1 / 19

Use of SMS to retain racial/ethnic minority MSM in an online HIV prevention study in the US

Christine Khosropour, MPH Rollins School of Public Health Emory University Atlanta, GA. Use of SMS to retain racial/ethnic minority MSM in an online HIV prevention study in the US. July 18, 2011 IAS 2011 Rome, Italy. Background. MSM and the Internet.

krysta
Download Presentation

Use of SMS to retain racial/ethnic minority MSM in an online HIV prevention study in the US

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Christine Khosropour, MPH Rollins School of Public Health Emory University Atlanta, GA Use of SMS to retain racial/ethnic minority MSM in an online HIV prevention study in the US July 18, 2011 IAS 2011 Rome, Italy

  2. Background

  3. MSM and the Internet • Men who have sex with men (MSM) in the US are at increased risk for HIV infection • Internet has emerged as a venue for MSM to meet sex partners online • High-risk sexual behavior linked to meeting partners online

  4. Online HIV Prevention • Interest in online HIV prevention interventions has increased • Difficulty with online research: • Retention in longitudinal studies • High attrition of black and Hispanic study participants Alternatives?

  5. Mobile Phone Usage in US 2010 Pew Internet and American Life Project Survey: Smith A. Mobile Access 2010. Available from: http://www.pewinternet.org/Reports/2010/Mobile-Access-2010.aspx.

  6. Study Design

  7. Study Design and Eligibility • Enrolled white, black, and Hispanic MSM in an online 12-month longitudinal study • > 18 years old • Had a male sex partner in past 12 months • Had an SMS-enabled mobile phone • Stratified randomization by race for bi-monthly follow-up • Online follow-up surveys • SMS follow-up surveys

  8. SMS Follow-up

  9. Retention Strategies • Automated reminder system • 3 reminders sent via SMS or email • Choice of reminder modality • Online Group: Text message or Phone Call • SMS Group: Email or Phone Call • Personal outreach • Phone call to participant

  10. Online FU Baseline Online Survey Month 12 Online Survey Black Bi-monthly FU SMS FU Bi-monthly FU Bi-monthly FU Bi-monthly FU Click-through banner ad Online FU Baseline Online Survey Month 12 Online Survey Screening Questions Consent White Bi-monthly FU SMS FU Online FU Baseline Online Survey Month 12 Online Survey Hispanic Bi-monthly FU SMS FU

  11. Results

  12. Study Enrollment 710 Enrolled in 12-month study 344 SMS 366 Online • 229 White • 46 Black • 69 Hispanic 241 White 60 Black 65 Hispanic

  13. Retention of Study Participants by Follow-Up Group 70% Survival Probability Online SMS P = .20 Month 2 Month 4 Month 6 Baseline Follow-Up Time Point

  14. Retention of Study Participants by Race/Ethnicity White Hispanic Black Survival Probability P = .007 Baseline Month 2 Month 4 Month 6 Follow-Up Time Point

  15. Retention of Study Participants by Follow-Up Group, Stratified by Race/Ethnicity Black SMS White Online Hispanic SMS Hispanic Online White SMS 70% Black Online Survival Probability White SMS Hispanic SMS Black SMS White Online Hispanic Online Black Online P = .87 P = .88 P = .03 Baseline Month 2 Month 4 Month 6 Follow-Up Time Point

  16. Conclusion • 85% cumulative retention at Month 6 • High retention • Difference in retention by race/ethnicity • Frequent follow-up and personal outreach increases retention of participants Can assess outcomes Utilize multiple data collection mechanisms

  17. Acknowledgments • Research participants • Patrick Sullivan, DVM, PhD • Sullivan Research Team • Cyclogram • Emory Center for AIDS Research (CFAR) • P30 AI050409 • NIH, National Center on Minority Health and Health Disparities • Grant # RC1MD004370

  18. Thank You!

More Related