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A randomized control trial of Internet-delivered HIV prevention targeting rural MSM.

Bowen AM, Horvath K, Williams ML

Department of Psychology, University of Wyoming, Department 3415, 1000 E. University, Laramie, WY 82071, USA. abowen@uwyo.edu

The Internet may be important for delivering human immunodeficiency virus (HIV) risk reduction to men who have sex with men (MSM) in rural areas. This randomized control trial (RCT) tested the acceptability and efficacy of an Internet-delivered HIV risk-reduction intervention. Two modules include a conversation between an HIV-negative man and an HIV-positive man, with interactive graphics. Ninety men were randomly assigned to intervention or wait-list control and 79% completed the study. An 'intent-to-treat' model was used. HIV/acquired immune deficiency syndrome (AIDS) knowledge, self-efficacy and outcome expectancies increased after participating in the intervention, and changes were maintained at 1-week follow-up. Participants said they would participate again. This RCT provides support for the acceptability and efficacy of the Internet for delivering HIV prevention messages to rural MSM.

Published 15 January 2007 in Health Educ Res, 22(1): 120-7.
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