Web-Based Behavioral Intervention Utilizing Narrative Persuasion for HIV Prevention Among Chinese Men Who Have Sex With Men (HeHe Talks Project): Intervention Development

Xin, Meiqi, Coulson, Neil S, Jiang, Crystal Li, Sillence, Elizabeth, Chidgey, Andrew, Kwan, Norman Nok Man, Mak, Winnie W S, Goggins, William, Lau, Joseph Tak Fai and Mo, Phoenix Kit Han (2021) Web-Based Behavioral Intervention Utilizing Narrative Persuasion for HIV Prevention Among Chinese Men Who Have Sex With Men (HeHe Talks Project): Intervention Development. Journal of Medical Internet Research, 23 (9). e22312. ISSN 1438-8871

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In the era of potent antiretroviral therapy, a high level of condomless anal intercourse continues to drive increases in HIV incidence in recent years among men who have sex with men. Effective behavior change strategies for promoting HIV-preventive behaviors are warranted. Narrative persuasion is a novel health communication approach that has demonstrated its persuasive advantages in overcoming resistance to counterattitudinal messages. The efficacy of narrative persuasion in promoting health behavior changes has been well documented, but critical research gaps exist for its application to HIV prevention.

In this study, we aimed to (1) capitalize on narrative persuasion to design a web-based multisession intervention for reducing condomless anal intercourse among men who have sex with men in Hong Kong (the HeHe Talks Project) by following a systematic development process; and (2) describe the main components of the narrative intervention that potentially determine its persuasiveness.

Persuasive themes and subtopics related to reducing condomless anal intercourse were initially proposed based on epidemiological evidence. The biographic narrative interview method was used to elicit firsthand experiential stories from a maximum variation sample of local men who have sex with men with diverse backgrounds and experiences related to HIV prevention; different types of role models were established accordingly. Framework analysis was used to aggregate the original quotations from narrators into collective narratives under 6 intervention themes. A dedicated website was finally developed for intervention delivery.

A series of video-based intervention messages in biographic narrative format (firsthand experiential stories shared by men who have sex with men) combined with topic-equivalent argumentative messages were produced and programmed into 6 intervention sessions. The 6-week intervention program can be automatically delivered and monitored online.

We systematically created a web-based HIV prevention intervention derived from peer-generated stories. Strategies used to enhance the efficacy of the narrative intervention have been discussed within basic communication components. This paper describes the methods and experiences of the rigorous development of a narrative communication intervention for HIV prevention, which enables replication of the intervention in the future.

Item Type: Article
Additional Information: Funding information: This study was funded by the University Grants Committee of Hong Kong 2015-2016 General Research Fund (reference 14612615). We would like to express our heartfelt gratitude to all the narrators and participants in this project.
Uncontrolled Keywords: narrative persuasion, firsthand experiential stories, online intervention, HIV prevention, sexual behavior, men who have sex with men
Subjects: B900 Others in Subjects allied to Medicine
C800 Psychology
G900 Others in Mathematical and Computing Sciences
Department: Faculties > Health and Life Sciences > Psychology
Depositing User: Rachel Branson
Date Deposited: 20 Sep 2021 10:46
Last Modified: 14 Oct 2021 16:34
URI: http://nrl.northumbria.ac.uk/id/eprint/47262

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