Accepted for/Published in: JMIR Formative Research
Date Submitted: Mar 18, 2025
Date Accepted: Oct 1, 2025
Put Yourself First: Acceptability of a Culturally Tailored eHealth Video Intervention to Promote PrEP Awareness and Uptake Among Young Black Women
ABSTRACT
Background:
Black women experience disproportionately high rates of HIV infection, yet their awareness and uptake of pre-exposure prophylaxis (PrEP) remain critically low. Barriers such as stigma, misinformation, and healthcare inequities hinder PrEP utilization. eHealth interventions, particularly culturally tailored educational videos, have shown promise in improving health literacy and addressing disparities in underserved populations.
Objective:
This study aimed to develop and evaluate a culturally relevant eHealth video intervention to increase awareness and uptake of PrEP among young Black women. The intervention sought to address misconceptions, promote self-care, and encourage open conversations about HIV prevention.
Methods:
The study employed a four-phase approach: (1) exploratory focus groups to identify barriers and facilitators to PrEP uptake; (2) intervention mapping guided by the Information-Motivation-Behavioral model; (3) content creation of a three-part animated video series incorporating culturally tailored messaging; and (4) evaluation focus groups to assess the video’s usability, acceptability, and impact on PrEP knowledge. Participants (N=26) were young Black women aged 18–25 recruited from New York City community-based organizations and social networks.
Results:
Participants found the video engaging and easy to follow, with its conversational and relatable style making information about PrEP accessible and natural. The video effectively corrected misconceptions and reinforced PrEP’s relevance for women, though some participants raised concerns about partner perceptions and suggested balancing discussions on side effects. While the video improved knowledge of PrEP’s availability, consistent use, and safety, participants recommended incorporating real-life scenarios, clearer messaging on adherence, and practical strategies like home testing to enhance its impact.
Conclusions:
This study highlights the potential of culturally tailored eHealth interventions to improve PrEP awareness and utilization among young Black women. By addressing barriers at personal, social, and structural levels, such interventions can empower women to prioritize their sexual health and reduce disparities in HIV prevention. Future research should explore the long-term impact of these interventions and refine their design to enhance realism and engagement. Clinical Trial: Not applicable
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