Evidence map›Paper›PMID 39762976›Full record

ArticleTrials2025

Sexual Health Advocacy for Guys (SHAG): a randomized trial of the impact of a text-messaging program on HIV incidence and STI testing among a national sample of sexual minority cisgender adolescent and young adult men.

M L Ybarra, D J Feaster, R Garofalo, S Bull

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06230367 (Harnessing the Power of Text Messaging to Reduce HIV Incidence in Adolescent Males Across the United States), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT06230367 narecruitingnot on this map

Harnessing the Power of Text Messaging to Reduce HIV Incidence in Adolescent Males Across the United States

TypeinterventionalSponsorCenter for Innovative Public Health ResearchRan2024 to 2027Enrolled5,000ConditionsHIV InfectionsArmsSexual health advocacy for guys, Healthy lifestyle control
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

4 authors.

M L YbarraCenter for Innovative Public Health Research, San Clemente, CA, USA. michele@innovativepublichealth.org.ORCID http://orcid.org/0000-0001-9127-7440
D J FeasterDepartment of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.
R GarofaloAnn & Robert H. Lurie Children's Hospital of Chicago; Northwestern's Feinberg School of Medicine, Chicago, USA.
S BullDepartment of Community and Behavioral Health, Colorado School of Public Health, Denver, CO, USA.

Funding

Harnessing the power of text messaging to reduce HIV incidence in adolescent males across the United StatesU01HD108738 · NICHD · CENTER FOR INNOVATIVE PUBLIC HEALTH RESEARCH · PI Michele L. Ybarra · 2021 to 2026
$7.5M
National Institute of Child Health and Human Development U01HD108738NICHD NIH HHS U01 HD108738
6 · The paper itself

Abstract

backgroundDisparities in sexually transmitted infections (STI) including human immunodeficiency virus (HIV) among sexual minority boys and young men are substantial. Effective HIV and STI prevention programs that include access to pre-exposure prophylaxis (PrEP) medication do not consistently include younger sexual minority men. Text-messaging programs for HIV prevention have been associated with increases in HIV testing among sexual minority adolescent boys, but these programs have not incorporated a focus on PrEP or STIs beyond HIV.

methodsWe will conduct a two-arm randomized trial with 1:1 allocation comparing the superiority of text messaging-based intervention focused on HIV and STI prevention to a generic HIV education program with content focused on promoting a "healthy lifestyle" (e.g., self-esteem). Outcomes include testing for HIV and other STIs, increasing PrEP and PEP use, and HIV incidence. Generalized linear models will be used to estimate treatment effects on primary study outcomes, with longitudinal models (estimated based on Generalized Estimating Equations) specified to examine effects over time. Mediation will be assessed based on a product of coefficients approach with bootstrapped standard errors. DISCUSSION: This is the first randomized controlled trial (RCT) with a national sample of cisgender sexual minority adolescent boys and young men 13-22 years of age exploring the efficacy of a text messaging-based intervention in increasing HIV and STI testing, and PReP and PEP use. Findings will inform the scalability of text messaging programs for sexual health promotion and at-home STI testing, and will demonstrate impacts of a behavioral health intervention on HIV incidence.

trial registrationClinicalTrials.gov NCT06230367 . Date of registration: 1/29/2024.

Indexed as

HIV InfectionsRandomized Controlled Trials as TopicSexual and Gender MinoritiesSexual HealthSexually Transmitted DiseasesText MessagingAdolescentEquivalence Trials as TopicHIV TestingHumansIncidenceMalePre-Exposure ProphylaxisUnited StatesYoung AdultHIV PEPHIV PRePHIV testingHome-testingSexual healthSexual minority healthSTI testingText messaging intervention

Identifiers

PMID39762976
PMCPMC11702260

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.