1. USING TECHNOLOGY TO REACH DIVERSE POPULATIONS Versie Johnson-Mallard, PhD, MSc, MSN, WHNP-BC Assistant Professor, University of South Florida College of Nursing; Robert Wood Johnson Foundation Nurse Faculty Scholar 1 Dianne Morrison-Beedy (Dean )

2. Disclosures I have no financial interests or conflicts of interest to report. Co-presenters : Rosa Maria Gonzalez-Guarda, PhD, MPH, RN, CPH o Robert Wood Johnson Foundation Nurse Faculty Scholar; Assistant Professor School of Nursing University of Miami Rasheeta Chandler, PhD, ARNP, FNP-BC o Assistant Professor University of South Florida, College of Nursing

3. Purpose  The primary aim of our research is to benefit society by improving the health of vulnerable individuals, families, and communities, through the use of technology as a vehicle for information dissemination

4. Educational Objectives Using technology to explore if gender and sexual self- efficacy are potential elements of safer sex practices such as condom use and communication skills. A look at individual factors amongst a diverse group of college students with regard to safer sexual health practices and prevention of Viral STIs (e.g. HPV, HIV, HSV)

5. Natural History of HPV HPV 6/11 Positive 15 genotypes have been identified as HR or oncogenic Responsible for about 50-70% of CIN2 and CIN3 35-50% of CIN1, VIN1, VaIN Have the potential To cause neoplasia and cancer None Oncogenic HPV 16 and 18 may cause benign changes and mild cellular abnormality, and are associated with external genital warts or condylomata Oncogenic

6. Prevalence Rates of Cervical HPV Prevalence rates of cervical HPV are higher in adolescents HPV rates are 50% in sexual active adolescents aged 20-24 years Peak prevalence occur in women <age 25 years HPV rates are 40% in sexual active adolescents aged 14-19 years 6

7. Invasive CancerCIN 2, 3HPV Infection Transient CIN 1 HPV Clearance Average of 10 Years If not detected 70-90% clear in 6- 24 Months Adapted from Cox JT. Natural history of HPV. Online CME. www.ASCCP.org. 2009. M. Gold and N. Huff, thank you Average 6-24 Months TRANSIENT INFECTION PERSISTENT INFECTION 7

8. Baseline Interventions Posttest 3Months Demographics Sexual Self Efficacy STI Knowledge Skill Building Multi-Media Presentation (e.g. Captivate 5) Both groups Health Cards From CDC Experimental Group Only Control group Posttest Second Life crossover Experimental Group Posttest

10. Viral sexually transmitted infections are contagious infections with no known cure that are contracted by unprotected sexual intercourse. Viral sexually transmitted infections have NO Cure. This was reinforced weekly for three months with electronic message cards (e.g. CDC)

18. UNIVERSITY OF SOUTH FLORIDA COLLEGE OF NURSING DemographicsFemale mean (SD) Male Mean (SD) Total (n) Age; mean21.7 (3.1)22 (3.8)21.7 (3.2) Age first time had vaginal sex 17.1 (2.0)17.5 (2.0)17.2 (2.0) Within last year number of different sex partners 1.9 (2.0)1.8 (2.2)1.8 (2.0) Race/ethnicity ( %) Caucasian54.564.756.2 African American/Black16.715.716.5 Hispanic12.62.010.8 Other7.35.97.1 Demographics

19. UNIVERSITY OF SOUTH FLORIDA COLLEGE OF NURSING Preliminary Results Demographics  7.8% freshman,  12.2% sophomore,  25.9% Junior,  28.6% senior,  23.1% graduate students  House or apartment (65%)  Privately insured (64%) years Pretest Results  An interesting findings was a small percentage (7.1%) of females identified birth control pill use as a STI prevention method  Females showed higher Sexual self efficacy for refusal sexual intercourse and question potential sex partners

20. UNIVERSITY OF SOUTH FLORIDA COLLEGE OF NURSING Future Research Based upon Preliminary Data Foundation for Program of Research  Master’s theses focus STIs brief intervention 1:1  National Research Service Award/NIH STI intervention, group intervention  National HBCU Research Network focus was intervention work, group intervention  RO3 (scored 253) intervention, web based intervention  RWJF, web based intervention  Internal Grant USF Pilot an investigator developed STIKs, web based survey  DHHS/OWH school health STI intervention  P20 NIH/NCI community participatory Plans for Future Data  Develop and conduct a large randomized control trial on education interventions to decrease STIs, plan for submission of R01  Develop and utilize a sound research team to refine and revise implementation process for all future grant submissions  Disseminate findings locally, nationally and internationally via conferences and publications

21. Research Team and Mentors Research Team and Mentors Belinda Rose James Research Assistant

22. 6/3/201622 Thank You  Questions?????????????????????????? ?????????????????????????????????? ?  Funded by RWJF Nurse Faculty Scholars Program: 9301022-0001; IRB:108452 I