed to reach minority rates higher than the national averageWe used a combination of paid/ unpaid adversiting…. We chose Facebook based on a national recruitment effort used in a previous survey in which we were having difficulty reaching younger (12-15) GBQ males – and we found it to be a useful strategy and were able to successful reach them.GoogleAds allows use free ad space because we are a non-profit organization. Partnership with community organizations, we had existing relationship with GLSEN and reached our to TrevorProject because they are a large online community and have a large reach for LGBT adolescents. You want to go where your target population are – but also do so in a financially efficient manner – e.g., partners!
Here you can see the number of eligible/ ineligible by recruitment source. 0 enrolled to 12 for FB… improved pictures so more salient, targeting to particular age group, may seem obvious but sometimes forget, target to males… harnessed powers of Facebook advertisement features so you can balance. GoogleAds not effective because too broad… Tailoring greatly increases ad success.Both partners we were able to identify half of participants – did not have to pay – highlights importance of combining strageties. Don’t relay solely on one or the other, but combined stragegy effective to reach audience.
As demonstrated from this slide we received a diverse sample in terms of race and urbanicity: 45% were of non-white race (e.g., Asian, Black, Mixed, Native American, or Other)29% were from a rural community
3 main aims of FG: Text buddy (2 participants matched to eachother), SOS Tonight (if going on date able to text program and get messages) , and Message timing (throughout day, particular times, too early/ too late)Guys really excited about Text buddy and being able to connect with other person… multiple suggestions for ways to text…. Code of conduct… block specific words… block picture messaging… Participants suggested introduction text message to facilitate initial conversation (fav color, singer/artist). So, to be more inclusive of adolescent experiences expanding upon SOS Tonight to include more than just dating tips… so sex, relationships, condoms, etc. Participant would text a keyword for tip they are interested in and receive message in returnWeekday – one in morning and then after school hours… weekdays equally spaced.
The use of multiple partners – community organizations and paid adversiting – allows you to purposefully target and recruit a diverse sample of a hard to reach population (in this case 14-18 GBQ males).. And do so in a cost-effective manner. FB especially useful in targeting groups we were skewing low on… partners source of half of participants for free. ** particularly text buddy feature that connects GBQ teens with like others