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dc.contributor.authorSullivan, Patrick Sean
dc.contributor.authorStephenson, Rob
dc.contributor.authorHirshfield, Sabina
dc.contributor.authorMehta, Cyra Christina
dc.contributor.authorZahn, Ryan
dc.contributor.authorBauermeister, Jose A
dc.contributor.authorHorvath, Keith
dc.contributor.authorChiasson, Mary Ann
dc.contributor.authorGelaude, Deborah
dc.contributor.authorMullin, Shelby
dc.contributor.authorDowning, Martin J
dc.contributor.authorOlansky, Evelyn Jolene
dc.contributor.authorWiatrek, Sarah
dc.contributor.authorRogers, Erin Q
dc.contributor.authorRosenberg, Eli
dc.contributor.authorSiegler, Aaron J
dc.contributor.authorMansergh, Gordon
dc.date.accessioned2022-10-03T17:43:21Z
dc.date.available2022-10-03T17:43:21Z
dc.date.issued2022-02-02
dc.identifier.citationSullivan PS, Stephenson R, Hirshfield S, Mehta CC, Zahn R, Bauermeister JA, Horvath K, Chiasson MA, Gelaude D, Mullin S, Downing MJ Jr, Olansky EJ, Wiatrek S, Rogers EQ, Rosenberg E, Siegler AJ, Mansergh G. Behavioral Efficacy of a Sexual Health Mobile App for Men Who Have Sex With Men: Randomized Controlled Trial of Mobile Messaging for Men. J Med Internet Res. 2022 Feb 2;24(2):e34574. doi: 10.2196/34574. PMID: 35025755; PMCID: PMC8851328.en_US
dc.identifier.eissn1438-8871
dc.identifier.doi10.2196/34574
dc.identifier.pmid35025755
dc.identifier.urihttp://hdl.handle.net/20.500.12648/7629
dc.description.abstractBackground: Gay, bisexual, and other men who have sex with men (GBMSM) face the highest burden of HIV in the United States, and there is a paucity of efficacious mobile health (mHealth) HIV prevention and care interventions tailored specifically for GBMSM. We tested a mobile app combining prevention messages and access to core prevention services for GBMSM. Objective: This study aims to measure the efficacy of the Mobile Messaging for Men (M-cubed) app and related services to increase HIV prevention and care behaviors in diverse US GBMSM. Methods: We conducted a randomized open-label study with a waitlist control group among GBMSM in 3 groups (low-risk HIV-negative group, high-risk HIV-negative group, and living-with-HIV [LWH] group) recruited online and in venues in Atlanta, Detroit, and New York City. Participants were randomly assigned to receive access to the app immediately or at 9 months after randomization. The app provided prevention messages in 6 domains of sexual health and offered ordering of at-home HIV and sexually transmitted infection test kits, receiving preexposure prophylaxis (PrEP) evaluations and navigation, and service locators. Serostatus- and risk-specific prevention outcomes were evaluated at baseline, at the end of the intervention period, and at 3, 6, and 9 months after the intervention period. Results: In total, 1226 GBMSM were enrolled and randomized; of these 611 (49.84%) were assigned to the intervention group and 608 (99.51%) were analyzed, while 615 (50.16%) were assigned to the control group and 612 (99.51%) were analyzed. For high-risk GBMSM, allocation to the intervention arm was associated with higher odds of HIV testing during the intervention period (adjusted odds ratio [aOR] 2.02, 95% CI 1.11-3.66) and with higher odds of using PrEP in the 3 months after the intervention period (aOR 2.41, 95% CI 1.00-5.76, P<.05). No changes in HIV prevention or care were associated with allocation to the intervention arm for the low-risk HIV-negative and LWH groups. Conclusions: Access to the M-cubed app was associated with increased HIV testing and PrEP use among high-risk HIV-negative GBMSM in 3 US cities. The app could be made available through funded HIV prevention providers; additional efforts are needed to understand optimal strategies to implement the app outside of the research setting. Trial registration: ClinicalTrials.gov NCT03666247; https://clinicaltrials.gov/ct2/show/NCT03666247. International registered report identifier (irrid): RR2-10.2196/16439.en_US
dc.language.isoenen_US
dc.relation.urlhttps://www.jmir.org/2022/2/e34574/en_US
dc.rights©Patrick Sean Sullivan, Rob Stephenson, Sabina Hirshfield, Cyra Christina Mehta, Ryan Zahn, Jose A Bauermeister, Keith Horvath, Mary Ann Chiasson, Deborah Gelaude, Shelby Mullin, Martin J Downing Jr, Evelyn Jolene Olansky, Sarah Wiatrek, Erin Q Rogers, Eli Rosenberg, Aaron J Siegler, Gordon Mansergh. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 02.02.2022.
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectHIVen_US
dc.subjectHIV preventionen_US
dc.subjectMSMen_US
dc.subjectPrEPen_US
dc.subjectSTIen_US
dc.subjectUnited Statesen_US
dc.subjectappen_US
dc.subjectbehavioren_US
dc.subjectbisexualen_US
dc.subjectefficacyen_US
dc.subjectgayen_US
dc.subjectmHealthen_US
dc.subjectmen who have sex with menen_US
dc.subjectpreventionen_US
dc.subjectrandomized clinical trialen_US
dc.subjectsexualityen_US
dc.subjecttestingen_US
dc.subjecttoolen_US
dc.subjectvideoen_US
dc.titleBehavioral Efficacy of a Sexual Health Mobile App for Men Who Have Sex With Men: Randomized Controlled Trial of Mobile Messaging for Men.en_US
dc.typeArticle/Reviewen_US
dc.source.journaltitleJournal of medical Internet researchen_US
dc.source.volume24
dc.source.issue2
dc.source.beginpagee34574
dc.source.endpage
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryCanada
dc.description.versionVoRen_US
refterms.dateFOA2022-10-03T17:43:22Z
dc.description.institutionSUNY Downstateen_US
dc.description.departmentSTAR Programen_US
dc.description.degreelevelN/Aen_US
dc.identifier.journalJournal of medical Internet research


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©Patrick Sean Sullivan, Rob Stephenson, Sabina Hirshfield, Cyra Christina Mehta, Ryan Zahn, Jose A Bauermeister, Keith Horvath, Mary Ann Chiasson, Deborah Gelaude, Shelby Mullin, Martin J Downing Jr, Evelyn Jolene Olansky, Sarah Wiatrek, Erin Q Rogers, Eli Rosenberg, Aaron J Siegler, Gordon Mansergh. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 02.02.2022.
Except where otherwise noted, this item's license is described as ©Patrick Sean Sullivan, Rob Stephenson, Sabina Hirshfield, Cyra Christina Mehta, Ryan Zahn, Jose A Bauermeister, Keith Horvath, Mary Ann Chiasson, Deborah Gelaude, Shelby Mullin, Martin J Downing Jr, Evelyn Jolene Olansky, Sarah Wiatrek, Erin Q Rogers, Eli Rosenberg, Aaron J Siegler, Gordon Mansergh. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 02.02.2022.