HealthMpowerment.org: Development Of A Theory-Based HIV/STI Website for Young Black MSM

Lisa B. Hightow-Weidman1, Beth Fowler2, Jessica Kibe2, Regina McCoy2, Emily Pike1, Molly Calabria1, Adaora Adimora1

1 Division of Infectious Diseases, Department of Medicine, UNC School of Medicine, University of North Carolina, Chapel Hill.

2 Communication for Health Applications and Interventions Core, University of North Carolina, Chapel Hill.

This article was supported by funding provided by a National Institute of Mental Health K23 award, 5K23MH075718-02, and by National Institutes of Health Grant 1K24HD059358-01

Address correspondence to Lisa Hightow-Weidman, Department of Medicine, Division of Infectious Diseases, UNC Chapel Hill, Campus Box 7030, Chapel Hill, NC 27599-7030; e-mail: .



Black men who have sex with men (BMSM) are disproportionately affected by the HIV epidemic, yet few prevention interventions have been developed specifically for them. Recent studies suggest that the Internet is a promising intervention delivery avenue. We describe results from our formative work in developing a theory-based online HIV/STI prevention intervention for young BMSM including focus groups, semistructured interviews, and usability testing. The Intervention, HealthMpowerment.org, was created based on the Institute of Medicine's integrated model of behavior change with extensive input from young BMSM. Key interactive Web site features include live chats, quizzes, personalized health and “hook-up/sex” journals, and decision support tools for assessing risk behaviors. Creating an interactive HIV/sexually transmitted infection web site for BMSM was a complex process requiring many adjustments based on iterative feedback throughout all development stages. Preliminary satisfaction, content acceptability, and usability findings support the use of the Internet to deliver risk reduction messages to young BMSM.

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