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View PDF Datastream [TEXT Log-In] Thanks for looking into our study! If you want to begin, click on the “Log-in” button below. Insert <New Picture Intro.PNG> here with text “Welcome to our survey…” [TEXT 1] INSERT <RHODE ISLAND HOSPITAL LOGO> Thank you for taking the time to learn more about our study! The purpose of this study is to understand the opinions of young adult men who have sex with men on ways they can be tested for HIV. This study is being conducted by researchers at Rhode Island Hospital. This study is sponsored by the National Institutes of Health. We would like to ask you a few questions to see if you are eligible for the study. Some of these questions will ask if you have ever been tested for HIV and the results of your HIV test. It will take less than two minutes to answer these questions. If you are eligible for the study, we will tell you more about it and ask you to join the study. Don’t worry---you can answer these questions and then later decide not to be in the study. If you are eligible for the study and complete the study, you can enter a lottery for one of several $100 Amazon.com gift cards. INTR1. Can you help us to see if you are eligible for the study? 1 Yes, let’s go! 0 No, I’d rather not be a part of this study right now. INSERT <NEW PICTURE 1.PNG> with text “So are you up for it?” <PAGE BREAK> [IF INTR1=0] [TEXT 2] No problem! If this was a mistake and you want to take the survey, you can click the Previous button. You are welcome to come back later to this website using the link we gave you and see if you can be a part of the study. We would love to hear from you! INSERT <PICTURE 2.PNG> with text “Remember you can come back later to see me” INSERT LINK: https://pph- illume.ad.brown.edu/dev/Collector/Survey.ashx?Name=MHUNT_P1_SURV_ENGL <PAGE BREAK> [IF INTR1=1] SCR12. Before we begin, we would like to know how you got to our survey. Would you mind telling us how you reached us? 1 OkCupid 2 Manhunt Banner Ad 3 Grindr 4 Bender 5 Facebook Page 6 Reddit 7 BlackGayChat.com 8 Growlr 9 Pinterest 10 Referred by a Friend 14 Other (Text box) 97 Don’t Know 98 Refuse to Answer SCR1. What is your age?(drop-box) 17 17 or younger 18 18 19 19 20 20 21 21 22 22 23 23 24 24 25 25 or older 97 Don’t Know 98 Refuse to Answer SCR2. Are you…? 1 Male 2 Female 3 Transgender male (female to male) 4 Transgender female (male to female) 97 Don’t Know 98 Refuse to Answer SCR3. Do you consider yourself Hispanic/Latino? 1 Yes 0 No 97 Don’t Know 98 Refuse to Answer SCR 4.Which of these groups best represents your race? (You can choose more than one) 1 White 2 Black/African American 3 Asian 4 Native Hawaiian/Other Pacific Islander 5 American Indian/Alaskan Native 6 Other 97 Don't Know 98 Refuse to Answer SCR5. Do you currently live in the United States? 1 Yes 0 No 97 Don’t Know 98 Refuse to Answer <PAGE BREAK> [IF SCR5 =1] SCR6. In which state do you live? AL - Alabama MA - Massachusetts AK - Alaska MI - Michigan AZ - Arizona MN - Minnesota AR - Arkansas MS - Mississippi CA - California MO - Missouri CO - Colorado MT - Montana CT - Connecticut NE - Nebraska DE - Delaware NV - Nevada DC - District of Columbia NH - New Hampshire FL - Florida NJ - New Jersey GA - Georgia NM - New Mexico HI - Hawaii NY - New York ID - Idaho NC - North Carolina IL - Illinois ND - North Dakota OH - Ohio IN - Indiana OK - Oklahoma IA - Iowa OR - Oregon KS - Kansas PA - Pennsylvania KY - Kentucky RI - Rhode Island LA - Louisiana SC - South Carolina ME - Maine SD - South Dakota MD - Maryland TN - Tennessee TX - Texas FM - Federated States of Micronesia UT - Utah GU - Guam VT - Vermont MH - Marshall Islands VA - Virginia MP - Northern Mariana Islands WA - Washington PW - Palau WV - West Virginia PR - Puerto Rico WI - Wisconsin VI - Virgin Islands WY - Wyoming ---------- ---------- 97 Don’t Know AS - American Samoa 98 Refuse to Answer SCR7. In what type of place do you live for most of the year? 1 Large city or surrounding suburb 2 Medium city or surrounding suburb 3 Small city 4 Town 5 Rural area 97 Don’t Know 98 Refuse to Answer SCR8. Do you live alone most of the year? 1 Yes 0 No 97 Don’t Know 98 Refuse to Answer <PAGE BREAK> [IF SCR8 = 0] SCR9. Who do you live with most of the year? Check all that apply. 1 I live with a friend(s)/roommate(s) 2 I live with my parents/family 3 I live with my partner/spouse 97 Don’t Know 98 Refuse to Answer <PAGE BREAK> SCR10. Have you ever had anal sex (as the “top”, “bottom” or both) with another man? 1 Yes 0 No 97 Don’t Know 98 Refuse to Answer SCR11. Have you ever had a positive HIV test (been told that you are infected with HIV or are HIV+)? 1 Yes 0 No 97 Don’t Know 98 Refuse to Answer <PAGE BREAK> Study questionnaire.doc 5 Participant may be eligible if ALL of the following criteria are met: • Age (SCR1) is between 18-24 • Gender (SCR2) = 1/Male • COUNTS AS HISPANIC* AND HISPANIC SUBMISSIONS <450 o * Ethnicity (SCR3) = 1/Yes (Hispanic) -OR- COUNTS AS BLACK* AND BLACK SUBMISSIONS <450 o * Ethnicity (SCR3) = 0/No ( non-Hispanic) AND Race (SCR4) = 2/Black/African American -OR- COUNTS AS WHITE * AND WHITE SUBMISSIONS <450 o * Ethnicity (SCR3) = 0/No (non-Hispanic) AND Race (SCR4) = 1/White AND Race (SCR4) <> 2/Black/African American • US resident (SCR5) = 1/Yes • State (SCR6) is-any-of the following census bureau regions (à): o Northeast: CT, ME, MA, NH, RI, VT, NJ, NY, PA o Midwest: IN, IL, MI, OH, WI, IA, KS, MN, MO, NE, ND, SD o South: DE, DC, FL, GA, MD, NC, SC, VA, WV, AL, KY, MS, TN, AR, LA, OK, TX o West: AZ, CO, ID, NM, MT, UT, NV, WY, AK, CA, HI, OR, WA • Ever had anal sex (SCR10) = 1/Yes • Ever positive HIV test (SCR11) = 0/No • Questions SCR7 to SCR9 have no effect on eligibility Otherwise, participant is ineligible. Study questionnaire.doc 6 [IF ELIGIBLE] [TEXT 3] Thanks for answering those questions! Based on what you told us, you are eligible for the study. Sweet! Let us tell you a little more about the study and ask you to join us! The next page is the consent form for the study. Please review it and let us know at the end of the page if you can help us by being in the study. OMG! We know it is a long consent form---but please be patient with us. It’s not THAT long… INSERT <PICTURE 3.PNG> with text “Do you want to see how long it is?” <PAGE BREAK> [IF NOT ELIGIBLE] [TEXT 4] Thank you so much for answering our questions! Based on what you told us, you are not eligible for the study. But that's OK! Your answers to these questions were very helpful. Thanks again and have a great day! INSERT <PICTURE 4.PNG> with text “I’m sorry we didn’t get to play” <PAGE BREAK> Study questionnaire.doc 7 [TEXT 5] Facilitating HIV testing among young adult MSM through social networking Stage I Survey The purpose of this study is to ask your opinions about ways you can be tested for HIV. This study is being conducted by researchers at Rhode Island Hospital. This study is sponsored by the National Institutes of Health. QUESTIONS ASKED IN THE SURVEY The brief survey will take approximately 20-25 minutes to complete. The survey will ask you questions about yourself, your HIV testing history and HIV risk, and your opinions about ways you can be tested for HIV. ELIGIBILITY FOR STUDY You must be between the ages of 18 and 24 years-old, a US resident, have ever had anal intercourse (as a top and/or bottom) with at least one male partner, and believe or know that you are not HIV infected. Approximately 1,350 individuals are expected to participate in this study. BENEFITS OF STUDY There is no direct benefit to you for being in this study. By participating in this study, you will be helping to develop a better understanding on the perspectives of young adult men like you on HIV testing. CONFIDENTIALITY Your participation in this part of the study will be kept confidential. After this study is over, we will be asking a random sample of people in this study to be in a follow-up study about HIV testing. Your participation in that study is voluntary, too. You do not have to be in both studies. COMPENSATION As an expression of gratitude to you for completing the study, you can enter a lottery for one of several $100 Amazon.com gift cards. CONTACT INFORMATION FOR STUDY If you have questions about the study or the procedures, you may contact Dr. Roland Merchant at (401) 444-5109 or by email at [email protected]. If you have any concerns about the study, you may contact the office of Research Administration Manager for Review Committees, Patricia E.
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