Abstract
Purpose. To design and test the effectiveness of a text messaging intervention to promote condom use and STI/HIV testing among American Indian and Alaska Native youth. Method. A total of 408 study participants, 15 to 24 years old, were recruited, consented, surveyed, were sent intervention messages, and were incentivized via text message over a 9-month period. Complete pre- and postsurvey data were collected from 192 participants using SMS short codes. A mixed-effects logistic regression model was used to analyze before–after change in responses assessing sexual health knowledge, attitude, self-efficacy, intention, and behavior. Results. Participants’ condom use attitude, condom use behavior, and STI/HIV testing intention improved after the intervention (p <.05). Frequent condom use increased from 30% to 42% and was retained by participants at least 3 months postintervention, and the intervention improved participants’ intention to get tested for STI/HIV after changing sexual partners, increasing from 46% to 58% postintervention. Conclusions. Given the widespread use of cell phones by youth, text-based interventions may offer a feasible and effective tool to promote condom use and STI/HIV testing.
| Original language | English (US) |
|---|---|
| Journal | Health Promotion Practice |
| DOIs | |
| State | Accepted/In press - Mar 1 2018 |
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Keywords
- adolescent
- American Indian
- before–after design
- mobile health
- sexual health
- text messaging intervention
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
- Nursing (miscellaneous)
Cite this
Texting 4 Sexual Health : Improving Attitudes, Intention, and Behavior Among American Indian and Alaska Native Youth. / Yao, Patricia; Fu, Rongwei (Rochelle); Craig Rushing, Stephanie; Stephens, David; Ash, Joan; Eden, Karen.
In: Health Promotion Practice, 01.03.2018.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Texting 4 Sexual Health
T2 - Improving Attitudes, Intention, and Behavior Among American Indian and Alaska Native Youth
AU - Yao, Patricia
AU - Fu, Rongwei (Rochelle)
AU - Craig Rushing, Stephanie
AU - Stephens, David
AU - Ash, Joan
AU - Eden, Karen
PY - 2018/3/1
Y1 - 2018/3/1
N2 - Purpose. To design and test the effectiveness of a text messaging intervention to promote condom use and STI/HIV testing among American Indian and Alaska Native youth. Method. A total of 408 study participants, 15 to 24 years old, were recruited, consented, surveyed, were sent intervention messages, and were incentivized via text message over a 9-month period. Complete pre- and postsurvey data were collected from 192 participants using SMS short codes. A mixed-effects logistic regression model was used to analyze before–after change in responses assessing sexual health knowledge, attitude, self-efficacy, intention, and behavior. Results. Participants’ condom use attitude, condom use behavior, and STI/HIV testing intention improved after the intervention (p <.05). Frequent condom use increased from 30% to 42% and was retained by participants at least 3 months postintervention, and the intervention improved participants’ intention to get tested for STI/HIV after changing sexual partners, increasing from 46% to 58% postintervention. Conclusions. Given the widespread use of cell phones by youth, text-based interventions may offer a feasible and effective tool to promote condom use and STI/HIV testing.
AB - Purpose. To design and test the effectiveness of a text messaging intervention to promote condom use and STI/HIV testing among American Indian and Alaska Native youth. Method. A total of 408 study participants, 15 to 24 years old, were recruited, consented, surveyed, were sent intervention messages, and were incentivized via text message over a 9-month period. Complete pre- and postsurvey data were collected from 192 participants using SMS short codes. A mixed-effects logistic regression model was used to analyze before–after change in responses assessing sexual health knowledge, attitude, self-efficacy, intention, and behavior. Results. Participants’ condom use attitude, condom use behavior, and STI/HIV testing intention improved after the intervention (p <.05). Frequent condom use increased from 30% to 42% and was retained by participants at least 3 months postintervention, and the intervention improved participants’ intention to get tested for STI/HIV after changing sexual partners, increasing from 46% to 58% postintervention. Conclusions. Given the widespread use of cell phones by youth, text-based interventions may offer a feasible and effective tool to promote condom use and STI/HIV testing.
KW - adolescent
KW - American Indian
KW - before–after design
KW - mobile health
KW - sexual health
KW - text messaging intervention
UR - http://www.scopus.com/inward/record.url?scp=85044345344&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85044345344&partnerID=8YFLogxK
U2 - 10.1177/1524839918761872
DO - 10.1177/1524839918761872
M3 - Article
C2 - 29557176
AN - SCOPUS:85044345344
JO - Health Promotion Practice
JF - Health Promotion Practice
SN - 1524-8399
ER -