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Fisher, William A.; Williams, Sunyna S.; Fisher, Jeffrey D.; Malloy, Thomas E.

doi:10.1023/a:1025411317851

Cited by 98 publications

(13 citation statements)

References 27 publications

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“…Good fitness of the model has been shown among HIV high-risk populations in studies predicting condom use [43–45]. The IMB model was intended to integrate biomedical and behavioural approaches in stemming the HIV epidemic [37, 39, 43, 46, 47]. Based on previous literature about migrant MSM in China, we found HIV-related knowledge, perceived risks of HIV infection, and social support were associated with risky HIV-related behaviours [1, 2, 4, 13, 24, 31, 32].…”

Section: Introductionmentioning

confidence: 99%

“…Based on previous literature about migrant MSM in China, we found HIV-related knowledge, perceived risks of HIV infection, and social support were associated with risky HIV-related behaviours [1, 2, 4, 13, 24, 31, 32]. Seminal research on the IMB model suggested that attitudes toward condom use may affect motivation to prevent HIV transmission, and people with skills in negotiating safer sex and refusing unsafe sex may have less difficulty performing HIV-prevention behaviours [37, 46, 47]. However, to our knowledge, no study has applied the IMB model to assess consistent condom use among migrant MSM in China.…”

Section: Introductionmentioning

confidence: 99%

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Assessing consistent condom use among migrant men who have sex with men in Shanghai, China: validation of an information–motivation–behavioural skills model

et al. 2019

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Background In China, high prevalence of risky sexual behaviours and inequity in health services lead to situations in which migrant men who have sex with men face higher risk of contracting the human immunodeficiency virus. Consistent condom use is a primary means of preventing HIV infection during anal sex among MSM. This study aimed to apply the information–motivation–behavioural skills model to examine the predictors of consistent condom use among migrant MSM in Shanghai, and tested the associations between model constructs. Methods A cross-sectional study was conducted among 412 migrant MSM in Shanghai. Data on HIV-related information, motivation, behavioural skills, and behaviours were collected via structured questionnaires. A structural equation model was used to assess the IMB model. Results Of the 412 participants, 4.4% reported HIV-positive status, and prevalence of consistent condom use in the previous 6 months was 44.9%. A restricted IMB model provided an acceptable fit to the data. Behavioural skills were found to directly predict consistent condom use (β = 0.629, P < 0.01). Neither information nor motivation could directly predict consistent condom use ( P > 0.05), but motivation predicted it indirectly and was mediated by behavioural skills. Conclusion The prevalence of consistent condom use was found to be relatively low among migrant MSM in Shanghai. The restricted IMB model was found to be a good predictor of consistent condom use among them. The results of this study indicate that intervention strategies for safer sexual behaviour should not only include information dissemination, but also emphasize motivation and behavioural skills among this population.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assessing consistent condom use among migrant men who have sex with men in Shanghai, China: validation of an information–motivation–behavioural skills model

et al. 2019

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“…In this project, we utilized in-depth interviewing, focused by social learning theory (IMB), to create an iPhone gaming intervention to measure and improve treatment PrEP adherence and decrease HIV risk for YMSM [46-48,53,62]. A number of themes emerged through qualitative interviews with young men that informed game development.…”

Section: Discussionmentioning

confidence: 99%

“…The gaming intervention was informed by the information-motivation-behavioral skills (IMB) theory of learning. The IMB model, consistent with social learning theory, is broadly applicable and can be used to guide game development and create theoretically consistent gaming content [46-50]. The iPhone gaming app was designed for participants to experience absorbing action-oriented adventures that increase information about their health (eg, knowledge about PrEP and HIV prevention and adherence), improve motivation (eg, action figures experience health benefits of adherence to PrEP), and build skills (action figures interact with clinicians at appointments, take medications as prescribed, and practice safe sex; see Multimedia Appendices 1-13).…”

Section: Introductionmentioning

confidence: 99%

Creating a Theoretically Grounded Gaming App to Increase Adherence to Pre-Exposure Prophylaxis: Lessons From the Development of the Viral Combat Mobile Phone Game

et al. 2019

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Background In the United States, young minority men who have sex with men (MSM) are most likely to become infected with HIV. The use of antiretroviral medications to reduce the risk of acquiring HIV infection (pre-exposure prophylaxis, PrEP) is an efficacious and promising prevention strategy. There have been significant advances regarding PrEP, including the definitive demonstration that PrEP reduces HIV acquisition and the development of clinical prescribing guidelines. Despite these promising events, the practical implementation of PrEP can be challenging. Data show that PrEP’s safety and effectiveness could be greatly compromised by suboptimal adherence to treatment, and there is concern about the potential for an increase in HIV risk behavior among PrEP users. Due to these challenges, the prescribing of PrEP should be accompanied by behavioral interventions to promote adherence. Objective This study aimed to develop an immersive, action-oriented iPhone gaming intervention to improve motivation for adherence to PrEP. Methods Game development was guided by social learning theory, taking into consideration the perspectives of young adult MSM who are taking PrEP. A total of 20 young men who have sex with men (YMSM; aged 18-35 years) were recruited from a sexually transmitted infection (STI), HIV testing, and PrEP care clinic in Jackson, Mississippi, between October 2016 and June 2017. They participated in qualitative interviews guided by the information-motivation-behavioral skills (IMB) model of behavior change. The mean age of participants was 26 years, and all the participants identified as male. Acceptability of the game was assessed with the Client Service Questionnaire and session evaluation form. Results A number of themes emerged that informed game development. YMSM taking PrEP desired informational game content that included new and comprehensive details about the effectiveness of PrEP, details about PrEP as it relates to doctors’ visits, and general information about STIs other than HIV. Motivational themes that emerged were the desire for enhancement of future orientation; reinforcement of positive influences from partners, parents, and friends; collaboration with health care providers; decreasing stigma; and a focus on personal relevance of PrEP-related medical care. Behavioral skills themes centered around self-efficacy and strategies for adherence to PrEP and self-care. Conclusions We utilized youth feedback, IMB, and agile software development to create a multilevel, immersive, action-oriented iPhone gaming intervention to improve motivation for adherence to PrEP. There is a dearth of gaming interventions for persons on PrEP. This study is a significant step in working toward the development and testing of an iPhone gaming intervention to decrease HIV risk and promote adherence to PrEP for YMSM.

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“…supported by data collected from highly diverse populations that are of considerable relevance to the HIV epidemic, including, for example, men who have sex with men (MSM) (Fisher et al, 1994), adolescents (Fisher et al, 1999;Kalichman, Stein, et al, 2002;Robertson et al, 2006;Ybarra et al, 2013), university students (Bazargan et al, 2000(Bazargan et al, , 2010Fisher et al, 1994;Reis et al, 2013), low-income urban women , IDUs (Bryan et al, 2000), patients attending sexually transmitted infection (STI) clinics (Crosby et al, 2008;Kalichman et al, 2006;Mittal et al, 2012;Scott-Sheldon et al, 2010;Walsh et al, 2011), individuals with mental illness (Kalichman, Malow, et al, 2005), female commercial sex workers (Zhang et al, 2011), truck drivers (Bryan et al, 2001), and people living with HIV/AIDS (PLWH) . The propositions of the IMB model have received consistent empirical support in culturally and geographically diverse locations including Angola, Portugal, Malawi, and India, and multiple culturally and ethnically distinct settings in South Africa and the United States.…”

Section: Empirical Support For the Imb Model Of Hiv/aids Preventive Bmentioning

confidence: 99%

Social Psychology and the Fight Against AIDS

Fisher

Shuper

2014

Advances in Experimental Social Psychology

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Untitled

Cited by 98 publications

References 27 publications

Assessing consistent condom use among migrant men who have sex with men in Shanghai, China: validation of an information–motivation–behavioural skills model

Assessing consistent condom use among migrant men who have sex with men in Shanghai, China: validation of an information–motivation–behavioural skills model

Creating a Theoretically Grounded Gaming App to Increase Adherence to Pre-Exposure Prophylaxis: Lessons From the Development of the Viral Combat Mobile Phone Game

Social Psychology and the Fight Against AIDS

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