ATN 139: Get Connected
Linking YMSM to adequate care through a multi-level tailored webapp intervention
Get Connected is a two-arm prospective randomized controlled trial (RCT) in Philadelphia, Atlanta, and Houston. Participants randomized to the control condition were directed to a website that included information on HIV prevention services via the AIDSVu.org testing site locator. Participants randomized to the intervention condition received tailored online content specific to their demographic characteristics (e.g., age, race/ethnicity, location, and relationship status), HIV/STI risk behaviors (e.g., HIV/STI testing history; substance use; communication with partners regarding status) and sociocultural context (e.g., homelessness, incarceration). We also recruited, enrolled, and trained 10-15 mystery shoppers per city to conduct a mystery shopper assessment. Two mystery shoppers visited each testing site separately and complete a standardized assessment of their visit. Site directors from 10 randomly selected testing sites in each city were interviewed to assess sites’ satisfaction with the biannual site reports that reflect mystery shopper and RCT participant ratings of their site.
José Bauermeister, PhD, MPH | University of Pennsylvania
Rob Stephenson, PhD, MSc, MA | University of Michigan
ClinicalTrials.gov Number: NCT03132415
Mystery shoppers were enrolled for approximately six months, or the time it took them to complete approximately ten site visits.
Young men who have sex with men (YMSM) participating in the RCT were enrolled for 12 months.
Total RCT study sample size is 360 with the aim of maintaining a randomized sample of approximately 320 online-recruited and retained YMSM for 12 months. After consent and completion of the baseline survey, YMSM are randomized to either the intervention (n=180) or control (n=180) condition.
RCT Inclusion Criteria:
- Assigned male sex at birth and currently identifies as male
- Aged 15 to 24 years (inclusive) at time of screening
- Self-report as HIV-negative or sero-status unaware
- Not on PrEP at time of enrollment
- Reside in Atlanta, Houston, or Philadelphia
- Access to internet
- View full eligibility and exclusion criteria available on ClinicalTrials.gov
- To test the efficacy of an e-Health intervention for increasing HIV-negative or HIV-unknown YMSM’s successful uptake of HIV prevention services (e.g., routine HIV/STI testing) and PrEP awareness and willingness, as compared to the attention-control condition over a 12-month period.
- To examine the quality of HIV test counseling and PrEP-related referrals to YMSM within local HIV/STI testing sites in 3 cities (Atlanta, Houston, and Philadelphia) through the use of mystery shoppers.
- Qualitatively assess testing sites’ satisfaction with the biannual site reports and their improvements in service delivery when working with YMSM across the three regions.
- Hightow-Weidman LB, Horvath KJ, Scott H, Hill-Rorie J, Bauermeister JA. Engaging youth in mHealth: what works and how can we be sure? mHealth. 2021;7:23. doi: 10.21037/mhealth-20-48. eCollection 2021. PubMed PMID: 33898592; PubMed Central PMCID: PMC8063019.
- Horvath KJ, Walker T, Mireles L, Bauermeister JA, Hightow-Weidman LB, Stephenson R. A Systematic Review of Technology-Assisted HIV Testing Interventions. Current HIV/AIDS Reports. June 08, 2020.
- Hightow-Weidman LB, Bauermeister JA. Engagement in mHealth Behavioral Interventions for HIV Prevention and Care: Making Sense of the Metrics. mHealth. 2020;6:7. doi: 10.21037/mhealth.2019.10.01. eCollection 2020. PubMed PMID: 32190618; PubMed Central PMCID: PMC7063263.
- Bauermeister JA, Golinkoff JM, Lin WY, Claude KF, Horvath KJ, Dowshen N, Schlupp A, Vickroy WJ, Desir K, Lopez AV, Castillo M, Tanney M, Wimbly TA, Leung K, Sullivan PS, Santiago DL, Hernandez R, Paul ME, Hightow-Weidman L, Lee S, Stephenson R. Testing the Testers: Are Young Men Who Have Sex With Men Receiving Adequate HIV Testing and Counseling Services? J Acquir Immune Defic Syndr. 2019 Dec 1;82 Suppl 2:S133-S141. doi: 10.1097/QAI.0000000000002173. PubMed PMID: 31658201; PubMed Central PMCID: PMC6820705.
- Bauermeister JA, Golinkoff JM, Horvath KJ, Hightow-Weidman LB, Sullivan PS, Stephenson R. A Multilevel Tailored Web App–Based Intervention for Linking Young Men Who Have Sex With Men to Quality Care (Get Connected): Protocol for a Randomized Controlled Trial. JMIR Res Protoc 2018;7(8):e10444. DOI: 10.2196/10444
- Bonnet S, Connochie D, Golinkoff JM, Horvath KJ, Bauermeister JA. (2018). Paradata Analysis of an eHealth HIV Testing Intervention for Young Men Who Have Sex With Men. AIDS Education and Prevention. 2018 Oct;30(5): 434-447.
- Bauermeister JA, Golinkoff JM, Muessig KE, Horvath KJ, Hightow-Weidman LB. (2017). Addressing engagement in technology-based behavioural HIV interventions through paradata metrics. Curr Opin HIV AIDS. 2017 July
- Horvath KJ, Bauermeister JA. eHealth Literacy and Intervention Tailoring Impacts the Acceptability of a HIV/STI Testing Intervention and Sexual Decision Making Among Young Gay and Bisexual Men. AIDS Education & Prevention. 2017 Feb;29(1):14-23. doi: 10.1521/aeap.2017.29.1.14. PubMed PMID: 28195779; PubMed Central PMCID: PMC5444803.
- Hightow-Weidman LB, Muessig KE, Bauermeister J, Zhang C, LeGrand S. Youth, Technology and HIV: Recent Advances and Future Directions. Curr HIV/AIDS Rep. 2015 December
- Muessig KE, Nekkanti M, Bauermeister J, Bull S, Hightow-Weidman LB. A systematic review of recent smartphone, Internet and Web 2.0 interventions to address the HIV continuum of care. Curr HIV/AIDS Rep. 2015 Mar
- Bauermeister, J.A., Pingel, E., Jadwin-Cakmak, L., Meanley, S., Alapati, D., Moore, M., Lowther, M., Wade, R. & Harper, G.W. The use of mystery shopping for quality assurance evaluations of HIV/STI testing sites offering services to young gay and bisexual men. AIDS & Behavior, (2015), 19(10), 1919-1927.
- Bauermeister, J.A., Pingel, E., Jadwin-Cakmak, L., Harper, G.W., Horvath, K., Weiss, G. & Dittus, P. (2015). Acceptability and preliminary efficacy of a tailored online HIV/STI testing intervention for young men who have sex with men: The Get Connected! Program. AIDS & Behavior, 19(10), 1860-1874.
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