Wellness Web 2.0 Coastal Bend Wellness Foundation, Corpus Christi, TX Alison Johnson, Project Director/Dir. Of Outreach & Prevention Hillary Vallejo, Project Coordinator/Social Media Coordinator Bill Hoelscher, Principal Investigator/CEO

Program Service/Activity Flow Outreach Enrollment Baseline Data Collection Delivery of ARTAS through SM (up to 3 months) Programmed text message support (up to 3 months) 6-month follow-up 12-month follow-up 18-month follow-up Discharge

Timeline Start date: September 1, 2016 Enrollment Targets: 2 participants enrolled 1 participant screened and pending survey collection 2 participants pending their appointment to complete enrollment 8 participants screened and determined to be not eligible Enrollment Targets: Yr 2: 55 (5.5/month) Yr 3: 71 (5.9/month) Yr 4: 35 (5.8/month)

Implementation Status IRB approval complete Staff Trainings: Traditional ARTAS, ARTAS adaptation, SenseHealth SMS staff receive continued training & feedback on intervention implementation Implementation protocols Outreach & Recruitment, Screening and Enrollment, SenseHealth, ARTAS Adaptation All protocols are continually evolving as we work through the intervention Pilot test intervention complete Participation of youth advisory groups Involvement with YNOT Building partnerships with high school- and coalition-sponsored teen advisory boards Community Partnerships Department of State Health Services & Corpus Christi-Nueces County Health Dept. In process of building new partnerships with other testing clients and hospitals Technology development SenseHealth – intervention delivery and text message library

Implementation Challenges Enrollment Lengthy client services intake appointments Clients unwilling to stay another 45mins for WellWeb enrollment Clients missing appointments

Recruitment Recruitment Materials: Social media images & sell sheet flyers Reviewed by: YNOT youth group, current HIV+ clients, LGBTQ+ community members

Recruitment Materials Cont. Networking apps: Grindr, Growlr, Jack’d, Scruff, Adam4Adam

Recruitment Materials Cont. Recruitment Pools: Client Services department: New intakes: Total 130 – Potentially eligible 108 Clinic: New intakes: List overlaps with Client Services list Out-of-care: Not virally suppressed: small percentage Partnership recruitment site: Health Department: 3 Newly HIV+ Diagnosed in Corpus Christi HSDA (Texas HIV 1st Quarter 2016) CBWF Outreach Testing Programs: 5 Newly Identified HIV+

Recruitment Challenges Internet Outreach on Apps Audience primarily interested in prevention services Encouraging HIV+ positives to reach out Internally Staff initially did not understand eligibility criteria Not able to access systems to search for potentially eligible clients, verify client contact information or verify client age Out-of-date client contact information Traditional Marketing Navigating complex hospital system to form partnerships Overcoming Challenges: Internet Outreach Free ads through Grindr4Equality Continued, consistent conversations with staff Client services provided two lists of potential clients with contact information

Discussion Alison Johnson, Project Director alisonj@cbwellness.org Hillary Vallejo, Social Media Coordinator hillaryv@cbwellness.org