Evidence map›Paper›PMID 31073817›Full record

ArticlePrevention science : the official journal of the Society for Prevention Research2019

Using Smartphone Survey Data and Machine Learning to Identify Situational and Contextual Risk Factors for HIV Risk Behavior Among Men Who Have Sex with Men Who Are Not on PrEP.

Tyler B Wray, Xi Luo, Jun Ke, Ashley E Pérez, Daniel J Carr, Peter M Monti

Open access · greenAbstract read
In one paragraph

Article in Prevention science : the official journal of the Society for Prevention Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. External validity of analogue sexual risk laboratory data.Experimental and clinical psychopharmacology · 2023
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  15. Determinants and prediction ofFrontiers in public health · 2022
    Article
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  17. Detection and Prevention of Virus Infection.Advances in experimental medicine and biology · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Tyler B WrayDepartment of Behavioral and Social Sciences, Center for Alcohol and Addictions Studies, Brown University School of Public Health, 121 South Main Street, Providence, RI, 02912, USA. tyler_wray@brown.edu.ORCID 0000-0003-4545-9141
Xi LuoDepartment of Biostatistics, Brown University School of Public Health, Providence, RI, 02906, USA.
Jun KeDepartment of Biostatistics, Brown University School of Public Health, Providence, RI, 02906, USA.
Ashley E PérezDepartment of Social and Behavioral Sciences, University of California, San Francisco, San Francisco, CA, 94118, USA.
Daniel J CarrDepartment of Behavioral and Social Sciences, Center for Alcohol and Addictions Studies, Brown University School of Public Health, 121 South Main Street, Providence, RI, 02912, USA.
Peter M MontiDepartment of Behavioral and Social Sciences, Center for Alcohol and Addictions Studies, Brown University School of Public Health, 121 South Main Street, Providence, RI, 02912, USA.
Brown University · USUniversity of California, San Francisco · US

Funding

Virology CoreP01AA019072 · NIAAA · BROWN UNIVERSITY · PI BECKER, SARA · 2010 to 2024
$19.7M
NIAAA NIH HHS L30 AA023336NIAAA NIH HHS L30AA023336NIAAA NIH HHS P01 AA019072NIAAA NIH HHS P01AA019072
6 · The paper itself

Abstract

"Just-in-time" interventions (JITs) delivered via smartphones have considerable potential for reducing HIV risk behavior by providing pivotal support at key times prior to sex. However, these programs depend on a thorough understanding of when risk behavior is likely to occur to inform the timing of JITs. It is also critical to understand the most important momentary risk factors that may precede HIV risk behavior, so that interventions can be designed to address them. Applying machine learning (ML) methods to ecological momentary assessment data on HIV risk behaviors can help answer both questions. Eighty HIV-negative men who have sex with men (MSM) who were not on PrEP completed a daily diary survey each morning and an experience sampling survey up to six times per day via a smartphone application for 30 days. Random forest models achieved the highest area under the curve (AUC) values for classifying high-risk condomless anal sex (CAS). These models achieved 80% specificity at a sensitivity value of 74%. Unsurprisingly, the most important contextual risk factors that aided in classification were participants' plans and intentions for sex, sexual arousal, and positive affective states. Findings suggest that survey data collected throughout the day can be used to correctly classify about three of every four high-risk CAS events, while incorrectly classifying one of every five non-CAS days as involving high-risk CAS. A unique set of risk factors also often emerge prior to high-risk CAS events that may be useful targets for JITs.

Indexed as

Machine LearningRisk AssessmentSmartphoneUnsafe SexAdultHIV InfectionsHomosexuality, MaleHumansMaleMiddle AgedSurveys and QuestionnairesEcological momentary assessmentHIVMachine learningMen who have sex with menSexual behavior

Identifiers

PMID31073817
PMCPMC10259870
OpenAlexW2943838254

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.