Muessig Kathryn E, Baltierra Nina B, Pike Emily C, LeGrand Sara, Hightow-Weidman Lisa B
Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA ; Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Digit Cult Educ. 2014;6(3):164-182.
Young, Black men who have sex with men and transgender women who have sex with men (YBMSM/TW) are at disproportionate risk for HIV and other sexually transmitted infections (HIV/STI). HealthMpowerment.org (HMP) is a mobile phone optimised online intervention that utilises behaviour change and gaming theories to reduce risky sexual behaviours and build community among HIV-positive and negative YBMSM/TW. The intervention is user-driven, provides social support, and utilises a point reward system. A four-week pilot trial was conducted with a diverse group of 15 YBMSM/TW. During exit interviews, participants described how HMP components led to behaviour changes such as asking partners' sexual history, increased condom use, and HIV/STI testing. The user-driven structure, interactivity, and rewards appeared to facilitate sustained user engagement and the mobile platform provided relevant information in real-time. Participants described the reward elements of exceeding their previous scores and earning points toward prizes as highly motivating. HMP showed promise for being able to deliver a sufficient intervention dose and we found a trend toward higher dose received and more advanced stages of behaviour change. In this pilot trial, HMP was well accepted and demonstrates promise for translating virtual intervention engagement into actual behaviour change to reduce HIV risk behaviours.
与男性发生性行为的年轻黑人男性以及与男性发生性行为的跨性别女性(YBMSM/TW)感染艾滋病毒和其他性传播感染(HIV/STI)的风险极高。HealthMpowerment.org(HMP)是一款针对手机优化的在线干预工具,它运用行为改变和游戏理论来减少危险的性行为,并在感染和未感染艾滋病毒的YBMSM/TW群体中建立社区。该干预由用户驱动,提供社会支持,并采用积分奖励系统。对15名不同的YBMSM/TW进行了为期四周的试点试验。在退出访谈中,参与者描述了HMP的各个组成部分是如何导致行为改变的,比如询问伴侣的性病史、增加避孕套使用以及进行HIV/STI检测。用户驱动的结构、互动性和奖励似乎促进了用户的持续参与,并且移动平台实时提供了相关信息。参与者将超过之前的分数并赢得奖品的奖励元素描述为极具激励性。HMP显示出能够提供足够干预剂量的前景,并且我们发现了一种趋势,即接受的剂量越高,行为改变的阶段越先进。在这次试点试验中,HMP广受认可,并展示出将虚拟干预参与转化为实际行为改变以降低艾滋病毒风险行为的前景。