Interventions to reduce risky sexual behaviour in gay men: systematic review and intervention development

Paul Flowers, Olivia Wu, K. Lorimer, Bipasha Ahmed, H. Hesselgreave, J. MacDonald, L. Elliott, L. McDaid

Research output: Contribution to journalMeeting abstract

Abstract

Background: Guidance relating to individual level behaviour change interventions in HIV prevention is limited. New interventions are needed particularly within gay men. Objective(s): Through systematic review and meta synthesis of supplemental analyses to identify effective components within interventions and to develop a candidate intervention. Data sources: All major electronic databases were searched between January 2000 and December 2014. Review methods: Interventions were examined using the behaviour change technique taxonomy, theory coding assessment and mode of delivery. Supplemental analyses used realist review methods, the assessment of the sequential delivery and content of intervention components, and the social and historical context of primary studies. Expert panels reviewed the candidate intervention for issues of acceptability and optimisation using the theoretical domains framework and normalisation process theory. Results: Overall, trials included in this review (n=10) reported positive findings suggesting behavioural change interventions are effective. Exploratory meta-analysis showed a statistically significant reduction in risk behaviours (risk ratio 0.75; 95% CI 0.62, 0.91). Additional stratified analyses suggested effectiveness may be enhanced through face-to-face, immediately post-test delivery, theory based content and behaviour change techniques drawn from ‘goals and planning’ and ‘identity’ groups. In addition, the realist review highlighted the importance of affective dimensions to intervention delivery/receipt, and the analysis of sequential components highlighted the importance of the participant's journey through the intervention (and the patterning of BCTS). Conclusions: Limited evidence suggests behaviour change interventions are effective. UK experts found the candidate intervention acceptable and provided ways of optimising the candidate intervention.
Original languageEnglish
Pages (from-to)1057
JournalThe European Health Psychologist
VolumeVol. 18
Issue numberSupp. (2016)
Publication statusPublished - Dec 2016

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Sexual Behavior
Information Storage and Retrieval
Risk Reduction Behavior
Meta-Analysis
Odds Ratio
HIV
Databases
Sexual Minorities

Keywords

  • sexual behavior
  • gay men
  • interventions
  • risk
  • systematic review
  • HIV prevention

Cite this

Flowers, P., Wu, O., Lorimer, K., Ahmed, B., Hesselgreave, H., MacDonald, J., ... McDaid, L. (2016). Interventions to reduce risky sexual behaviour in gay men: systematic review and intervention development. The European Health Psychologist, Vol. 18 (Supp. (2016)), 1057.
Flowers, Paul ; Wu, Olivia ; Lorimer, K. ; Ahmed, Bipasha ; Hesselgreave, H. ; MacDonald, J. ; Elliott, L. ; McDaid, L. / Interventions to reduce risky sexual behaviour in gay men: systematic review and intervention development. In: The European Health Psychologist. 2016 ; Vol. Vol. 18 , No. Supp. (2016). pp. 1057.
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Flowers, P, Wu, O, Lorimer, K, Ahmed, B, Hesselgreave, H, MacDonald, J, Elliott, L & McDaid, L 2016, 'Interventions to reduce risky sexual behaviour in gay men: systematic review and intervention development', The European Health Psychologist, vol. Vol. 18 , no. Supp. (2016), pp. 1057.

Interventions to reduce risky sexual behaviour in gay men: systematic review and intervention development. / Flowers, Paul; Wu, Olivia; Lorimer, K.; Ahmed, Bipasha; Hesselgreave, H.; MacDonald, J.; Elliott, L.; McDaid, L.

In: The European Health Psychologist, Vol. Vol. 18 , No. Supp. (2016), 12.2016, p. 1057.

Research output: Contribution to journalMeeting abstract

TY - JOUR

T1 - Interventions to reduce risky sexual behaviour in gay men: systematic review and intervention development

AU - Flowers, Paul

AU - Wu, Olivia

AU - Lorimer, K.

AU - Ahmed, Bipasha

AU - Hesselgreave, H.

AU - MacDonald, J.

AU - Elliott, L.

AU - McDaid, L.

PY - 2016/12

Y1 - 2016/12

N2 - Background: Guidance relating to individual level behaviour change interventions in HIV prevention is limited. New interventions are needed particularly within gay men. Objective(s): Through systematic review and meta synthesis of supplemental analyses to identify effective components within interventions and to develop a candidate intervention. Data sources: All major electronic databases were searched between January 2000 and December 2014. Review methods: Interventions were examined using the behaviour change technique taxonomy, theory coding assessment and mode of delivery. Supplemental analyses used realist review methods, the assessment of the sequential delivery and content of intervention components, and the social and historical context of primary studies. Expert panels reviewed the candidate intervention for issues of acceptability and optimisation using the theoretical domains framework and normalisation process theory. Results: Overall, trials included in this review (n=10) reported positive findings suggesting behavioural change interventions are effective. Exploratory meta-analysis showed a statistically significant reduction in risk behaviours (risk ratio 0.75; 95% CI 0.62, 0.91). Additional stratified analyses suggested effectiveness may be enhanced through face-to-face, immediately post-test delivery, theory based content and behaviour change techniques drawn from ‘goals and planning’ and ‘identity’ groups. In addition, the realist review highlighted the importance of affective dimensions to intervention delivery/receipt, and the analysis of sequential components highlighted the importance of the participant's journey through the intervention (and the patterning of BCTS). Conclusions: Limited evidence suggests behaviour change interventions are effective. UK experts found the candidate intervention acceptable and provided ways of optimising the candidate intervention.

AB - Background: Guidance relating to individual level behaviour change interventions in HIV prevention is limited. New interventions are needed particularly within gay men. Objective(s): Through systematic review and meta synthesis of supplemental analyses to identify effective components within interventions and to develop a candidate intervention. Data sources: All major electronic databases were searched between January 2000 and December 2014. Review methods: Interventions were examined using the behaviour change technique taxonomy, theory coding assessment and mode of delivery. Supplemental analyses used realist review methods, the assessment of the sequential delivery and content of intervention components, and the social and historical context of primary studies. Expert panels reviewed the candidate intervention for issues of acceptability and optimisation using the theoretical domains framework and normalisation process theory. Results: Overall, trials included in this review (n=10) reported positive findings suggesting behavioural change interventions are effective. Exploratory meta-analysis showed a statistically significant reduction in risk behaviours (risk ratio 0.75; 95% CI 0.62, 0.91). Additional stratified analyses suggested effectiveness may be enhanced through face-to-face, immediately post-test delivery, theory based content and behaviour change techniques drawn from ‘goals and planning’ and ‘identity’ groups. In addition, the realist review highlighted the importance of affective dimensions to intervention delivery/receipt, and the analysis of sequential components highlighted the importance of the participant's journey through the intervention (and the patterning of BCTS). Conclusions: Limited evidence suggests behaviour change interventions are effective. UK experts found the candidate intervention acceptable and provided ways of optimising the candidate intervention.

KW - sexual behavior

KW - gay men

KW - interventions

KW - risk

KW - systematic review

KW - HIV prevention

M3 - Meeting abstract

VL - Vol. 18

SP - 1057

JO - The European Health Psychologist

JF - The European Health Psychologist

SN - 2225-6962

IS - Supp. (2016)

ER -

Flowers P, Wu O, Lorimer K, Ahmed B, Hesselgreave H, MacDonald J et al. Interventions to reduce risky sexual behaviour in gay men: systematic review and intervention development. The European Health Psychologist. 2016 Dec;Vol. 18 (Supp. (2016)):1057.