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MAXIMIZING

FOR HIV PREVENTION, HIV TESTING AND INCREASED ACCESS TO QUALITY CARE

Deb Levine, BS W, MA Tech Strategy Consultants SOCIAL MEDIA GOALS

 Increasing access to HIV testing services

 Increasing access to comprehensive sexual health information

 Increasing access to PrEP linkages and support services

 Ensuring access to high-quality medical care and prevention services SMARTPHONES AND TEENS

 90% of ALL youth have access to a smartphone  85% of African American youth have access to a smartphone  62% of homeless youth have a mobile device and can access the Web  Instagram and are the two most commonly used social media sites today YTH 2017 and Pew Research Center 2015 ACKNOWLEDGE THE UCLA Adolescent Trials Network: Recruitment CHALLENGES INSTAGRAM

 Share still images and videos- visual media  Searchable via hashtags (#)  Highly engaged demographic: 51% of young people check insta daily and 35% check multiple times a day  Free, private and accessible access to health educators  Method  Direct  Daily posts  “We follow back” INSTAGRAM EXAMPLE: KAISER PERMANENTE

 @whatgoesaround_kp  Focus on followers/following INSTAGRAM: USE PHOTOS INSTAGRAM: LIVE FEEDS INSTAGRAM: YCAB INSTAGRAM: MESSAGING SNAPCHAT

 71% of Snapchat users are under 34 years old.  45% of Snapchat users are aged 18-24.  People under the age of 25 use Snapchat for 40 minutes on average every day.  40% of black teens say they use Snapchat almost constantly  More than 400 million Snapchat stories are created per day.  More than 20,000 photos are shared on Snapchat every second.

-Omnicore Statistics, 2018 SNAPCHAT: GOOD FOR CAMPAIGNS

 Customized, targeted geofilters  Short-lived, original material  Share photos and videos with “private” self-created groups  Photos and videos can be customized with filters and effects, text captions, and drawings  Snapchat stories are compilations of snaps (photo and/or video), which are broadcast to one's personal network or public  Instagram more curated; Snapchat more casual SNAPCHAT

 Try using “guest stars”; or acting as a “celebrity” on your Snap  Create a topical content series - BRAINSTORM  Be bold and use humor, more lighthearted platform  Using Snap for HIV messaging takes more time and planning than a personal Snap  Build your audience in-person; take palm cards with your “unique Snap ghosts” with you to tabling and outreach events SNAPCHAT: MAINSTREAM MEDIA USE SNAPCHAT: BE A STAR

 Only 35% of teens use Twitter

 45% of 18-24 year olds use Twitter

 Many youth use Twitter to get their news TWITTER

 Posts are limited to 280 characters

 Posts can contain text, photo, and video; imagery gets more shares and likes  Direct messages (private messaging) are not limited to 280 characters  Hashtags (#) are used to help organize topics and conversations by keywords and phrases  Be strategic about who you follow https://twitter.com/lizziefin/lists/adolescent-sexual- TWITTER health/members TWITTER: FOOD TRUCK-LIKE FEED FOR HIV TESTING TWITTER: CURATED FOLLOWERS

 Snapchat and Instagram have surpassed Facebook as the most popular social media for youth (Facebook is for adults now)  68% of youth use Facebook  75% of these youth check Facebook daily

Pew Center for Internet and American Life, 2018 FACEBOOK

•Facebook LIVE •Groups around a shared interest •Event invitations •Chat one on one; chat messaging •Connect your Facebook account to other sites to allow for information sharing between sites •Uses hashtags •Follows and likes FACEBOOK: KNOWLEDGE AND ATTITUDES

 Randomized controlled trial  8 weeks of sexual health content  653 participants took 2-month followup  53% looked at content 4-6 times a week  94% of comments were positive  Short term results:  Condom use last sex  Proportion of protected sex acts  Partner concurrency

AJPM, 2012 EBI ADAPTATIONS

 Many Men, Many Voices  AIM IRL ADAPTATIONS FOR SOCIAL MEDIA E-PREP: MONTEFIORE

 Social media-based, peer-led intervention to increase PrEP uptake in YBLGBM  6- week online messaging campaign disseminated by YBLGBM peer leaders to their existing online networks  Recruited and enrolled 152 participants from their existing online networks (range 3-33 per peer leader)  Follow-up at 12 weeks  Awaiting analysis of results; Preliminary data promising SCALING: NORTHWESTERN’S KEEP IT UP!

 https://www.youtube.com/watch?v=PE80LlBg7_U  Among 901 YMSM in 3 cities, significantly reduced recent condomless anal sex from 70% to 40% in the KIU! arm Reductions were maintained for 12 months post intervention  This represented a 17% greater decrease than an active control arm  Also reduced STI rates by 40% compared to the control  Will be available nationally next year, https://isgmh.northwestern.edu/keepitup/ BEST PRACTICES

 User-centered design: Audience participation  Know your goals, and include a call to action so you meet them  Build in data collection for measurement and evaluation  Be ready to pivot and iterate at multiple points, sometimes on the fly  Train staff and peers for consistent language and accurate content BEST PRACTICES

 Integrate in-person and digital activities in campaigns (giveaways, concerts/balls, connection to RIDESHARE services, mobile testing)  HIV messaging put “in context” of young people’s lives (gender identity, anxiety, relationships, etc.)  Use same SCREENNAME on all social media sites for familiarity, and multiple hashtags (#) for maximum reach RESOURCES

 HIV.gov Virtual Office Hours: One on One social media support – Tu and Thu 2-4pm ET  Free 45-minute appointment  https://www.hiv.gov/digital-tools/virtual-office-hours

 What Works? In Youth HIV  Social Media Strategies for Professionals  https://www.whatworksinyouthhiv.org CONTACT

Deb Levine, BSW, MA CEO, Tech Strategy Consultants levinedeb@.com @DebLOakland Linkedin.com/in/deblevine