Iteratively Developing an mHealth HIV Prevention Program for Sexual Minority Adolescent Men

作者:Ybarra Michele L*; Prescott Tonya L; Philips Gregory L II; Bull Sheana S; Parsons Jeffrey T; Mustanski Brian
来源:AIDS and Behavior, 2016, 20(6): 1157-1172.
DOI:10.1007/s10461-015-1146-3

摘要

Five activities were implemented between November 2012 and June 2014 to develop an mHealth HIV prevention program for adolescent gay, bisexual, and queer men (AGBM): (1) focus groups to gather acceptability of the program components; (2) ongoing development of content; (3) Content Advisory Teams to confirm the tone, flow, and understandability of program content; (4) an internal team test to alpha test software functionality; and (5) a beta test to test the protocol and intervention messages. Findings suggest that AGBM preferred positive and friendly content that at the same time, did not try to sound like a peer. They deemed the number of daily text messages (i.e., 8-15 per day) to be acceptable. The Text Buddy component was well received but youth needed concrete direction about appropriate discussion topics. AGBM determined the self-safety assessment also was acceptable. Its feasible implementation in the beta test suggests that AGBM can actively self-determine their potential danger when participating in sexual health programs. Partnering with the target population in intervention development is critical to ensure that a salient final product and feasible protocol are created.