title: Defining the Content of an Online Sexual Health Intervention: The MenSS Website.
abstract: BACKGROUND
  Health promotion and risk reduction are essential components of sexual health care. However, it can be difficult to prioritize these within busy clinical services. Digital interventions may provide a new method for supporting these.
  
  
  OBJECTIVE
  The MenSS (Men's Safer Sex) website is an interactive digital intervention developed by a multidisciplinary team, which aims to improve condom use in men who have sex with women (MSW). This paper describes the content of this intervention, and the rationale for it.
  
  
  METHODS
  Content was informed by a literature review regarding men's barriers to condom use, workshops with experts in sexual health and technology (N=16) and interviews with men in sexual health clinics (N=20). Data from these sources were analyzed thematically, and synthesized using the Behavior Change Wheel framework.
  
  
  RESULTS
  The MenSS intervention is a website optimized for delivery via tablet computer within a clinic waiting room setting. Key targets identified were condom use skills, beliefs about pleasure and knowledge about risk. Content was developed using behavior change techniques, and interactive website features provided feedback tailored for individual users.
  
  
  CONCLUSIONS
  This paper provides a detailed description of an evidence-based interactive digital intervention for sexual health, including how behavior change techniques were translated into practice within the design of the MenSS website. Triangulation between a targeted literature review, expert workshops, and interviews with men ensured that a range of potential influences on condom use were captured.
authors.affiliation: eHealth Unit, Research Department of Primary Care and Population Health, University College London, London, United Kingdom. drrosiewebster@gmail.com.
authors.forename: Rosie
authors.identifier: http://orcid.org/0000-0002-3946-5783
authors.initials: R
authors.lastname: Webster
authors.forename: Makeda
authors.identifier: http://orcid.org/0000-0002-0225-9863
authors.initials: M
authors.lastname: Gerressu
authors.forename: Susan
authors.identifier: http://orcid.org/0000-0003-0063-6378
authors.initials: S
authors.lastname: Michie
authors.forename: Claudia
authors.identifier: http://orcid.org/0000-0001-5523-5630
authors.initials: C
authors.lastname: Estcourt
authors.forename: Jane
authors.identifier: http://orcid.org/0000-0001-5294-8707
authors.initials: J
authors.lastname: Anderson
authors.forename: Chee Siang
authors.identifier: http://orcid.org/0000-0002-1109-9689
authors.initials: CS
authors.lastname: Ang
authors.forename: Elizabeth
authors.identifier: http://orcid.org/0000-0002-8932-3695
authors.initials: E
authors.lastname: Murray
authors.forename: Greta
authors.identifier: http://orcid.org/0000-0002-7216-7294
authors.initials: G
authors.lastname: Rait
authors.forename: Judith
authors.identifier: http://orcid.org/0000-0002-8852-0881
authors.initials: J
authors.lastname: Stephenson
authors.forename: Julia V
authors.identifier: http://orcid.org/0000-0002-5001-0122
authors.initials: JV
authors.lastname: Bailey
keywords: behavior change; condom use; eHealth; heterosexual men; sex education; sexual health; web-based intervention