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Thus, chatters are able to communicate with one another in real time from their individual computers through what is referred to as an instant message (IM).

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We also explored the intervention as it was being delivered to provide insights for designing, implementing, and evaluating future chat room-based interventions.

Cy BER/M4M was a chat room-based HIV-prevention intervention that was developed using community-based participatory research (CBPR).

Chatters were looking for sexual partners, were not open about their orientation, lacked basic information about HIV, had questions about how to be tested, and perceived a lack of general community resources to meet their needs.

Furthermore, Cy BER educators had to understand and respect the online culture, build trust, and deliver well-crafted and focused messages.

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Because evidence suggests that men who seek sexual partners online are at increased risk for HIV exposure and transmission through their risk behaviors, community-based organizations (CBOs), acquired immunodeficiency syndrome (AIDS) service organizations (ASOs), and public health departments and clinics have responded by providing HIV education via MSM-oriented chat rooms.

Our community--university partnership developed an intervention designed to reduce the HIV risks of men who seek male sexual partners in existing chat rooms.

Chatters log in via the Internet to a chat-server computer that hosts a specific chat room.

Chatters can type messages that are transferred almost instantaneously by the server to all of the other chatters in the public chat room.

Our community-based participatory research partnership implemented a chat room-based intervention known as Cyber-Based Education and Referral/Men for Men (Cy BER/M4M).

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