title: Using the Information-Motivation-Behavioral Skills Model to Guide the Development of an HIV Prevention Smartphone Application for High-Risk MSM.
abstract: HIV remains a significant public health problem among men who have sex with men (MSM). MSM comprise 2% of the U.S. population, but constitute 56% of persons living with HIV. Mobile health technology is a promising tool for HIV prevention. The purpose of this study was to identify the desired content, features and functions of a mobile application (app) for HIV prevention in high-risk MSM. We conducted five focus group sessions with 33 MSM. Focus group recordings were transcribed and coded using themes informed by the information-motivation-behavioral (IMB) skills model. Participants identified information needs related to HIV prevention: HIV testing and prophylaxis distribution centers, support groups/peers, and HIV/STI disease/treatment information. Areas of motivation to target for the app included: attitudes and intentions. Participants identified behavioral skills to address with an app: using condoms correctly, negotiating safer sex, recognizing signs of HIV/STI. Findings from this work provide insight into the desired content of a mobile app for HIV prevention in high-risk MSM.
authors.affiliation: Division of General Medicine, Columbia University, New York, New York.
authors.forename: Negar
authors.initials: N
authors.lastname: Aliabadi
authors.forename: Alex
authors.initials: A
authors.lastname: Carballo-Dieguez
authors.affiliation: Division of General Medicine, Columbia University, New York, New York.
authors.forename: Suzanne
authors.initials: S
authors.lastname: Bakken
authors.affiliation: Division of General Medicine, Columbia University, New York, New York.
authors.forename: Marlene
authors.initials: M
authors.lastname: Rojas
authors.forename: William
authors.initials: W
authors.lastname: Brown
authors.affiliation: National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Monique
authors.initials: M
authors.lastname: Carry
authors.affiliation: National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Jocelyn Patterson
authors.initials: JP
authors.lastname: Mosley
authors.affiliation: National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Deborah
authors.initials: D
authors.lastname: Gelaude
authors.affiliation: Division of General Medicine, Columbia University, New York, New York.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Schnall
mesh_terms: D000293:Adolescent; D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data; D017144:Focus Groups; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D033182:Intention; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D009042:Motivation; D009519:New York City; D036301:Qualitative Research; D040242:Risk Reduction Behavior; D021841:Safe Sex; D000068997:Smartphone; D012919:Social Behavior; D055815:Young Adult