A Randomized Controlled Trial to Increase HIV Preventive Information, Motivation, and Behavioral Skills in Ugandan Adolescents

Michele L. Ybarra; Josephine D. Korchmaros; Tonya L. Prescott; Ruth Birungi

doi:10.1007/s12160-014-9673-0

A Randomized Controlled Trial to Increase HIV Preventive Information, Motivation, and Behavioral Skills in Ugandan Adolescents

Michele L. Ybarra, Josephine D. Korchmaros, Tonya L. Prescott, Ruth Birungi

Research output: Contribution to journal › Article › peer-review

31 Scopus citations

Abstract

Background: One in 25 Ugandan adolescents is HIV positive.Purpose: The aim of this study is to examine the impact of an Internet-based HIV prevention program on Information-Motivation-Behavioral skills (IMB) Model-related constructs.Methods: Three hundred and sixty-six sexually experienced and inexperienced students 13–18+ years old in Mbarara, Uganda, were randomly assigned to the five-lesson CyberSenga program or the treatment-as-usual control group. Half of the intervention participants were further randomized to a booster session. Assessments were collected at 3 and 6 months post-baseline.Results: Participants’ HIV-related information improved over time at a greater rate for the intervention groups compared to the control group. Motivation for condom use changed to a greater degree over time for the intervention group—especially those in the intervention + booster group—compared to the control group. Behavioral skills for condom use, and motivation and behavioral skills for abstinence were statistically similar over time for both groups.Conclusions: CyberSenga improves HIV preventive information and motivation to use condoms.

Original language	English (US)
Pages (from-to)	473-485
Number of pages	13
Journal	Annals of Behavioral Medicine
Volume	49
Issue number	3
DOIs	https://doi.org/10.1007/s12160-014-9673-0
State	Published - Jun 1 2015
Externally published	Yes

Keywords

Adolescents
Africa
Developing country
HIV prevention
IMB model
Internet-based

ASJC Scopus subject areas

General Psychology
Psychiatry and Mental health

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title = "A Randomized Controlled Trial to Increase HIV Preventive Information, Motivation, and Behavioral Skills in Ugandan Adolescents",

abstract = "Background: One in 25 Ugandan adolescents is HIV positive.Purpose: The aim of this study is to examine the impact of an Internet-based HIV prevention program on Information-Motivation-Behavioral skills (IMB) Model-related constructs.Methods: Three hundred and sixty-six sexually experienced and inexperienced students 13–18+ years old in Mbarara, Uganda, were randomly assigned to the five-lesson CyberSenga program or the treatment-as-usual control group. Half of the intervention participants were further randomized to a booster session. Assessments were collected at 3 and 6 months post-baseline.Results: Participants{\textquoteright} HIV-related information improved over time at a greater rate for the intervention groups compared to the control group. Motivation for condom use changed to a greater degree over time for the intervention group—especially those in the intervention + booster group—compared to the control group. Behavioral skills for condom use, and motivation and behavioral skills for abstinence were statistically similar over time for both groups.Conclusions: CyberSenga improves HIV preventive information and motivation to use condoms.",

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author = "Ybarra, {Michele L.} and Korchmaros, {Josephine D.} and Prescott, {Tonya L.} and Ruth Birungi",

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AU - Prescott, Tonya L.

AU - Birungi, Ruth

PY - 2015/6/1

Y1 - 2015/6/1

N2 - Background: One in 25 Ugandan adolescents is HIV positive.Purpose: The aim of this study is to examine the impact of an Internet-based HIV prevention program on Information-Motivation-Behavioral skills (IMB) Model-related constructs.Methods: Three hundred and sixty-six sexually experienced and inexperienced students 13–18+ years old in Mbarara, Uganda, were randomly assigned to the five-lesson CyberSenga program or the treatment-as-usual control group. Half of the intervention participants were further randomized to a booster session. Assessments were collected at 3 and 6 months post-baseline.Results: Participants’ HIV-related information improved over time at a greater rate for the intervention groups compared to the control group. Motivation for condom use changed to a greater degree over time for the intervention group—especially those in the intervention + booster group—compared to the control group. Behavioral skills for condom use, and motivation and behavioral skills for abstinence were statistically similar over time for both groups.Conclusions: CyberSenga improves HIV preventive information and motivation to use condoms.

AB - Background: One in 25 Ugandan adolescents is HIV positive.Purpose: The aim of this study is to examine the impact of an Internet-based HIV prevention program on Information-Motivation-Behavioral skills (IMB) Model-related constructs.Methods: Three hundred and sixty-six sexually experienced and inexperienced students 13–18+ years old in Mbarara, Uganda, were randomly assigned to the five-lesson CyberSenga program or the treatment-as-usual control group. Half of the intervention participants were further randomized to a booster session. Assessments were collected at 3 and 6 months post-baseline.Results: Participants’ HIV-related information improved over time at a greater rate for the intervention groups compared to the control group. Motivation for condom use changed to a greater degree over time for the intervention group—especially those in the intervention + booster group—compared to the control group. Behavioral skills for condom use, and motivation and behavioral skills for abstinence were statistically similar over time for both groups.Conclusions: CyberSenga improves HIV preventive information and motivation to use condoms.

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A Randomized Controlled Trial to Increase HIV Preventive Information, Motivation, and Behavioral Skills in Ugandan Adolescents

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