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A Mobile-Based App (MyChoices) to Increase Uptake of HIV Testing and Pre-Exposure Prophylaxis by Young Men Who Have Sex With Men: Protocol for a Pilot Randomized Controlled Trial.
JMIR Res Protoc. 2019 Jan 07; 8(1):e10694.JR

Abstract

BACKGROUND

HIV incidence is growing most rapidly in the United States among young men who have sex with men (YMSM). Overwhelming evidence demonstrates that routine testing and expanded use of pre-exposure prophylaxis (PrEP) would dramatically reduce the population burden of HIV; however, uptake of both interventions is suboptimal among young adults. The use of mobile phone apps by YMSM is ubiquitous and may offer unique opportunities for public health interventions. MyChoices is a theory-driven app to increase HIV testing and PrEP uptake. It was developed by an interdisciplinary team based on feedback from a diverse sample of YMSM.

OBJECTIVE

The aim of this paper is to describe the protocol for the refinement, beta testing, and pilot randomized controlled trial (RCT) to examine the acceptability and feasibility of the MyChoices app.

METHODS

This 3-phase study includes 4 theater testing groups for app refinement with a total of approximately 30 YMSM; for beta testing, including quantitative assessments and exit interviews, with approximately 15 YMSM over a 2-month period; and for a pilot RCT with 60 YMSM. The pilot will assess feasibility, acceptability, and preliminary efficacy of the MyChoices app, compared with referrals only, in increasing HIV testing and PrEP uptake. All participants will be recruited at iTech clinical research sites in Boston, MA, and Bronx, NY.

RESULTS

App refinement is underway. Enrollment for the pilot RCT began in October 2018.

CONCLUSIONS

MyChoices is one of the first comprehensive, theory-driven HIV prevention apps designed specifically for YMSM. If MyChoices demonstrates acceptability and feasibility in this pilot RCT, a multicity, 3-arm randomized controlled efficacy trial of this app and another youth-optimized app (LYNX) versus standard of care is planned within iTech. If shown to be efficacious, the app will be scalable, with the ability to reach YMSM across the United States as well as be geographically individualized, with app content integrated with local prevention and testing activities.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID)

PRR1-10.2196/10694.

Authors+Show Affiliations

Center for Health Equity Research, Brown University School of Public Health, Providence, RI, United States. Department of Behavioral & Social Sciences, Brown University School of Public Health, Providence, RI, United States. The Fenway Institute, Fenway Health, Boston, MA, United States. Department of Epidemiology, Brown University School of Public Health, Providence, RI, United States.The Fenway Institute, Fenway Health, Boston, MA, United States.Center for Health Equity Research, Brown University School of Public Health, Providence, RI, United States. Department of Behavioral & Social Sciences, Brown University School of Public Health, Providence, RI, United States. The Fenway Institute, Fenway Health, Boston, MA, United States. Department of Epidemiology, Brown University School of Public Health, Providence, RI, United States.Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States.Behavior and Technology Lab, Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.The Fenway Institute, Fenway Health, Boston, MA, United States. Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Boston, MA, United States. Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, MA, United States.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30617042

Citation

Biello, Katie B., et al. "A Mobile-Based App (MyChoices) to Increase Uptake of HIV Testing and Pre-Exposure Prophylaxis By Young Men Who Have Sex With Men: Protocol for a Pilot Randomized Controlled Trial." JMIR Research Protocols, vol. 8, no. 1, 2019, pp. e10694.
Biello KB, Marrow E, Mimiaga MJ, et al. A Mobile-Based App (MyChoices) to Increase Uptake of HIV Testing and Pre-Exposure Prophylaxis by Young Men Who Have Sex With Men: Protocol for a Pilot Randomized Controlled Trial. JMIR Res Protoc. 2019;8(1):e10694.
Biello, K. B., Marrow, E., Mimiaga, M. J., Sullivan, P., Hightow-Weidman, L., & Mayer, K. H. (2019). A Mobile-Based App (MyChoices) to Increase Uptake of HIV Testing and Pre-Exposure Prophylaxis by Young Men Who Have Sex With Men: Protocol for a Pilot Randomized Controlled Trial. JMIR Research Protocols, 8(1), e10694. https://doi.org/10.2196/10694
Biello KB, et al. A Mobile-Based App (MyChoices) to Increase Uptake of HIV Testing and Pre-Exposure Prophylaxis By Young Men Who Have Sex With Men: Protocol for a Pilot Randomized Controlled Trial. JMIR Res Protoc. 2019 Jan 7;8(1):e10694. PubMed PMID: 30617042.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A Mobile-Based App (MyChoices) to Increase Uptake of HIV Testing and Pre-Exposure Prophylaxis by Young Men Who Have Sex With Men: Protocol for a Pilot Randomized Controlled Trial. AU - Biello,Katie B, AU - Marrow,Elliot, AU - Mimiaga,Matthew J, AU - Sullivan,Patrick, AU - Hightow-Weidman,Lisa, AU - Mayer,Kenneth H, Y1 - 2019/01/07/ PY - 2018/04/04/received PY - 2018/09/13/accepted PY - 2018/07/16/revised PY - 2019/1/9/entrez PY - 2019/1/9/pubmed PY - 2019/1/9/medline KW - HIV KW - adolescents KW - mHealth KW - men who have sex with men KW - mobile phone KW - pre-exposure prophylaxis SP - e10694 EP - e10694 JF - JMIR research protocols JO - JMIR Res Protoc VL - 8 IS - 1 N2 - BACKGROUND: HIV incidence is growing most rapidly in the United States among young men who have sex with men (YMSM). Overwhelming evidence demonstrates that routine testing and expanded use of pre-exposure prophylaxis (PrEP) would dramatically reduce the population burden of HIV; however, uptake of both interventions is suboptimal among young adults. The use of mobile phone apps by YMSM is ubiquitous and may offer unique opportunities for public health interventions. MyChoices is a theory-driven app to increase HIV testing and PrEP uptake. It was developed by an interdisciplinary team based on feedback from a diverse sample of YMSM. OBJECTIVE: The aim of this paper is to describe the protocol for the refinement, beta testing, and pilot randomized controlled trial (RCT) to examine the acceptability and feasibility of the MyChoices app. METHODS: This 3-phase study includes 4 theater testing groups for app refinement with a total of approximately 30 YMSM; for beta testing, including quantitative assessments and exit interviews, with approximately 15 YMSM over a 2-month period; and for a pilot RCT with 60 YMSM. The pilot will assess feasibility, acceptability, and preliminary efficacy of the MyChoices app, compared with referrals only, in increasing HIV testing and PrEP uptake. All participants will be recruited at iTech clinical research sites in Boston, MA, and Bronx, NY. RESULTS: App refinement is underway. Enrollment for the pilot RCT began in October 2018. CONCLUSIONS: MyChoices is one of the first comprehensive, theory-driven HIV prevention apps designed specifically for YMSM. If MyChoices demonstrates acceptability and feasibility in this pilot RCT, a multicity, 3-arm randomized controlled efficacy trial of this app and another youth-optimized app (LYNX) versus standard of care is planned within iTech. If shown to be efficacious, the app will be scalable, with the ability to reach YMSM across the United States as well as be geographically individualized, with app content integrated with local prevention and testing activities. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/10694. SN - 1929-0748 UR - https://www.unboundmedicine.com/medline/citation/30617042/A_Mobile_Based_App__MyChoices__to_Increase_Uptake_of_HIV_Testing_and_Pre_Exposure_Prophylaxis_by_Young_Men_Who_Have_Sex_With_Men:_Protocol_for_a_Pilot_Randomized_Controlled_Trial_ L2 - https://www.researchprotocols.org/2019/1/e10694/ DB - PRIME DP - Unbound Medicine ER -
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