Pilot Test HRRET POSTTEST Web-based Survey

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Qualtrics Survey Software

Form Approved
OMB No. 0920-0840
Expiration Date 2/29/16

Burden

Introduction and Purpose:
You have been asked to take part in a research study. The purpose of this study is to learn your opinions about HIV
prevention materials developed by the Centers for Disease Control and Prevention (CDC). RTI International, a
nonprofit research organization in North Carolina, is conducting this CDC-sponsored study.
Procedures:
You will be asked to complete a brief survey so that we can learn more about you. After you complete the survey,
you will be asked to review an online HIV prevention tool developed by CDC. You will then be asked to complete
another brief survey so that we can learn your opinions about the online tool. The study will take about 45 minutes
to complete.
Risks/Discomforts and Right to Refuse or Withdraw:
You might feel embarrassed or upset by some of the survey questions that ask about sexual behavior and alcohol
and drug use or by the content of the tool. You can decline to answer any questions for any reason. You can also
stop reviewing the tool (click the “Quit Exploring” button) or participating in the study (click the “Quit Study” button)
at any time.
Benefits:
There is no direct benefit to you for being in this study. However, you may learn more about ways to prevent getting
or giving someone else HIV.
Privacy
Your responses will be kept private to the extent allowable by law. The survey does ask you for your email address.
The survey vendor will send you a reminder email to complete the study if you stop participating before you finish
the posttest survey. The survey vendor will also record participants’ IP addresses to help make sure people do not
complete the study more than once. Email and IP addresses will be destroyed after all of the data are collected.
Only the survey vendor will know your email and IP address; neither RTI nor CDC will have access to this
information. This means that RTI and CDC cannot link your survey answers to you as an individual.
To help protect your privacy, we suggest that you participate in the study in a private location – either in your home
and/or in a room with a door. Please also close your browser window once you are finished.
Token of Appreciation:
We will give you a $25 Amazon gift card as a token of appreciation. Instructions for redeeming the gift card will be
provided after you complete the second survey.
Persons to Contact:
If you have questions about the study, you can call Jennifer Uhrig at 1-800-334-8571, extension 3311. She can be
reached between 9 a.m. and 5 p.m., Eastern Standard Time, Monday–Friday. If you have questions about your
rights as a participant, you can call RTI’s Office of Research Protection toll-free at 1-866-214-2043.
If you have any questions about HIV, including how to locate services and ways to protect yourself, please contact
CDC Info (http://www.cdc.gov/cdc-info/). To find local HIV testing sites, health centers, and other service providers,
you can also visit AIDS.gov (http://locator.aids.gov/).

Public reporting burden of this collection of information is estimated to average 15 minutes per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information
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unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road
NE, MS D-74, Atlanta, Georgia 30333; Attn: OMB-PRA (0920-0840).

Post test 2a

Now we would like to get your opinions about the materials you reviewed.

On the landing page, was there was a box in the middle of the screen with images that rotated?
Yes
No
Don't know
Prefer not to answer

Were you given an option to customize the information you saw by answering a few questions about yourself?
Yes
No
Don't know
Prefer not to answer

Did you choose to customize the information you saw?
Yes
No
Don't know
Prefer not to answer

How hard or easy was it to customize the information?
Very hard
Hard
Neither hard nor easy
Easy
Very easy
Prefer not to answer
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Please indicate how much you agree or disagree with the following statements.
Strongly
Disagree

Disagree

Neither Agree
nor Disagree

Agree

Strongly
Agree

Prefer not to
answer

Overall, I liked the tool.
The information was easy to
understand.
There was too much information.
The tool was easy to navigate.
I liked the way the information
was organized.
I was interested in the topics.
It was hard to find the information I
was interested in.
The information upset me.
The tool has important information
for people like me.
The tool stereotypes certain
people.
The tool was offensive.
I trust the information in the tool.
I believe the information in the
tool.
The information was convincing.
The tool said something important
to me.
I learned something new from the
tool.
The information in the tool was
confusing.
The information in the tool speaks
to me.
The tool gave me good reasons to
take responsibility for my health.
The tool gave me good reasons to
take responsibility for my sex
partners’ health.
The tool gave me good reasons to
talk to my sex partners about
ways we can prevent HIV.
The tool gave me good reasons to
get tested for HIV.
The tool gave me good reasons to
take my HIV medications
consistently and correctly.
By doing the behaviors suggested
in the tool, I can protect myself
from getting or transmitting HIV.
There are many things I can do to
prevent getting or transmitting
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HIV.
The information in the tool was
persuasive.
The information in the tool was
motivating.
The tool was boring.
There were too many hyperlinks
in the tool.
I found the information I needed.
I would recommend the tool to
others.
The tool used a fresh, new
approach to communicate
information about HIV.
I would share the tool with others.
The tool was made for a person
like me.
I would look at the tool again if I
wanted more information.
I liked the way the tool looks.
I liked the colors, images and
graphics.
I do not like the tool.
The tool grabbed my attention.
Real people would look like the
people in the tool.
The people in the tool were more
similar to me than different.
I can do what the tool suggests.
I will do what the tool suggests.
The tool was fun to use.
There was information in the tool
about HIV risk that I had never
seen before.
There was information in the tool
about HIV prevention strategies
that I had never seen before.

Offensive Follow-Up (Shown if Participant chooses A or SA)

What, if anything, was offensive?

Confusing Follow-Up (Shown if Participant chooses A or SA)

What, if anything, was confusing?

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Post test 2b

How could the tool be changed to make it better?

Please indicate how much you agree or disagree with the following statements.
The tool...
Strongly
Disagree

Disagree

Neither Agree
nor Disagree

Agree

Strongly
Agree

Refuse to
answer

Helped me recognize that the
sexual behaviors I choose to do
may increase or decrease my risk
of getting or transmitting HIV
Prepared me to make a better
decision about which behaviors I
will do in the future
Helped me think about the
pros/cons of different HIV
prevention options
Helped me think about the
pros/cons of different HIV
prevention options that are most
important to me
Prepared me to talk to my sex
partners about HIV-related topics
Helped me know when and how
often I should be tested for HIV

Post test 3

Thinking about the sex you’ve had over the past 12 months, do you consider yourself to be low, medium or high
risk for getting HIV?
Low risk
Medium risk
High risk
Prefer not to answer

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Using a scale from 1 to 10, where 1=I know nothing and 10=I know everything I need to know, please rate your
overall knowledge of HIV.
1

2

3

4

5

6

7

8

9

10

Tell me how risky you think each behavior is for [getting/transmitting] HIV if a person is not using any form of
protection. Use a scale where 0 is lowest risk and 100 is highest risk. Please assign any number in that range to
each of the behaviors listed. You may skip this question if you do not know or would prefer not to answer.
Deep kissing
Receptive anal sex (“bottom”) with a
condom
Receptive anal sex (“bottom”) without
a condom
Receptive oral sex (“giving a blow
job”) with a condom
Receptive oral sex (“giving a blow
job”) without a condom
Insertive anal sex (“top”) with a
condom
Insertive anal sex (“top”) without a
condom
Insertive oral sex (“getting a blow job”)
with a condom
Insertive oral sex (“getting a blow job”)
without a condom

Please drag and drop the behaviors below into a box based on how risky you think each behavior is for
[getting/transmitting] HIV. Please assume that a person is not using any form of protection from HIV. You may skip
this question if you do not know or would prefer not to answer.
Items

1 - Little to no risk

Deep kissing
Receptive anal sex (“bottom”)
with a condom
Receptive anal sex (“bottom”)
without a condom
Receptive oral sex (“giving a
blow job”) with a condom
Receptive oral sex (“giving a
blow job”) without a condom

2

Insertive anal sex (“top”) with a
condom
Insertive anal sex (“top”) without
a condom
Insertive oral sex (“getting a blow
job”) with a condom
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Insertive oral sex (“getting a blow
job”) without a condom
3

4

5

6 - High risk

Please indicate how much you disagree or agree with the following statements.
Strongly
Disagree

Disagree

Neither Agree
nor Disagree

Agree

Strongly
Agree

Prefer not to
answer

I know all I need to know about HIV.
I know about how to prevent getting or
transmitting HIV.
I know whether and how often I
should be tested for HIV.

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Please indicate whether the following statements about HIV are true, false, or if you don’t know the answer.
False

Don't Know

Prefer not to
answer

Agree

Strongly
Agree

Prefer not to
answer

True
The window period is the time between when a person gets tested for
HIV and when they get back the results.
HIV can be transmitted through tears, saliva, or sweat.
Antiretroviral therapy (ART) reduces the amount of HIV virus in blood
and body fluids.
ART reduces the chance of an HIV positive person transmitting HIV to
a partner who is negative.
When an HIV positive person’s viral load is “undetectable”, they are
cured.
Withdrawal or pulling out is an effective way to prevent HIV.
Heterosexual men who are circumcised are less likely to get HIV from
their female sexual partners compared with men who have not been
circumcised.
Having a sexually transmitted disease (STD) does NOT increase a
person’s risk for getting or transmitting HIV.
Condoms protect people from every type of sexually transmitted
disease.
Vaginal sex is riskier for transmitting HIV than anal sex.
The chance of getting HIV from oral sex is lower than vaginal sex.
Having anal sex without using a condom is the riskiest type of sex for
getting or transmitting HIV.
People who are HIV negative can take medications (called preexposure prophylaxis or PrEP) to prevent getting infected with HIV if
they have sex with someone who is HIV positive.
A person who has been exposed to HIV can take medications (called
post-exposure prophylaxis or PEP) to lower their chances of getting
HIV. This only works if they take the medication within 72 hours of
being exposed.

Please indicate how much you disagree or agree with the following statements.
Strongly
Disagree

Disagree

Neither Agree
nor Disagree

When you live in a community
where many people have HIV, the
chances of having sex with
someone who has HIV are higher.
Sexually active gay, bisexual and
other men who have sex with men
may benefit from HIV testing every
3 to 6 months.
Having multiple sex partners may
increase a person’s risk for HIV.
All people between the ages of 13
and 64 should get tested for HIV
at least once.
Looking for sexual partners with
the same HIV status as you can
prevent getting or transmitting
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HIV.
Using your HIV status and your
partner’s HIV status to determine
which sexual activities (i.e., oral,
vaginal, anal sex) you engage in
can help reduce the risk of getting
or transmitting HIV.
Using your HIV status and your
partner’s HIV status to determine
which sexual roles/positions (i.e.,
insertive/top or receptive/bottom)
you engage in can help reduce
the risk of getting or transmitting
HIV.

Post test 4

Please tell us how strongly you agree or disagree with the following statements.
I am confident that I can…
Strongly
Disagree

Disagree

Neither Agree
nor Disagree

Agree

Strongly
Agree

Prefer not to
answer

talk to someone I’m thinking about
having sex with about using condoms.
always use condoms correctly with my
sex partners.
talk to someone I’m thinking about
having sex with about different options
to prevent HIV
talk with someone I’m thinking about
having sex with about sexually
transmitted diseases
talk to someone I’m thinking about
having sex with about my number of
prior sex partners
tell someone I’m thinking about
having sex with my HIV status
ask someone I’m thinking about
having sex with about their HIV status
get tested for HIV as often as I should.
take my HIV medication (ART)
correctly as prescribed by my doctor

How confident are you that you can…
Not at all confident

Somewhat confident

Very confident

Prefer not to answer

Find information about the risks of
different sexual behaviors for getting
and transmitting HIV
Understand how risky different sexual
behaviors are for getting and
transmitting HIV
Use information about HIV risk to
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make decisions about how to protect
yourself from getting or transmitting
HIV
Use information about HIV risk to
make decisions about how to protect
your partner from getting or
transmitting HIV
Find information about the HIV
prevention options available to you
Find information about the benefits of
each HIV prevention option available
to you
Find information about the risks of
each HIV prevention option available
to you
Understand HIV information enough to
choose the prevention option that best
suits you
Handle unwanted pressure from
others in choosing an HIV prevention
option

Post test 5

Next, we will ask you a few questions about your plans to do or discuss doing various things.

Please tell us how strongly you agree or disagree with the following statements.
I plan to…
Strongly
Disagree

Disagree

Neither Agree
nor Disagree

Agree

Strongly
Agree

Prefer not to
answer

Talk to someone I’m thinking about
having sex with about using condoms.
Always use condoms correctly with my
sex partners.
Talk to someone I’m thinking about
having sex with about different options
to prevent HIV
Talk with someone I’m thinking about
having sex with about sexually
transmitted diseases (STDs)
Tell someone I’m thinking about
having sex with my HIV status
Ask someone I’m thinking about
having sex with about their HIV status
Get tested for HIV as often as I should.
Take my HIV medication (ART)
correctly as prescribed by my doctor
Find information about the risks of
different sexual behaviors
Use information about the risks of
different sexual behaviors to protect
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myself from getting or transmitting HIV
Use information about the risks of
different sexual behaviors to protect
my partner from getting or transmitting
HIV

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