HealthMpowerment Korea: Pilot Testing the Cultural Adaptation of a Digital HIV Intervention for Men Who Have Sex With Men in South Korea (HMP Korea)
Pilot Testing the Cultural Adaptation of a Digital HIV Intervention for Men Who Have Sex With Men in South Korea
This study tests a mobile application (app) designed to support sexual health and prevent human immunodeficiency virus (HIV) among young men in South Korea. Researchers are interested to learn if the app is acceptable, easy to use, and helpful for young men who have sex with men (MSM).
Participants will complete a 15-minute online survey at the start of the study and another 15-minute survey 3 months later. Participants will be randomly assigned to 1 of 2 study groups for 3 months:
- Intervention Group: Participants receive access to the full mobile app, called Bandi. The app includes health articles, quizzes, community discussion forums, a personal sexual health log, and a clinic finder.
- Control Group: Participants receive access to a basic version of the app that includes informational articles and the clinic finder only.
Researchers will compare both groups over 3 months to see if using the full app leads to higher rates of HIV testing and lower sexual risk behaviors.
調査の概要
状態
詳細な説明
This pilot study evaluates Bandi, a culturally adapted digital HIV prevention intervention for young Korean men who have sex with men (MSM). Bandi is adapted from HealthMpowerment (HMP 2.0), an evidence-informed, status-neutral digital health platform designated by the U.S. Centers for Disease Control and Prevention (CDC) for HIV risk reduction. Guided by Barrera and Castro's heuristic model for cultural adaptation, the trial represents Phase 3 (preliminary adaptation testing) following preliminary information gathering and beta testing (N=10).
Participants randomized to the full intervention arm receive 3-month access to the complete Bandi platform, consisting of five core integrated components:
- Resource Center (Activities & Articles): Culturally tailored educational materials, pre-exposure prophylaxis (PrEP) and antiretroviral therapy (ART) adherence strategies, interactive quizzes, and skill-building activities.
- Forums: Moderated online discussion forums and structured polls facilitating peer-to-peer support on topics including relationships, stigma, and sexual health.
- Love Log: An interactive self-monitoring tool allowing users to log past sexual encounters, plan future encounters, track behavioral patterns, and evaluate risk.
- Care Locator: A map database identifying local, culturally sensitive HIV and STI testing facilities.
- Gamification: Engagement features including customizable avatars and accomplishment badges.
The control arm receives access restricted to static health articles and the Care Locator component.
The study is conducted remotely in South Korea through a partnership between the University of Pennsylvania and Ewha Womans University. Local recruitment and participant communication are managed by trained staff at Ewha Womans University in collaboration with community stakeholder collectives.
In addition to self-reported web-based survey data (Qualtrics) collected at baseline and 3 months, application engagement will be continuously monitored via passively recorded paradata (e.g., module usage, login frequency, feature interactions). Statistical analyses will follow an intent-to-treat (ITT) approach. Chi-square/Fisher's Exact tests and Wilcoxon Two-Sample tests will evaluate preliminary differences between study arms regarding primary outcomes (routine HIV testing rates, reduction in condomless anal intercourse) and secondary outcomes (PrEP awareness/uptake, everyday discrimination, social support, depression, anxiety, and resilience).
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Willey Lin, MBIOT, PMP, ACRP-CP
- 電話番号：669-333-9925
- メール：willey@nursing.upenn.edu
研究連絡先のバックアップ
- 名前：Seul Ki Choi, MPH, PhD
- 電話番号：215-573-4734
- メール：skchoi@nursing.upenn.edu
研究場所
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Seoul、韓国
- Ewha Womans University
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コンタクト：
- Sook Jung Kang, PhD, FNP-C
- 電話番号：82-2-3277-2882
- メール：sookjungkang@ewha.ac.kr
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主任研究者：
- Sook Jung Kang, PhD, FNP-C
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参加基準
適格基準
就学可能な年齢
- 大人
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- Male sex assigned at birth and current male gender identity
- Aged 18 to 35 years
- Current residence in the Seoul Metropolitan area
- Korean nationality
- Self-identify as a sexual minority (e.g., gay, bisexual, queer, or other non-heterosexual identity)
- HIV-negative or HIV-unaware serostatus
- Report at least 1 episode of condomless anal intercourse with a male partner in the prior 6 months
Exclusion Criteria:
- Assigned female at birth or do not currently identify as male
- Younger than 18 or older than 35 years of age
- Non-residence in the Seoul Metropolitan area
- Do not hold Korean nationality
- Do not identify as a sexual minority
- Known HIV-positive status
- No reported episodes of condomless anal intercourse with a male partner in the prior 6 months
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：防止
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：Bandi App (Full Access)
Participants in this arm receive full 3-month access to the complete Bandi mobile application.
Key features include interactive health articles and quizzes, moderated peer community forums and polls, the Love Log (a sexual health self-monitoring tool), a HIV/STI care locator, and gamification elements (custom avatars and accomplishment badges).
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A culturally adapted digital HIV prevention mobile application designed for young men who have sex with men (MSM) in South Korea.
Participants receive 3-month access to five core integrated features: interactive health articles and quizzes (covering PrEP, adherence, and sexual health); moderated peer community discussion forums and polls; Love Log (a sexual health tracking and planning tool); Care Locator (a directory of local HIV/STI testing centers); and gamification elements (customizable avatars and badges).
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アクティブコンパレータ：Information-Only App (Limited Access)
Participants in this arm receive 3-month access to a limited version of the mobile application.
Features are restricted to static educational articles and a care locator.
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A limited version of the mobile application provided to the control group over a 3-month period.
Access is restricted to static online educational articles/resources and the Care Locator feature for finding local HIV/STI testing centers.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Proportion of Participants Who Reported Receiving an HIV Test
時間枠：3 months post-randomization
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Self-reported status of receiving an HIV test (Yes/No) as assessed via a web-based survey.
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3 months post-randomization
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Change in Frequency of Condomless Anal Intercourse (CAI)
時間枠：Baseline and 3 months post-randomization
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Self-reported number of condomless anal intercourse episodes with male partners in the prior 3 months, assessed via web-based survey.
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Baseline and 3 months post-randomization
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協力者と研究者
スポンサー
捜査官
- 主任研究者：Seul Ki Choi, MPH, PhD、University of Pennsylvania
出版物と役立つリンク
一般刊行物
- Bauermeister JA, Muessig KE, Flores DD, LeGrand S, Choi S, Dong W, Harper GW, Hightow-Weidman LB. Stigma Diminishes the Protective Effect of Social Support on Psychological Distress Among Young Black Men Who Have Sex With Men. AIDS Educ Prev. 2018 Oct;30(5):406-418. doi: 10.1521/aeap.2018.30.5.406.
- Yang HJ, Bang JH, Kim J, Lee YH, Park Y, Huh IS, Shin SM, Kang CR, Seong MH, Kim GD, Hong HS, Cho SI, Oh MD, Hwang ES, Lee JK. Factors associated with intention to be tested for HIV among men who have sex with men in a country with a very low HIV prevalence. AIDS Care. 2018 Mar;30(3):289-295. doi: 10.1080/09540121.2017.1371666. Epub 2017 Aug 31.
- Sohn A, Cho B. Knowledge, Attitudes, and Sexual Behaviors in HIV/AIDS and Predictors Affecting Condom Use among Men Who Have Sex with Men in South Korea. Osong Public Health Res Perspect. 2012 Sep;3(3):156-64. doi: 10.1016/j.phrp.2012.07.001.
- Muessig KE, Golinkoff JM, Hightow-Weidman LB, Rochelle AE, Mulawa MI, Hirshfield S, Rosengren AL, Aryal S, Buckner N, Wilson MS, Watson DL, Houang S, Bauermeister JA. Increasing HIV Testing and Viral Suppression via Stigma Reduction in a Social Networking Mobile Health Intervention Among Black and Latinx Young Men and Transgender Women Who Have Sex With Men (HealthMpowerment): Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2020 Dec 16;9(12):e24043. doi: 10.2196/24043.
- Lee H, Park J, Choi B, Yi H, Kim SS. Association between Discrimination and Depressive Symptoms Among 2,162 Lesbian, Gay, and Bisexual Adults in South Korea: Does Community Connectedness Modify the Association? J Homosex. 2021 Jan 2;68(1):70-87. doi: 10.1080/00918369.2019.1624456. Epub 2019 Jun 13.
- Baek YJ, Sung K, Park S, Lee EJ, Youm Y, Choi JY. Closing the Gap in Pre-Exposure Prophylaxis Access for Sexual and Gender Minorities in South Korea: Implications for HIV Prevention Policy. AIDS Patient Care STDS. 2026 Jul;40(6-7):231-239. doi: 10.1177/10872914261450671. Epub 2026 May 18.
- Choi SK, Golinkoff J, Lin WY, Hightow-Weidman L, Muessig K, Bauermeister J. Current and Future Perspectives of HIV Prevention Research Among Young Sexual Minority Men in South Korea. Arch Sex Behav. 2023 Feb;52(2):721-732. doi: 10.1007/s10508-022-02403-7. Epub 2022 Sep 12.
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
キーワード
追加の関連 MeSH 用語
その他の研究ID番号
- 26-7236
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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