SMART Research and Publications

Our implementation research aim is to evaluate the delivery of the SMART Program nationally to inform scale out and determine cost-effectiveness.SMART uses a sequential multiple assignment randomized trial design (Murphy, 2005) to assess the effects of a package of increasingly intensive HIV prevention programs on sexual risk behaviors among racially diverse AMSM across the United States and 3 territories (Puerto Rico, Guam, and American Samoa). Pieces of SMART have evidence to support them, read more about the measured effects here: https://esmart.northwestern.edu/implement/

publication

Mustanski (2022) Effectiveness of the SMART Sex Ed program among 13-18 year old English and Spanish speaking adolescent men who have sex with men

Keywords: Adolescent; MSM; HIV Prevention; sexual health education; online

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Li (2020) Using Intervention Mapping to Developmentally Adapt an Online HIV Risk Reduction Program for AMSM

Keywords: Adaptation; Adolescent; HIV prevention; Intervention mapping; Men who have sex with men (MSM); eHealth.

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Mustanski (2020) Protocol for a Hybrid Type 1 Effectiveness Implementation Trial of SMART

Keywords: HIV prevention, eHealth, adolescents, men who have sex with men, implementation science, mobile phone

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Ventuneac (2020) Exploring Potential Implementation Barriers and Facilitators of the SMART Program

Keywords: HIV prevention; adolescent men who have sex with men; community-based organizations; eHealth programs; implementation science.

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Marzan-Rodriguez (2020) Recommendations for the Development of HIV Prevention Interventions Among Latino Young Sexual Minority Groups

Keywords: HIV Prevention, Interventions, eHealth, AMSM, Hispanic,Latino, Implementation science.

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Other research from SMART

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Moskowitz (2020) Assessing adolescent men who have sex with men’s perceptions about parents as barriers to PrEP uptake

Macapagal (2021) Patterns of online and offline partnering, partnership characteristics, and sexual risk behavior among AMSM in the USA

Owens (2021) A mixed-method study assessing barriers and facilitators of ASMM attending PrEP follow-up appointments

Mustanski (2020) Factors associated with HIV testing in teenage men who have sex with men

Moskowitz (2020) The PrEP cascade in a national cohort of AMSM

Moskowitz (2021) Demographic and social factors impacting coming out as a sexual minority among generation-z teenage boys

Newcomb (2020) Demographic, regional, and political influences on sexual healthcare experiences of ASMM

Pacheco (2022) “I don’t see myself represented:” Strategies and considerations for engaging gay male Native Hawaiian and Other Pacific Islander teens in research and HIV prevention services

Goals

We Want To Answer These Questions

Does SMART reduce HIV risk among AMSM?  

Does SMART reduce HIV risk across sub-groups of AMSM? For example: 

  • Does it work the same for English and Spanish speaking AMSM? 
  • Does it work the same for AMSM who identify as different races and ethnicities?
  • Does it work the same for younger and older teens? 

How should we deliver SMART in the future? 

  • How cost effective is SMART? 
  • Who should deliver SMART? Schools? Healthcare providers? Community-based organizations? Others? 

collaborators

Principal Investigator:  Dr. Brian Mustanski 
Co-Investigators:  Drs. Kathryn Macapagal, Michael Newcomb, and C. Hendricks Brown of Northwestern University; Drs. Jonathon Rendina and Tyrel Starks of Hunter College, City University of New York; Drs. Eric Laber and Marie Davidian of North Carolina State University; and Dr. Carlos Rodriguez-Diaz of University of Puerto Rico. 
Funder:  National Institute on Minority Health and Health Disparities 

This project is supported by the National Institute on Minority Health and Health Disparities (NIMHD) of the National Institutes of Health (NIH) as part of an award (grant number U01MD011281). The contents of this project are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by the NIMHD, NIH, or the U.S. Government.