AIDS and Behavior

, Volume 19, Supplement 2, pp 130–141 | Cite as

Exposure to Theory-Driven Text Messages is Associated with HIV Risk Reduction Among Methamphetamine-Using Men Who have Sex with Men

  • Cathy J. Reback
  • Jesse B. Fletcher
  • Steven Shoptaw
  • Gordon Mansergh
Original Paper


Fifty-two non-treatment-seeking methamphetamine-using men who have sex with men were enrolled in Project Tech Support, an open-label pilot study to evaluate whether exposure to theory-based [social support theory (SST), social cognitive theory (SCT), and health belief model (HBM)] text messages could promote reductions in HIV sexual risk behaviors and/or methamphetamine use. Multivariable analyses revealed that increased relative exposure to HBM or SCT (vs. SST) text messages was associated with significant reductions in the number of HIV serodiscordant unprotected (i.e., without a condom) anal sex partners, engagement in sex for money and/or drugs, and frequency of recent methamphetamine use; additionally, increased relative exposure to HBM (vs. SCT or SST) messages was uniquely associated with reductions in the overall number of non-primary anal sex partners (all p ≤ 0.05, two-tailed). Pilot data demonstrated that text messages based on the principles of HBM and SCT reduced sentinel HIV risk and drug use behaviors in active methamphetamine users.


Men who have sex with men (MSM) HIV/AIDS Methamphetamine Text messaging (SMS) Mobile technology mHealth Theory 



This study was supported by the Centers for Disease Control and Prevention, cooperative agreement #UR6PS000312. Drs. Reback and Shoptaw acknowledge additional support from the National Institute of Mental Health (P30 MH58107). The authors would also like to thank Catherine M. Branson, Joshua Rusow, and Kimberly Kisler, MPH, Ph.D. for their contributions to the development of this manuscript, and Deborah Ling Grant Ph.D., MPH, MBA for her work as Project director during the implementation of the study.


The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Cathy J. Reback
    • 1
    • 2
  • Jesse B. Fletcher
    • 1
  • Steven Shoptaw
    • 3
  • Gordon Mansergh
    • 4
  1. 1.Friends Research Institute, Inc.Los AngelesUSA
  2. 2.David Geffen School of Medicine, Integrated Substance Abuse Programs, Semel Institute for Neuroscience and Human BehaviorUniversity of CaliforniaLos AngelesUSA
  3. 3.David Geffen School of Medicine, Department of Family MedicineUniversity of CaliforniaLos AngelesUSA
  4. 4.Division of HIV/AIDS Prevention, NCHHSTPCenters for Disease Control and PreventionAtlantaUSA

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