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

基本信息

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
项目类别：
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&apos 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

项目摘要

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.

项目概要/摘要男男性行为者 (YMSM)——尤其是黑人、西班牙裔和非西班牙裔白人 YMSM — 存在感染 HIV 的胃肠道风险。暴露前预防 (PrEP) 对于以下情况非常有效。按照指示服用可降低艾滋病毒风险因此，通过公共卫生等方式促进 PrEP。沟通信息——代表了一项关键的公共卫生战略，旨在实现减少感染的长期目标尽管 PrEP 对健康有益，而且 YMSM 的 PrEP 意识水平很高，但只有部分 YMSM 使用 PrEP 2021 年 12 月，美国食品和药物管理局批准了长效药物。注射 PrEP 作为口服 PrEP 的安全、高效替代品目前，YMSM 对此知之甚少。可注射的 PrEP，但对其表现出极大的兴趣并寻求有关其健康的更多信息。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 PrEP 的信息，必须了解它们属于哪种健康信息了解 PrEP 以及这些选择偏好背后的因素是什么。拟议的研究是应用信息寻求、选择性媒体曝光的健康传播理论，并说服检查 YMSM 最有可能采用的各种类型的健康信息传递策略在线查找有关 PrEP 的内容时（例如，有关 PrEP 有效性的信息、范例的信息）目标 1 是确定增强 YMSM 与 PrEP 参与的信息传递策略。消息，考虑这些消息参与模式是否由 PrEP 类型（可注射目标 2 是测试人口统计（例如种族/民族）和心理统计（例如感知的耻辱）。目标 3 是确定如何选择性参与这些消息传递策略。不同的 PrEP 消息传递策略可以预测使用 PrEP 的意图，我们将通过以下方式实现这些目标。使用符合 PrEP 资格的 YMSM（同等比例的黑人、西班牙裔和非西班牙裔）进行三项研究 White），在研究 1 中，我们将召集焦点小组（N = 60）来研究。归纳收集有关 YMSM 首选（和避免的）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 PrEP 的信息，为了避免与自我报告的信息参与相关的偏见，研究 2。研究 3 将不显眼地跟踪浏览行为（例如点击）。研究 3 还将包括视觉数据的收集。通过移动招聘方法获得的行为数据将为从业者提供可行的指导。最有可能吸引黑人、西班牙裔和非西班牙裔白人 YMSM 注意力的 PrEP 信息 R21 将为最终目标提供服务，使他们继续接受艾滋病毒护理。 R01 评估 (a) 消息传递策略在与其他在线内容竞争时如何吸引注意力社交媒体环境和 (b) PrEP 行为作为随着时间的推移信息参与的结果。