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A Multicomponent Intervention (POSSIBLE) to Improve Perceived Risk for HIV Among Black Sexual Minority Men: Feasibility and Preliminary Effectiveness Pilot Study.

Publication ,  Journal Article
Dangerfield Ii, DT; Anderson, JN; Wylie, C; Bluthenthal, R; Beyrer, C; Farley, JE
Published in: JMIR Hum Factors
June 11, 2024

BACKGROUND: Increased pre-exposure prophylaxis (PrEP) use is urgently needed to substantially decrease HIV incidence among Black sexual minority men. Low perceived risk for HIV (PRH) is a key unaddressed PrEP barrier for Black sexual minority men. Peers and smartphone apps are popular intervention tools to promote community health behaviors, but few studies have used these together in a multicomponent strategy. Therefore, we designed a multicomponent intervention called POSSIBLE that used an existing smartphone app called PrEPme (Emocha Mobile Health, Inc) and a peer change agent (PCA) to increase PRH as a gateway to PrEP. OBJECTIVE: This paper aims to describe the feasibility and preliminary impact of POSSIBLE on PRH and willingness to accept a PrEP referral among Black sexual minority men. METHODS: POSSIBLE was a theoretically guided, single-group, 2-session pilot study conducted among Black sexual minority men from Baltimore, Maryland between 2019 and 2021 (N=69). POSSIBLE integrated a PCA and the PrEPme app that allows users to self-monitor sexual risk behaviors and chat with the in-app community health worker to obtain PrEP service information. PRH was assessed using the 8-item PRH scale before and after baseline and follow-up study visits. At the end of each study visit, the PCA referred interested individuals to the community health worker to learn more about PrEP service options. RESULTS: The average age of participants was 32.5 (SD 8.1, range 19-62) years. In total, 55 (80%) participants were retained for follow-up at month 1. After baseline sessions, 29 (42%) participants were willing to be referred to PrEP services, 20 (69%) of those confirmed scheduled appointments with PrEP care teams. There were no statistically significant differences in PRH between baseline and follow-up visits (t122=-1.36; P=.17). CONCLUSIONS: We observed no statistically significant improvement in PRH between baseline and month 1. However, given the high retention rate and acceptability, POSSIBLE may be feasible to implement. Future research should test a statistically powered peer-based approach on PrEP initiation among Black sexual minority men. TRIAL REGISTRATION: ClinicalTrials.gov NCT04533386; https://clinicaltrials.gov/study/NCT04533386.

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Published In

JMIR Hum Factors

DOI

EISSN

2292-9495

Publication Date

June 11, 2024

Volume

11

Start / End Page

e54739

Location

Canada

Related Subject Headings

  • Sexual and Gender Minorities
  • Pre-Exposure Prophylaxis
  • Pilot Projects
  • Mobile Applications
  • Middle Aged
  • Male
  • Humans
  • HIV Infections
  • Feasibility Studies
  • Black or African American
 

Citation

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Dangerfield Ii, D. T., Anderson, J. N., Wylie, C., Bluthenthal, R., Beyrer, C., & Farley, J. E. (2024). A Multicomponent Intervention (POSSIBLE) to Improve Perceived Risk for HIV Among Black Sexual Minority Men: Feasibility and Preliminary Effectiveness Pilot Study. JMIR Hum Factors, 11, e54739. https://doi.org/10.2196/54739
Dangerfield Ii, Derek T., Janeane N. Anderson, Charleen Wylie, Ricky Bluthenthal, Chris Beyrer, and Jason E. Farley. “A Multicomponent Intervention (POSSIBLE) to Improve Perceived Risk for HIV Among Black Sexual Minority Men: Feasibility and Preliminary Effectiveness Pilot Study.JMIR Hum Factors 11 (June 11, 2024): e54739. https://doi.org/10.2196/54739.
Dangerfield Ii DT, Anderson JN, Wylie C, Bluthenthal R, Beyrer C, Farley JE. A Multicomponent Intervention (POSSIBLE) to Improve Perceived Risk for HIV Among Black Sexual Minority Men: Feasibility and Preliminary Effectiveness Pilot Study. JMIR Hum Factors. 2024 Jun 11;11:e54739.
Dangerfield Ii, Derek T., et al. “A Multicomponent Intervention (POSSIBLE) to Improve Perceived Risk for HIV Among Black Sexual Minority Men: Feasibility and Preliminary Effectiveness Pilot Study.JMIR Hum Factors, vol. 11, June 2024, p. e54739. Pubmed, doi:10.2196/54739.
Dangerfield Ii DT, Anderson JN, Wylie C, Bluthenthal R, Beyrer C, Farley JE. A Multicomponent Intervention (POSSIBLE) to Improve Perceived Risk for HIV Among Black Sexual Minority Men: Feasibility and Preliminary Effectiveness Pilot Study. JMIR Hum Factors. 2024 Jun 11;11:e54739.

Published In

JMIR Hum Factors

DOI

EISSN

2292-9495

Publication Date

June 11, 2024

Volume

11

Start / End Page

e54739

Location

Canada

Related Subject Headings

  • Sexual and Gender Minorities
  • Pre-Exposure Prophylaxis
  • Pilot Projects
  • Mobile Applications
  • Middle Aged
  • Male
  • Humans
  • HIV Infections
  • Feasibility Studies
  • Black or African American