Online Program

323118
Evaluation of a Service Implementation of the Keep It Up! Online HIV Prevention Intervention in a Community-Based Setting


Sunday, November 1, 2015

George J. Greene, PhD, Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL
Krystal Madkins, MPH, Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL
Jill Dispenza, Center on Halsted, Chicago, IL
Katie Andrews, MA, MEd, Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL
Brian Mustanski, PhD, Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL
Objectives: In the US, young men who have sex with men (YMSM) are disproportionately affected by HIV/AIDS (CDC, 2012), however, there are few proven HIV prevention programs for this population. Following a successful pilot randomized control trial of Keep It Up! (KIU!), an online HIV prevention intervention for YMSM (Mustanski et al., 2013), we implemented and evaluated KIU! in a community-based setting. We aimed to: 1) describe how to translate the intervention for community-based service delivery; and 2) determine intervention acceptability and effectiveness as a community-based HIV prevention program.

Methods: Funded by a local health department, KIU! was implemented in 2012-2013.  We used the CDC’s Map of Adaptation Process to modify intervention delivery for the community-based setting.  At baseline, 345 racially diverse YMSM (18-24 years old) enrolled in the intervention and we analyzed sexual risk behavior data collected at baseline and 3-month follow-up.

Results: Adaptations for community-based delivery included changes to the eligibility requirements (e.g., relationship status), intervention timing (e.g., lag between sessions), and incentives. Participant recruitment and retention varied by recruitment source (HIV test counselor, online advertising). Preliminary analyses revealed significant changes in HIV knowledge, number of condom errors and failures, and number of male sex partners in the expected directions. Qualitative data revealed that the intervention was acceptable to participants.

Conclusions: Evaluating the service implementation of KIU! from a translational science lens may inform future adaptions of effective interventions for community-based settings. For YMSM, increased access to effective behavioral interventions is crucial to reducing HIV disparities.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs

Learning Objectives:
Explain disparities in HIV infection and HIV prevention resources for YMSM. Describe the five steps in the CDC’s Map of Adaptation Process to facilitate the translation of research into practice. Identify factors related to effective participant recruitment and enrollment in a community-based HIV prevention program.

Keyword(s): HIV Interventions, Evaluation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: In addition to holding a doctorate in Community Psychology, I have worked over the last 15 years to develop, implement, and evaluate HIV-preventive interventions in academic and community-based settings. I have also been lead or co-investigator on several federally-funded grants on the epidemiology of HIV and HIV prevention.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 2030.0: Community-Based HIV Practice