Message content and structure for the txt2protect intervention and control conditions
| . | Intervention . | Control . |
|---|---|---|
| Phase 1: Week 1 | Information: the basics | HIV/STI facts |
| • Basic information about HIV and STIs • Details about HPV vaccination (safety, efficacy, and dosing) • Vaccine recommendation from study team physician • Details about how and where to get the first dose Constructs: Knowledge, Attitudes, Susceptibility, Severity | • Basic information about HIV and STIs • Prevalence, transmission, symptoms, health consequences, and current treatments | |
| Sample message | “This program has been designed to help you prevent HPV infection and its health consequences. Tomorrow we’ll talk about steps you can take to protect yourself.” | “Although there are many STIs we could review, we’re going to focus on the five most common STIs: HPV, chlamydia, gonorrhea, genital herpes, and syphilis.” |
| Phase 1: Week 2 | Motivation: overcoming barriers | Prevention and testing |
| • Overcoming common perceived barriers (HPV-related misinformation and lack of provider recommendation) • Norms for HPV vaccination • Reasons young MSM have decided to get vaccinated Constructs: Attitudes, Norms, Susceptibility, Regret | • Using condoms correctly and overcoming barriers • Vaccines to prevent STIs (Hepatitis A and B and HPV) • Pre-exposure prophylaxis (PrEP) • STI and HIV testing | |
| Sample message | “The next two days we’ll review reasons some young men haven’t received the HPV vaccine and ways to overcome those barriers.” | “To wrap up Week 2, let’s talk about STI and HIV testing. Getting tested for STIs and HIV is an essential step for maintaining sexual health.” |
| Phase 1: Week 3 | Behavioral skills: next steps | Healthy relationships |
| • Vaccine cost and health insurance issues • List of clinics offering HPV vaccine, search tool for local pharmacies (Health Map Vaccine Finder) [50] • Talking with a provider/parent about the HPV vaccine or one’s sexual identity • Action plan for getting vaccinated [51] Constructs: Perceived behavioral control, Self-efficacy | • Tips for good communication • Signs of an unhealthy relationship • Meeting both partners’ health, emotional, and sexual needs | |
| Sample message | “Last week we mentioned you might need to advocate for your own health if a doctor doesn’t raise the issue. So, how can you bring up the HPV vaccine to a doctor?” | “A healthy relationship is one that meets both partners’ health, emotional, and sexual needs. What this means may change over time as you grow as a person.” |
| Phase 2 | Reinforced Phase 1 content to encourage continued program engagement via “booster” messages | |
| Sample message | “If you’ve been wanting to get vaccinated but are having trouble finding the time, consider a walk-in clinic or pharmacy.” | “Taking PrEP daily can reduce risk of getting HIV from sex by more than 90%. Using both PrEP and condoms can provide even greater protection.” |
| . | Intervention . | Control . |
|---|---|---|
| Phase 1: Week 1 | Information: the basics | HIV/STI facts |
| • Basic information about HIV and STIs • Details about HPV vaccination (safety, efficacy, and dosing) • Vaccine recommendation from study team physician • Details about how and where to get the first dose Constructs: Knowledge, Attitudes, Susceptibility, Severity | • Basic information about HIV and STIs • Prevalence, transmission, symptoms, health consequences, and current treatments | |
| Sample message | “This program has been designed to help you prevent HPV infection and its health consequences. Tomorrow we’ll talk about steps you can take to protect yourself.” | “Although there are many STIs we could review, we’re going to focus on the five most common STIs: HPV, chlamydia, gonorrhea, genital herpes, and syphilis.” |
| Phase 1: Week 2 | Motivation: overcoming barriers | Prevention and testing |
| • Overcoming common perceived barriers (HPV-related misinformation and lack of provider recommendation) • Norms for HPV vaccination • Reasons young MSM have decided to get vaccinated Constructs: Attitudes, Norms, Susceptibility, Regret | • Using condoms correctly and overcoming barriers • Vaccines to prevent STIs (Hepatitis A and B and HPV) • Pre-exposure prophylaxis (PrEP) • STI and HIV testing | |
| Sample message | “The next two days we’ll review reasons some young men haven’t received the HPV vaccine and ways to overcome those barriers.” | “To wrap up Week 2, let’s talk about STI and HIV testing. Getting tested for STIs and HIV is an essential step for maintaining sexual health.” |
| Phase 1: Week 3 | Behavioral skills: next steps | Healthy relationships |
| • Vaccine cost and health insurance issues • List of clinics offering HPV vaccine, search tool for local pharmacies (Health Map Vaccine Finder) [50] • Talking with a provider/parent about the HPV vaccine or one’s sexual identity • Action plan for getting vaccinated [51] Constructs: Perceived behavioral control, Self-efficacy | • Tips for good communication • Signs of an unhealthy relationship • Meeting both partners’ health, emotional, and sexual needs | |
| Sample message | “Last week we mentioned you might need to advocate for your own health if a doctor doesn’t raise the issue. So, how can you bring up the HPV vaccine to a doctor?” | “A healthy relationship is one that meets both partners’ health, emotional, and sexual needs. What this means may change over time as you grow as a person.” |
| Phase 2 | Reinforced Phase 1 content to encourage continued program engagement via “booster” messages | |
| Sample message | “If you’ve been wanting to get vaccinated but are having trouble finding the time, consider a walk-in clinic or pharmacy.” | “Taking PrEP daily can reduce risk of getting HIV from sex by more than 90%. Using both PrEP and condoms can provide even greater protection.” |
HPV human papillomavirus; MSM men who have sex with men; STI sexually transmitted infection.
Message content and structure for the txt2protect intervention and control conditions
| . | Intervention . | Control . |
|---|---|---|
| Phase 1: Week 1 | Information: the basics | HIV/STI facts |
| • Basic information about HIV and STIs • Details about HPV vaccination (safety, efficacy, and dosing) • Vaccine recommendation from study team physician • Details about how and where to get the first dose Constructs: Knowledge, Attitudes, Susceptibility, Severity | • Basic information about HIV and STIs • Prevalence, transmission, symptoms, health consequences, and current treatments | |
| Sample message | “This program has been designed to help you prevent HPV infection and its health consequences. Tomorrow we’ll talk about steps you can take to protect yourself.” | “Although there are many STIs we could review, we’re going to focus on the five most common STIs: HPV, chlamydia, gonorrhea, genital herpes, and syphilis.” |
| Phase 1: Week 2 | Motivation: overcoming barriers | Prevention and testing |
| • Overcoming common perceived barriers (HPV-related misinformation and lack of provider recommendation) • Norms for HPV vaccination • Reasons young MSM have decided to get vaccinated Constructs: Attitudes, Norms, Susceptibility, Regret | • Using condoms correctly and overcoming barriers • Vaccines to prevent STIs (Hepatitis A and B and HPV) • Pre-exposure prophylaxis (PrEP) • STI and HIV testing | |
| Sample message | “The next two days we’ll review reasons some young men haven’t received the HPV vaccine and ways to overcome those barriers.” | “To wrap up Week 2, let’s talk about STI and HIV testing. Getting tested for STIs and HIV is an essential step for maintaining sexual health.” |
| Phase 1: Week 3 | Behavioral skills: next steps | Healthy relationships |
| • Vaccine cost and health insurance issues • List of clinics offering HPV vaccine, search tool for local pharmacies (Health Map Vaccine Finder) [50] • Talking with a provider/parent about the HPV vaccine or one’s sexual identity • Action plan for getting vaccinated [51] Constructs: Perceived behavioral control, Self-efficacy | • Tips for good communication • Signs of an unhealthy relationship • Meeting both partners’ health, emotional, and sexual needs | |
| Sample message | “Last week we mentioned you might need to advocate for your own health if a doctor doesn’t raise the issue. So, how can you bring up the HPV vaccine to a doctor?” | “A healthy relationship is one that meets both partners’ health, emotional, and sexual needs. What this means may change over time as you grow as a person.” |
| Phase 2 | Reinforced Phase 1 content to encourage continued program engagement via “booster” messages | |
| Sample message | “If you’ve been wanting to get vaccinated but are having trouble finding the time, consider a walk-in clinic or pharmacy.” | “Taking PrEP daily can reduce risk of getting HIV from sex by more than 90%. Using both PrEP and condoms can provide even greater protection.” |
| . | Intervention . | Control . |
|---|---|---|
| Phase 1: Week 1 | Information: the basics | HIV/STI facts |
| • Basic information about HIV and STIs • Details about HPV vaccination (safety, efficacy, and dosing) • Vaccine recommendation from study team physician • Details about how and where to get the first dose Constructs: Knowledge, Attitudes, Susceptibility, Severity | • Basic information about HIV and STIs • Prevalence, transmission, symptoms, health consequences, and current treatments | |
| Sample message | “This program has been designed to help you prevent HPV infection and its health consequences. Tomorrow we’ll talk about steps you can take to protect yourself.” | “Although there are many STIs we could review, we’re going to focus on the five most common STIs: HPV, chlamydia, gonorrhea, genital herpes, and syphilis.” |
| Phase 1: Week 2 | Motivation: overcoming barriers | Prevention and testing |
| • Overcoming common perceived barriers (HPV-related misinformation and lack of provider recommendation) • Norms for HPV vaccination • Reasons young MSM have decided to get vaccinated Constructs: Attitudes, Norms, Susceptibility, Regret | • Using condoms correctly and overcoming barriers • Vaccines to prevent STIs (Hepatitis A and B and HPV) • Pre-exposure prophylaxis (PrEP) • STI and HIV testing | |
| Sample message | “The next two days we’ll review reasons some young men haven’t received the HPV vaccine and ways to overcome those barriers.” | “To wrap up Week 2, let’s talk about STI and HIV testing. Getting tested for STIs and HIV is an essential step for maintaining sexual health.” |
| Phase 1: Week 3 | Behavioral skills: next steps | Healthy relationships |
| • Vaccine cost and health insurance issues • List of clinics offering HPV vaccine, search tool for local pharmacies (Health Map Vaccine Finder) [50] • Talking with a provider/parent about the HPV vaccine or one’s sexual identity • Action plan for getting vaccinated [51] Constructs: Perceived behavioral control, Self-efficacy | • Tips for good communication • Signs of an unhealthy relationship • Meeting both partners’ health, emotional, and sexual needs | |
| Sample message | “Last week we mentioned you might need to advocate for your own health if a doctor doesn’t raise the issue. So, how can you bring up the HPV vaccine to a doctor?” | “A healthy relationship is one that meets both partners’ health, emotional, and sexual needs. What this means may change over time as you grow as a person.” |
| Phase 2 | Reinforced Phase 1 content to encourage continued program engagement via “booster” messages | |
| Sample message | “If you’ve been wanting to get vaccinated but are having trouble finding the time, consider a walk-in clinic or pharmacy.” | “Taking PrEP daily can reduce risk of getting HIV from sex by more than 90%. Using both PrEP and condoms can provide even greater protection.” |
HPV human papillomavirus; MSM men who have sex with men; STI sexually transmitted infection.
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