Trial Outcomes & Findings for Harnessing the Power of Text Messaging to Invigorate AMSM HIV Preventive Behavior (NCT NCT02113956)

NCT ID: NCT02113956

Last Updated: 2020-04-10

Results Overview

The relative difference of unprotected anal and/or vaginal sex acts in the intervention versus control group at 3-months post-intervention. The count was truncated at 10 or higher to correct for over-dispersion.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

302 participants

Primary outcome timeframe

3-months post-intervention

Results posted on

2020-04-10

Participant Flow

All participants were recruited through national advertisements on Facebook. Multiple ad images and text were used. To ensure a demographically representative sample, targeted ads were also used to enroll individuals from particular subgroups who are typically more difficult to engage in research

Participant milestones

Participant milestones
Measure
Guy2Guy (G2G)
Guy2Guy (G2G) is a 6-week HIV prevention program delivered daily via text messaging to 14-18 year old males who self-identify as gay, bisexual, and/or queer. In addition to program content, participants were paired with another participant (i.e., a Text Buddy) with whom they can text throughout the program to provide support; and an on-demand advice line, G2Genie, which shares information about condoms, sex, relationships, and the LGBT (lesbian, gay, bisexual, transgender) community. Content is guided by the Information-Motivation-Behavioral Skills (IMB) model and focuses on: HIV information, motivations to engage in HIV preventive behavior, communication skills, behavioral skills (e.g., using a condom; HIV testing); and healthy/unhealthy relationships. Behavioral skills content was reinforced using brief online videos. The intervention is 5 weeks long. A "booster" is delivered 6-weeks post-intervention end and reviews the topics. Content is tailored by sexual experience.
Healthy Lifestyle Control
The attention-matched control arm message content consists of information publicly available online related to living a healthy lifestyle. Content discussed includes: STD (sexual transmitted diseases) information, nutrition and sleep hygiene, self-esteem and body image, bullying, and drugs and alcohol. The control arm is 6-weeks in length (Week 6 is a review booster) and is delivered via text messaging. Messages are didactic and not tailored to user sexual experience. Additionally, the Text Buddy and G2Genie intervention program components are not available.
Intervention End (5 Weeks Post Baseline)
STARTED
150
152
Intervention End (5 Weeks Post Baseline)
COMPLETED
141
148
Intervention End (5 Weeks Post Baseline)
NOT COMPLETED
9
4
3 Month Post-intervention
STARTED
141
148
3 Month Post-intervention
COMPLETED
137
146
3 Month Post-intervention
NOT COMPLETED
4
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Guy2Guy (G2G)
Guy2Guy (G2G) is a 6-week HIV prevention program delivered daily via text messaging to 14-18 year old males who self-identify as gay, bisexual, and/or queer. In addition to program content, participants were paired with another participant (i.e., a Text Buddy) with whom they can text throughout the program to provide support; and an on-demand advice line, G2Genie, which shares information about condoms, sex, relationships, and the LGBT (lesbian, gay, bisexual, transgender) community. Content is guided by the Information-Motivation-Behavioral Skills (IMB) model and focuses on: HIV information, motivations to engage in HIV preventive behavior, communication skills, behavioral skills (e.g., using a condom; HIV testing); and healthy/unhealthy relationships. Behavioral skills content was reinforced using brief online videos. The intervention is 5 weeks long. A "booster" is delivered 6-weeks post-intervention end and reviews the topics. Content is tailored by sexual experience.
Healthy Lifestyle Control
The attention-matched control arm message content consists of information publicly available online related to living a healthy lifestyle. Content discussed includes: STD (sexual transmitted diseases) information, nutrition and sleep hygiene, self-esteem and body image, bullying, and drugs and alcohol. The control arm is 6-weeks in length (Week 6 is a review booster) and is delivered via text messaging. Messages are didactic and not tailored to user sexual experience. Additionally, the Text Buddy and G2Genie intervention program components are not available.
Intervention End (5 Weeks Post Baseline)
Withdrawal by Subject
5
1
Intervention End (5 Weeks Post Baseline)
Lost to Follow-up
4
3
3 Month Post-intervention
Lost to Follow-up
4
2

Baseline Characteristics

Harnessing the Power of Text Messaging to Invigorate AMSM HIV Preventive Behavior

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Guy2Guy (G2G)
n=150 Participants
Guy2Guy (G2G) is a 6-week HIV prevention program delivered daily via text messaging to 14-18 year old males who self-identify as gay, bisexual, and/or queer. In addition to program content, participants were paired with another participant (i.e., a Text Buddy) with whom they can text throughout the program to provide support; and an on-demand advice line, G2Genie, which shares information about condoms, sex, relationships, and the LGBT community. Content is guided by the Information-Motivation-Behavioral Skills (IMB) model and focuses on: HIV information, motivations to engage in HIV preventive behavior, communication skills, behavioral skills (e.g., using a condom; HIV testing); and healthy/unhealthy relationships. Behavioral skills content was reinforced using brief online videos. The intervention is 5 weeks long. A "booster" is delivered 6-weeks post-intervention end and reviews the topics. Content is tailored based upon whether one is abstinent or sexually active.
Healthy Lifestyle Control
n=152 Participants
The attention-matched control arm message content consists of information publicly available online related to living a healthy lifestyle. Content discussed includes: STD information, nutrition and sleep hygiene, self-esteem and body image, bullying, and drugs and alcohol. The control arm is 6-weeks in length (Week 6 is a review booster) and is delivered via text messaging. Messages are didactic and not tailored to user sexual experience. Additionally, the Text Buddy and G2Genie intervention program components are not available.
Total
n=302 Participants
Total of all reporting groups
Age, Customized
Age (y) · 14
23 Participants
n=99 Participants
21 Participants
n=107 Participants
44 Participants
n=206 Participants
Age, Customized
Age (y) · 15
37 Participants
n=99 Participants
33 Participants
n=107 Participants
70 Participants
n=206 Participants
Age, Customized
Age (y) · 16
33 Participants
n=99 Participants
30 Participants
n=107 Participants
63 Participants
n=206 Participants
Age, Customized
Age (y) · 17
36 Participants
n=99 Participants
23 Participants
n=107 Participants
59 Participants
n=206 Participants
Age, Customized
Age (y) · 18
21 Participants
n=99 Participants
45 Participants
n=107 Participants
66 Participants
n=206 Participants
Sex: Female, Male
Female
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Sex: Female, Male
Male
150 Participants
n=99 Participants
152 Participants
n=107 Participants
302 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
31 Participants
n=99 Participants
36 Participants
n=107 Participants
67 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
119 Participants
n=99 Participants
116 Participants
n=107 Participants
235 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race/Ethnicity, Customized
Race · White
104 Participants
n=99 Participants
100 Participants
n=107 Participants
204 Participants
n=206 Participants
Race/Ethnicity, Customized
Race · African American
24 Participants
n=99 Participants
19 Participants
n=107 Participants
43 Participants
n=206 Participants
Race/Ethnicity, Customized
Race · All other races
22 Participants
n=99 Participants
33 Participants
n=107 Participants
55 Participants
n=206 Participants
Region of Enrollment
United States
150 participants
n=99 Participants
152 participants
n=107 Participants
302 participants
n=206 Participants
Gay Identity
114 Participants
n=99 Participants
105 Participants
n=107 Participants
219 Participants
n=206 Participants
Rural Setting
35 Participants
n=99 Participants
35 Participants
n=107 Participants
70 Participants
n=206 Participants
U.S. Region
Northeast
20 Participants
n=99 Participants
26 Participants
n=107 Participants
46 Participants
n=206 Participants
U.S. Region
South
47 Participants
n=99 Participants
53 Participants
n=107 Participants
100 Participants
n=206 Participants
U.S. Region
Midwest
39 Participants
n=99 Participants
34 Participants
n=107 Participants
73 Participants
n=206 Participants
U.S. Region
West
44 Participants
n=99 Participants
39 Participants
n=107 Participants
83 Participants
n=206 Participants
Family Income
Low Income
33 Participants
n=99 Participants
42 Participants
n=107 Participants
75 Participants
n=206 Participants
Family Income
Middle Income
88 Participants
n=99 Participants
73 Participants
n=107 Participants
161 Participants
n=206 Participants
Family Income
High Income
29 Participants
n=99 Participants
37 Participants
n=107 Participants
66 Participants
n=206 Participants
Ever HIV Test
12 Participants
n=99 Participants
14 Participants
n=107 Participants
26 Participants
n=206 Participants
Sexually Inexperienced
73 Participants
n=99 Participants
76 Participants
n=107 Participants
149 Participants
n=206 Participants
Number of condomless sex acts
1.3 number of condomless sex acts
STANDARD_DEVIATION 7.0 • n=99 Participants
2.7 number of condomless sex acts
STANDARD_DEVIATION 9.9 • n=107 Participants
2.02 number of condomless sex acts
STANDARD_DEVIATION 8.6 • n=206 Participants
Self-appraised greater than average or greater chances of getting HIV
47 Participants
n=99 Participants
47 Participants
n=107 Participants
94 Participants
n=206 Participants
Social Support
27.8 units on a scale
STANDARD_DEVIATION 9.4 • n=99 Participants
27.9 units on a scale
STANDARD_DEVIATION 9.2 • n=107 Participants
27.9 units on a scale
STANDARD_DEVIATION 9.3 • n=206 Participants
Self-esteem
19.3 units on a scale
STANDARD_DEVIATION 4.9 • n=99 Participants
19.8 units on a scale
STANDARD_DEVIATION 4.7 • n=107 Participants
19.6 units on a scale
STANDARD_DEVIATION 4.8 • n=206 Participants
Internalized stigma
5.9 units on a scale
STANDARD_DEVIATION 5.0 • n=99 Participants
5.8 units on a scale
STANDARD_DEVIATION 5.2 • n=107 Participants
5.9 units on a scale
STANDARD_DEVIATION 5.1 • n=206 Participants

PRIMARY outcome

Timeframe: 3-months post-intervention

The relative difference of unprotected anal and/or vaginal sex acts in the intervention versus control group at 3-months post-intervention. The count was truncated at 10 or higher to correct for over-dispersion.

Outcome measures

Outcome measures
Measure
Guy2Guy (G2G)
n=137 Participants
Guy2Guy (G2G) is a 6-week HIV prevention program delivered daily via text messaging to 14-18 year old males who self-identify as gay, bisexual, and/or queer. In addition to program content, participants were paired with another participant (i.e., a Text Buddy) with whom they can text throughout the program to provide support; and an on-demand advice line, G2Genie, which shares information about condoms, sex, relationships, and the LGBT community. Content is guided by the Information-Motivation-Behavioral Skills (IMB) model and focuses on: HIV information, motivations to engage in HIV preventive behavior, communication skills, behavioral skills (e.g., using a condom; HIV testing); and healthy/unhealthy relationships. Behavioral skills content was reinforced using brief online videos. The intervention is 5 weeks long. A "booster" is delivered 6-weeks post-intervention end and reviews the topics. Content is tailored based upon whether one is abstinent or sexually active.
Healthy Lifestyle Control
n=146 Participants
The attention-matched control arm message content consists of information publicly available online related to living a healthy lifestyle. Content discussed includes: STD information, nutrition and sleep hygiene, self-esteem and body image, bullying, and drugs and alcohol. The control arm is 6-weeks in length (Week 6 is a review booster) and is delivered via text messaging. Messages are didactic and not tailored to user sexual experience. Additionally, the Text Buddy and G2Genie intervention program components are not available.
The Number of Condomless Sex Acts at 3-months Post-intervention
2.85 number of unprotected sex acts
Standard Deviation 12.25
2.73 number of unprotected sex acts
Standard Deviation 15.97

PRIMARY outcome

Timeframe: 3-months post-intervention

At 3 months post intervention participants were asked whether or not they had had vaginal and anal sex in the past 90 days. Those who said no to both were coded as abstinent. The relative difference of abstinence (neither engaging in anal nor vaginal sex) was examined in the intervention versus control group.

Outcome measures

Outcome measures
Measure
Guy2Guy (G2G)
n=137 Participants
Guy2Guy (G2G) is a 6-week HIV prevention program delivered daily via text messaging to 14-18 year old males who self-identify as gay, bisexual, and/or queer. In addition to program content, participants were paired with another participant (i.e., a Text Buddy) with whom they can text throughout the program to provide support; and an on-demand advice line, G2Genie, which shares information about condoms, sex, relationships, and the LGBT community. Content is guided by the Information-Motivation-Behavioral Skills (IMB) model and focuses on: HIV information, motivations to engage in HIV preventive behavior, communication skills, behavioral skills (e.g., using a condom; HIV testing); and healthy/unhealthy relationships. Behavioral skills content was reinforced using brief online videos. The intervention is 5 weeks long. A "booster" is delivered 6-weeks post-intervention end and reviews the topics. Content is tailored based upon whether one is abstinent or sexually active.
Healthy Lifestyle Control
n=146 Participants
The attention-matched control arm message content consists of information publicly available online related to living a healthy lifestyle. Content discussed includes: STD information, nutrition and sleep hygiene, self-esteem and body image, bullying, and drugs and alcohol. The control arm is 6-weeks in length (Week 6 is a review booster) and is delivered via text messaging. Messages are didactic and not tailored to user sexual experience. Additionally, the Text Buddy and G2Genie intervention program components are not available.
Percent of Boys Reporting Abstinence at 3-months Post-intervention
80 Participants
94 Participants

SECONDARY outcome

Timeframe: 3-months post-intervention

Population: Youth who had ever had sex at baseline

The relative difference of unprotected anal and/or vaginal sex acts in the intervention versus control group at 3-months post-intervention among youth who have ever had sex at baseline

Outcome measures

Outcome measures
Measure
Guy2Guy (G2G)
n=69 Participants
Guy2Guy (G2G) is a 6-week HIV prevention program delivered daily via text messaging to 14-18 year old males who self-identify as gay, bisexual, and/or queer. In addition to program content, participants were paired with another participant (i.e., a Text Buddy) with whom they can text throughout the program to provide support; and an on-demand advice line, G2Genie, which shares information about condoms, sex, relationships, and the LGBT community. Content is guided by the Information-Motivation-Behavioral Skills (IMB) model and focuses on: HIV information, motivations to engage in HIV preventive behavior, communication skills, behavioral skills (e.g., using a condom; HIV testing); and healthy/unhealthy relationships. Behavioral skills content was reinforced using brief online videos. The intervention is 5 weeks long. A "booster" is delivered 6-weeks post-intervention end and reviews the topics. Content is tailored based upon whether one is abstinent or sexually active.
Healthy Lifestyle Control
n=71 Participants
The attention-matched control arm message content consists of information publicly available online related to living a healthy lifestyle. Content discussed includes: STD information, nutrition and sleep hygiene, self-esteem and body image, bullying, and drugs and alcohol. The control arm is 6-weeks in length (Week 6 is a review booster) and is delivered via text messaging. Messages are didactic and not tailored to user sexual experience. Additionally, the Text Buddy and G2Genie intervention program components are not available.
Number of Unprotected Sex Acts Among Sexually Experienced at 3-months Post-intervention
5.48 unprotected sex acts
Standard Deviation 16.90
5.28 unprotected sex acts
Standard Deviation 22.66

SECONDARY outcome

Timeframe: 3-months post-intervention

Population: Youth who had never had sex at baseline

The relative difference of unprotected anal and/or vaginal sex acts in the intervention versus control group at 3-months post-intervention among youth who have never had sex at baseline

Outcome measures

Outcome measures
Measure
Guy2Guy (G2G)
n=68 Participants
Guy2Guy (G2G) is a 6-week HIV prevention program delivered daily via text messaging to 14-18 year old males who self-identify as gay, bisexual, and/or queer. In addition to program content, participants were paired with another participant (i.e., a Text Buddy) with whom they can text throughout the program to provide support; and an on-demand advice line, G2Genie, which shares information about condoms, sex, relationships, and the LGBT community. Content is guided by the Information-Motivation-Behavioral Skills (IMB) model and focuses on: HIV information, motivations to engage in HIV preventive behavior, communication skills, behavioral skills (e.g., using a condom; HIV testing); and healthy/unhealthy relationships. Behavioral skills content was reinforced using brief online videos. The intervention is 5 weeks long. A "booster" is delivered 6-weeks post-intervention end and reviews the topics. Content is tailored based upon whether one is abstinent or sexually active.
Healthy Lifestyle Control
n=75 Participants
The attention-matched control arm message content consists of information publicly available online related to living a healthy lifestyle. Content discussed includes: STD information, nutrition and sleep hygiene, self-esteem and body image, bullying, and drugs and alcohol. The control arm is 6-weeks in length (Week 6 is a review booster) and is delivered via text messaging. Messages are didactic and not tailored to user sexual experience. Additionally, the Text Buddy and G2Genie intervention program components are not available.
Number of Unprotected Sex Acts Among Sexually Inexperienced at 3-months Post-intervention
.19 unprotected sex acts
Standard Deviation .70
.31 unprotected sex acts
Standard Deviation 1.43

SECONDARY outcome

Timeframe: 3-months post-intervention

Population: Youth who had ever had sex at baseline

At 3 months post intervention participants were asked whether or not they had had vaginal and anal sex in the past 90 days. Those who said no to both were coded as abstinent. The relative difference of abstinence (neither engaging in anal nor vaginal sex) was examined among youth who have ever had sex at baseline in the intervention versus control groups.

Outcome measures

Outcome measures
Measure
Guy2Guy (G2G)
n=69 Participants
Guy2Guy (G2G) is a 6-week HIV prevention program delivered daily via text messaging to 14-18 year old males who self-identify as gay, bisexual, and/or queer. In addition to program content, participants were paired with another participant (i.e., a Text Buddy) with whom they can text throughout the program to provide support; and an on-demand advice line, G2Genie, which shares information about condoms, sex, relationships, and the LGBT community. Content is guided by the Information-Motivation-Behavioral Skills (IMB) model and focuses on: HIV information, motivations to engage in HIV preventive behavior, communication skills, behavioral skills (e.g., using a condom; HIV testing); and healthy/unhealthy relationships. Behavioral skills content was reinforced using brief online videos. The intervention is 5 weeks long. A "booster" is delivered 6-weeks post-intervention end and reviews the topics. Content is tailored based upon whether one is abstinent or sexually active.
Healthy Lifestyle Control
n=71 Participants
The attention-matched control arm message content consists of information publicly available online related to living a healthy lifestyle. Content discussed includes: STD information, nutrition and sleep hygiene, self-esteem and body image, bullying, and drugs and alcohol. The control arm is 6-weeks in length (Week 6 is a review booster) and is delivered via text messaging. Messages are didactic and not tailored to user sexual experience. Additionally, the Text Buddy and G2Genie intervention program components are not available.
Percent of Boys Reporting Abstinence Among Sexually Experienced at 3-months Post-intervention
23 Participants
33 Participants

SECONDARY outcome

Timeframe: 3-months post-intervention

Population: Youth who had never had sex at baseline

At 3 months post intervention participants were asked whether or not they had had vaginal and anal sex in the past 90 days. Those who said no to both were coded as abstinent. The relative difference of abstinence (neither engaging in anal nor vaginal sex) was examined among youth who have never had sex at baseline in the intervention versus control groups.

Outcome measures

Outcome measures
Measure
Guy2Guy (G2G)
n=68 Participants
Guy2Guy (G2G) is a 6-week HIV prevention program delivered daily via text messaging to 14-18 year old males who self-identify as gay, bisexual, and/or queer. In addition to program content, participants were paired with another participant (i.e., a Text Buddy) with whom they can text throughout the program to provide support; and an on-demand advice line, G2Genie, which shares information about condoms, sex, relationships, and the LGBT community. Content is guided by the Information-Motivation-Behavioral Skills (IMB) model and focuses on: HIV information, motivations to engage in HIV preventive behavior, communication skills, behavioral skills (e.g., using a condom; HIV testing); and healthy/unhealthy relationships. Behavioral skills content was reinforced using brief online videos. The intervention is 5 weeks long. A "booster" is delivered 6-weeks post-intervention end and reviews the topics. Content is tailored based upon whether one is abstinent or sexually active.
Healthy Lifestyle Control
n=75 Participants
The attention-matched control arm message content consists of information publicly available online related to living a healthy lifestyle. Content discussed includes: STD information, nutrition and sleep hygiene, self-esteem and body image, bullying, and drugs and alcohol. The control arm is 6-weeks in length (Week 6 is a review booster) and is delivered via text messaging. Messages are didactic and not tailored to user sexual experience. Additionally, the Text Buddy and G2Genie intervention program components are not available.
Percent of Boys Reporting Abstinence Among Sexually Inexperienced at 3-months Post-intervention
57 Participants
61 Participants

SECONDARY outcome

Timeframe: 3-months post-intervention

Population: Youth who have ever had vaginal or anal sex with a penis at baseline

The relative difference of HIV testing over the past 3 months in the intervention versus control group at 3-months post-intervention among those who had ever vaginal or anal sex with a penis at baseline

Outcome measures

Outcome measures
Measure
Guy2Guy (G2G)
n=69 Participants
Guy2Guy (G2G) is a 6-week HIV prevention program delivered daily via text messaging to 14-18 year old males who self-identify as gay, bisexual, and/or queer. In addition to program content, participants were paired with another participant (i.e., a Text Buddy) with whom they can text throughout the program to provide support; and an on-demand advice line, G2Genie, which shares information about condoms, sex, relationships, and the LGBT community. Content is guided by the Information-Motivation-Behavioral Skills (IMB) model and focuses on: HIV information, motivations to engage in HIV preventive behavior, communication skills, behavioral skills (e.g., using a condom; HIV testing); and healthy/unhealthy relationships. Behavioral skills content was reinforced using brief online videos. The intervention is 5 weeks long. A "booster" is delivered 6-weeks post-intervention end and reviews the topics. Content is tailored based upon whether one is abstinent or sexually active.
Healthy Lifestyle Control
n=71 Participants
The attention-matched control arm message content consists of information publicly available online related to living a healthy lifestyle. Content discussed includes: STD information, nutrition and sleep hygiene, self-esteem and body image, bullying, and drugs and alcohol. The control arm is 6-weeks in length (Week 6 is a review booster) and is delivered via text messaging. Messages are didactic and not tailored to user sexual experience. Additionally, the Text Buddy and G2Genie intervention program components are not available.
Percent of Sexually Active Boys Reporting an HIV Test in the Past 3 Months at 3-months Post-intervention
38 Participants
20 Participants

SECONDARY outcome

Timeframe: Intervention end (5-weeks post enrollment)

Relative difference of unprotected sex acts at intervention end (5 weeks post enrollment) for those in the intervention versus control groups

Outcome measures

Outcome measures
Measure
Guy2Guy (G2G)
n=141 Participants
Guy2Guy (G2G) is a 6-week HIV prevention program delivered daily via text messaging to 14-18 year old males who self-identify as gay, bisexual, and/or queer. In addition to program content, participants were paired with another participant (i.e., a Text Buddy) with whom they can text throughout the program to provide support; and an on-demand advice line, G2Genie, which shares information about condoms, sex, relationships, and the LGBT community. Content is guided by the Information-Motivation-Behavioral Skills (IMB) model and focuses on: HIV information, motivations to engage in HIV preventive behavior, communication skills, behavioral skills (e.g., using a condom; HIV testing); and healthy/unhealthy relationships. Behavioral skills content was reinforced using brief online videos. The intervention is 5 weeks long. A "booster" is delivered 6-weeks post-intervention end and reviews the topics. Content is tailored based upon whether one is abstinent or sexually active.
Healthy Lifestyle Control
n=148 Participants
The attention-matched control arm message content consists of information publicly available online related to living a healthy lifestyle. Content discussed includes: STD information, nutrition and sleep hygiene, self-esteem and body image, bullying, and drugs and alcohol. The control arm is 6-weeks in length (Week 6 is a review booster) and is delivered via text messaging. Messages are didactic and not tailored to user sexual experience. Additionally, the Text Buddy and G2Genie intervention program components are not available.
Number of Condomless Sex Acts at 5 Weeks Post-enrollment
1.81 unprotected sex acts
Standard Deviation 8.94
.89 unprotected sex acts
Standard Deviation 4.66

SECONDARY outcome

Timeframe: Intervention-end (5 weeks post-randomization)

The relative difference of abstinence (neither engaging in anal nor vaginal sex) in the intervention versus control group at intervention end (5 weeks post enrollment).

Outcome measures

Outcome measures
Measure
Guy2Guy (G2G)
n=141 Participants
Guy2Guy (G2G) is a 6-week HIV prevention program delivered daily via text messaging to 14-18 year old males who self-identify as gay, bisexual, and/or queer. In addition to program content, participants were paired with another participant (i.e., a Text Buddy) with whom they can text throughout the program to provide support; and an on-demand advice line, G2Genie, which shares information about condoms, sex, relationships, and the LGBT community. Content is guided by the Information-Motivation-Behavioral Skills (IMB) model and focuses on: HIV information, motivations to engage in HIV preventive behavior, communication skills, behavioral skills (e.g., using a condom; HIV testing); and healthy/unhealthy relationships. Behavioral skills content was reinforced using brief online videos. The intervention is 5 weeks long. A "booster" is delivered 6-weeks post-intervention end and reviews the topics. Content is tailored based upon whether one is abstinent or sexually active.
Healthy Lifestyle Control
n=148 Participants
The attention-matched control arm message content consists of information publicly available online related to living a healthy lifestyle. Content discussed includes: STD information, nutrition and sleep hygiene, self-esteem and body image, bullying, and drugs and alcohol. The control arm is 6-weeks in length (Week 6 is a review booster) and is delivered via text messaging. Messages are didactic and not tailored to user sexual experience. Additionally, the Text Buddy and G2Genie intervention program components are not available.
Percent of Boys Reporting Abstinence at 5 Weeks Post-enrollment
104 Participants
105 Participants

SECONDARY outcome

Timeframe: Intervention end (5-weeks post enrollment)

Population: Among the 144 youth who had ever had sex at baseline and completed the 5 week intervention end survey.

The relative difference of unprotected anal and/or vaginal sex acts in the intervention versus control group intervention end (5 weeks post enrollment) among youth who have ever had sex at baseline

Outcome measures

Outcome measures
Measure
Guy2Guy (G2G)
n=72 Participants
Guy2Guy (G2G) is a 6-week HIV prevention program delivered daily via text messaging to 14-18 year old males who self-identify as gay, bisexual, and/or queer. In addition to program content, participants were paired with another participant (i.e., a Text Buddy) with whom they can text throughout the program to provide support; and an on-demand advice line, G2Genie, which shares information about condoms, sex, relationships, and the LGBT community. Content is guided by the Information-Motivation-Behavioral Skills (IMB) model and focuses on: HIV information, motivations to engage in HIV preventive behavior, communication skills, behavioral skills (e.g., using a condom; HIV testing); and healthy/unhealthy relationships. Behavioral skills content was reinforced using brief online videos. The intervention is 5 weeks long. A "booster" is delivered 6-weeks post-intervention end and reviews the topics. Content is tailored based upon whether one is abstinent or sexually active.
Healthy Lifestyle Control
n=72 Participants
The attention-matched control arm message content consists of information publicly available online related to living a healthy lifestyle. Content discussed includes: STD information, nutrition and sleep hygiene, self-esteem and body image, bullying, and drugs and alcohol. The control arm is 6-weeks in length (Week 6 is a review booster) and is delivered via text messaging. Messages are didactic and not tailored to user sexual experience. Additionally, the Text Buddy and G2Genie intervention program components are not available.
Number of Unprotected Sex Acts Among Sexually Experienced Boys at 5 Weeks Post-enrollment
3.49 unprotected sex acts
Standard Deviation 12.31
1.76 unprotected sex acts
Standard Deviation 6.57

SECONDARY outcome

Timeframe: Intervention end (5-weeks post enrollment)

Population: Among the 145 youth who had never had sex at baseline and completed the 5 week intervention end survey.

The relative difference of unprotected anal and/or vaginal sex acts in the intervention versus control group at at intervention end (5 weeks post enrollment) among youth who have never had sex at baseline

Outcome measures

Outcome measures
Measure
Guy2Guy (G2G)
n=69 Participants
Guy2Guy (G2G) is a 6-week HIV prevention program delivered daily via text messaging to 14-18 year old males who self-identify as gay, bisexual, and/or queer. In addition to program content, participants were paired with another participant (i.e., a Text Buddy) with whom they can text throughout the program to provide support; and an on-demand advice line, G2Genie, which shares information about condoms, sex, relationships, and the LGBT community. Content is guided by the Information-Motivation-Behavioral Skills (IMB) model and focuses on: HIV information, motivations to engage in HIV preventive behavior, communication skills, behavioral skills (e.g., using a condom; HIV testing); and healthy/unhealthy relationships. Behavioral skills content was reinforced using brief online videos. The intervention is 5 weeks long. A "booster" is delivered 6-weeks post-intervention end and reviews the topics. Content is tailored based upon whether one is abstinent or sexually active.
Healthy Lifestyle Control
n=76 Participants
The attention-matched control arm message content consists of information publicly available online related to living a healthy lifestyle. Content discussed includes: STD information, nutrition and sleep hygiene, self-esteem and body image, bullying, and drugs and alcohol. The control arm is 6-weeks in length (Week 6 is a review booster) and is delivered via text messaging. Messages are didactic and not tailored to user sexual experience. Additionally, the Text Buddy and G2Genie intervention program components are not available.
Number of Unprotected Sex Acts Among Sexually Inexperienced Boys at 5 Weeks Post-enrollment
0.6 unprotected sex acts
Standard Deviation .48
.05 unprotected sex acts
Standard Deviation .46

SECONDARY outcome

Timeframe: Intervention end (5-weeks post enrollment)

Population: Among the 144 youth who had ever had sex at baseline and completed the 5 week intervention end survey.

At 5 weeks post-enrollment, participants were asked whether or not they had had vaginal and anal sex since the beginning of the program. Those who said no to both were coded as abstinent. The relative difference of abstinence (neither engaging in anal nor vaginal sex) was examined among youth who have ever had sex at baseline in the intervention versus control groups.

Outcome measures

Outcome measures
Measure
Guy2Guy (G2G)
n=72 Participants
Guy2Guy (G2G) is a 6-week HIV prevention program delivered daily via text messaging to 14-18 year old males who self-identify as gay, bisexual, and/or queer. In addition to program content, participants were paired with another participant (i.e., a Text Buddy) with whom they can text throughout the program to provide support; and an on-demand advice line, G2Genie, which shares information about condoms, sex, relationships, and the LGBT community. Content is guided by the Information-Motivation-Behavioral Skills (IMB) model and focuses on: HIV information, motivations to engage in HIV preventive behavior, communication skills, behavioral skills (e.g., using a condom; HIV testing); and healthy/unhealthy relationships. Behavioral skills content was reinforced using brief online videos. The intervention is 5 weeks long. A "booster" is delivered 6-weeks post-intervention end and reviews the topics. Content is tailored based upon whether one is abstinent or sexually active.
Healthy Lifestyle Control
n=72 Participants
The attention-matched control arm message content consists of information publicly available online related to living a healthy lifestyle. Content discussed includes: STD information, nutrition and sleep hygiene, self-esteem and body image, bullying, and drugs and alcohol. The control arm is 6-weeks in length (Week 6 is a review booster) and is delivered via text messaging. Messages are didactic and not tailored to user sexual experience. Additionally, the Text Buddy and G2Genie intervention program components are not available.
Percent of Boys Reporting Abstinence Among Sexually Experienced at 5 Weeks Post-enrollment
37 Participants
36 Participants

SECONDARY outcome

Timeframe: Intervention end (5 weeks post enrollment)

Population: Among the 145 youth who had never had sex at baseline and completed the 5 week intervention end survey.

At 5 weeks post-enrollment, participants were asked whether or not they had had vaginal and anal sex since the beginning of the program. Those who said no to both were coded as abstinent. The relative difference of abstinence (neither engaging in anal nor vaginal sex) was examined among youth who have never had sex at baseline in the intervention versus control groups.

Outcome measures

Outcome measures
Measure
Guy2Guy (G2G)
n=69 Participants
Guy2Guy (G2G) is a 6-week HIV prevention program delivered daily via text messaging to 14-18 year old males who self-identify as gay, bisexual, and/or queer. In addition to program content, participants were paired with another participant (i.e., a Text Buddy) with whom they can text throughout the program to provide support; and an on-demand advice line, G2Genie, which shares information about condoms, sex, relationships, and the LGBT community. Content is guided by the Information-Motivation-Behavioral Skills (IMB) model and focuses on: HIV information, motivations to engage in HIV preventive behavior, communication skills, behavioral skills (e.g., using a condom; HIV testing); and healthy/unhealthy relationships. Behavioral skills content was reinforced using brief online videos. The intervention is 5 weeks long. A "booster" is delivered 6-weeks post-intervention end and reviews the topics. Content is tailored based upon whether one is abstinent or sexually active.
Healthy Lifestyle Control
n=76 Participants
The attention-matched control arm message content consists of information publicly available online related to living a healthy lifestyle. Content discussed includes: STD information, nutrition and sleep hygiene, self-esteem and body image, bullying, and drugs and alcohol. The control arm is 6-weeks in length (Week 6 is a review booster) and is delivered via text messaging. Messages are didactic and not tailored to user sexual experience. Additionally, the Text Buddy and G2Genie intervention program components are not available.
Percent of Boys Reporting Abstinence Among Sexually Inexperienced at 5 Weeks Post-enrollment
67 Participants
69 Participants

SECONDARY outcome

Timeframe: Intervention end (5 weeks post enrollment)

Population: Among the 144 youth who had ever had sex at baseline and completed the 5 week intervention end survey.

The relative difference of HIV testing since the beginning of the program in the intervention versus control group at intervention end (5 weeks post enrollment) among those who ever had vaginal or anal sex with a penis at baseline

Outcome measures

Outcome measures
Measure
Guy2Guy (G2G)
n=72 Participants
Guy2Guy (G2G) is a 6-week HIV prevention program delivered daily via text messaging to 14-18 year old males who self-identify as gay, bisexual, and/or queer. In addition to program content, participants were paired with another participant (i.e., a Text Buddy) with whom they can text throughout the program to provide support; and an on-demand advice line, G2Genie, which shares information about condoms, sex, relationships, and the LGBT community. Content is guided by the Information-Motivation-Behavioral Skills (IMB) model and focuses on: HIV information, motivations to engage in HIV preventive behavior, communication skills, behavioral skills (e.g., using a condom; HIV testing); and healthy/unhealthy relationships. Behavioral skills content was reinforced using brief online videos. The intervention is 5 weeks long. A "booster" is delivered 6-weeks post-intervention end and reviews the topics. Content is tailored based upon whether one is abstinent or sexually active.
Healthy Lifestyle Control
n=72 Participants
The attention-matched control arm message content consists of information publicly available online related to living a healthy lifestyle. Content discussed includes: STD information, nutrition and sleep hygiene, self-esteem and body image, bullying, and drugs and alcohol. The control arm is 6-weeks in length (Week 6 is a review booster) and is delivered via text messaging. Messages are didactic and not tailored to user sexual experience. Additionally, the Text Buddy and G2Genie intervention program components are not available.
Percent of Sexually Experienced Boys Reporting Being Tested for HIV Since Program Start at 5 Weeks Post-enrollment
28 Participants
13 Participants

Adverse Events

Guy2Guy (G2G)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Healthy Lifestyle Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Michele Ybarra

Center for Innovative Public Health Research

Phone: 877-302-5858

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place