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HIV Big Deal

An Evidence-Based Practice

Description

HIV Big Deal is a primary intervention that consists of a series of 10-minute video dramas set in New York and follows the life of a young gay man. The mini series is publicly accessible through the internet in a variety of ways such as the program website, Youtube, television broadcasting, or other websites such as Queerty and RealJock. Although outlining everyday circumstances, the story remains captivating as the hero learns to navigate through daily challenges, promoting safe choices regarding HIV and disproving misconceptions. Scenarios outlined in the drama include managing online hook ups, unprotected sex, disclosing HIV status and getting tested. As the viewer follows the young man’s saga, important issues and lessons are examined to reduce high-risk HIV behavior. Due to its broad accessibility, low cost, and existing use by many MSM (men who have sex with men) to meet sexual partners, the internet is an ideal medium for HIV prevention efforts.

Goal / Mission

HIV Big Deal seeks to promote safer sex practices among men who have sex with men via internet-based video drama.

Results / Accomplishments

The effectiveness of the HIV Big Deal program was evaluated by a one-group pretest-posttest study design where 213,151 men viewed the banner ad for the study on a popular sexual meeting site for men who have sex with men; of these, 522 received the intervention and completed baseline and follow-up online surveys. Of the 522 study participants, 422 men (those who reported their sexual behavior) were included in the analysis. The surveys measured HIV risk behavior before and after intervention by asking detailed questions about general sexual behavior and most recent sexual behavior. Variables included type of contact (e.g. unprotected anal intercourse), disclosure of HIV status, and drug use, among other variables. HIV incidence is not measured as a primary outcome. The study found that men were significantly more likely to disclose their status after the intervention (p-value<0.001) and significantly reduced other HIV risk behaviors after the video intervention.

About this Promising Practice

Organization(s)
Public Health Solutions of New York City and New York University’s Steinhardt School of Culture, Education, and Human Development
Primary Contact
Public Health Solutions
40 Worth Street, 5th Floor
New York, NY 10013
(646) 616-6400
info@healthsolutions.org
http://www.healthsolutions.org/
Topics
Health / Immunizations & Infectious Diseases
Health
Organization(s)
Public Health Solutions of New York City and New York University’s Steinhardt School of Culture, Education, and Human Development
Location
New York City
For more details
http://www.hivbigdeal.org
http://www.ncbi.nlm.nih.gov/pubmed?term=20024766
Target Audience
Adults
Submitted By
Sharlene Stutz, Sophia Hur, Sam Sheffield - UC Berkeley School of Public Health

Related Promising Practices

  1. Rochester AIDS Prevention Project (RAPP)
  2. SAHARA: A computer-based HIV intervention
  3. CDC COMMUNITY GUIDE: Prevention of HIV/AIDS, other STIs and Pregnancy: Group-Based Comprehensive Risk Reduction Interventions for Adolescents
  4. Many Men, Many Voices (3MV)
  5. Motivational Interviewing-based HIV Risk Reduction

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Related Content for: HIV Big Deal

An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
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