Guy2Guy - INACTIVE
Center for Innovative Public Health Research
Guy2Guy is a comprehensive HIV prevention program delivered via text messaging to cisgender boys between the ages of 14 to 18 who identify as gay, bisexual, or queer ('cisgender' refers to individuals whose current gender identity is the same as the sex they were assigned at birth; CDC, 2023). Guy2Guy content focuses on HIV prevention, sexual risk reduction, healthy and unhealthy relationships, and bullying. The program includes five weeks of programming and a one-week booster period delivered six weeks post-intervention.
Guy2Guy was designed for cisgender boys between the ages of 14 and 18 who identify as gay, bisexual, or queer.
Guy2Guy can be delivered in any setting via text messaging.
Guy2Guy is not currently available to implement; however, if you want more information on the program, please contact Michele Ybarra, Ph.D. at michele@innovativepublichealth.org.
The goal of Guy2Guy is to provide content on HIV prevention, sexual risk reduction, healthy and unhealthy relationships, and bullying for sexually experienced and inexperienced cisgender gay, bisexual, or queer boys.
Guy2Guy is guided by the Information-Motivation-Behavioral model of HIV preventive behavior. Topics covered in scripted text messages include the importance of HIV testing, sexual risk reduction, condom use, healthy and unhealthy relationships, relationship violence, coming out, and bullying. The program’s content is tailored based on sexual experience and sexual identity. In addition to receiving program content, participants have the option to be paired with another participant (a Text Buddy) they can text for support throughout the program.
The program is delivered through text messages.
Guy2Guy includes five weeks of programming and a one-week booster period delivered six weeks post-intervention. Participants receive five to 10 daily text messages during the first five weeks of programming and the one-week booster period. All Text Buddy messages are run through a server to protect participants’ privacy.
Staffing needed to implement the program includes staff to monitor the Text Buddy conversations, answer participant questions, and recruit and enroll participants.
Participants are required to have access to a text-capable phone. Unlimited text messaging plans are encouraged but not required.
None.
Guy2Guy does not have any fidelity guidelines since is not currently available to implement.
Guy2Guy does not have staff training available.
Guy2Guy does not have technical assistance or ongoing support.
Guy2Guy does not have any allowable adaptations since is not currently available to implement.
Citation | High-Quality Randomized Trial | Moderate-Quality Randomized Trial | Moderate-Quality Quasi-experiment | Low Study Rating | Did Not Meet Eligibility Criteria |
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Ybarra et al. 2017 |
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Citation | Setting | Majority Age Group | Majority Racial/Ethnic Group | Gender | Sample Size |
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Ybarra et al. 2017 |
Texting | 14 to 17 | White | Young men | n.a. |
Evidence by Outcome Domain and Study
Citation | Sexual Activity | Number of Sexual Partners | Contraceptive Use | STIs or HIV | Pregnancy |
---|---|---|---|---|---|
Ybarra et al. 2017 |
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n.a. |
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n.a. |
Citation | Details |
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Ybarra et al. 2017 |
The program was evaluated using a randomized controlled trial involving sexual minority males ages 14–18 who were recruited via Facebook. Participants were randomly assigned to either an intervention group that received the five-week Guy2Guy program or a control group that received a different text messaging program on a general health topic. Surveys were administered at baseline before the program, at the end of the program, and three months after the program ended. A weeklong booster session was provided six weeks post-program. The study found that sexually inexperienced youth who participated in the program were significantly more likely to have obtained an HIV test in the preceding three months, both at program end (effect size = 0.74) and at three months after program end (effect size = 0.75). The study also found that among sexually experienced youth, those who participated in the program reported significantly less abstinence in the past three months at three months after program end (effect size = -0.44). The study found no statistically significant program impacts among sexually experienced youth on the number of sex acts without a condom in the past three months at program end and at three months after program end, nor on abstinence prevalence in the past three months at program end. Among sexually inexperienced youth, the study found no statistically significant program impacts on the number of sex acts without using a condom or the prevalence of abstinence in the past three months. These null findings held for program end and three months after program end. In the full sample, |