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Feasibility, Acceptability, and Preliminary Efficacy of a Live-Chat Social Media Intervention to Reduce HIV Risk Among Young Men Who Have Sex With Men

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Abstract

Given the popularity of social media among young men who have sex with men (YMSM), and in light of YMSM’s elevated and increasing HIV rates, we tested the feasibility, acceptability and preliminary efficacy of a live chat intervention delivered on Facebook in reducing condomless anal sex and substance use within a group of high risk YMSM in a pre-post design with no control group. Participants (N = 41; 18–29 years old) completed up to eight one-hour motivational interviewing and cognitive behavioral skills-based online live chat intervention sessions, and reported on demographic, psychosocial, and behavioral characteristics at baseline and immediately post-intervention. Analyses indicated that participation in the intervention (n = 31) was associated with reductions of days of drug and alcohol use in the past month and instances of anal sex without a condom (including under the influence of substances), as well as increases in knowledge of HIV-related risks at 3-month follow-up. This pilot study argues for the potential of this social media-delivered intervention to reduce HIV risk among a most vulnerable group in the United States, in a manner that was highly acceptable to receive and feasible to execute. A future randomized controlled trial could generate an intervention blueprint for providers to support YMSM’s wellbeing by reaching them regardless of their geographical location, at a low cost.

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Acknowledgments

The MiCHAT Project was supported by a grant from the National Institute on Drug Abuse (NIDA) (R03-DA031607, Corina Lelutiu-Weinberger, Principal Investigator). The authors acknowledge the contributions of the MiCHAT Project Team—Michael Adams, Alex Brousset, Chris Cruz, Javauni Forrest, Joshua Guthals, Chris Hietikko, Catherine Holder, Ruben Jimenez, Jonathan Lassiter, Drew Mullane, and Matthew Robinson. We also gratefully acknowledge Richard Jenkins for his support of the project.

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Authors and Affiliations

  1. Department of Psychology, Hunter AIDS Research Team (HART), Hunter College, City University of New York (CUNY), 695 Park Avenue, HN Room 1209, New York, NY, 10065, USA

    Corina Lelutiu-Weinberger, Kristi E. Gamarel, Anthony Surace, Sarit A. Golub & Jeffrey T. Parsons

  2. Chronic Disease Epidemiology, Social and Behavioral Sciences, Yale School of Public Health, 60 College Street, New Haven, CT, 06510, USA

    John E. Pachankis

  3. Alpert Medical School of Brown University, 167 Point Street, Providence, RI, 023093, USA

    Kristi E. Gamarel

  4. Health Psychology and Basic and Applied Social Psychology Doctoral Programs, the Graduate Center, CUNY, 365 Fifth Avenue, New York, NY, 10016, USA

    Sarit A. Golub & Jeffrey T. Parsons

  5. Center for HIV/AIDS Educational Studies and Training (CHEST), 142 West 36th Street, 9th Floor, New York, NY, 10018, USA

    Jeffrey T. Parsons

  6. CUNY School of Public Health at Hunter College, 2180 Third Avenue, New York, NY, 10035, USA

    Jeffrey T. Parsons

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  1. Corina Lelutiu-Weinberger
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Correspondence to Corina Lelutiu-Weinberger.

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Lelutiu-Weinberger, C., Pachankis, J.E., Gamarel, K.E. et al. Feasibility, Acceptability, and Preliminary Efficacy of a Live-Chat Social Media Intervention to Reduce HIV Risk Among Young Men Who Have Sex With Men. AIDS Behav 19, 1214–1227 (2015). https://doi.org/10.1007/s10461-014-0911-z

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