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Health Education Research Advance Access originally published online on July 18, 2006
Health Education Research 2007 22(1):120-127; doi:10.1093/her/cyl057
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© The Author 2006. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org

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

Anne M. Bowen1,*, Keith Horvath2 and Mark L. Williams3

1 Department of Psychology, University of Wyoming, Department 3415, 1000 E. University, Laramie, WY 82071, USA
2 Program in Human Sexuality, Department of Family Medicine & Community Health, U. Minn. Medical School, 1300 S. Second ST. Minneapolis, MN 55454, USA
3 Center for Health Promotion and Prevention Research, University of Texas-Houston, School of Public Health, 7000 Fannin, Suite 2516, Houston, Texas 77030, USA

* Correspondence to: A. M. Bowen. E-mail: abowen{at}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.


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