Effect of an online video-based intervention to increase HIV testing in men who have sex with men in Peru

Magaly M. Blas, Isaac E. Alva, Cesar P. Carcamo, Robinson Cabello, Steven M. Goodreau, Ann M. Kimball, Ann E. Kurth

Research output: Contribution to journalArticle

Abstract

Background: Although many men who have sex with men (MSM) in Peru are unaware of their HIV status, they are frequent users of the Internet, and can be approached by that medium for promotion of HIV testing. Methods: We conducted an online randomized controlled trial to compare the effect of HIV-testing motivational videos versus standard public health text, both offered through a gay website. The videos were customized for two audiences based on self-identification: either gay or non-gay men. The outcomes evaluated were 'intention to get tested' and 'HIV testing at the clinic.' Findings: In the non-gay identified group, 97 men were randomly assigned to the video-based intervention and 90 to the text-based intervention. Non-gay identified participants randomized to the video-based intervention were more likely to report their intention of getting tested for HIV within the next 30 days (62.5% vs. 15.4%, Relative Risk (RR): 2.77, 95% Confidence Interval (CI): 1.42-5.39). After a mean of 125.5 days of observation (range 42-209 days), 11 participants randomized to the video and none of the participants randomized to text attended our clinic requesting HIV testing (p = 0.001). In the gay-identified group, 142 men were randomized to the video-based intervention and 130 to the textbased intervention. Gay-identified participants randomized to the video were more likely to report intentions of getting an HIV test within 30 days, although not significantly (50% vs. 21.6%, RR: 1.54, 95% CI: 0.74-3.20). At the end of follow up, 8 participants who watched the video and 10 who read the text visited our clinic for HIV testing (Hazard Ratio: 1.07, 95% CI: 0.40-2.85). Conclusion: This study provides some evidence of the efficacy of a video-based online intervention in improving HIV testing among non-gay-identified MSM in Peru. This intervention may be adopted by institutions with websites oriented to motivate HIV testing among similar MSM populations.

Original languageEnglish (US)
Article numbere10448
JournalPLoS One
Volume5
Issue number5
DOIs
StatePublished - 2010

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Peru
HIV
gender
Testing
testing
confidence interval
relative risk
Websites
Confidence Intervals
Public health
Hazards
public health
Internet
Randomized Controlled Trials
Public Health
Observation

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

Blas, M. M., Alva, I. E., Carcamo, C. P., Cabello, R., Goodreau, S. M., Kimball, A. M., & Kurth, A. E. (2010). Effect of an online video-based intervention to increase HIV testing in men who have sex with men in Peru. PLoS One, 5(5), [e10448]. https://doi.org/10.1371/journal.pone.0010448

Effect of an online video-based intervention to increase HIV testing in men who have sex with men in Peru. / Blas, Magaly M.; Alva, Isaac E.; Carcamo, Cesar P.; Cabello, Robinson; Goodreau, Steven M.; Kimball, Ann M.; Kurth, Ann E.

In: PLoS One, Vol. 5, No. 5, e10448, 2010.

Research output: Contribution to journalArticle

Blas, MM, Alva, IE, Carcamo, CP, Cabello, R, Goodreau, SM, Kimball, AM & Kurth, AE 2010, 'Effect of an online video-based intervention to increase HIV testing in men who have sex with men in Peru', PLoS One, vol. 5, no. 5, e10448. https://doi.org/10.1371/journal.pone.0010448
Blas, Magaly M. ; Alva, Isaac E. ; Carcamo, Cesar P. ; Cabello, Robinson ; Goodreau, Steven M. ; Kimball, Ann M. ; Kurth, Ann E. / Effect of an online video-based intervention to increase HIV testing in men who have sex with men in Peru. In: PLoS One. 2010 ; Vol. 5, No. 5.
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abstract = "Background: Although many men who have sex with men (MSM) in Peru are unaware of their HIV status, they are frequent users of the Internet, and can be approached by that medium for promotion of HIV testing. Methods: We conducted an online randomized controlled trial to compare the effect of HIV-testing motivational videos versus standard public health text, both offered through a gay website. The videos were customized for two audiences based on self-identification: either gay or non-gay men. The outcomes evaluated were 'intention to get tested' and 'HIV testing at the clinic.' Findings: In the non-gay identified group, 97 men were randomly assigned to the video-based intervention and 90 to the text-based intervention. Non-gay identified participants randomized to the video-based intervention were more likely to report their intention of getting tested for HIV within the next 30 days (62.5{\%} vs. 15.4{\%}, Relative Risk (RR): 2.77, 95{\%} Confidence Interval (CI): 1.42-5.39). After a mean of 125.5 days of observation (range 42-209 days), 11 participants randomized to the video and none of the participants randomized to text attended our clinic requesting HIV testing (p = 0.001). In the gay-identified group, 142 men were randomized to the video-based intervention and 130 to the textbased intervention. Gay-identified participants randomized to the video were more likely to report intentions of getting an HIV test within 30 days, although not significantly (50{\%} vs. 21.6{\%}, RR: 1.54, 95{\%} CI: 0.74-3.20). At the end of follow up, 8 participants who watched the video and 10 who read the text visited our clinic for HIV testing (Hazard Ratio: 1.07, 95{\%} CI: 0.40-2.85). Conclusion: This study provides some evidence of the efficacy of a video-based online intervention in improving HIV testing among non-gay-identified MSM in Peru. This intervention may be adopted by institutions with websites oriented to motivate HIV testing among similar MSM populations.",
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