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APHA Scientific Session and Event Listing

Mike Humberstone¹, Mary Ann Chiasson, DrPH², Sabina Hirshfield², and Francine Shuchat Shaw, PhD³. (1) Data Link, Medical and Health Research Association of New York City, Inc (MHRA), 40 Worth Street, Suite 728A, New York City, NY 10013, 212-385-4520, mhumberstone@datalink-mhra.org, (2) Research and Evaluation, Medical and Health Research Association of New York City, Inc., 40 Worth Street, Suite 720, New York, NY 10013, (3) Steinhardt School of Education, New York University, 82 Washington Square East, New York City, NY 10003

Background: Recent HIV infection increases among MSM and the role the internet may play calls for interactive behavioral interventions designed for online settings. We created, deployed and evaluated an 8 minute, dramatic video promoting critical thinking about HIV disclosure, risky sexual behaviors and the complex beliefs and attitudes underlying these behaviors.

Methods: MSM were recruited through banner ads on Manhunt.net. The video was presented in context of a behavioral survey that included immediate participant feedback on the video and a follow up to evaluate post-video behavior changes. Our goal was to engage and influence the participant's self-directed online experience, guiding them from “cruising” Manhunt.net toward survey participation, watching the video, responding, and providing email for follow-up. User interaction was designed with an understanding of online behavior to maintain clarity and continuity of the experience. Video delivery aimed for the broadest combination of browsers and connection speeds without requiring additional software or disruptive downloads.

Results: 1,512 men completed the survey, watched the video, and gave feedback. Of those, 1,002 provided email addresses. 496 of 908 men with working e-mails completed follow-up. In preliminary analysis, statistically significant, self-reported increases in HIV disclosure and HIV testing behaviors were observed 3 months after participants viewed the HIV prevention video online.

Conclusions: The sizeable group reached by this online activity illustrates the potential of web technologies to enhance research and intervention efforts. MSM are reachable online, demonstrated willingness to participate when sufficiently engaged, and can be positively influenced by dynamic online intervention and research tools.

Learning Objectives: