A randomized controlled trial to increase HIV preventive information, motivation, and behavioral skills in Ugandan adolescents

Research Project: Cybersenga

Ybarra ML, Korchmaros JD, Prescott TL, Birungi R. A randomized controlled trial to increase HIV preventive information, motivation, and behavioral skills in Ugandan adolescents. Ann Behav Med. 2015;49(3):473-85. doi: 10.1007/s12160-014-9673-0.

Abstract:
BACKGROUND: One in 25 Ugandan adolescents is HIV positive.

PURPOSE: The aim of this study is to examine the impact of an Internet-based HIV prevention program on Information-Motivation-Behavioral skills (IMB) Model-related constructs.

METHODS: Three hundred and sixty-six sexually experienced and inexperienced students 13–18+ years old in Mbarara, Uganda, were randomly assigned to the five-lesson CyberSenga program or the treatment-as-usual control group. Half of the intervention participants were further randomized to a booster session. Assessments were collected at 3 and 6 months post-baseline.

RESULTS: Participants’ HIV-related information improved over time at a greater rate for the intervention groups compared to the control group. Motivation for condom use changed to a greater degree over time for the intervention group—especially those in the intervention + booster group—compared to the control group. Behavioral skills for condom use, and motivation and behavioral skills for abstinence were statistically similar over time for both groups.

CONCLUSIONS: CyberSenga improves HIV preventive information and motivation to use condoms.

PubMed ID: 25633626

View publicly available version of the article here