Social Networking Technologies as an Emerging Tool for HIV Prevention: A Cluster Randomized Trial / Sean D. Young ; William G. Cumberland; Sung-Jae Lee; Devan Jaganath; Greg Szekeres; and Thomas Coates

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Continuing resourceISSN: 0003-4819 In: Annals of Internal Medicine -- 2013, v. 159, n.5, p. 318-325Summary: Background: Social networking technologies are an emerging tool for HIV prevention. Objective: To determine whether social networking communities can increase HIV testing among African American and Latino men who have sex with men (MSM). Design: Randomized, controlled trial with concealed allocation. (ClinicalTrials.gov: NCT01701206) Setting: Online. Patients: 112 MSM based in Los Angeles, more than 85% of whom were African American or Latino. Intervention: Sixteen peer leaders were randomly assigned to deliver information about HIV or general health to participants via Facebook groups over 12 weeks. After participants accepted a request to join the group, participation was voluntary. Group participation and engagement were monitored. Participants could request a free, home-based HIV testing kit and completed questionnaires at baseline and 12-week follow-up. Measurements: Participant acceptance of and engagement in the intervention and social network participation, rates of home-based HIV testing, and sexual risk behaviors. Results: Almost 95% of intervention participants and 73% of control participants voluntarily communicated using the social platform. Twenty-five of 57 intervention participants (44%) requested home-based HIV testing kits compared with 11 of 55 control participants (20%) (difference, 24 percentage points [95% CI, 8 to 41 percentage points]). Nine of the 25 intervention participants (36%) who requested the test took it and mailed it back compared with 2 of the 11 control participants (18%) who requested the test. Retention at study follow-up was more than 93%. Limitation: Only 2 Facebook communities were included for each group. Conclusion: Social networking communities are acceptable and effective tools to increase home-based HIV testing among at-risk populations. Primary Funding Source: National Institute of Mental Health.

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Bibliografía: p.323-325

Background: Social networking technologies are an emerging tool for HIV prevention.
Objective: To determine whether social networking communities can increase HIV testing among African American and Latino men who have sex with men (MSM).
Design: Randomized, controlled trial with concealed allocation.
(ClinicalTrials.gov: NCT01701206) Setting: Online.
Patients: 112 MSM based in Los Angeles, more than 85% of whom were African American or Latino.
Intervention: Sixteen peer leaders were randomly assigned to deliver information about HIV or general health to participants via Facebook groups over 12 weeks. After participants accepted a request to join the group, participation was voluntary. Group participation and engagement were monitored. Participants could request a free, home-based HIV testing kit and completed questionnaires at baseline and 12-week follow-up.
Measurements: Participant acceptance of and engagement in the intervention and social network participation, rates of home-based HIV testing, and sexual risk behaviors.
Results: Almost 95% of intervention participants and 73% of control participants voluntarily communicated using the social platform. Twenty-five of 57 intervention participants (44%) requested home-based HIV testing kits compared with 11 of 55 control participants (20%) (difference, 24 percentage points [95% CI, 8 to 41 percentage points]). Nine of the 25 intervention participants (36%) who requested the test took it and mailed it back compared
with 2 of the 11 control participants (18%) who requested the test.
Retention at study follow-up was more than 93%. Limitation: Only 2 Facebook communities were included for each group.
Conclusion: Social networking communities are acceptable and effective tools to increase home-based HIV testing among at-risk populations.
Primary Funding Source: National Institute of Mental Health.

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