HIV Prevention Clinical Trial
Official title:
Empowering With PrEP Cluster-Randomized Controlled Trial: A Social Media Based Peer-Led Intervention for HIV Prevention
The purpose of this study is to test the feasibility, acceptability, and preliminary efficacy of E-PrEP on reaching young men of color who have sex with men (YMCSM) at high-risk of HIV infection to reduce HIV acquisition. E-PrEP is a peer-designed social media-based health intervention to increase PrEP awareness, knowledge, and motivation as a tool for HIV prevention and to increase linkage to primary care.
This study examines a social media based peer-led and delivered intervention focused on
increasing PrEP adoption in young men of color who have sex with men (YMCSM). While prior
efficacy trials have included YMCSM 18-29, we will focus on PrEP in YMCSM outside clinical
trial settings. Rather than an alternative medium for implementation of existing
interventions designed for in-person contact, social media may be a true 'game changer' to
engage hard to reach individuals. While many online behavioral interventions exist, including
some that use social media, this will be one of the few studies to use and test social media
to facilitate uptake of a biomedical intervention. E-PrEP will connect the target population
(YMCSM) to a new prevention tool (PrEP) through rapid linkage to medical care, accelerating
diffusion of PrEP. Given the paucity of data regarding social media-based interventions to
change health-related behavior, E-PrEP may have a marked impact on future bio-behavioral
interventions, especially those that include diffusion of innovation. Social media offers the
power of scale and efficiency for large potential impact, even with relatively low-intensity
interventions. Similarly, PrEP, if widely adopted in high-risk populations and offered with
behavioral interventions, could markedly decrease HIV infection rates. Social media-based,
peer-led approaches like E-PrEP could be used to enhance efforts by community-based and other
organizations that employ internet-assisted or peer-outreach strategies to improve health.
Primary Aim: To test the feasibility and preliminary efficacy of E-PrEP for increasing PrEP
adoption in a cluster-randomized controlled trial.
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