Implementation and evaluation of an HIV/STD intervention in Peru

Maiorana, André; Kegeles, Susan M.; Fernández, Percy; Salazar, Ximena; Cáceres, Carlos; Sandoval, Clara; Rosasco, Ana María; Coates, Thomas J.

doi:10.1016/j.evalprogplan.2006.10.004

Cited by 28 publications

(24 citation statements)

References 19 publications

(14 reference statements)

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“…(9,10) Peer-led HIV interventions, which train peer health educators to deliver community-based HIV prevention information, have increased condom use and decreased unprotected anal intercourse, with sustained behavior change up to 3 years later. (11,12) Researchers have proposed using online technologies as tools to rapidly and cost-effectively deliver peer-led HIV prevention among at-risk populations.…”

Section: Introductionmentioning

confidence: 99%

“…Specifically, this 12-week intervention (with post-intervention and 1-year follow-up assessments) tested whether participants who were invited to Facebook groups to receive peer-mentored HIV prevention and behavior change information (compared to those invited to groups without this information) would be more likely to test for HIV. The HOPE Peru intervention is not a diffusion of innovations study by formal terms (9,10), but is a blended intervention that incorporates components of that theory and social normative theory and interventions (20,22–24). Additional information about the intervention is available (20).…”

Section: Introductionmentioning

confidence: 99%

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The HOPE social media intervention for global HIV prevention in Peru: a cluster randomised controlled trial

et al. 2015

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Background Social media technologies are newly emerging tools that can be used for HIV prevention and testing in low- and middle-income countries, such as Peru. This study examined the efficacy of using the Harnessing Online Peer Education (HOPE) social media intervention to increase HIV testing among men who have sex with men (MSM) in Peru. Methods In a cluster randomized controlled trial with concealed allocation, Peruvian MSM from Greater Lima/Callao (N = 556) were randomly assigned to join private intervention or control groups on Facebook for 12 weeks. In the intervention condition, forty-nine Peruvian MSM were trained and randomly assigned to be HIV prevention mentors to participants via Facebook groups over 12 weeks. Control participants received an enhanced standard of care, including standard offline HIV prevention available in Peru as well as participation in Facebook groups (without peer leaders) that provided study updates and HIV testing information. After accepting a request to join the groups, continued participation was voluntary. Participants could request a free HIV test at a local community clinic, and completed questionnaires on HIV risk behaviors and social media use at baseline and 12-week follow-up. Findings Between March 19, 2012, and June 11, 2012, and Sept 26, 2012, and Dec 19, 2012, 556 participants were randomly assigned to intervention groups (N=278) or control groups (N=278); we analyse data for 252 and 246. 43 participants (17%) in the intervention group and 16 (7%) in the control groups got tested for HIV (adjusted odds ratio 2.61, 95% CI 1.55–4.38). No adverse events were reported. Retention at 12-week follow-up was 90%. Across conditions, 7 (87.5%) of the 8 participants who tested positive were linked to care at a local clinic. Interpretation Development of peer-mentored social media communities seemed to be an effective method to increase HIV testing among high-risk populations in Peru.: Results suggest that the HOPE social media HIV intervention may improve HIV testing rates among MSM in Peru. Funding National Institute of Mental Health (NIMH MH090844)

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The HOPE social media intervention for global HIV prevention in Peru: a cluster randomised controlled trial

et al. 2015

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“…Leaders are persons who are similar to the target population in terms of age, education, sexual orientation and other characteristics (8). They are trained on a health topic and then go into the community to communicate information in a culturally and socially appropriate manner (9), with the intent to educate and change social norms and behaviors (4,8,10). These interventions have been associated with increased knowledge of HIV, condom use and decreased unprotected anal intercourse in both developing and developed countries (1–5).…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Recruiting Peer Educators to Promote HIV Testing Using Facebook Among Men Who have Sex with Men in Peru

Menacho

Galea²,

Young

2015

AIDS Behav

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A peer leader-based intervention using social media can be an effective means to encourage Peruvian gay men to test for HIV. The objective was to explore the feasibility of recruiting and training leaders to deliver a peer intervention via Facebook to promote HIV testing. Training consisted of three sessions focused on HIV epidemiology, consequences of stigma associated with HIV, and ways to use Facebook. We performed pre- and post-training evaluations to assess HIV knowledge and comfort using Facebook. We trained 34 peer leaders. At baseline, the majority of peer leaders were already qualified and knowledgeable about HIV prevention and use of social media. We found a significant increase in proportion of peer leaders who were comfortable using social media to discuss about sexual partners and about STIs. It is feasible to recruit peer leaders who are qualified to conduct a social media based HIV prevention intervention in Peru.

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“…Close variants of such interventions so far include HIV-prevention efforts that have successfully mobilised popular opinion leaders to advocate for HIV prevention within communities considered at-risk (Kelly, 2004; Maiorana, Kegeles, Fernandez, Salazar, Caceres, Sandoval et al , 2007), and the mobilisation of injecting drug users (IDUs) to advocate for HIV prevention among other IDUs (Latkin, Mandell, Vlahov, Oziemkowska & Celentano, 1996; Latkin, 1998). There have also been peer-led HIV-prevention programmes among sex workers (Basu, Jana, Rotheram-Borus, Swendeman, Lee, Newman & Wiess, 2004) as well as HIV-positive peers trained to advocate for HIV prevention and risk reduction with other PLHIV (Raja, McKirnan & Glick, 2007).…”

Section: Introductionmentioning

confidence: 99%

An exploratory study of HIV-prevention advocacy by persons in HIV care in Uganda

Tumwine

Nannungi

Ssegujja

et al. 2011

African Journal of AIDS Research

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To explore how people living with HIV (PLHIV) and in care encourage others to adopt HIV-protective behaviours, we conducted in-depth interviews with a purposive sample of 40 HIV clinic patients in Kampala, Uganda. Content analysis was used to examine the message content, trigger events, and outcomes of HIV-prevention advocacy events initiated by the HIV clients with members of their social networks. The content themes included encouraging specific behaviours, such as HIV testing and treatment, condom use and non-promiscuity, as well as more general cautionary messages about protecting oneself from HIV infection. Common triggers for bringing up HIV-prevention advocacy information in a discussion or conversation included: wanting to prevent the targeted person from ‘falling into the same problems,’ wanting to benefit oneself with regard to avoiding re-infection, out of concern that the target would engage in higher-risk behaviour, due to observed changes in the target’s health, and to convey information after receiving treatment at the clinic. The participants mostly reported positive or neutral responses to these advocacy events; negative responses were rare. Interventions to empower PLHIV to be agents of change could represent a new frontier for HIV prevention.

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Implementation and evaluation of an HIV/STD intervention in Peru

Cited by 28 publications

References 19 publications

The HOPE social media intervention for global HIV prevention in Peru: a cluster randomised controlled trial

The HOPE social media intervention for global HIV prevention in Peru: a cluster randomised controlled trial

Feasibility of Recruiting Peer Educators to Promote HIV Testing Using Facebook Among Men Who have Sex with Men in Peru

An exploratory study of HIV-prevention advocacy by persons in HIV care in Uganda

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