Browsing by Author "Sullivan, Patrick"
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- ItemDeveloping a Mobile App (LYNX) to Support Linkage to HIV/Sexually Transmitted Infection Testing and Pre-Exposure Prophylaxis for Young Men Who Have Sex With Men: Protocol for a Randomized Controlled T...(0000-00-00) Liu, Albert; Coleman, Kenneth; Bojan, Kelly; Serrano, Pedro Alonso; Oyedele, Temitope; Garcia, Amayvis; Enriquez-Bruce, Elizabeth; Emmanuel, Patricia; Jones, Jeb; Sullivan, Patrick; Hightow-Weidman, Lisa; Buchbinder, Susan; Scott, HymanBACKGROUND Young men who have sex with men YMSM in the United States have among the highest incidence of HIV and sexually transmitted infection STI and the lowest uptake of HIV and STI testing and pre exposure prophylaxis PrEP Nearly universal mobile phone ownership among youth provides an opportunity to leverage mobile health apps to increase HIV STI testing and PrEP uptake among YMSM OBJECTIVE The goals of this project are to develop and refine LYNX a novel mobile app to support linkage to HIV STIs testing and PrEP services among YMSM in the United States and to evaluate the acceptability and feasibility of LYNX in a pilot randomized controlled trial RCT METHODS This research protocol will be conducted in 3 phases an iterative development phase with a series of 3 focus groups among 20 YMSM to refine the LYNX app an open technical pilot among 15 YMSM to optimize usability of the app and then a 6 month pilot RCT among 60 HIV uninfected YMSM at risk for HIV acquisition Developed using the Information Motivation and Behavioral skills theoretical model the LYNX app includes an electronic diary to track sexual behaviors information a personalized risk score to promote accurate risk perception information motivation testing reminders motivation behavioral skills and access to home based HIV STI testing options and geospatial based HIV STI testing care sites behavioral skills Feasibility and acceptability will be assessed through app analytics of usage patterns and acceptability scales administered via computer assisted self interview at 3 and 6 months We will also evaluate preliminary efficacy by comparing the proportion of YMSM who test at least once during the 6 month pilot and the proportion who successfully link to a PrEP provider in the intervention versus control groups RESULTS Formative work is currently underway The LYNX pilot RCT will begin enrollment in October 2018 with study results available in 2019 CONCLUSIONS The LYNX app is one of the first mobile apps designed to increase HIV STI testing and PrEP uptake among YMSM As low perceived risk is a barrier to HIV STI testing and PrEP use among youth the personalized risk assessment and interactive sexual diary in LYNX could assist YMSM in better understanding their HIV risk and providing motivation to test for HIV STIs and initiate PrEP Coupled with community based recruitment this novel mobile app has great potential to reach and engage YMSM not currently involved in care and increase rates of HIV STI testing and PrEP uptake in this vulnerable population TRIAL REGISTRATION ClinicalTrials gov NCT03177512 https clinicaltrials gov ct2 show NCT03177512 Archived by WebCite at http www webcitation org 73c917wAw INTERNATIONAL REGISTERED REPORT IDENTIFIER IRRID PRR1 10 2196 10659
- ItemMobile phones and short message service texts to collect situational awareness data during simulated public health critical events.(2012-02-17) Magee, Matthew; Isakov, Alex; Paradise, Helen Tang; Sullivan, PatrickOBJECTIVE Text messages are useful for timely communication during public health emergencies and for transmitting health data in infrastructure limited settings Little is known about the feasibility of two way short message service SMS communication to collect public health preparedness and surveillance data The authors aimed to determine the feasibility and acceptability of using two way SMS texts to collect situational assessment SA data in simulated disaster events during a university based pilot study DESIGN Eligible participants included university students with a mobile phone and messaging plan Enrollment began in September 2009 and was open until the end of the study in May 2010 Participants attended a training session and provided demographic and phone use information using a baseline survey Participants responded to SMS SAs that were sent directly to their phones throughout the study period Frequency completeness and time to reporting were recorded for each procedure using an online commercial software package RESULTS Sixty three participants enrolled median age was 25 years most were female 74 6 percent lived off campus 76 2 percent and were graduate students 76 2 percent Most participants had a family joint mobile phone account 73 0 percent with unlimited messaging 60 3 percent The median daily number of texts sent and received was 8 and 9 respectively During five SAs 194 76 7 percent of 253 prompted text surveys were completed Nearly 60 percent of surveys were completed within 20 minutes of text deployment CONCLUSIONS Using two way SMS communication for surveillance and reporting was feasible among a group of motivated students Similar methods may provide timely data during public health critical events
- ItemA Mobile-Based App (MyChoices) to Increase Uptake of HIV Testing and Pre-Exposure Prophylaxis by Young Men Who Have Sex With Men: Protocol for a Pilot Randomized Controlled Trial.(0000-00-00) Biello, Katie B; Marrow, Elliot; Mimiaga, Matthew J; Sullivan, Patrick; Hightow-Weidman, Lisa; Mayer, Kenneth HBACKGROUND HIV incidence is growing most rapidly in the United States among young men who have sex with men YMSM Overwhelming evidence demonstrates that routine testing and expanded use of pre exposure prophylaxis PrEP would dramatically reduce the population burden of HIV however uptake of both interventions is suboptimal among young adults The use of mobile phone apps by YMSM is ubiquitous and may offer unique opportunities for public health interventions MyChoices is a theory driven app to increase HIV testing and PrEP uptake It was developed by an interdisciplinary team based on feedback from a diverse sample of YMSM OBJECTIVE The aim of this paper is to describe the protocol for the refinement beta testing and pilot randomized controlled trial RCT to examine the acceptability and feasibility of the MyChoices app METHODS This 3 phase study includes 4 theater testing groups for app refinement with a total of approximately 30 YMSM for beta testing including quantitative assessments and exit interviews with approximately 15 YMSM over a 2 month period and for a pilot RCT with 60 YMSM The pilot will assess feasibility acceptability and preliminary efficacy of the MyChoices app compared with referrals only in increasing HIV testing and PrEP uptake All participants will be recruited at iTech clinical research sites in Boston MA and Bronx NY RESULTS App refinement is underway Enrollment for the pilot RCT began in October 2018 CONCLUSIONS MyChoices is one of the first comprehensive theory driven HIV prevention apps designed specifically for YMSM If MyChoices demonstrates acceptability and feasibility in this pilot RCT a multicity 3 arm randomized controlled efficacy trial of this app and another youth optimized app LYNX versus standard of care is planned within iTech If shown to be efficacious the app will be scalable with the ability to reach YMSM across the United States as well as be geographically individualized with app content integrated with local prevention and testing activities INTERNATIONAL REGISTERED REPORT IDENTIFIER IRRID PRR1 10 2196 10694