Iterative development of In This toGether, the first mHealth HIV prevention program for older adolescents in Uganda

Ybarra ML, Agaba E, Chen E, Nyemara N. Iterative Development of In This toGether, the First mHealth HIV Prevention Program for Older Adolescents in Uganda. AIDS Behav. 2020 Aug;24(8):2355-2368. doi: 10.1007/s10461-020-02795-4. Abstract: In Uganda, HIV prevention programming for older adolescents is noticeably lacking, even though HIV incidence rates increase dramatically from adolescence into young adulthood. Here we describe the development of In This toGether (ITG), the first-of-its-kind, comprehensive text messaging-based HIV prevention program for both sexually active and abstinent 18- to 22-year-old Ugandans. Five iterative development activities are described: (1) conducting focus groups (FGs) to better understand the sexual decision-making of older adolescents across Uganda … [Read more...]

Clinical outcomes from the texting for relapse prevention (T4RP) in schizophrenia and schizoaffective disorder study

Cullen BA, Rodriguez K, Eaton WW, Mojtabai R, Von Mach T, Ybarra ML. Clinical outcomes from the texting for relapse prevention (T4RP) in schizophrenia and schizoaffective disorder study. Psychiatry Research. 2020;292 (113346). doi.org/10.1016/j.psychres.2020.113346 Abstract: This 6 month randomized control trial investigated whether a novel text-messaging program impacted targeted clinical outcomes in patients with schizophrenia and schizoaffective disorder (SAD). Forty patients were enrolled and completed baseline, 3-month and 6-month assessments. The intervention group received daily symptom check-in text messages, plus, a medication reminder or, inspirational quote text. The control group had treatment as usual. At 6 months the Positive and Negative Syndrome Scale mean positive … [Read more...]

Clinical outcomes from the texting for relapse prevention (T4RP) in schizophrenia and schizoaffective disorder study

Cullen BA, Rodriguez K, Eaton WW, Mojtabai R, Von Mach T, Ybarra ML. Clinical outcomes from the texting for relapse prevention (T4RP) in schizophrenia and schizoaffective disorder study. Psychiatry Res. 2020 Oct;292:113346. doi: 10.1016/j.psychres.2020.113346. Epub 2020 Jul 29. Abstract: This 6 month randomized control trial investigated whether a novel text-messaging program impacted targeted clinical outcomes in patients with schizophrenia and schizoaffective disorder (SAD). Forty patients were enrolled and completed baseline, 3-month and 6-month assessments. The intervention group received daily symptom check-in text messages, plus, a medication reminder or, inspirational quote text. The control group had treatment as usual. At 6 months the Positive and Negative Syndrome Scale … [Read more...]

Reasons Lesbian and Bisexual Adolescent Girls Have or Might Have Sex with Females or Males: Implications for discordance between sexual identity and behaviors and for prevention of pregnancy and STIs

Rosario M, Goodenow C, Ybarra M, Saewyc E, Prescott T. Reasons Lesbian and Bisexual Adolescent Girls Have or Might Have Sex with Females or Males: Implications for Discordance between Sexual Identity and Behaviors and for Prevention of Pregnancy and STIs. J Sex Res. 2020 Oct;57(8):966-978. doi: 10.1080/00224499.2020.1753638. Epub 2020 May 19. Abstract: We examined reasons lesbian and bisexual adolescent girls have sex or, if sexually inexperienced, might have sex with girls or boys, and the role of internalized homonegativity in these relations and among lesbians. Girls were recruited online and classified as lesbian (n = 129) or bisexual (n = 193); the classification was validated. Love and pleasure were common reasons for having sex with girls, although more lesbian girls (LG) than … [Read more...]

A national, qualitative study of sexual decision making by teenage girls who are lesbian, gay, bisexual, or who have another nonheterosexual identity

Ybarra ML, Parrilla JS, Wolowic J, Rosario M, Goodenow C, Saewyc E. A National, Qualitative Study of Sexual Decision Making by Teenage Girls who are Lesbian, Gay, Bisexual, or who have Another Nonheterosexual Identity. J Pediatr. 2020 Feb;217:177-183. doi: 10.1016/j.jpeds.2019.10.038. Epub 2019 Dec 13. Abstract: Objective: To address the significant dearth of literature that examines how girls who are lesbian, gay, bisexual, or who have another nonheterosexual identity (LGB+) decide when and with whom to have sex; and to explore why inexperienced LGB+ girls might have sex with girls or boys. Study design: We conducted 8 online, asynchronous, bulletin board-style focus groups with 160 adolescent girls 14-18 years of age. The transcripts were analyzed using a thematic analysis of … [Read more...]

What counts?: A qualitative study of adolescents’ lived experience with online victimization and cyberbullying

Ranney ML, Pittman SK, Riese A, Koehler C, Ybarra ML, Cunningham RM, Spirito A, Rosen RK. What Counts?: A Qualitative Study of Adolescents' Lived Experience With Online Victimization and Cyberbullying. Acad Pediatr. 2020 May-Jun;20(4):485-492. doi: 10.1016/j.acap.2019.11.001. Epub 2019 Nov 8. Abstract: Objective: To inform development of cyberbullying interventions that are both accurate and meaningful to all adolescents, this qualitative analysis examines experiences of online peer victimization among a sample of predominately minority and low-income youth. Methods: Adolescents ages 13 to 17 years who reported past-year cyberbullying on a previously validated survey were recruited from an urban pediatric clinic to complete semistructured interviews. Interview topics included … [Read more...]

Developing Texting for relapse prevention: A scalable mHealth program for people with schizophrenia and schizoaffective disorder

Ybarra ML, Rodriguez K, Madison H, Mojtabai R, Cullen BA. Developing Texting for Relapse Prevention: A Scalable mHealth Program for People With Schizophrenia and Schizoaffective Disorder. J Nerv Ment Dis. 2019 Oct;207(10):854-862. doi: 10.1097/NMD.0000000000001037. Abstract: Symptom relapse in people with schizophrenia and schizoaffective disorder is common and has a negative impact on the course of illness. Here, we describe the development of Texting for Relapse Prevention, a scalable, cost-effective text messaging relapse prevention program that queries patients' "early warning signs" daily. Results of development focus groups and content advisory teams with 25 patients and 19 providers suggest that patients were enthusiastic about the program and thought that receiving daily … [Read more...]

A cross-sectional study examining the (in)congruency of sexual identity, sexual behavior, and romantic attraction among adolescents in the US

Ybarra ML, Price-Feeney M, Mitchell KJ. A Cross-sectional Study Examining the (In)congruency of Sexual Identity, Sexual Behavior, and Romantic Attraction among Adolescents in the US. J Pediatr. 2019 Nov;214:201-208. doi: 10.1016/j.jpeds.2019.06.046. Epub 2019 Aug 8. Abstract: Objective: To examine how sexual identity, romantic attraction, and sexual behavior co-relate for cisgender adolescents. Study design: The Teen Health and Technology survey was a cross-sectional, self-report online survey. More than 5000 youth between 13 and 18 years of age were randomly recruited through Harris Panel OnLine's panel as well as outreach by GLSEN to over-recruit lesbian, gay, bisexual, and other sexual minority youth. Data were collected between 2010 and 2011. Analyses were conducted in 2018 … [Read more...]

Linkages between violence‐associated attitudes and psychological, physical, and sexual dating abuse perpetration and victimization among male and female adolescents

Ybarra ML, Langhinrichsen‐Rohling J. Linkages between violence‐associated attitudes and psychological, physical, and sexual dating abuse perpetration and victimization among male and female adolescents. Aggress. Behav. 2019;45(6): 622-634. doi.org/10.1002/ab.21856. Abstract: Attitudes about violence and sex in dating relationships were related to psychological, physical, and sexual teen dating abuse perpetration and victimization. Data from Wave 4 of the national, randomly selected, Growing up with Media cohort (n = 876 adolescents aged 14‐19 years), collected in 2011, were analyzed. Dating youth perceived more peer pressure to have sex and were more accepting of sex in brief or nonmarital relationships than pre‐dating youth. Boys had higher levels of rape‐supportive attitudes than … [Read more...]

Feasibility, acceptability, and process indicators for Guy2Guy, an mHealth HIV prevention program for sexual minority adolescent boys

Ybarra ML, Prescott T, Mustanski B, Parsons J, Bull SS. Feasibility, Acceptability, and Process Indicators for Guy2Guy, an mHealth HIV Prevention Program for Sexual Minority Adolescent Boys. J Adolesc Health. 2019 Sep;65(3):417-422. doi: 10.1016/j.jadohealth.2019.04.025. Epub 2019 Jul 2. Abstract: Purpose: Guy2Guy is one of the first mHealth HIV prevention programs for sexual minority boys aged 14-18 years, evaluated nationally. Here, we examine the program's feasibility and acceptability and explore participants' feedback about program content and components intended to invigorate program engagement. Methods: Guy2Guy was tested in a randomized controlled trial of 302 youth assigned to either the intervention or an attention-matched control group. At 3-month follow-up, … [Read more...]