Reducing HIV Vulnerability Through A Multilevel Life Skills Intervention For Adolescent Men

From 2000-2010, the annual number of new HIV diagnoses among MSM aged 13-24 years old more
than doubled. There are stark racial and ethnic disparities in the incidence of new HIV
infections among YMSM; 13- 24 year old racial and ethnic minority MSM now represent a rapidly
growing share of all new HIV infections. Although the likelihood of HIV acquisition is
greater at older ages, many of the cognitive and behavioral risk factors that contribute to
the risk of HIV infection rates develop in adolescence. As adolescent MSM (AMSM; 13-18 years
old) begin to develop and express gender and sexual identities, to experiment and begin
sexual behaviors, and to begin to establish a sense of self, there is the opportunity to
parallel this period of growth with targeted, tailored interventions that equip AMSM with the
life skills they need to reduce their vulnerability to HIV risk and to establish the life
skills necessary to manage risk. The investigators developed a mobile-friendly WebApp
intervention focused on life skills training with links to local resources. In the proposed
activities, the investigators will adapt the life skills intervention for four U.S regions
heavily impacted by HIV, and revise the content to include materials that are age-appropriate
for 13 to 18 year-olds. Given the role that stigma and social isolation plays in the lives of
many AMSM, the investigators also propose to embed a peer-to-peer motivational interviewing
component, allowing participants to access motivational interviewing counseling via VSee
video-chat. With a large and diverse sample (n=500), the investigators will test the efficacy
of the intervention, now referred to as iCON+, on cognitive and behavioral HIV-related
outcomes using a two-arm randomized control design. In addition, the investigators examine
whether structural characteristics in a region (e.g., race/ethnicity segregation, HIV
prevalence) influence the efficacy of the proposed intervention.

The following Specific Aims are proposed:

1. Adapt a multilevel, online life skills intervention to address HIV vulnerability among
AMSM living in four heavily impacted regions constituting diverse racial/ethnic and
geographic areas (Chicago-Detroit; Atlanta-Washington, DC; Memphis- New Orleans; San
Francisco-San Diego) in the US.

2. Test the efficacy of our intervention, as compared to a delayed intervention condition,
to improve cognitive (e.g., comfort discussing sexuality; HIV prevention attitudes,
norms, self-efficacy, behavioral intentions) and behavioral (e.g., condom use, HIV
testing, PrEP use) factors using a prospective RCT design.

3. Examine the differential efficacy of our intervention in improving psychosocial
mediators (e.g., personal competency) associated with our outcomes; and,

4. Examine how socio-ecological determinants at the individual (e.g., race/ethnicity,
urbanity) and regional (e.g., socioeconomic disadvantage, HIV prevalence) level are
associated with intervention efficacy.

Inclusion Criteria:

1. Assigned a male sex at birth and identifying as male at time of enrollment,

2. Be between the ages of 13-18 (inclusive),

3. Speak and read English,

4. Report same-sex attractions and/or behaviors,

5. Live in one of the zip codes of the 109 counties included in this trial,

6. Access to internet

Exclusion Criteria:

1. Being assigned a sex other than male at birth,

2. Identifying as a gender other than male at time of enrollment,

3. Being younger than 13 or older than 18 years of age,

4. Not speaking and reading English,

5. Reporting no same-sex attractions and/or behaviors,

6. Living outside of the 109 counties included in the four regions selected for this
trial,

7. Currently incarcerated,

8. No access to internet.