Mobile PrEP for Southern Black MSM
| Status: | Recruiting |
|---|---|
| Conditions: | HIV / AIDS |
| Therapuetic Areas: | Immunology / Infectious Diseases |
| Healthy: | No |
| Age Range: | 18 - 35 |
| Updated: | 1/16/2019 |
| Start Date: | November 20, 2018 |
| End Date: | March 2020 |
| Contact: | Larry K. Brown, M.D. |
| Email: | LKBrown@Lifespan.org |
| Phone: | 401-793-8808 |
A Mobile Intervention to Improve Uptake of PrEP for Southern Black MSM
This study will develop and test an interactive mobile messaging intervention to improve
engagement in care related to Pre-exposure Prophylaxis (PrEP) and decrease HIV risk behaviors
for Black men who have sex with men living in the Southern U.S. The mobile messaging
intervention will include interactive text messaging and free, publicly available links to
websites and YouTube videos. During the intervention participants will gain information about
their health, improve motivation for engagement in PrEP related care, and build skills for
healthy behaviors. Participants will also receive intervention materials to help decrease
frequent barriers to care. If the intervention is found to be effective, it can be tested in
a larger study and then disseminated.
engagement in care related to Pre-exposure Prophylaxis (PrEP) and decrease HIV risk behaviors
for Black men who have sex with men living in the Southern U.S. The mobile messaging
intervention will include interactive text messaging and free, publicly available links to
websites and YouTube videos. During the intervention participants will gain information about
their health, improve motivation for engagement in PrEP related care, and build skills for
healthy behaviors. Participants will also receive intervention materials to help decrease
frequent barriers to care. If the intervention is found to be effective, it can be tested in
a larger study and then disseminated.
The uptake of Pre-Exposure Prophylaxis (PrEP) has been slow for young Black men who have sex
with men (BMSM) living in the Southern United States. This is a significant issue because
eight of the ten states with the highest rates of new HIV infections are located in the
South. Jackson, MS (the site of this project) has the second highest AIDS diagnosis rate in
the nation, and the highest rate of HIV infection for young urban Black men who have sex with
men. This study will develop and test an engaging, interactive, and cost effective mobile
messaging intervention to improve linkage to PrEP care for BMSM (18-35 yrs) living in
Jackson, MS. BMSM eligible for PrEP, receiving care at the University of Mississippi Medical
Center STI/HIV testing clinics, will be texted interactive links to publicly available,
online content about PrEP and HIV prevention. Links will be sent to PrEP eligible BMSM by
8-16 interactive text messages over 4 weeks. The material used in the intervention will be
consistent with the Information Motivation Behavior (IMB) Model and will address cultural and
structural barriers to initiating PrEP care. A small randomized controlled study among 66 new
participants in the clinics will examine the preliminary efficacy of the intervention
compared to enhanced standard of care on attendance at a PrEP Services Appointment (the first
step in initiating PrEP care). It is hypothesized that, compared to BMSM receiving enhanced
standard of care, BMSM receiving the PrEP Mobile Messaging Intervention will show greater
attendance at a PrEP Services Appointment and decreased HIV risk behavior at 4 and 16 weeks.
with men (BMSM) living in the Southern United States. This is a significant issue because
eight of the ten states with the highest rates of new HIV infections are located in the
South. Jackson, MS (the site of this project) has the second highest AIDS diagnosis rate in
the nation, and the highest rate of HIV infection for young urban Black men who have sex with
men. This study will develop and test an engaging, interactive, and cost effective mobile
messaging intervention to improve linkage to PrEP care for BMSM (18-35 yrs) living in
Jackson, MS. BMSM eligible for PrEP, receiving care at the University of Mississippi Medical
Center STI/HIV testing clinics, will be texted interactive links to publicly available,
online content about PrEP and HIV prevention. Links will be sent to PrEP eligible BMSM by
8-16 interactive text messages over 4 weeks. The material used in the intervention will be
consistent with the Information Motivation Behavior (IMB) Model and will address cultural and
structural barriers to initiating PrEP care. A small randomized controlled study among 66 new
participants in the clinics will examine the preliminary efficacy of the intervention
compared to enhanced standard of care on attendance at a PrEP Services Appointment (the first
step in initiating PrEP care). It is hypothesized that, compared to BMSM receiving enhanced
standard of care, BMSM receiving the PrEP Mobile Messaging Intervention will show greater
attendance at a PrEP Services Appointment and decreased HIV risk behavior at 4 and 16 weeks.
Inclusion Criteria:
- English speaking
- Black MSM
- Eligible for PrEP
- Visit STI/HIV testing clinics at University of Mississippi Medical Center
- Able to give consent/assent and not impaired by cognitive or medical limitations as
per clinical assessment
Exclusion Criteria:
- Involved in another PrEP or HIV prevention related study
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