Background: Social media intervention may enhance HIV prevention among men who have sex with men, but the effect of this intervention in resource-limited settings remains unclear. Objective: This randomized controlled trial evaluated whether a social media intervention grounded in the information-motivation-behavioral skills (IMB) model could be beneficial for HIV prevention among men who have sex with men in resource-limited settings. Methods: Participants were recruited in Nanning, China, between April 2023 and April 2024. Eligible participants were randomly assigned to either the social media intervention group or the routine HIV prevention services control group. Participants in the intervention group received a 3-month social media intervention, which included completing video-based tasks. Baseline surveys were conducted, followed by follow-up surveys every 3 months, for a total of 2 follow-ups. Outcomes included HIV testing uptake, high-risk behavior, AIDS-related knowledge, safe sex self-efficacy, and attitude. Results: A total of 180 eligible men who have sex with men were enrolled (90 per group). Follow-up rates were 97.8% (88/90) and 95.5% (86/90) for the intervention and control groups, respectively. At the follow-ups, the intervention group demonstrated significantly higher uptake of HIV testing, a lower proportion of participants reporting high-risk sexual behaviors, and higher condom use self-efficacy compared to the control group (all

arXiv:2604.04749v1 Announce Type: new Abstract: The accelerating adoption of large language models, retrieval-augmented generation pipelines, and multi-agent AI workflows has created a structural governance crisis. Organizations cannot govern what they cannot see, and existing compliance methodologies built for deterministic web applications provide no mechanism for discovering or continuously validating AI systems that emerge across engineering teams without formal oversight. The result is a widening trust gap between what regulators demand as proof of AI governance maturity and what organizations can demonstrate. This paper proposes AI Trust OS, a governance architecture for continuous, autonomous AI observability and zero-trust compliance. AI Trust OS reconceptualizes compliance as an always-on, telemetry-driven operating layer in which AI systems are discovered through observability signals, control assertions are collected by automated probes, and trust artifacts are synthesized continuously. The framework rests on four principles: proactive discovery, telemetry evidence over manual attestation, continuous posture over point-in-time audit, and architecture-backed proof over policy-document trust. The framework operates through a zero-trust telemetry boundary in which ephemeral read-only probes validate structural metadata without ingressing source code or payload-level PII. An AI Observability Extractor Agent scans LangSmith and Datadog LLM telemetry, automatically registering undocumented AI systems and shifting governance from organizational self-report to empirical machine observation. Evaluated across ISO 42001, the EU AI Act, SOC 2, GDPR, and HIPAA, the paper argues that telemetry-first AI governance represents a categorical architectural shift in how enterprise trust is produced and demonstrated.