Culturally Congruent HIV Risk Reduction App for Young Women, an Acceptability & Pilot Evaluation
| Status: | Completed |
|---|---|
| Conditions: | Infectious Disease, HIV / AIDS |
| Therapuetic Areas: | Immunology / Infectious Diseases |
| Healthy: | No |
| Age Range: | 18 - 25 |
| Updated: | 8/26/2017 |
| Start Date: | July 2015 |
| End Date: | June 2016 |
Smartphone applications and mobile technologies offer users the potential to access critical
information (e.g., proper condom use, directions to testing sites, and other sexual and
reproductive health services) when it is needed most. Relevant findings will identify areas
where existing interventions may be leveraged and adapted to work among young women of color
in an urban setting and their networks. As SRH smartphone apps continue to proliferate, this
study will expand researchers', developers', and health educators' limited knowledge about
the feasibility, acceptability and preliminary efficacy of a sexual health educational app
tailored with and for young Black and Latino women, aged 18-25 in NYC, including whether this
app acts as a gateway to sexual health educators, clinical and other service providers. If
proven effective, findings from this study will identify areas where existing interventions
may be leveraged and adapted to work among a YBLW and their networks, and potentially adapted
for other high needs communities.
information (e.g., proper condom use, directions to testing sites, and other sexual and
reproductive health services) when it is needed most. Relevant findings will identify areas
where existing interventions may be leveraged and adapted to work among young women of color
in an urban setting and their networks. As SRH smartphone apps continue to proliferate, this
study will expand researchers', developers', and health educators' limited knowledge about
the feasibility, acceptability and preliminary efficacy of a sexual health educational app
tailored with and for young Black and Latino women, aged 18-25 in NYC, including whether this
app acts as a gateway to sexual health educators, clinical and other service providers. If
proven effective, findings from this study will identify areas where existing interventions
may be leveraged and adapted to work among a YBLW and their networks, and potentially adapted
for other high needs communities.
New HIV, Chlamydia and Gonorrhea infections are highest among young Black women and Latinas
aged 13 to 29 years old compared to White women, which negatively impacts other sexual and
reproductive health outcomes. Given that young women have a substantial need for SRH services
and a high smartphone ownership, unique opportunities to utilize mobile apps(applications) to
decrease HIV risk behaviors may exist.
A tailored, culturally congruent, smartphone app co-developed with and for young Black and
Latino women (18 to 25 years old) not yet publicly available offers a unique opportunity to
conduct a feasibility, acceptability, and pilot RCT. Using this app, this pilot that will: a)
assess feasibility of the sampling, consent, recruitment and retention techniques; b) collect
acceptability and usability data and cultural congruence on the app; a and c) collect pilot
data to test differences between intervention and control groups on the preliminary estimates
of app effectiveness to inform a potential larger-scale study. The investigators propose YBLW
between 18 and 25 years old in NYC will use a mobile-based health education app to access SRH
education information. Additionally, those who use the tailored SRH app will have more
self-reported connection to SRH services, better knowledge of SRH education domains, and how
to link to clinical services (e.g., PREP, PEP, EC, birth control, HIV, STD, and pregnancy
testing), compared to the control group. Analysis for the first aim will employ process
measures and the second and third aims are mixed-methods aims.
Analysis will compare differences between the 2-arms and indiscernible differences and
culturally tailored usability will be explored via focus groups and web analytics.
aged 13 to 29 years old compared to White women, which negatively impacts other sexual and
reproductive health outcomes. Given that young women have a substantial need for SRH services
and a high smartphone ownership, unique opportunities to utilize mobile apps(applications) to
decrease HIV risk behaviors may exist.
A tailored, culturally congruent, smartphone app co-developed with and for young Black and
Latino women (18 to 25 years old) not yet publicly available offers a unique opportunity to
conduct a feasibility, acceptability, and pilot RCT. Using this app, this pilot that will: a)
assess feasibility of the sampling, consent, recruitment and retention techniques; b) collect
acceptability and usability data and cultural congruence on the app; a and c) collect pilot
data to test differences between intervention and control groups on the preliminary estimates
of app effectiveness to inform a potential larger-scale study. The investigators propose YBLW
between 18 and 25 years old in NYC will use a mobile-based health education app to access SRH
education information. Additionally, those who use the tailored SRH app will have more
self-reported connection to SRH services, better knowledge of SRH education domains, and how
to link to clinical services (e.g., PREP, PEP, EC, birth control, HIV, STD, and pregnancy
testing), compared to the control group. Analysis for the first aim will employ process
measures and the second and third aims are mixed-methods aims.
Analysis will compare differences between the 2-arms and indiscernible differences and
culturally tailored usability will be explored via focus groups and web analytics.
Inclusion Criteria:
- women between 18 and 25 years old;
- self-identify as either Black and/or Latina;
- own a smartphone (iOS or android);
- live in NYC;
- report vaginal or anal intercourse in their lifetime;
- report unprotected intercourse in their lifetime;
- healthy (not controls) adults. There will be estimated total 110 of said subjects.
Exclusion Criteria:
- being married or partnered for more than one year,
- report only being sexually active with women,
- pregnant or have children 2 years old or younger,
- HIV+ status,
- men,
- individuals under 18 and over 25,
- live in a place other than New York City,
- formal training as a sexual peer health educator (beyond a high school health class)
or
- unable to read English.
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