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Impact of Participation as a Peer Change Agent on Peer Change Agents Themselves: A Quantitative Study of a Peer-Led, Social Media-Based PrEp Promotion Intervention

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Title: Impact of Participation as a Peer Change Agent on Peer Change Agents Themselves: A Quantitative Study of a Peer-Led, Social Media-Based PrEp Promotion Intervention
Language: English
Authors: Spring C. Cooper (ORCID 0000-0002-9925-9033), Anthony J. Santella, Matthew Caines, Chanapong Rojanaworarit, Alex Hernandez
Source: Health Education Research. 2024 39(1):84-98.
Availability: Oxford University Press. Great Clarendon Street, Oxford OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: jnls.cust.serv@oxfordjournals.org; Web site: http://her.oxfordjournals.org/
Peer Reviewed: Y
Page Count: 15
Publication Date: 2024
Document Type: Journal Articles
Reports - Research
Descriptors: Peer Influence, Change Agents, Information Dissemination, Males, Sexuality, Acquired Immunodeficiency Syndrome (AIDS), Intervention, Barriers, Program Effectiveness, Individual Characteristics, Social Media, Attitude Change, Leadership Responsibility, Self Efficacy
DOI: 10.1093/her/cyad042
ISSN: 0268-1153
1465-3648
Abstract: Despite the adoption of pre-exposure prophylaxis (PrEP) as a crucial HIV intervention, uptake remains suboptimal among men who have sex with men, a sexual minority group, due to barriers like cost and stigma. Peer change agents (PCAs) disseminate PrEP information within their social networks. This study explores the reciprocal effects of an online community-based participatory intervention on PCAs, focusing on their transformed PrEP uptake perceptions--leadership efficacy, social network dynamics, attitudes, perceived benefits and barriers and self-efficacy. Leveraging insights from the PrEP Chicago Study, our research addresses a key gap in community-based participatory interventions for PrEP uptake: the transformative experiences and perception shifts of PCAs involved in these interventions. We engaged 20 men who have sex with men, aged 18-45, as PCAs in a one-group pretest-posttest design intervention, which disseminated PrEP communications within their preferred online networks. We utilized the PrEP Chicago Study's 45 Likert items, tailored to reveal the PCAs' transformative potential. Data on PrEP uptake perceptions, sociodemographics and social media use were captured and analyzed using the Wilcoxon matched-pairs signed-rank test, a nonparametric method. PCAs demonstrated significant changes in their PrEP uptake perceptions, including leadership capacity, social network dynamics, attitudes toward PrEP, perceived benefits, barriers and self-efficacy. Our intervention highlights the reciprocal transformation PCAs undergo when disseminating PrEP information. This study adds a new dimension to community-based PrEP interventions and underscores the need for continued refinement of peer-led strategies to optimize the transformative potential of PCAs.
Abstractor: As Provided
Entry Date: 2024
Accession Number: EJ1414241
Database: ERIC
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  Data: Impact of Participation as a Peer Change Agent on Peer Change Agents Themselves: A Quantitative Study of a Peer-Led, Social Media-Based PrEp Promotion Intervention
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  Data: <searchLink fieldCode="AR" term="%22Spring+C%2E+Cooper%22">Spring C. Cooper</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-9925-9033">0000-0002-9925-9033</externalLink>)<br /><searchLink fieldCode="AR" term="%22Anthony+J%2E+Santella%22">Anthony J. Santella</searchLink><br /><searchLink fieldCode="AR" term="%22Matthew+Caines%22">Matthew Caines</searchLink><br /><searchLink fieldCode="AR" term="%22Chanapong+Rojanaworarit%22">Chanapong Rojanaworarit</searchLink><br /><searchLink fieldCode="AR" term="%22Alex+Hernandez%22">Alex Hernandez</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Health+Education+Research%22"><i>Health Education Research</i></searchLink>. 2024 39(1):84-98.
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  Data: Oxford University Press. Great Clarendon Street, Oxford OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: jnls.cust.serv@oxfordjournals.org; Web site: http://her.oxfordjournals.org/
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  Data: <searchLink fieldCode="DE" term="%22Peer+Influence%22">Peer Influence</searchLink><br /><searchLink fieldCode="DE" term="%22Change+Agents%22">Change Agents</searchLink><br /><searchLink fieldCode="DE" term="%22Information+Dissemination%22">Information Dissemination</searchLink><br /><searchLink fieldCode="DE" term="%22Males%22">Males</searchLink><br /><searchLink fieldCode="DE" term="%22Sexuality%22">Sexuality</searchLink><br /><searchLink fieldCode="DE" term="%22Acquired+Immunodeficiency+Syndrome+%28AIDS%29%22">Acquired Immunodeficiency Syndrome (AIDS)</searchLink><br /><searchLink fieldCode="DE" term="%22Intervention%22">Intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Barriers%22">Barriers</searchLink><br /><searchLink fieldCode="DE" term="%22Program+Effectiveness%22">Program Effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Individual+Characteristics%22">Individual Characteristics</searchLink><br /><searchLink fieldCode="DE" term="%22Social+Media%22">Social Media</searchLink><br /><searchLink fieldCode="DE" term="%22Attitude+Change%22">Attitude Change</searchLink><br /><searchLink fieldCode="DE" term="%22Leadership+Responsibility%22">Leadership Responsibility</searchLink><br /><searchLink fieldCode="DE" term="%22Self+Efficacy%22">Self Efficacy</searchLink>
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  Data: 10.1093/her/cyad042
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  Data: 0268-1153<br />1465-3648
– Name: Abstract
  Label: Abstract
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  Data: Despite the adoption of pre-exposure prophylaxis (PrEP) as a crucial HIV intervention, uptake remains suboptimal among men who have sex with men, a sexual minority group, due to barriers like cost and stigma. Peer change agents (PCAs) disseminate PrEP information within their social networks. This study explores the reciprocal effects of an online community-based participatory intervention on PCAs, focusing on their transformed PrEP uptake perceptions--leadership efficacy, social network dynamics, attitudes, perceived benefits and barriers and self-efficacy. Leveraging insights from the PrEP Chicago Study, our research addresses a key gap in community-based participatory interventions for PrEP uptake: the transformative experiences and perception shifts of PCAs involved in these interventions. We engaged 20 men who have sex with men, aged 18-45, as PCAs in a one-group pretest-posttest design intervention, which disseminated PrEP communications within their preferred online networks. We utilized the PrEP Chicago Study's 45 Likert items, tailored to reveal the PCAs' transformative potential. Data on PrEP uptake perceptions, sociodemographics and social media use were captured and analyzed using the Wilcoxon matched-pairs signed-rank test, a nonparametric method. PCAs demonstrated significant changes in their PrEP uptake perceptions, including leadership capacity, social network dynamics, attitudes toward PrEP, perceived benefits, barriers and self-efficacy. Our intervention highlights the reciprocal transformation PCAs undergo when disseminating PrEP information. This study adds a new dimension to community-based PrEP interventions and underscores the need for continued refinement of peer-led strategies to optimize the transformative potential of PCAs.
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        Value: 10.1093/her/cyad042
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      – Text: English
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        PageCount: 15
        StartPage: 84
    Subjects:
      – SubjectFull: Peer Influence
        Type: general
      – SubjectFull: Change Agents
        Type: general
      – SubjectFull: Information Dissemination
        Type: general
      – SubjectFull: Males
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      – SubjectFull: Sexuality
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      – SubjectFull: Acquired Immunodeficiency Syndrome (AIDS)
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      – SubjectFull: Intervention
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      – SubjectFull: Barriers
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      – SubjectFull: Program Effectiveness
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      – SubjectFull: Individual Characteristics
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      – SubjectFull: Social Media
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      – SubjectFull: Attitude Change
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      – SubjectFull: Leadership Responsibility
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      – SubjectFull: Self Efficacy
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    Titles:
      – TitleFull: Impact of Participation as a Peer Change Agent on Peer Change Agents Themselves: A Quantitative Study of a Peer-Led, Social Media-Based PrEp Promotion Intervention
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