Tags

Type your tag names separated by a space and hit enter

Development and Evaluation of a Mobile App Designed to Increase HIV Testing and Pre-exposure Prophylaxis Use Among Young Men Who Have Sex With Men in the United States: Open Pilot Trial.
J Med Internet Res. 2021 03 24; 23(3):e25107.JM

Abstract

BACKGROUND

HIV disproportionately affects young men who have sex with men (YMSM) in the United States. Uptake of evidence-based prevention strategies, including routine HIV testing and use of pre-exposure prophylaxis (PrEP), is suboptimal in this population. Novel methods for reaching YMSM are required.

OBJECTIVE

The aim of this study is to describe the development and evaluate the feasibility and acceptability of the MyChoices app, a mobile app designed to increase HIV testing and PrEP use among YMSM in the United States.

METHODS

Informed by the social cognitive theory, the MyChoices app was developed using an iterative process to increase HIV testing and PrEP uptake among YMSM. In 2017, beta theater testing was conducted in two US cities to garner feedback (n=4 groups; n=28 YMSM). These findings were used to refine MyChoices, which was then tested for initial acceptability and usability in a technical pilot (N=11 YMSM). Baseline and 2-month postbaseline assessments and exit interviews were completed. Transcripts were coded using a deductive approach, and thematic analysis was used to synthesize data; app acceptability and use data were also reported.

RESULTS

The MyChoices app includes personalized recommendations for HIV testing frequency and PrEP use; information on types of HIV tests and PrEP; ability to search for nearby HIV testing and PrEP care sites; and ability to order free home HIV and sexually transmitted infection test kits, condoms, and lube. In theater testing, YMSM described that MyChoices appears useful and that they would recommend it to peers. Participants liked the look and feel of the app and believed that the ability to search for and be pinged when near an HIV testing site would be beneficial. Some suggested that portions of the app felt repetitive and preferred using casual language rather than formal or medicalized terms. Following theater testing, the MyChoices app was refined, and participants in the technical pilot used the app, on average, 8 (SD 5.0; range 2-18) times over 2 months, with an average duration of 28 (SD 38.9) minutes per session. At the 2-month follow-up, the mean System Usability Scale (0-100) score was 71 (ie, above average; SD 11.8). Over 80% (9/11) of the participants reported that MyChoices was useful and 91% (10/11) said that they would recommend it to a friend. In exit interviews, there was a high level of acceptability for the content, interface, and features.

CONCLUSIONS

These data show the initial acceptability and user engagement of the MyChoices app. If future studies demonstrate efficacy in increasing HIV testing and PrEP uptake, the app is scalable to reach YMSM across the United States.

TRIAL REGISTRATION

Clinicaltrials.gov NCT03179319; https://clinicaltrials.gov/ct2/show/NCT03179319.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID)

RR2-10.2196/10694.

Authors+Show Affiliations

Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, United States. Department of Epidemiology, Brown University School of Public Health, Providence, RI, United States. Center for Health Promotion and Health Equity, Brown University School of Public Health, Providence, RI, United States. The Fenway Institute, Fenway Health, Boston, MA, United States.The Fenway Institute, Fenway Health, Boston, MA, United States.Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, United States.Adolescent AIDS Program, Children's Hospital at Montefiore Medical Center, The Bronx, NY, United States.Department of Epidemiology, Rollins School of Global Public Health, Emory University, Atlanta, GA, United States.Division of Infectious Diseases, UNC School of Medicine, University of North Carolina, Chapel Hill, NC, United States.Department of Health Behavior, Gillings School of Public Health, University of North Carolina, Chapel Hill, NC, United States.The Fenway Institute, Fenway Health, Boston, MA, United States.Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, United States. Department of Epidemiology, Brown University School of Public Health, Providence, RI, United States. Center for Health Promotion and Health Equity, Brown University School of Public Health, Providence, RI, United States. The Fenway Institute, Fenway Health, Boston, MA, United States. Department of Epidemiology, Fielding School of Public Health, University of California, Los Angelas, CA, United States.The Fenway Institute, Fenway Health, Boston, MA, United States. Harvard Medical School, Boston, MA, United States. Beth Israel Deaconess Medical Center, Boston, MA, United States.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

33759792

Citation

Biello, Katie B., et al. "Development and Evaluation of a Mobile App Designed to Increase HIV Testing and Pre-exposure Prophylaxis Use Among Young Men Who Have Sex With Men in the United States: Open Pilot Trial." Journal of Medical Internet Research, vol. 23, no. 3, 2021, pp. e25107.
Biello KB, Hill-Rorie J, Valente PK, et al. Development and Evaluation of a Mobile App Designed to Increase HIV Testing and Pre-exposure Prophylaxis Use Among Young Men Who Have Sex With Men in the United States: Open Pilot Trial. J Med Internet Res. 2021;23(3):e25107.
Biello, K. B., Hill-Rorie, J., Valente, P. K., Futterman, D., Sullivan, P. S., Hightow-Weidman, L., Muessig, K., Dormitzer, J., Mimiaga, M. J., & Mayer, K. H. (2021). Development and Evaluation of a Mobile App Designed to Increase HIV Testing and Pre-exposure Prophylaxis Use Among Young Men Who Have Sex With Men in the United States: Open Pilot Trial. Journal of Medical Internet Research, 23(3), e25107. https://doi.org/10.2196/25107
Biello KB, et al. Development and Evaluation of a Mobile App Designed to Increase HIV Testing and Pre-exposure Prophylaxis Use Among Young Men Who Have Sex With Men in the United States: Open Pilot Trial. J Med Internet Res. 2021 03 24;23(3):e25107. PubMed PMID: 33759792.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Development and Evaluation of a Mobile App Designed to Increase HIV Testing and Pre-exposure Prophylaxis Use Among Young Men Who Have Sex With Men in the United States: Open Pilot Trial. AU - Biello,Katie B, AU - Hill-Rorie,Jonathan, AU - Valente,Pablo K, AU - Futterman,Donna, AU - Sullivan,Patrick S, AU - Hightow-Weidman,Lisa, AU - Muessig,Kathryn, AU - Dormitzer,Julian, AU - Mimiaga,Matthew J, AU - Mayer,Kenneth H, Y1 - 2021/03/24/ PY - 2020/10/22/received PY - 2021/02/08/accepted PY - 2020/12/11/revised PY - 2021/3/24/entrez PY - 2021/3/25/pubmed PY - 2021/9/21/medline KW - HIV KW - mHealth KW - men who have sex with men KW - mobile apps KW - mobile phone KW - pilot study KW - pre-exposure prophylaxis SP - e25107 EP - e25107 JF - Journal of medical Internet research JO - J Med Internet Res VL - 23 IS - 3 N2 - BACKGROUND: HIV disproportionately affects young men who have sex with men (YMSM) in the United States. Uptake of evidence-based prevention strategies, including routine HIV testing and use of pre-exposure prophylaxis (PrEP), is suboptimal in this population. Novel methods for reaching YMSM are required. OBJECTIVE: The aim of this study is to describe the development and evaluate the feasibility and acceptability of the MyChoices app, a mobile app designed to increase HIV testing and PrEP use among YMSM in the United States. METHODS: Informed by the social cognitive theory, the MyChoices app was developed using an iterative process to increase HIV testing and PrEP uptake among YMSM. In 2017, beta theater testing was conducted in two US cities to garner feedback (n=4 groups; n=28 YMSM). These findings were used to refine MyChoices, which was then tested for initial acceptability and usability in a technical pilot (N=11 YMSM). Baseline and 2-month postbaseline assessments and exit interviews were completed. Transcripts were coded using a deductive approach, and thematic analysis was used to synthesize data; app acceptability and use data were also reported. RESULTS: The MyChoices app includes personalized recommendations for HIV testing frequency and PrEP use; information on types of HIV tests and PrEP; ability to search for nearby HIV testing and PrEP care sites; and ability to order free home HIV and sexually transmitted infection test kits, condoms, and lube. In theater testing, YMSM described that MyChoices appears useful and that they would recommend it to peers. Participants liked the look and feel of the app and believed that the ability to search for and be pinged when near an HIV testing site would be beneficial. Some suggested that portions of the app felt repetitive and preferred using casual language rather than formal or medicalized terms. Following theater testing, the MyChoices app was refined, and participants in the technical pilot used the app, on average, 8 (SD 5.0; range 2-18) times over 2 months, with an average duration of 28 (SD 38.9) minutes per session. At the 2-month follow-up, the mean System Usability Scale (0-100) score was 71 (ie, above average; SD 11.8). Over 80% (9/11) of the participants reported that MyChoices was useful and 91% (10/11) said that they would recommend it to a friend. In exit interviews, there was a high level of acceptability for the content, interface, and features. CONCLUSIONS: These data show the initial acceptability and user engagement of the MyChoices app. If future studies demonstrate efficacy in increasing HIV testing and PrEP uptake, the app is scalable to reach YMSM across the United States. TRIAL REGISTRATION: Clinicaltrials.gov NCT03179319; https://clinicaltrials.gov/ct2/show/NCT03179319. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/10694. SN - 1438-8871 UR - https://www.unboundmedicine.com/medline/citation/33759792/Development_and_Evaluation_of_a_Mobile_App_Designed_to_Increase_HIV_Testing_and_Pre_exposure_Prophylaxis_Use_Among_Young_Men_Who_Have_Sex_With_Men_in_the_United_States:_Open_Pilot_Trial_ L2 - https://www.jmir.org/2021/3/e25107/ DB - PRIME DP - Unbound Medicine ER -