Preliminary Results from a Peer-Led, Social Network Intervention,
Augmented by Artificial Intelligence to Prevent HIV among Youth Experiencing
Homelessness
- URL: http://arxiv.org/abs/2007.07747v1
- Date: Sat, 11 Jul 2020 02:17:53 GMT
- Title: Preliminary Results from a Peer-Led, Social Network Intervention,
Augmented by Artificial Intelligence to Prevent HIV among Youth Experiencing
Homelessness
- Authors: Eric Rice, Laura Onasch-Vera, Graham T. DiGuiseppi, Bryan Wilder,
Robin Petering, Chyna Hill, Amulya Yadav, Milind Tambe
- Abstract summary: Each year, there are nearly 4 million youth experiencing homelessness in the United States with HIV prevalence ranging from 3 to 11.5%.
PCA models for HIV prevention have been used successfully in many populations, but there have been notable failures.
We tested a new PCA intervention for YEH, with three arms: (1) an arm using an artificial intelligence (AI) planning algorithm to select PCA, (2) a popularity arm--operationalized as highest degree centrality (DC), and (3) an observation only comparison group (OBS)
Both the AI and DC arms showed improvements over time. AI-based PCA selection led to better
- Score: 47.21347530335741
- License: http://arxiv.org/licenses/nonexclusive-distrib/1.0/
- Abstract: Each year, there are nearly 4 million youth experiencing homelessness (YEH)
in the United States with HIV prevalence ranging from 3 to 11.5%. Peer change
agent (PCA) models for HIV prevention have been used successfully in many
populations, but there have been notable failures. In recent years, network
interventionists have suggested that these failures could be attributed to PCA
selection procedures. The change agents themselves who are selected to do the
PCA work can often be as important as the messages they convey. To address this
concern, we tested a new PCA intervention for YEH, with three arms: (1) an arm
using an artificial intelligence (AI) planning algorithm to select PCA, (2) a
popularity arm--the standard PCA approach--operationalized as highest degree
centrality (DC), and (3) an observation only comparison group (OBS). PCA models
that promote HIV testing, HIV knowledge, and condom use are efficacious for
YEH. Both the AI and DC arms showed improvements over time. AI-based PCA
selection led to better outcomes and increased the speed of intervention
effects. Specifically, the changes in behavior observed in the AI arm occurred
by 1 month, but not until 3 months in the DC arm. Given the transient nature of
YEH and the high risk for HIV infection, more rapid intervention effects are
desirable.
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