A Systematic Review of eHealth Interventions Addressing HIV/STI Prevention Among Men Who Have Sex With Men.

Long Hoang Nguyen, Bach Xuan Tran, Luis E C Rocha, Huong Lan Thi Nguyen, Cui Yang, Carl A Latkin, Anna Thorson, Susanne Strömdahl
Author Information
  1. Long Hoang Nguyen: Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden. hoang.nguyen@ki.se.
  2. Bach Xuan Tran: Department of Health Economics, Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.
  3. Luis E C Rocha: Centre for Business Network Analysis, Business School, University of Greenwich, London, UK.
  4. Huong Lan Thi Nguyen: Institute for Global Health Innovations, Duy Tan University, Da Nang, Vietnam.
  5. Cui Yang: Department of Health, Behaviours and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
  6. Carl A Latkin: Department of Health, Behaviours and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
  7. Anna Thorson: Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
  8. Susanne Strömdahl: Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.

Abstract

A systematic review was conducted to summarize and appraise the eHealth interventions addressing HIV/STI prevention among men who have sex with men (MSM), and characterize features of successful eHealth interventions. Fifty-five articles (17 pilots and 38 full efficacy trials) were included with the predominance of web-based interventions in the United States-based settings. Intervention modalities include web-based, short message service (SMS)/text messges/email reminder, online video-based, computer-assisted, multimedia-based, social network, live chat and chat room, virtual simulation intervention, and smartphone applications. Forty-nine eHealth interventions achieved a short-term behaviour change among participants. Four studies were conducted with 12-month follow-ups; and only one of them could maintain the behaviour change over this longer time period which could be due to the lack of booster interventions. Our study suggests that eHealth interventions can achieve short term behaviour change among MSM, however limited interventions could maintain behaviour change over 12 months. Further eHealth intervention strategies to promote HIV prevention among MSM should be conducted and rigorously evaluated.

Keywords

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Grants

  1. R01 MD013495/NIMHD NIH HHS
  2. R21 MH118945/NIMH NIH HHS
  3. R34 MH116725/NIMH NIH HHS

MeSH Term

Adult
HIV Infections
Health Promotion
Homosexuality, Male
Humans
Male
Risk Reduction Behavior
Sexually Transmitted Diseases
Telemedicine
Text Messaging

Word Cloud

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