Randomized Controlled Trials of Technology-Based HIV/STI and Drug Abuse Preventive Interventions for African American and Hispanic Youth: Systematic Review

Córdova, David; Lua, Frania Mendoza; Ovadje, Lauretta; Hong, Ethan; Castillo, Berenice; Salas-Wright, Christopher P

doi:10.2196/publichealth.7129

Cited by 12 publications

(12 citation statements)

References 47 publications

(74 reference statements)

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“…Finally, a review of rigorously tested (e.g. randomized controlled trial), technology-based, behavioral HIV prevention interventions for Black and Latino youth identified only 2 studies [54]. Thus, the quantity, and perhaps the quality, of HIV prevention interventions targeting adolescents in general are limited.…”

Section: Introductionmentioning

confidence: 99%

HIV Prevention Interventions for Adolescents

Hosek

Pettifor

2019

Curr HIV/AIDS Rep

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Purpose of Review: The goal of this paper is to review recent data on biomedical, behavioral and structural HIV prevention interventions for adolescents and young adults. Recent Findings: While it is accepted that HIV prevention interventions must take an integrated approach to achieve maximum effectiveness, to date, there have been limited, rigorously evaluated combination prevention interventions for adolescents. There are currently a range of effective biomedical, behavioral and structural approaches that can be integrated into prevention packages to address the prevention needs of adolescents, including oral PrEP, male circumcision, rapid HIV testing, numerous behavioral interventions and structural interventions such as cash transfers and community mobilization to address gender-based violence. Summary: There is still a need for rigorously evaluated, innovative combination prevention packages for adolescents. Prevention approaches must take into account the context of young people’s lives and address the multiple levels of influence on their lives including parents, partners and communities.

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Section: Introductionmentioning

confidence: 99%

HIV Prevention Interventions for Adolescents

Hosek

Pettifor

2019

Curr HIV/AIDS Rep

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“…STI/HIV testing, and the prevention and reduction of drug use and sexual risk behaviors remain important strategies to prevent HIV among youth in the United States [40]. However, the scientific knowledge remains limited with respect to scalable mHealth solutions to improve uptake of STI and HIV testing and the prevention and reduction of drug use and sexual risk behaviors among youth [16]. Compared to AIDS service organizations and adult-focused clinics, youth are more likely to seek drug abuse and STI/HIV prevention and risk reduction services from youth-centered community health clinics [15].…”

Section: Discussionmentioning

confidence: 99%

“…However, our design in the present study does not allow us to formally test S4E’s potential mechanisms of change. Few researchers have determined the pathways through which youth behavior changes occur, especially regarding technology-based interventions [16]. Therefore, future research examining the utility of this framework in an experimental design to test the hypothesized mechanisms of change is warranted.…”

Section: Discussionmentioning

confidence: 99%

“…Youth-centered initiatives align with federal recommendations focused on screening and treating youth’s drug use and sexual risk behaviors in clinic settings [13]. Despite the disproportionately high rates of drug use, sexual risk behaviors, and STI and HIV infection, as well as low rates of STI and HIV testing among youth, few technology-based interventions have been developed and shown to be feasible and acceptable for this population in a clinic setting [16].…”

Section: Introductionmentioning

confidence: 99%

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A multilevel mHealth drug abuse and STI/HIV preventive intervention for clinic settings in the United States: A feasibility and acceptability study

et al. 2019

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Background Drug abuse and sexually transmitted infections (STIs), including the human immunodeficiency virus (HIV), remain significant public health concerns in the United States. Youth are at disproportionate risk of drug use and STIs/HIV, yet interventions aimed at improving STI and HIV testing and reducing STI/HIV risk behaviors through technology-based engagement in clinic settings are limited. The purpose of this study was to examine the feasibility and acceptability of Storytelling 4 Empowerment (S4E), a multilevel mobile-health drug abuse and STI/HIV preventive application (app) for clinic settings. We also explored uptake of STI/HIV testing among youth immediately post-intervention. Method Employing community-based participatory research principles and a multi-method research design, we developed a clinician-facing app, and examined the feasibility and acceptability of S4E among clinicians (n = 6) and youth (n = 20) in an urban youth-centered community health clinic. S4E aimed to improve clinician–youth risk communication and youths’ drug use and STI/HIV knowledge, self-efficacy, and refusal skills. We also explored youths’ uptake of STI and HIV testing. Quantitative data were analyzed by computing mean scores and proportions, and qualitative analyses followed the tenets of content analysis. Results Among eligible participants, 86.9% of youth and 85.7% of clinicians enrolled in the study, suggesting the feasibility of recruiting participants from the targeted clinic. Most clinicians identified as non-Hispanic white (83%) and female (66.7%). Among the youth, 70% identified as non-Hispanic white, followed by 30% African American, and 50% identified as female with a mean age of 19.6 (SD = 1.5, Range = 16–21). The quantitative findings suggest that the acceptability of S4E is high, as indicated by the Client Satisfaction Questionnaire (mean score = 25.2, SD: 4.8). Immediately post-intervention, all youth who reported past 90-day condomless sex or having never been tested for STIs or HIV in their lifetime, were tested for both STIs and HIV. Qualitative themes revealed four overarching themes, including S4E: (1) faciliated timely, targeted, and tailored prevention and risk reduction strategies; (2) shaped clinician and youth communication and interaction during the clinic visit; (3) may have improved uptake of STI/HIV testing and increased STI/HIV knowledge and self-efficacy; and (4) had high feasibiliy and acceptability among youth and clninicans. Conclusions Findings suggest the feasibility and acceptability of S4E in an urban community-based health clinic setting. A next important step is to examine the efficacy of S4E in a randomized controlled trial design.

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“…Evidence suggests that mHealth-based intervention approaches may be particularly salient for technology savvy youth, but also a promising method to increase reach to key populations with educational information, digital media, and/or game-based learning, aimed at reducing HIV risk behaviors [5,6]. In a review of mHealth interventions for high risk MSM, Schnall and colleagues found that web-based videos and education modules reduced HIV risk behavior and promoted HIV testing [7].…”

Section: Introductionmentioning

confidence: 99%

A randomized controlled efficacy trial of an mHealth HIV prevention intervention for sexual minority young men: MyPEEPS mobile study protocol

et al. 2020

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Background: Young sexual minority men in the United States have a high incidence rate of HIV infection. Early intervention among this group, that is timed to precede or coincide with sexual initiation, is of critical importance to prevent HIV infection. Despite this, there are very few published randomized controlled efficacy trials testing interventions to reduce sexual vulnerability for HIV acquisition among racially/ethnically diverse, very young, sexual minority men (aged ≤18 years). This paper describes the design of a mobile app-based intervention trial to reduce sexual risk for HIV acquisition and promote health protection in this group. Methods: This study is a randomized controlled trial of an mHealth-based HIV prevention intervention, MyPEEPS Mobile, among diverse sexual minority cisgender young men, aged 13-18 years. The mobile intervention was adapted from a prior group-based intervention curriculum with evidence of efficacy, designed to be specific to the risk contexts and realities of young sexual minority men, and to include psychoeducational and skill-building components with interactive games and activities. Participants are recruited locally within four regional hubs

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Randomized Controlled Trials of Technology-Based HIV/STI and Drug Abuse Preventive Interventions for African American and Hispanic Youth: Systematic Review

Cited by 12 publications

References 47 publications

HIV Prevention Interventions for Adolescents

HIV Prevention Interventions for Adolescents

A multilevel mHealth drug abuse and STI/HIV preventive intervention for clinic settings in the United States: A feasibility and acceptability study

A randomized controlled efficacy trial of an mHealth HIV prevention intervention for sexual minority young men: MyPEEPS mobile study protocol

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