Efficacy of a Web-Based Intervention to Reduce Sexual Risk in Men Who Have Sex with Men
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To the extent that men who have sex with men (MSM) use the Internet, it serves as a promising medium for behavioral intervention. The present study sought to investigate the efficacy of a web-based skills training and motivational intervention in a randomized trial (N = 112) conducted completely online. After a detailed assessment, MSM were randomly assigned to an online intervention or a control website. The experimental intervention consisted of risk assessment and feedback, motivational exercises, skills training, and education while the control intervention focused on relaxation skills. Follow-up data were collected 3 months later and analyzed with repeated-measures MANOVA. Although both groups evidenced across-the-board reductions in unprotected sex, perhaps due to the detailed assessment, the experimental group showed greater reductions with the riskiest partners, those of positive or unknown serostatus. Thus, this study gives preliminary evidence that a brief web-based intervention offering cognitive behavioral skills training and motivational enhancement can effectively reduce sexual risk in MSM.
KeywordsHIV prevention Internet interventions Web-based prevention Skills training Motivation Reaching young MSM Reaching rural MSM Computer-based safer sex intervention
Thank you to Miles Glew for all of his work developing the intervention.
This research was conducted with funding from the National Institute of Mental Health, Grant No. R43 MH066465.
- Baker, S. A., Beadnell, B., Stoner, S., Morrison, D. M., Gordon, J., Collier, C., et al. (2003). Skills training versus health education to prevent STDs/HIV in heterosexual women: A randomized controlled trial utilizing biological outcomes. AIDS Education and Prevention, 15, 1–14. doi: 10.1521/aeap.188.8.131.5245.CrossRefPubMedGoogle Scholar
- Carey, M. P., Maisto, S. A., Kalichman, S. C., Forsyth, A. D., Johnson, B. T., & Wright, E. (1997). Enhancing motivation to reduce the risk of HIV infection for economically disadvantaged urban women. Journal of Consulting and Clinical Psychology, 65, 531–541. doi: 10.1037/0022-006X.65.4.531.CrossRefPubMedGoogle Scholar
- Centers for Disease Control and Prevention. (2008). HIV incidence. Retrieved 14 August 2008, from http://www.cdc.gov/hiv/topics/surveillance/incidence.htm.
- Fisher, J. D., & Fisher, W. A. (2000). Theoretical approaches to individual-level change in HIV-risk behavior. In J. Peterson & R. J. DiClemente (Eds.), HIV prevention handbook (pp. 3–55). New York: Kluwer/Plenum Press.Google Scholar
- Fox, S., & Pew Internet and American Life Project. (2005). Digital divisions. Retrieved 8 May 2009, from http://www.pewinternet.org/~/media//Files/Reports/2005/PIP_Digital_Divisions_Oct_5_2005.pdf.
- Herbst, J. H., Sherba, R. T., Crepaz, N., Deluca, J. B., Zohrabyan, L., Stall, R. D., et al. (2005). A meta-analytic review of HIV behavioral interventions for reducing sexual risk behavior of men who have sex with men. Journal of Acquired Immune Deficiency Syndromes, 39, 228–241.PubMedGoogle Scholar
- Johnson, W., Diaz, R. M., Flanders, W. D., Goodman, M., Hill, A. N., Holtgrave, D., Malow, R., & McClellan, W. M. (2008). Behavioral interventions to reduce risk for sexual transmission of HIV among men who have sex with men. Cochrane Database of Systematic Reviews (Online : Update Software), 3, CD001230.Google Scholar
- Johnson, W. D., Hedges, L. V., & Diaz, R. M. (2003). Interventions to modify sexual risk behaviors for preventing HIV infection in men who have sex with men. Cochrane Database of Systematic Reviews (Online : Update Software), 1, CD001230.Google Scholar
- McFarlane, M., Kachur, R., Klausner, J. D., Roland, E., & Cohen, M. (2005). Internet-based health promotion and disease control in the 8 cities: Successes, barriers and future plans. Sexually Transmitted Diseases, 32(S10), S60–S64. doi: 10.1097/01.olq.0000180464.77968.e2.CrossRefPubMedGoogle Scholar
- Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change (2nd ed.). New York: Guilford Press.Google Scholar
- Roethlisberger, F. J., & Dickson, W. J. (1939). Management and the worker. Cambridge, MA: Harvard University Press.Google Scholar
- Sanchez, T., Finlayson, T., Drake, A., Behel, S., Cribbin, M., DiNenno, E., et al. (2006). Human immunodeficiency virus (HIV) risk, prevention, testing behaviors—United States, National HIV Behavioral Surveillance System: Men who have sex with men, November 2003–April 2005. MMWR. Surveillance Summaries, 55(SS-6), 1–16.Google Scholar
- Study confirms the link between MSM and web: San Francisco officials use on-line Interventions. (2004). AIDS Alert, 19(2), 19–20.Google Scholar
- Vanable, P. A., Ostrow, D. G., McKirnan, D. J., Taywaditep, K. J., & Hope, B. A. (2000). Impact of combination therapies on HIV risk perceptions and sexual risk among HIV-positive and HIV-negative gay and bisexual men. Health Psychology, 19, 134–145. doi: 10.1037/0278-6184.108.40.206.CrossRefPubMedGoogle Scholar