P52 Keeping “app” to date: using geolocation apps to signpost to local sexual health services

Abstract

ventricular dysfunction, at a level requiring cardiac transplant. ECG showed prolonged QT interval. The patient was diagnosed with toxic dilated cardiomyopathy secondary to long term AM abuse. UK guidelines for Heart transplantation in adults deem chronic viral infection and ongoing substance misuse as relative contraindications to transplant. He was consequently commenced on medication for cardiac failure and received benzodiazepine as inpatient for managing withdrawal symptoms. On discharge, psychiatry follow-up was organised for support to help reduction of AM. At follow up, the patient reported reduced AM use by quarter, but felt he could never abstain. Discussion/conclusion AM related cardiac fatalities are caused by acute myocardial necrosis, ventricular rupture, cardiomyopathy or arrhythmia. Evidence is mostly derived from casereports. Patients using AM should be fully counselled regarding possible toxic effects.

Social Media Interventions to Promote HIV Testing, Linkage, Adherence, and Retention: Systematic Review and Meta-Analysis

“…Of the 981 articles and abstracts, 26 studies met our inclusion criteria [ 26 - 51 ] ( Figure 1 ). Of the 26 studies, eight were RCTs [ 28 , 33 , 41 , 42 , 46 , 47 , 49 , 50 ] and 18 were observational studies [ 26 , 27 , 29 - 32 , 34 - 40 , 43 - 45 , 48 , 51 ] ( Table 1 ). These studies were implemented in 10 countries from 2007-2015 and published from 2011-2016.…”

“…These studies were implemented in 10 countries from 2007-2015 and published from 2011-2016. In total, 18 studies were from four high-income countries as defined by the World Bank [ 28 , 29 , 31 - 38 , 40 , 42 - 45 , 47 , 48 , 50 ], 10 studies were from the United States [ 28 , 33 - 35 , 38 , 42 , 43 , 45 , 47 , 50 ], five from the United Kingdom [ 29 , 31 , 32 , 36 , 48 ], two each from Australia [ 40 , 44 ], China [ 46 , 51 ], and Thailand [ 26 , 27 ], and one each from Taiwan [ 37 ], India [ 41 ], Peru [ 49 ], Mexico [ 30 ], and Guatemala [ 39 ]. The reach of social media interventions varied from 55 to over 17,000 individuals.…”

“…Existing social and sexual networking sites and gay-specific websites/apps were used for interventions. Fifteen studies used Facebook [ 26 - 29 , 32 , 33 , 35 - 37 , 39 , 41 , 44 , 47 , 49 , 50 ] and 10 studies used Grindr, a social networking app catering to MSM [ 29 , 32 , 34 - 36 , 38 - 40 , 45 , 48 ]. Other generic social networking platforms included YouTube, Twitter, and QQ, and other social networking sites or apps catering to MSM included Gaydar, Jack’d, Scruff, A4A, and Radar.…”

“…Social media also served as a platform for delivering services such as HIV self-testing kits, HIV self-sampling, or home-based HIV testing (9 studies) [ 27 , 29 , 31 , 32 , 34 , 36 , 44 , 48 , 50 ]. MSM were often recruited through a broadcast message as a pop-up or a personal message or promotional banner on social media, and the most popular platforms were Facebook and Grindr [ 29 , 32 , 34 ].…”

“…In three studies, social media played more than one role [ 29 , 44 , 50 ]. In 14 studies, the online activities that were a part of the social media interventions were augmented with offline events or in-person interaction [ 26 , 27 , 29 - 32 , 35 , 36 , 38 , 39 , 44 , 48 , 49 , 51 ]. For example, during or post social media interventions, HIV testing were provided at clinics or home [ 27 , 36 , 38 , 51 ] and in studies on HIV test home-sampling, test results were conveyed to participants over the phone or via messages [ 29 ].…”