A Mobile Intervention to Improve Uptake of PrEP for Southern Black MSM

接触前预防(PrEP)在与女性发生性关系的年轻黑人男性中进展缓慢 生活在美国南部的男性(BMSM)。这是一个重要的问题，因为十个州中有八个 艾滋病毒新感染率最高的地区位于南部。密西西比州杰克逊市(建议选址 项目)拥有全国第二高的艾滋病诊断率，以及#年最高的艾滋病毒感染率 与男性发生性关系的年轻城市黑人男性。这项研究将开发和测试具有吸引力、互动性和 经济实惠的移动消息干预，改善与居住在 杰克逊女士，BMSM女士有资格获得PrEP，在密西西比大学医学中心接受STI/HIV治疗 测试诊所，将收到互动文本链接，指向公开可用的关于PrEP和HIV的在线内容 预防。链接将在4周内通过8-16条互动短信发送给符合PrEP条件的BMSM。这个 干预中使用的材料将与信息动机行为(IMB)模型和 将解决启动PrEP护理的文化和结构障碍。干预的创设与适应 (例如，选择要发送哪些公共可用链接)将通过对PrEP的深入访谈(n=30)进行 在性传播感染/艾滋病毒检测诊所接受护理的合格BMSM。66名受试者的一项小型随机对照研究 诊所的新参与者将检查与增强干预相比的初步疗效 参加PrEP服务预约时的护理标准(启动PrEP护理的第一步)。它是 假设与接受增强护理标准的BMSM相比，接受PrEP Mobile的BMSM 消息传递干预将显示更多人参加PrEP服务预约并降低艾滋病毒风险 4周和16周时的行为表现。 更多的信息， 黑人MSM在UMMC看到的动机和行为技能 性传播感染/艾滋病毒检测诊所，用于启动PrEP护理 PrEP的候选人，但不是 启动PrEP，接收8-16个文本减少结构障碍 4周内关于减少HIV/STI危险行为的信息 提供PrEP和HIV的链接 预防内容。参加PrEP服务 委任

The uptake of Pre-Exposure Prophylaxis (PrEP) has been slow for young Black men who have sex with men (BMSM) living in the Southern United States. This is a significant issue because eight of the ten states with the highest rates of new HIV infections are located in the South. Jackson, MS (the site of this proposed project) has the second highest AIDS diagnosis rate in the nation, and the highest rate of HIV infection for young urban Black men who have sex with men. This study will develop and test an engaging, interactive, and cost effective mobile messaging intervention to improve linkage to PrEP care for BMSM (18-35 yrs) living in Jackson, MS. BMSM eligible for PrEP, receiving care at the University of Mississippi Medical Center STI/HIV testing clinics, will be texted interactive links to publicly available, online content about PrEP and HIV prevention. Links will be sent to PrEP eligible BMSM by 8- 16 interactive text messages over 4 weeks. The material used in the intervention will be consistent with the Information Motivation Behavior (IMB) Model and will address cultural and structural barriers to initiating PrEP care. Creation and adaptation of the Intervention (e.g. choosing which publicly available links to send) will occur from in-depth interviews (n = 30) with PrEP eligible BMSM who receive care in the STI/HIV testing clinics. A small randomized controlled study among 66 new participants in the clinics will examine the preliminary efficacy of the intervention compared to enhanced standard of care on attendance at a PrEP Services Appointment (the first step in initiating PrEP care). It is hypothesized that, compared to BMSM receiving enhanced standard of care, BMSM receiving the PrEP Mobile Messaging Intervention will show greater attendance at a PrEP Services Appointment and decreased HIV risk behavior at 4 and 16 weeks. Increased information, Black MSM seen at UMMC motivation, and behavioral skills STI/HIV testing clinics, who are for initiating PrEP care candidates for PrEP but do not start PrEP, receive 8-16 text Decrease structural barriers messages over 4 weeks with Decrease HIV/STI risk behaviors engaging links to PrEP and HIV prevention content. Attendance at PrEP Services Appointment