Crowdsourced PrEP Promotion Messages for an HIV High-Burden Area: A Framework-Based Content Analysis.

HIV infection epidemiology; HIV prevention; MEDICINE information services; HEALTH services accessibility; MOTIVATION (Psychology); MATHEMATICAL models; SELF-perception; ANTIRETROVIRAL agents; PSYCHOLOGY; COMMUNITY health services; HEALTH status indicators; HEALTH information services; CONCEPTUAL structures; SELF-efficacy; HEALTH behavior; DESCRIPTIVE statistics; CROWDSOURCING; PREVENTIVE medicine; CONTENT analysis; THEMATIC analysis; LOVE; HEALTH promotion; HEALTH self-care

Pre-exposure prophylaxis (PrEP) is an important and highly effective HIV prevention strategy, but its uptake remains low, particularly among marginalized populations at high risk of HIV. Innovative and community-driven promotion strategies, such as open contests, are needed to address disparities. This directed content analysis uses a PrEP-specific adaptation of the Information-Motivation-Behavioral Skills (IMB) model to identify themes related to PrEP use reflected in community-generated submissions (n = 73) from an open contest conducted to elicit crowdsourced health promotion messages on PrEP in Baltimore, Maryland. In addition to identifying eight of the themes from the adapted IMB model, this analysis also identified two novel salient themes in the motivation category: self-worth/self-love and self-care practice. Findings from this analysis can inform PrEP promotion efforts by pointing to salient themes identified from a community-driven approach that are less well represented in existing research. [ABSTRACT FROM AUTHOR]

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