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The HOPE social media intervention for global HIV prevention in Peru: A cluster randomised controlled trial

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dc.contributor.author Young, S.D.
dc.contributor.author Cumberland, W.G.
dc.contributor.author Nianogo, R.
dc.contributor.author Menacho Alvirio, Luis Alberto
dc.contributor.author Galea, J.T.
dc.contributor.author Coates, T.
dc.date.accessioned 2019-02-22T14:55:30Z
dc.date.available 2019-02-22T14:55:30Z
dc.date.issued 2015
dc.identifier.uri https://hdl.handle.net/20.500.12866/5762
dc.description.abstract Background: Social media technologies offer new approaches to HIV prevention and promotion of testing. We examined the effi cacy of the Harnessing Online Peer Education (HOPE) social media intervention to increase HIV testing among men who have sex with men (MSM) in Peru. Methods: In this cluster randomised controlled trial, Peruvian MSM from Greater Lima (including Callao) who had sex with a man in the past 12 months, were 18 years of age or older, were HIV negative or serostatus unknown, and had a Facebook account or were willing to create one (N=556) were randomly assigned (1:1) by concealed allocation to join intervention or control groups on Facebook for 12 weeks. For the intervention, Peruvian MSM were trained and assigned to be HIV prevention mentors (peer-leaders) to participants in Facebook groups. The interventions period lasted 12 weeks. Participants in control groups received an enhanced standard of care, including standard offl ine HIV prevention available in Peru and 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 also completed questionnaires on HIV risk behaviours and social media use at baseline and 12 week follow-up. The primary outcome was the number of participants who received a free HIV test at a local community clinic. The facebook groups were analysed as clusters to account for intracluster correlations. This trial is registered with ClinicalTrials.gov, number NCT01701206. Findings: Of 49 peer-leaders recruited, 34 completed training and were assigned at random to the intervention Facebook groups. 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. Interpretation: Development of peer-mentored social media communities seemed to be an effi cacious method to increase HIV testing among high-risk populations in Peru. Results suggest that the HOPE social media intervention could improve HIV testing rates among MSM in Peru. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Lancet. HIV
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Peru en_US
dc.subject Adult en_US
dc.subject HIV Infections en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Young Adult en_US
dc.subject Global Health en_US
dc.subject Middle Aged en_US
dc.subject Internet en_US
dc.subject sexual health en_US
dc.subject Homosexuality, Male en_US
dc.subject men who have sex with men en_US
dc.subject human en_US
dc.subject adult en_US
dc.subject female en_US
dc.subject health en_US
dc.subject male en_US
dc.subject middle aged en_US
dc.subject young adult en_US
dc.subject Article en_US
dc.subject Human immunodeficiency virus infection en_US
dc.subject priority journal en_US
dc.subject follow up en_US
dc.subject controlled study en_US
dc.subject major clinical study en_US
dc.subject training en_US
dc.subject Ambulatory Care Facilities en_US
dc.subject Technology en_US
dc.subject questionnaire en_US
dc.subject randomized controlled trial en_US
dc.subject enzyme linked immunosorbent assay en_US
dc.subject immunofluorescence test en_US
dc.subject Western blotting en_US
dc.subject health survey en_US
dc.subject health care practice en_US
dc.subject social media en_US
dc.subject outpatient department en_US
dc.subject HIV test en_US
dc.subject health service en_US
dc.subject randomization en_US
dc.subject technology en_US
dc.subject male homosexuality en_US
dc.subject Social Media en_US
dc.subject mentor en_US
dc.subject Mentors en_US
dc.subject anilingus en_US
dc.subject masking en_US
dc.subject risk behavior en_US
dc.subject social learning en_US
dc.subject Social Learning en_US
dc.title The HOPE social media intervention for global HIV prevention in Peru: A cluster randomised controlled trial en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/S2352-3018(14)00006-X
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.01.03
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#1.06.02
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.09
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.08
dc.relation.issn 2352-3018


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