Development and Open Pilot Trial of an HIV-Prevention Intervention Integrating Mobile-Phone Technology for Male Sex Workers in Chennai, India

Beena Thomas, Elizabeth F. Closson, Katie Biello, Sunil Menon, Pandiaraja Navakodi, A. Dhanalakshmi, Kenneth H. Mayer, Steven Safren, Matthew J. Mimiaga

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

In India men who have sex with men and engage in sex work (i.e., male sex workers; MSW) have a high risk of transmitting HIV. Globally, sex workers have become more spatially mobile due to advances in mobile-phone technology. In 2012 in-depth qualitative feedback was garnered from 40 interviews with MSW and four focus groups with 35 key informants (KIs) who had expert knowledge of the local MSW community to inform the design of an HIV-prevention intervention among MSW in Chennai, India. All MSW were recruited during outreach by employees of a Chennai-based organization for MSM (men who have sex with men). The data were analyzed using a descriptive qualitative approach. MSW and KIs discussed the need for intervention content that went beyond basic HIV psychoeducation. They emphasized the importance of addressing psychological distress, alcohol-related risk, and sexual communication skills. Concerns were raised about confidentiality, privacy, and scheduling. Participants endorsed a combination of in-person and mobile-phone-delivered sessions as well as the integration of mobile-phone messaging. These findings served as the basis for the development of a theoretically driven, manual-based intervention incorporating mobile phones. An open pilot assessed the feasibility and acceptability of the intervention with eight MSW. Assessments and HIV testing were administered at baseline, 3, and 6 months post-baseline. Exit interviews were conducted at the conclusion of the intervention. Retention for session attendance and assessment follow-up was 100 %. There was a high level of acceptability for the format, structure, and content. These data show initial promise, feasibility, and acceptability of the intervention.

Original languageEnglish (US)
Pages (from-to)1-12
Number of pages12
JournalArchives of Sexual Behavior
DOIs
StateAccepted/In press - Dec 29 2015

Fingerprint

Sex Workers
Cell Phones
India
HIV
Technology
Interviews
Sex Work
Privacy
Confidentiality
Focus Groups
Communication
Alcohols
Organizations
Psychology
AIDS/HIV
Mobile Phone
Acceptability

Keywords

  • HIV
  • India
  • MSM
  • Sex work
  • Sexual risk

ASJC Scopus subject areas

  • Psychology(all)
  • Arts and Humanities (miscellaneous)

Cite this

Development and Open Pilot Trial of an HIV-Prevention Intervention Integrating Mobile-Phone Technology for Male Sex Workers in Chennai, India. / Thomas, Beena; Closson, Elizabeth F.; Biello, Katie; Menon, Sunil; Navakodi, Pandiaraja; Dhanalakshmi, A.; Mayer, Kenneth H.; Safren, Steven; Mimiaga, Matthew J.

In: Archives of Sexual Behavior, 29.12.2015, p. 1-12.

Research output: Contribution to journalArticle

Thomas, Beena ; Closson, Elizabeth F. ; Biello, Katie ; Menon, Sunil ; Navakodi, Pandiaraja ; Dhanalakshmi, A. ; Mayer, Kenneth H. ; Safren, Steven ; Mimiaga, Matthew J. / Development and Open Pilot Trial of an HIV-Prevention Intervention Integrating Mobile-Phone Technology for Male Sex Workers in Chennai, India. In: Archives of Sexual Behavior. 2015 ; pp. 1-12.
@article{773dffb72ca14e7eab48dd9c9bc35680,
title = "Development and Open Pilot Trial of an HIV-Prevention Intervention Integrating Mobile-Phone Technology for Male Sex Workers in Chennai, India",
abstract = "In India men who have sex with men and engage in sex work (i.e., male sex workers; MSW) have a high risk of transmitting HIV. Globally, sex workers have become more spatially mobile due to advances in mobile-phone technology. In 2012 in-depth qualitative feedback was garnered from 40 interviews with MSW and four focus groups with 35 key informants (KIs) who had expert knowledge of the local MSW community to inform the design of an HIV-prevention intervention among MSW in Chennai, India. All MSW were recruited during outreach by employees of a Chennai-based organization for MSM (men who have sex with men). The data were analyzed using a descriptive qualitative approach. MSW and KIs discussed the need for intervention content that went beyond basic HIV psychoeducation. They emphasized the importance of addressing psychological distress, alcohol-related risk, and sexual communication skills. Concerns were raised about confidentiality, privacy, and scheduling. Participants endorsed a combination of in-person and mobile-phone-delivered sessions as well as the integration of mobile-phone messaging. These findings served as the basis for the development of a theoretically driven, manual-based intervention incorporating mobile phones. An open pilot assessed the feasibility and acceptability of the intervention with eight MSW. Assessments and HIV testing were administered at baseline, 3, and 6 months post-baseline. Exit interviews were conducted at the conclusion of the intervention. Retention for session attendance and assessment follow-up was 100 {\%}. There was a high level of acceptability for the format, structure, and content. These data show initial promise, feasibility, and acceptability of the intervention.",
keywords = "HIV, India, MSM, Sex work, Sexual risk",
author = "Beena Thomas and Closson, {Elizabeth F.} and Katie Biello and Sunil Menon and Pandiaraja Navakodi and A. Dhanalakshmi and Mayer, {Kenneth H.} and Steven Safren and Mimiaga, {Matthew J.}",
year = "2015",
month = "12",
day = "29",
doi = "10.1007/s10508-015-0665-3",
language = "English (US)",
pages = "1--12",
journal = "Archives of Sexual Behavior",
issn = "0004-0002",
publisher = "Springer New York",

}

TY - JOUR

T1 - Development and Open Pilot Trial of an HIV-Prevention Intervention Integrating Mobile-Phone Technology for Male Sex Workers in Chennai, India

AU - Thomas, Beena

AU - Closson, Elizabeth F.

AU - Biello, Katie

AU - Menon, Sunil

AU - Navakodi, Pandiaraja

AU - Dhanalakshmi, A.

AU - Mayer, Kenneth H.

AU - Safren, Steven

AU - Mimiaga, Matthew J.

PY - 2015/12/29

Y1 - 2015/12/29

N2 - In India men who have sex with men and engage in sex work (i.e., male sex workers; MSW) have a high risk of transmitting HIV. Globally, sex workers have become more spatially mobile due to advances in mobile-phone technology. In 2012 in-depth qualitative feedback was garnered from 40 interviews with MSW and four focus groups with 35 key informants (KIs) who had expert knowledge of the local MSW community to inform the design of an HIV-prevention intervention among MSW in Chennai, India. All MSW were recruited during outreach by employees of a Chennai-based organization for MSM (men who have sex with men). The data were analyzed using a descriptive qualitative approach. MSW and KIs discussed the need for intervention content that went beyond basic HIV psychoeducation. They emphasized the importance of addressing psychological distress, alcohol-related risk, and sexual communication skills. Concerns were raised about confidentiality, privacy, and scheduling. Participants endorsed a combination of in-person and mobile-phone-delivered sessions as well as the integration of mobile-phone messaging. These findings served as the basis for the development of a theoretically driven, manual-based intervention incorporating mobile phones. An open pilot assessed the feasibility and acceptability of the intervention with eight MSW. Assessments and HIV testing were administered at baseline, 3, and 6 months post-baseline. Exit interviews were conducted at the conclusion of the intervention. Retention for session attendance and assessment follow-up was 100 %. There was a high level of acceptability for the format, structure, and content. These data show initial promise, feasibility, and acceptability of the intervention.

AB - In India men who have sex with men and engage in sex work (i.e., male sex workers; MSW) have a high risk of transmitting HIV. Globally, sex workers have become more spatially mobile due to advances in mobile-phone technology. In 2012 in-depth qualitative feedback was garnered from 40 interviews with MSW and four focus groups with 35 key informants (KIs) who had expert knowledge of the local MSW community to inform the design of an HIV-prevention intervention among MSW in Chennai, India. All MSW were recruited during outreach by employees of a Chennai-based organization for MSM (men who have sex with men). The data were analyzed using a descriptive qualitative approach. MSW and KIs discussed the need for intervention content that went beyond basic HIV psychoeducation. They emphasized the importance of addressing psychological distress, alcohol-related risk, and sexual communication skills. Concerns were raised about confidentiality, privacy, and scheduling. Participants endorsed a combination of in-person and mobile-phone-delivered sessions as well as the integration of mobile-phone messaging. These findings served as the basis for the development of a theoretically driven, manual-based intervention incorporating mobile phones. An open pilot assessed the feasibility and acceptability of the intervention with eight MSW. Assessments and HIV testing were administered at baseline, 3, and 6 months post-baseline. Exit interviews were conducted at the conclusion of the intervention. Retention for session attendance and assessment follow-up was 100 %. There was a high level of acceptability for the format, structure, and content. These data show initial promise, feasibility, and acceptability of the intervention.

KW - HIV

KW - India

KW - MSM

KW - Sex work

KW - Sexual risk

UR - http://www.scopus.com/inward/record.url?scp=84952038660&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84952038660&partnerID=8YFLogxK

U2 - 10.1007/s10508-015-0665-3

DO - 10.1007/s10508-015-0665-3

M3 - Article

C2 - 26714684

AN - SCOPUS:84952038660

SP - 1

EP - 12

JO - Archives of Sexual Behavior

JF - Archives of Sexual Behavior

SN - 0004-0002

ER -