The document summarizes using online focus groups to develop a text-message based HIV prevention program for adolescent men who have sex with men (MSM) ages 14-18. The researchers conducted two online focus groups with a total of 75 participants. Key findings from the focus groups included:
- Participants expressed a lack of education about healthy sexuality and relationships.
- Sexually abstinent participants wanted messages that positively reinforced their decision to wait for sex.
- Sexually active participants reported barriers to condom use like embarrassment purchasing them and lack of education on proper use.
- Both groups expressed interest in content addressing developing relationships and accessing resources.
Reaching LGBTQ youth where they are: On their phonesYTH
LGBTQ adolescents face challenges beyond those of their heterosexual peers including: decisions about coming out; bullying; violence; pressure to engage in heterosexual behaviors, resulting in increased risk of pregnancy and exposure to STIs; and high rates of HIV and STIs among teen MSM. To help meet the sexual education and health needs of LGBTQ teens, Planned Parenthood is developing an intervention to meet LGBTQ youth where they are: on their phones. To create LGBTQ-specific tools, we are conducting new research and applying learnings from our previous development of nine digital tools geared toward heterosexual African-American and Latino youth. This presentation will discuss the original digital tools, learnings from focus groups with LGBTQ teens, and plans for developing new tools for this population.
Reaching LGBTQ youth where they are: On their phonesYTH
LGBTQ adolescents face challenges beyond those of their heterosexual peers including: decisions about coming out; bullying; violence; pressure to engage in heterosexual behaviors, resulting in increased risk of pregnancy and exposure to STIs; and high rates of HIV and STIs among teen MSM. To help meet the sexual education and health needs of LGBTQ teens, Planned Parenthood is developing an intervention to meet LGBTQ youth where they are: on their phones. To create LGBTQ-specific tools, we are conducting new research and applying learnings from our previous development of nine digital tools geared toward heterosexual African-American and Latino youth. This presentation will discuss the original digital tools, learnings from focus groups with LGBTQ teens, and plans for developing new tools for this population.
Jess Alder (Program Director, Start Strong, Boston Public Health Commission), Nicole Daley (Director of Evaluation and Engagement, One Love Foundation), and Emily F. Rothman, ScD (Professor, Boston University School of Public Health) delved into the topic of whether porn use is a public health problem and highlighted a curriculum they developed for teens to discuss porn, healthy relationships, and sexual violence.
Part of a training program aimed at encouraging faculty, staff and students at Fanshawe College to become "Positive Space" allies for GLBTTQQ students. If you wish to have this workshop presented in your classroom or department, contact Candice in the Counselling and Student Life Department, F2010, Fanshawe College.
Jess Alder (Program Director, Start Strong, Boston Public Health Commission), Nicole Daley (Director of Evaluation and Engagement, One Love Foundation), and Emily F. Rothman, ScD (Professor, Boston University School of Public Health) delved into the topic of whether porn use is a public health problem and highlighted a curriculum they developed for teens to discuss porn, healthy relationships, and sexual violence.
Part of a training program aimed at encouraging faculty, staff and students at Fanshawe College to become "Positive Space" allies for GLBTTQQ students. If you wish to have this workshop presented in your classroom or department, contact Candice in the Counselling and Student Life Department, F2010, Fanshawe College.
INSTRUCTORADO UNIVERSITARIO EN MUSCULACION y PERSONAL TRAINER. Apunte de Fuerza.
Director Deportivo: SARDEN MATIAS ARIEL.
Director Academco: ANTONELLI SERGIO.
Sexual Health is Just Health: Findings from a CDC National STD Prevention Tra...YTH
Think about the last time you thought you had an STD. How did you feel? Who did you tell? What did you do? Awkward, right? Maybe this hasn't happened to you personally, but each year over 20 million Americans contract a Sexually Transmitted Disease. Over 50% are youth and most go undetected and untreated. Just Health is a risk screen app being used in over 100 School-Based Health Centers and is the flagship tool of a National CDC Center for Technology Innovation that is focused on adolescent sexual health. Just Health works to improve patient-provider communication and reduce stigma around a range of topics from safety, substance use, mental health, and sexual health including the intersectionality of needs and gender identity and sexual orientation. Just Health is an example of ongoing evaluation in real-word conditions. Population-level data are improving understanding of these needs and risks from a system perspective.
YTHTechSex: An Exploration of Youth Sexual Health and the Digital LandscapeYTH
What websites do young people use to find sexual health information? What do they think about online dating and cyberbullying? Join us as we present findings from our national study, YTHTechSex, that paints a picture of the digital landscape for youth and their health needs, and presents insights for future interventions. We will share stories from youth participants that we met across the United States, as well as introduce a youth-designed tech solution to cyberbullying.
Presented June 21, 2012 - Part of 2012 Collaborative Mentoring Webinar Series
Education Northwest/National Mentoring Center, Friends For Youth, Indiana Mentoring Partnership, Kansas Mentors, Mass Mentoring Partnership, Mentoring Partnership of Minnesota, Mentor Michigan, Mobius Mentors, Oregon Mentors and other partners are working together in 2012 to deliver this free monthly webinar series for mentoring professionals.
For updates about upcoming webinars, join and follow the Mentoring Forums at http://mentoringforums.educationnorthwest.org.
Sex, Drugs & Scotland's Health- Working with front line staff in understandin...HIVScotland
Delivered at Sex, Drugs & Scotland's Health Virtual Conference, this presentation was delivered by Lesley Bon & Stephan Vargas.
More information about the virtual event is available here: http://ow.ly/YntW50GWhJ0
Here is the presentation that I did for the Rosa Parks lecture at UNLV on Feb. 10, 2010. The presentation is entitled, "Reproductive Health, Social Determinants, Health Disparities, and Public Policy: Let\'s Come Up with Solutions." This presentation reviews some of the work that I have done over the years to bring me to some key conclusions. If you have any questions or comments about the presenation, please do not hesitate to contact me.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
Using online focus groups to tailor a text-message based HIV-prevention project for adolescent MSM
1. 1
Using online focus groups to
tailor a text-message based
HIV-prevention project for
adolescent MSM.
L. Zachary DuBois1, Brian Mustanski1, Michele L. Ybarra,2
1 IMPACT Program, Northwestern University, Chicago, Illinois
2Center for Innovative Public Health Research, San
Clemente, California
* 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.
2. 2
Mission: to conduct translational research that improves the
health of the LGBT community. We seek to develop the
capacity of the LGBT community to conduct health research
and translate research findings into practical interventions.
Vision: to promote positive human development
through the creation and implementation of
innovative, unique, tech-based research and
health education programs.
Guy2Guy: Collaborative study led by
Dr’s Mustanski and Ybarra
5. 5
Aims: To deliver healthy sexuality and HIV
prevention info specifically relevant to young men
(14-18) who identify as gay, bisexual, queer (GBQ).
MSM – behavioral grouping, not an identity.
Preliminary analyses from Ybarra‟s Teen Health and
Technology study suggest that of the 6% of men who have
recently had sex with men, 71% self-identify as gay, queer, or
bisexual; 9% as questioning, and 20% as straight.
Thus, being male and having sex with another male is not
necessarily equivalent to self-identifying as gay, bisexual,
or queer.
Our aim is to tailor a program that meets the needs of men
with a gay, bi, or queer identity, not who just have sex with
other men.
Guy2Guy(G2G): Developing a Text-
Message Based HIV Prevention
Program
6. 6
Guy2Guy (G2G):
Program Components will include:
6 healthy sexuality modules
focused on supporting HIV
preventive behavior:
Condom use
Abstinence
Healthy sexual decision-making
A “text-buddy” program
Guys connect via text with other
guys
Program website
info, resources, and blog
7. 7
Benefits of text messaging include:
• Private, convenient, portable
• Something they already do everyday (54%
of adolescents text daily)
• Proven feasible for behavioral
interventions (e.g., Smoking cessation)
8. 8
Tailoring a text-based HIV prevention
program:
Developmental phase
1) Online focus groups
To develop program content and logistics
To tailor program for GBQ men ages 14-18
2) Youth Advisory Council
To test content
3) Pilot randomized controlled trial (RCT) across
the U.S.
Test acceptability and feasibility (recruitment/retention)
Test efficacy (3 mos post-intervention)
10. 10
Using Online Focus Groups for
Program Development:
Online recruitment
Ads ran on GLSEN, TrevorSpace, Facebook
online screener eligibility, demographics, and phone
number
Purposeful sampling for age, race/ethnicity, region
Eligibility:
Male birth sex and male gender ID
14-18 years old
Self identified as GB or Q
Owns cell and has texted > 6 months
11. 11
If eligible via online screener:
Texted via SendHub to set up time to talk
Conveyed preference for texting over talking!
Confirmed eligibility
Consent/Assent
Provided registration and login info
12. 12
Recruitment and Enrollment
Sexually Experienced and
Abstinent Guys
Matched for:
– Age (14-18)
– Geographic regions
– Urban/rural status
Purposeful sampling
• Racial/ethnic diversity
• Outness
13. 13
Recruitment and Enrollment:
Recruitment Totals
Screeners received 460 total / 193 ineligible** 267 eligible
Contacted via text/phone 152 80 enrolled
Enrolled 80 40 Abstinent
40 Sexually Active
Registered/created
username
40
39
Focus group 1
Focus group 2
Withdrew
Did not participate
3
1
Focus Group 1 n = 37
Focus Group 2 n = 38
**52% of ineligible screeners submitted by females or males <14yo or >18yo
**31% did not own a cell phone or have unlimited texting availability
14. 14
Structure of Online Focus Groups:
FG2
n=38
FG1
n=37
Abstinent Sexually Active
n = 18 n= 19
Abstinent Sexually Active
n=18 n=20
15. 15
Participant demographic characteristics
Participant characteristics Group 1
(n=37)
Group 2
(n=38)
P-value
Race 0.55
Asian 5% 5%
Black or African American 8% 3%
Mixed racial background 19% 18%
Native American or Alaskan native 0% 3%
Other 19% 11%
White or Caucasian 49% 61%
Hispanic ethnicity 19% 29% 0.31
Sexual orientation 0.32
Bisexual 11% 11%
Bisexual/Questioning 5% 0%
Gay 76% 89%
Gay/bisexual 3% 0%
Gay/queer 5% 0%
16. 16
Participant demographic characteristics
Participant characteristics Group 1
(n=37)
Group 2
(n=38)
P-value
Region 0.88
Midwest 27% 24%
North 22% 21%
South 22% 32%
West 30% 24%
Urbanicity 0.07
Rural 19% 39%
Urban 81% 61%
18. 18
Using Online Focus Groups
Asynchronous, bulletin-board style format: *
Log-in at their convenience over 3 day period
Easy moderation of board
Questions posted 2x daily for 3 days
Password protected site
Self-selected anonymous username
* used to understand online experiences of adolescent LGBT youth (Hillier, Mitchell and Ybarra, 2012), to
develop an online HIV prevention program (Levine et. al. 2011), to develop a text-message based
smoking cessation program (Ybarra, Holtrop and Prescott et al. 2013)
19. 19
Preparation for online framework for
focus groups:
Encourage interaction between members
Prevent short, non-descriptive answers
Importance of moderation to probe for detail and
clarity
Message function alerts members to follow-up
questions
21. 21
Topics of interest:
Sexual experience and decision-making
Condom use
Content of text messages
Text-messaging practices and habits
Privacy concerns
Logistical and programmatic development
Creation of “Safety check list” for enrollment
Experiences with sex education
Access to resources and LGBTQ youth
Necessity of program
Content of text messages
25. Need for tailoring based on sexual experience
Sexually
Inexperienced/Abstinent
Unique Themes:
Emphasis on wanting to wait
(particularly until married ) as a
positive decision
Desire for messages that
support that decision
Shared themes
Lack of education about
healthy gay sex and sexuality
Desire for info on how to meet
guys, develop and maintain
healthy romantic relationships
Sexually Experienced
Unique Themes:
Issues of ability to access and
effectively use condoms
Embarrassment about buying
condoms
Shared themes
Lack of education about healthy
gay sex and sexuality
Desire for info on how to meet
guys, develop and maintain
healthy romantic relationships
26. 26
Abstinent Groups:
Themes: Wanting to wait
QUESTIONS: What do you think are some of the good things about
not having sex? What are some of the draw backs? What do you
think are the main reasons young men like yourself choose not to
have sex?
“For me and people like me, sex isn't just a physical
pleasure. It is emotionally significant. When I have my
first time, I want it to be with a man whom I'm in love
with.”
“Well for me I am 16 and their are many guys
that have wanted to have sex with me … I have
never even had my first real kiss…sex isn't an
option till I find that one guy I know I will want
to be with for the rest of my life and even then
ill ask him to marry me before we have sex..”
“one of the goods things is that
you cant get any std's. but the
draw backs are your kinda of
missing out on things, but when
its my first time i want it to be with
my boyfriend, when were both
ready.”
27. 27
Abstinent Groups:
Themes: Interest in receiving positive and supportive messages
QUESTIONS: What things would be helpful for you to hear that would remind you
about why this choice is important to you, when you might feel tempted to do other
things?
“As this is what I chose to do…I would definitely not
like to hear that it could give me STDs so I shouldn't
do it; that might come off as a challenge, sometimes
doing risky things is exciting for people, especially
teens. Rather, it would be better to show that it's much
better to do something sexual while in a committed
relationship with a partner you love…”
“…your body is a temple. It is the only thing
that keeps you alive. Do not defile your own
temple. Do not throw away what should be
given only to the worthy person(s). Cheesy?
Maybe. Too bad.”
“I would like to be asked why am I
going to have sex and do I feel real
emotions towards that person.”
28. 28
Sexually Active Groups:
Themes: Barriers to condoms use
QUESTION: What are your thoughts about condoms and using them?
What percentage of guys like you would you guess use condoms
when they have sex?
“A very low percentage. Me for example would be
extremely embarrassed to ask for them, and wouldn't
even know where to get them (I think they sold in
vending machines! And pharmacies. Also, some don't
know how to use them properly and would feel
awkward using them.”
“I definitely agree with the low percentage. Most
likely with the thought that condoms only prevent
pregnancy. They don't think of anything else. Also
embarrassment, I'd be too embarrassed to go off and
purchase condoms mysel if I had money for it.”
29. 29
Sexually Active Groups:
Themes: Barriers to condom use
QUESTION: What do you think could be done to help you use condoms more regularly?
“Lower prices. I bought condoms for my boyfriend
and I and they were about 7 for the 3 pack. Also try to
use other kinds. It was my first time buying and it was
rather awkward.”
“Having condoms can
be uncomfortable
around parents.”
“Show us how they can increase the pleasure of sex. Ribbed? Heated ones?”
Question: What are some of the reasons why young men like yourself don’t use condoms?
“….exactly what I was thinking and
also lower prices, and make the
idea of buying a condom less
taboo.”
“Some guys think that it takes away from the general effect of
sex. Like bareback sex. I have had many people tell me "I don't
us condoms because it just doesn't feel the same with them
on." …and some people may be afraid to go somewhere and
buy them! Or they may be afraid that their parents will see
them in their room and just flip out.”
30. 30
Both Groups:
Themes: Lack of gay positive/inclusive sex ed
“Health class at my school doesn't
discuss gay sex at all, so I didn't have
any conception of how it worked …I
don't know everything about how to be
as safe as possible.”
“My community doesn't even acknowledge
that gays are real. There are no programs
that discuss sex between males and
females let alone males and males.”
“Well sex ed. Was not helpful to me but to
my str8 friends yea but for me and my GBT
friends it says nothing about gay sex so its
nit helpful so u cant wait to see this program
come out to try it and see it.”
“My school’s health class was pretty
terrible…I’m pretty sure the word gay wasn’t
said throughout the entire class. They’re
pretty useless. And I don’t have any
community programs I could to to learn about
anything.”
Question: Please share your thoughts about programs (e.g., Sex Ed in school, or a program at a
community organization) that you know about that talks about safe sex or abstinence: how do
they make you feel? How were they useful (or not)?
31. 31
Both Groups:
Themes: coming out and meeting guys
“I am not out so its hard to meet
guys kind of. The guy I am currently
talking to I met at school.”
“I typically will meet other guys online on
tumblrm facebook or omegle. I met my
current boyfriend through a mutual friend.
Unfortunately not all guys are easy to spot,
as some try to appear straight. had lots of
experience with that. “
“well... im one of the few guys at school that
is out.”
“What if people can’t tell your gay? That’s
definitely how it is with me. I can sometimes
tell when other guys are gay, but I’m always to
shy to do anything about it. How do you put
yourself out there without totally giving
yourself away to everyone?”
Question: How do you usually meet guys?
32. 32
Next Steps
Conduct mixed-methods analysis of data for
program tailoring
Compare Abstinent/Sexually Active
Compare Urban/rural
Examine differences related to being “out” as gay
Integrate results into content/logistics
Conduct Youth Advisory Council
To test content
Pilot RCT among AMSM across the U.S.
Test feasibility and acceptability (recruitment/retention)
Test efficacy (3 mos post-intervention)
33. 33
The project described was supported by Award Number
R01 MH096660-01A1 from the National Institutes of Mental Health.
The content is solely the responsibility of the authors and does not necessarily
represent the official views of the National Institutes of Mental Health.We
would like to thank the entire G2G Team from IMPACT and Ciphr, particularly
Ms. Tonya Prescott for her contributions recruiting and managing participants
and Mr. Schwab for his leadership on the technology development supporting
the Bulletin Boards. 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.
Acknowledgements
For more information, contact:
Zachary DuBois
zach.dubois@northwestern.edu
Editor's Notes
Today I will be talking to you about Guy2Guy - a program being developed as a collaborative effort led by PI’s Brian Mustanski and Michele Ybarra. Dr Mustanski is the director of the IMPACT program at Northwestern whose mission is – READ SLIDE. Dr Ybarra is the director of the Center for Innovative Public Health Research or CiPHR whose vision is to READ SLIDE.
I’m going to begin here just quickly showing you the CDC data here indicating the highest number of new infections in the US occur among MSM. Adolescent men who have sex with men (AMSM) account for almost 70% of HIV diagnoses among all young people, and are alone in facing increasing incidence in HIV/AIDS with most transmission occurring through unprotected sex. Because of this disproportionate burden, there is continued need for interventions targeting this population.
Here’s a screen shot of IMPACT’s online description of the G2G program. Many of you here are already involved with or familiar with the benefits of using a text-message based program; For the purpose of tailoring an intervention specifically for GBQ young men, the benefits of a text based modality are even more apparent. The privacy that text messaging allows is crucial, particularly for young men who may not be out – as is the convenience and portability of cell phones for guys to be able to receive healthy sexuality information that they can access when they most need it. READ REST OF SLIDE
Today I’ll be focusing on how we designed and carried out our online focus groups in order to best tailor our text message based program for young GBQ men for whom safety and privacy may be an issue. Data from these online focus groups will help us to both design the logistics of the program in a way that is feasible and to develop the content of the messages they will receive in the program. READ slide for next phases in program.Efficacy: Our main efficacy measure will be frequency of unprotected anal sex acts.Our secondary outcomes will be: 1) sexual abstinence, and 2) increased HIV testing rates for the intervention versus control group at 3-months post-intervention.
Participants in the focus were recruited through online ads we ran thru the Gay lesbian and straight education network (GLSEN) etcPeople who were interested in the study filled out an online screener that included questions for Eligibility requirments included: READ SLIDE
Once we received an online screener from someone that was eligible---READ SLIDE and examples of texted responses. These responses convey clear preference for texting over talking and also provide further support that TM provides more flexibility and convenience.
Among the 72 contacted but not enrolled: 6 were no longer interested; the remainder either did not respond to text message sent (at least two text messages sent to each person contacted) or scheduled appointment to talk on phone, but did not answer/ get back to us. Those ineligible because <14yo (n=7)
pretty evenly matched for each region with both groups. trend towards significance with regard to whether guys lived in a rural or urban area. Based on the higher number of urban to rural participants in FG1 we we decided to use targeted recruitment to increase participants from rural areas for FG 2.
Along with demographic and eligibility criteria questions - we also asked How ‘out’ are you” along a 1-5 scale as part of the online screener. You can see here that the majority of the guys in bothof our focus groups were out to some degree.
Bulletin Board style interface. Will show a slide in a few minutes that shows how interactions were able to take place between members of the group. But here – can see we posted a question – guys responded here typing as much or as little as they would like and responding multiple times if they wanted to.Circle = thread title
In the end – issue of short answers was not really a problem – guys clearly comfortable with chat room style formats – wanted to share their views. As moderator, I found it relatively easy to probe for more details from those who were brief or vague in their answers.
This format also insptired a breadth of ideas – Some themes that emerged included – read slides…..This slide also shows you how interactions between members of the group took place…. Toward the middle of one of the focus groups (so day 2) a few of the guys initiated their own “thread” which we then called “your free space” for open chatting and getting to know one another.