Podcasting HIV Prevention Within African American Communities

Podcasting HIV Prevention Within African American Communities to Decrease New Infection

Given the continued impact of HIV among African Americans, there is still an urgent need to expand prevention efforts and HIV testing in African American communities. Heterosexual individuals may acquire and spread infection directly through heterosexual contact, bi-sexual sexual contact, and/or indirectly through homosexual sexual contact. Evidence-based interventions (EBIs) have been shown to increase consistent condom use, decrease sexual partners, and increase HIV testing; however, traditionally-implemented EBIs may not be accessible to communities given the resources and expertise needed to implement them. This project seeks to: 1) assess feasibility for the development of two theory- based, video podcast-delivered, HIV prevention interventions for self-identified heterosexual African American males and females; and 2) evaluate their feasibility & effectiveness (pilot). The investigators will develop the two (male and female) video podcasts that maintain the theoretical integrity of two established Centers for Disease Control evidence-based behavioral HIV prevention interventions. The assessment phase will consist of leveraging African American community stakeholders and experts in the development of the podcast content. The effectiveness phase will consist of broadcasting the podcasts for participants and evaluating psychosocial factors related to HIV prevention at 1 and 3 month follow-ups. This intervention is the first of its kind and has the potential to increase HIV protective behaviors in this hard-to-reach and medically underserved population. The resulting interventions are expected to be easily disseminated throughout the African American communities, with the potential to reduce HIV- related disparities within this population. This study will impact and advance the field by demonstrating feasibility and effectiveness for a novel mode of intervention engagement within HIV prevention science, serve as valuable preliminary data for a larger R01 trial, and foster HIV prevention awareness within the African American community.

Study Overview

• Status: Completed
• Conditions: HIV Prevention
• Intervention / Treatment: Behavioral: HIV Podcast for Heterosexual African American Adults

• Study Type: Interventional
• Enrollment (Actual): 128
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Chakema C Carmack, Ph.D.; Phone Number: 713-743-6231; Email: ccarmack@central.uh.edu
• Study Contact Backup: Name: Ezemenari Obasi, Ph.D.; Phone Number: 713-743-4698; Email: emobasi@central.uh.edu

Study Locations

• United States
  • Texas
    • Houston, Texas, United States, 77051
      • Jacob's Home for Men

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 16 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• self-identify as African American
• speak and read English
• 18 years old or older
• not currently or previously diagnosed with HIV

Exclusion Criteria:

• currently or previously diagnosed with HIV

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm

Intervention / Treatment

Experimental: African American Heterosexuals

Behavioral: HIV Podcast for Heterosexual African American Adults; The video podcast will deliver HIV prevention messages using entertainment education and behavioral journalism, and film production techniques such as "talking head" video, interview, animations, & live-action skits. The research team will work closely with the production company in scripting the video vignettes and sequences, ensuring that video content reflects salient domains captured in the concept mapping research development phase of the study.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change from baseline socio-cultural perceptions of HIV prevention at 3 months followup	To observe whether the podcast video significantly changed perceptions of HIV prevention. Items will be set to 5-pt Likert-type scale: (1) - (5); higher scale values indicating more positive perceptions to cervical cancer prevention	To be measured immediately before film viewing (baseline) and 1 month after film viewing
HIV test intentions: Do you intend to obtain a HIV test? (single item)	To observe whether the podcast video significantly influenced intentions to obtain a HIV test.	To be measured 1 month after film viewing
HIV test intentions: Do you intend to obtain a HIV test? (single item)	To observe whether the podcast video significantly influenced intentions to obtain a HIV test.	To be measured 3 months after film viewing
HIV test behavior: Have you obtained a HIV test (-you will not be required to disclose the results of this test)? (single item)	To observe whether the podcast video significantly influenced behavior of obtaining a HIV test.	To be measured 1 month after film viewing
HIV test behavior: Have you obtained a HIV test (-you will not be required to disclose the results of this test)? (single item)	To observe whether the podcast video significantly influenced behavior of obtaining a HIV test.	To be measured 3 months after film viewing

Collaborators and Investigators

• Sponsor: University of Houston

Study record dates

Study Major Dates

• Study Start (Actual): February 11, 2022
• Primary Completion (Actual): October 31, 2023
• Study Completion (Actual): October 31, 2023

Study Registration Dates

• First Submitted: April 28, 2022
• First Submitted That Met QC Criteria: May 3, 2022
• First Posted (Actual): May 9, 2022

Study Record Updates

• Last Update Posted (Actual): January 10, 2024
• Last Update Submitted That Met QC Criteria: January 8, 2024
• Last Verified: January 1, 2024

More Information

Terms related to this study

• Keywords: HIV Prevention; African Americans; Health Disparities
• Additional Relevant MeSH Terms: RNA Virus Infections; Virus Diseases; Infections; Blood-Borne Infections; Communicable Diseases; Sexually Transmitted Diseases, Viral; Sexually Transmitted Diseases; Lentivirus Infections; Retroviridae Infections; Immunologic Deficiency Syndromes; Immune System Diseases; Slow Virus Diseases; HIV Infections; Urogenital Diseases; Genital Diseases; Acquired Immunodeficiency Syndrome
• Other Study ID Numbers: STUDY00003312

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: Because this is a feasibility study with a low sample size, the data is preliminary and it is not certain that the data will be appropriate or useful for public dissemination.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No