title: Streaming weekly soap opera video episodes to smartphones in a randomized controlled trial to reduce HIV risk in young urban African American/black women.
abstract: Love, Sex, and Choices is a 12-episode soap opera video series created as an intervention to reduce HIV sex risk. The effect on women's HIV risk behavior was evaluated in a randomized controlled trial in 238 high risk, predominately African American young adult women in the urban Northeast. To facilitate on-demand access and privacy, the episodes were streamed to study-provided smartphones. Here, we discuss the development of a mobile platform to deliver the 12-weekly video episodes or weekly HIV risk reduction written messages to smartphones, including; the technical requirements, development, and evaluation. Popularity of the smartphone and use of the Internet for multimedia offer a new channel to address health disparities in traditionally underserved populations. This is the first study to report on streaming a serialized video-based intervention to a smartphone. The approach described here may provide useful insights in assessing advantages and disadvantages of smartphones to implement a video-based intervention.
authors.affiliation: College of Nursing, Rutgers, The State University of New Jersey, Ackerson Hall, 180 University Avenue, Newark, NJ 07102, USA. racjones@rutgers.edu
authors.forename: Rachel
authors.initials: R
authors.lastname: Jones
authors.forename: Lorraine J
authors.initials: LJ
authors.lastname: Lacroix
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology*; D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology*; D000465:Algorithms; D034201:Computers, Handheld / Q000706:statistics & numerical data; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007407:Interviews as Topic; D010342:Patient Acceptance of Health Care; D040242:Risk Reduction Behavior; D012725:Sexual Behavior / Q000523:psychology* / Q000706:statistics & numerical data; D014481:United States; D014505:Urban Population; D014743:Videotape Recording; D055815:Young Adult