Randomized Controlled Trial of an Internet Application to Reduce HIV Transmission Behavior Among HIV Infected Men Who have Sex with Men.
We conducted a prospective, randomized controlled trial of an internet-based safer-sex intervention to reduce HIV transmission risk behaviors. HIV-infected men who have sex with men (n = 179) were randomized to receive a monthly internet survey alone or a monthly survey plus tailored risk reduction messages over 12 months. The primary outcome was the cumulative sexually transmitted infection (STI) incidence over 12 months. Secondary outcomes included self-reported unprotected sex with an at risk partner and disclosure of HIV status to partners. In a modified intent to treat analysis, there was no difference in 12-month STI incidence between the intervention and control arms (30 vs. 25 %, respectively; p = 0.5). Unprotected sex decreased and disclosure increased over time in both study arms. These improvements suggest that addition of the risk-reduction messages provided little benefit beyond the self-monitoring of risky behavior via regular self-report risk behavior assessments (as was done in both study arms).
['Milam|Joel|J|', 'Morris|Sheldon|S|', 'Jain|Sonia|S|', 'Sun|Xiaoying|X|', 'Dubé|Michael P|MP|', 'Daar|Eric S|ES|', 'Jimenez|Gustavo|G|', 'Haubrich|Richard|R|', '|||']
D000328:Adult D015658:HIV Infections D007722:Health Knowledge, Attitudes, Practice D018451:Homosexuality, Male D006801:Humans D015994:Incidence D020407:Internet D008297:Male D008875:Middle Aged D011446:Prospective Studies D040242:Risk Reduction Behavior D012309:Risk-Taking D021841:Safe Sex D057566:Self Report D012747:Sexual Partners D012749:Sexually Transmitted Diseases D011795:Surveys and Questionnaires D047568:Unsafe Sex D055815:Young Adult
Randomized controlled trial Internet HIV Men who have sex with men Intervention Risk behaviors Sexually transmitted infection