eHealth Literacy and Intervention Tailoring Impacts the Acceptability of a HIV/STI Testing Intervention and Sexual Decision Making Among Young Gay and Bisexual Men

AIDS Educ Prev. 2017 Feb;29(1):14-23. doi: 10.1521/aeap.2017.29.1.14.


We assessed whether young men who have sex with men's acceptability with the online Get Connected! intervention and subsequent sexual health decision making were influenced by their baseline eHealth literacy (high vs. low competency) and intervention tailoring (tailored or nontailored intervention condition). Compared to the high eHealth literacy/tailored intervention group: (1) those in the low eHealth literacy/tailored intervention condition and participants in the nontailored intervention condition (regardless of eHealth literacy score) reported lower intervention information quality scores; and (2) those in the low eHealth literacy/nontailored intervention group reported lower intervention system quality scores and that the intervention had less influence on their sexual health decision making. Future similar intervention research should consider how eHealth literacy might influence participants' abilities to navigate intervention content and integrate it into their sexual decision making.

MeSH terms

  • Adolescent
  • Adult
  • Bisexuality / psychology*
  • Community-Based Participatory Research
  • Decision Making*
  • Feasibility Studies
  • HIV Infections / epidemiology
  • HIV Infections / prevention & control*
  • HIV Infections / psychology
  • Health Literacy*
  • Homosexuality, Male / psychology*
  • Humans
  • Internet
  • Male
  • Mass Screening / statistics & numerical data*
  • Michigan / epidemiology
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Preventive Health Services / organization & administration
  • Program Evaluation
  • Reproductive Health
  • Sexual Behavior
  • Sexual and Gender Minorities
  • Telemedicine*
  • Young Adult