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210. Serious Games for Sexual Health

Author

Shegog, Ross, primary, Brown, Katherine, additional, Bull, Sheana, additional, Christensen, John L., additional, Hieftje, Kimberly, additional, Jozkowski, Kristen N., additional, and Ybarra, Michele L., additional

Published
2015
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219. Preventing HIV Among Young People

Author

Pettifor, Audrey, primary, Bekker, Linda-Gail, additional, Hosek, Sybil, additional, DiClemente, Ralph, additional, Rosenberg, Molly, additional, Bull, Sheana S., additional, Allison, Susannah, additional, Delany-Moretlwe, Sinead, additional, Kapogiannis, Bill G., additional, and Cowan, Frances, additional

Published
2013
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223. From Foucault to Freire Through Facebook.

Author

Bull, Sheana and Ezeanochie, Nnamdi

Abstract

Objective. To document the integration of social science theory in literature on mHealth (mobile health) and consider opportunities for integration of classic theory, health communication theory, and social networking to generate a relevant theory for mHealth program design. Method. A secondary review of research syntheses and meta-analyses published between 2005 and 2014 related to mHealth, using the AMSTAR (A Measurement Tool to Assess Systematic Reviews) methodology for assessment of the quality of each review. High-quality articles from those reviews using a randomized controlled design and integrating social science theory in program design, implementation, or evaluation were reviewed. Results. There were 1,749 articles among the 170 reviews with a high AMSTAR score (≥30). Only 13 were published from 2005 to 2014, used a randomized controlled design and made explicit mention of theory in any aspect of their mHealth program. All 13 included theoretical perspectives focused on psychological and/or psychosocial theories and constructs. Conclusions. There is a very limited use of social science theory in mHealth despite demonstrated benefits in doing so. We propose an integrated theory of mHealth that incorporates classic theory, health communication theory, and social networking to guide development and evaluation of mHealth programs. [ABSTRACT FROM AUTHOR]

Published
2016
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224. Ethical Considerations in Recruiting Online and Implementing a Text Messaging–Based HIV Prevention Program With Gay, Bisexual, and Queer Adolescent Males.

Author

Ybarra, Michele L., Prescott, Tonya L., IIPhillips, Gregory L., Parsons, Jeffrey T., Bull, Sheana S., and Mustanski, Brian

Abstract

Purpose There is a dearth of HIV prevention/healthy sexuality programs developed for adolescent gay and bisexual males (AGBM) as young as 14 years old, in part because of the myriad ethical concerns. To address this gap, we present our ethics-related experiences implementing Guy2Guy, a text messaging-based HIV prevention/healthy sexuality program, in a randomized controlled trial of 302 14- to 18-year-old sexual minority males. Methods Potential risks and efforts to reduce these risks are discussed within the framework of the Belmont Report: Respect for persons, beneficence (e.g., risks and benefits), and justice (e.g., fair distribution of benefits and burdens). Results To ensure “respect for persons,” online enrollment was coupled with telephone assent, which included assessing decisional capacity to assent. Beneficence was promoted by obtaining a waiver of parental permission and using a self-safety assessment to help youth evaluate their risk in taking part. Justice was supported through efforts to develop and test the program among those who would be most likely to use it if it were publicly available (e.g., youth who own a cell phone and are enrolled in an unlimited text messaging plan), along with the use of recruitment targets to ensure a racially, ethnically, and regionally diverse sample. Conclusions It is possible to safely implement a sensitive and HIV prevention/healthy sexuality program with sexual minority youth as young as 14 years old when a rigorous ethical protocol is in place. [ABSTRACT FROM AUTHOR]

Published
2016
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225. Iteratively Developing an mHealth HIV Prevention Program for Sexual Minority Adolescent Men.

Author

Ybarra, Michele, Prescott, Tonya, Philips, Gregory, Bull, Sheana, Parsons, Jeffrey, and Mustanski, Brian

Subjects
HIV prevention, COMPUTER software, FOCUS groups, TELEMEDICINE, TEXT messages, LGBTQ+ people, HUMAN services programs
Abstract

Five activities were implemented between November 2012 and June 2014 to develop an mHealth HIV prevention program for adolescent gay, bisexual, and queer men (AGBM): (1) focus groups to gather acceptability of the program components; (2) ongoing development of content; (3) Content Advisory Teams to confirm the tone, flow, and understandability of program content; (4) an internal team test to alpha test software functionality; and (5) a beta test to test the protocol and intervention messages. Findings suggest that AGBM preferred positive and friendly content that at the same time, did not try to sound like a peer. They deemed the number of daily text messages (i.e., 8-15 per day) to be acceptable. The Text Buddy component was well received but youth needed concrete direction about appropriate discussion topics. AGBM determined the self-safety assessment also was acceptable. Its feasible implementation in the beta test suggests that AGBM can actively self-determine their potential danger when participating in sexual health programs. Partnering with the target population in intervention development is critical to ensure that a salient final product and feasible protocol are created. [ABSTRACT FROM AUTHOR]

Published
2016
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226. More than just tracking time: Complex measures of user engagement with an internet-based health promotion intervention.

Author

Baltierra, Nina B., Muessig, Kathryn E., Pike, Emily C., LeGrand, Sara, Bull, Sheana S., and Hightow-Weidman, Lisa B.

Abstract

Background: There has been a rise in internet-based health interventions without a concomitant focus on new methods to measure user engagement and its effect on outcomes. We describe current user tracking methods for internet-based health interventions and offer suggestions for improvement based on the design and pilot testing of healthMpowerment.org (HMP).Methods: HMP is a multi-component online intervention for young Black men and transgender women who have sex with men (YBMSM/TW) to reduce risky sexual behaviors, promote healthy living and build social support. The intervention is non-directive, incorporates interactive features, and utilizes a point-based reward system. Fifteen YBMSM/TW (age 20-30) participated in a one-month pilot study to test the usability and efficacy of HMP. Engagement with the intervention was tracked using a customized data capture system and validated with Google Analytics. Usage was measured in time spent (total and across sections) and points earned.Results: Average total time spent on HMP was five hours per person (range 0-13). Total time spent was correlated with total points earned and overall site satisfaction.Conclusion: Measuring engagement in internet-based interventions is crucial to determining efficacy. Multiple methods of tracking helped derive more comprehensive user profiles. Results highlighted the limitations of measures to capture user activity and the elusiveness of the concept of engagement. [ABSTRACT FROM AUTHOR]

Published
2016
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232. Acculturation and Outcomes Among Patients With Heart Failure

Author

Peterson, Pamela N., primary, Campagna, Elizabeth J., additional, Maravi, Moises, additional, Allen, Larry A., additional, Bull, Sheana, additional, Steiner, John F., additional, Havranek, Edward P., additional, Dickinson, L. Miriam, additional, and Masoudi, Frederick A., additional

Published
2012
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