Enhancing Engagement with Online Health Messaging about Oral and Injectable PrEP Among Young-Adult MSM

加强年轻 MSM 中有关口服和注射 PrEP 的在线健康信息的参与度

• 批准号: 10700285
• 负责人: Christofer J Skurka
• 金额: $ 20.13万
• 依托单位: PENNSYLVANIA STATE UNIVERSITY, THE
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-05-01 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10700285
• 关键词: AIDS prevention; Address; Age; Area; Attention; Awareness; Behavior; Behavioral; Black race; Collection; Communication; Communication Research; Communities; Continuity of Patient Care; Data; Effectiveness; Eligibility Determination; Ethnic Origin; Ethnic Population; Exposure to; Eye; Focus Groups; Future; Goals; Government; HIV; HIV Infections; HIV risk; Health; Health Benefit; Health behavior; Hearing; Hispanic; Information and Communication Theory; Injectable; Internet; Investigation; Knowledge; Learning; Link; Measures; Methods; Not Hispanic or Latino; Oral; Outcome; Patient Self-Report; Pattern; Persons; Persuasive Communication; Population; Psychology; Public Health; Race; Randomized; Research; Risk; Services; Source; Testing; Time; United States Food and Drug Administration; Visual; Work; age group; behavior influence; comparative; demographics; design; digital communication; effective therapy; experimental study; gaze; health communication; infection rate; innovation; insight; interest; men who have sex with men; men' s group; multidisciplinary; novel; pill; pre-exposure prophylaxis; preference; prevent; racial difference; racial population; recruit; response; search engine; social media; social norm; social stigma; tailored messaging; theories; uptake; web page; web site; young adult

Project Summary/Abstract Young-adult men who have sex with men (YMSM)—especially Black, Hispanic, and non-Hispanic White YMSM—are at heightened risk for HIV infection. Pre-exposure prophylaxis (PrEP) is highly effective at reducing HIV risk when taken as directed. Therefore, promoting PrEP—for example, through public health communication messages—represents a key public health strategy toward the long-term objective of reducing the spread of HIV. Despite PrEP's health benefits and despite YMSM's high levels of PrEP awareness, only a fraction of YMSM use PrEP. In December 2021, the US Food and Drug Administration approved long-acting injectable PrEP as a safe, highly effective alternative to oral PrEP. At present, YMSM know little about injectable PrEP but express great interest in it and in seeking more information about it. Exposure to health messaging is a necessary first step for health messages to influence behavior, so as YMSM seek out information about injectable and oral PrEP, it is imperative to understand what kind of health information they seek out about PrEP and what factors underlie those selection preferences. The overarching goal of the proposed studies is to apply health communication theories of information seeking, selective media exposure, and persuasion to examine the various types of health messaging strategies YMSM are most likely to engage with when seeking content about PrEP online (e.g., information about PrEP's effectiveness, an exemplar's testimony). Aim 1 is to determine the messaging strategies that enhance YMSM's engagement with PrEP messages, considering whether these message engagement patterns are moderated by PrEP type (injectable vs. oral). Aim 2 is to test demographic (e.g., race/ethnicity) and psychographic (e.g., perceived stigma) predictors of engagement with these messaging strategies. Aim 3 is to identify how selective engagement with different PrEP messaging strategies predicts intentions to use PrEP. We will accomplish these aims by conducting three studies with PrEP-eligible YMSM (equal portions of Black, Hispanic, and non-Hispanic White), using qualitative and quantitative methods. In Study 1, we will convene focus groups (N = 60) to inductively gather insights about YMSM's preferred (and avoided) messaging strategies. Study 2 (N = 600) and Study 3 (N = 75) will be randomized experiments in which YMSM browse a mock Internet search results page for information about PrEP. To avoid biases associated with self-reported message engagement, Studies 2 and 3 will unobtrusively track browsing behaviors (e.g., clicks). Study 3 will also include the collection of visual behavior data via mobile recruitment methods. Findings will provide actionable guidance for practitioners about the PrEP messages most likely to engage Black, Hispanic, and non-Hispanic White YMSM's attention in service of the ultimate goal of moving them down the HIV care continuum. This R21 will set the stage for an R01 assessing (a) how messaging strategies engage attention when competing with other online content in a social media context and (b) PrEP behavior as an outcome of message engagement over time.

项目摘要/摘要 与男人发生性关系（YMSM）的年轻人 - 特别是黑人，西班牙裔和非西班牙裔白人 YMSM-艾滋病毒感染的风险增加。暴露前预防（PREP）在 按照指示降低艾滋病毒风险。因此，促进准备 - 例如，通过公共卫生 沟通信息 - 代表降低长期目标的关键公共卫生战略 艾滋病毒的传播。尽管Prep的健康益处，尽管YMSM的PREP认识水平很高，但只有一个 YMSM的分数使用准备。 2021年12月，美国食品和药物管理局批准了长效 可注射准备作为口服准备的安全，高效的替代品。目前，YMSM对 可注射的准备，但对IT表达了极大的兴趣，并寻求有关它的更多信息。暴露于健康 消息传递是健康信息影响行为的必要第一步，因此YMSM寻求 有关注射和口服准备的信息，必须了解他们哪种健康信息 寻找准备的准备以及这些选择偏好的基础。总体目标 拟议的研究是应用健康沟通理论寻求信息，选择性媒体的暴露， 并说服检查各种类型的健康消息传递策略YMSM最有可能参与 在寻求有关在线准备的内容时（例如，有关Prep的有效性的信息，典范 见证）。 AIM 1是确定增强YMSM与PREP参与的消息传递策略 消息，考虑这些消息参与模式是否通过PREP类型进行了调节（可注射 vs.口服）。目标2是测试人群（例如种族/种族）和心理学（例如，感知的污名） AIM 3是确定与这些消息传递策略的选择性参与。 不同的准备消息传递策略预测使用准备的意图。我们将通过 用预符合条件的YMMM进行三项研究（黑色，西班牙裔和非西班牙裔的相等部分 白色），使用定性和定量方法。在研究1中，我们将方便焦点组（n = 60）到 感应地收集有关YMSM首选（避免）消息传递策略的见解。研究2（n = 600）和 研究3（n = 75）将是随机实验，其中YMSM浏览模拟互联网搜索结果页面 有关准备的信息。为了避免与自我报告的消息参与有关的偏见，研究2 3将不显眼地跟踪浏览行为（例如，点击）。研究3还将包括视觉的收集 通过移动招聘方法进行行为数据。调查结果将为从业者提供可行的指导 预备消息最有可能吸引黑人，西班牙裔和非西班牙裔白色YMSM的注意力 服务最终目标是使他们沿着艾滋病毒护理连续体降低。这个R21将为一个 R01评估（a）在与其他在线内容竞争时，消息传递策略如何引起关注 社交媒体环境和（b）准备行为是随着时间的流逝的消息参与结果。