The HOPE social media intervention for global HIV prevention in Peru: a cluster randomised controlled trial.
The HOPE social media intervention for global HIV prevention in Peru: a cluster randomised controlled trial.
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DOI：
10.1016/s2352-3018(14)00006-x
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发表时间：
2015-01
期刊：
影响因子：
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通讯作者：
Coates T
中科院分区：
文献类型：
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作者：
Young SD;Cumberland WG;Nianogo R;Menacho LA;Galea JT;Coates T
社交媒体技术是新兴的工具，可用于秘鲁等低收入和中等收入国家的艾滋病毒预防和检测。本研究考察了在秘鲁使用利用在线同伴教育（HOPE）社会媒体干预增加男男性行为者（MSM）艾滋病毒检测的效果。在一项隐蔽分配的聚类随机对照试验中，来自大利马/卡亚俄的秘鲁男男性行为者（N = 556）被随机分配到Facebook上的私人干预组或对照组，为期12周。在干预条件下，49名秘鲁男男性行为者接受了培训，并在12周内通过Facebook小组随机分配为参与者的艾滋病预防导师。对照组参与者接受了更高标准的护理，包括秘鲁提供的标准线下艾滋病毒预防，以及参加提供研究更新和艾滋病毒检测信息的Facebook小组（没有同行领导）。在接受加入小组的请求后，继续参与是自愿的。参与者可以要求在当地社区诊所进行免费的艾滋病毒检测，并在基线和12周的随访期间完成关于艾滋病毒风险行为和社交媒体使用的问卷调查。在2012年3月19日至2012年6月11日、2012年9月26日和2012年12月19日期间，556名参与者被随机分配到干预组（N=278）或对照组（N=278）；我们分析了252号和246号的数据。干预组的43名参与者（17%）和对照组的16名参与者（7%）接受了艾滋病毒检测（校正优势比2.61,95% CI 1.55-4.38）。无不良事件报告。12周随访时保留率为90%。在各种情况下，8名检测呈阳性的参与者中有7人（87.5%）与当地诊所的护理有关。发展同伴指导的社交媒体社区似乎是在秘鲁高风险人群中增加艾滋病毒检测的有效方法。结果表明，HOPE社交媒体艾滋病干预可能会提高秘鲁男同性恋者的艾滋病检测率。国家精神卫生研究所（NIMH MH090844）
Social media technologies are newly emerging tools that can be used for HIV prevention and testing in low- and middle-income countries, such as Peru. This study examined the efficacy of using the Harnessing Online Peer Education (HOPE) social media intervention to increase HIV testing among men who have sex with men (MSM) in Peru. In a cluster randomized controlled trial with concealed allocation, Peruvian MSM from Greater Lima/Callao (N = 556) were randomly assigned to join private intervention or control groups on Facebook for 12 weeks. In the intervention condition, forty-nine Peruvian MSM were trained and randomly assigned to be HIV prevention mentors to participants via Facebook groups over 12 weeks. Control participants received an enhanced standard of care, including standard offline HIV prevention available in Peru as well as participation in Facebook groups (without peer leaders) that provided study updates and HIV testing information. After accepting a request to join the groups, continued participation was voluntary. Participants could request a free HIV test at a local community clinic, and completed questionnaires on HIV risk behaviors and social media use at baseline and 12-week follow-up. Between March 19, 2012, and June 11, 2012, and Sept 26, 2012, and Dec 19, 2012, 556 participants were randomly assigned to intervention groups (N=278) or control groups (N=278); we analyse data for 252 and 246. 43 participants (17%) in the intervention group and 16 (7%) in the control groups got tested for HIV (adjusted odds ratio 2.61, 95% CI 1.55–4.38). No adverse events were reported. Retention at 12-week follow-up was 90%. Across conditions, 7 (87.5%) of the 8 participants who tested positive were linked to care at a local clinic. Development of peer-mentored social media communities seemed to be an effective method to increase HIV testing among high-risk populations in Peru.: Results suggest that the HOPE social media HIV intervention may improve HIV testing rates among MSM in Peru. National Institute of Mental Health (NIMH MH090844)