A Multisite Randomized Trial of Viral Combat: A Mobile Gaming App to Improve Adherence to PrEP
Rhode Island Hospital
Summary
In this study, the investigators will test the mobile game, Viral Combat, for efficacy and acceptability among diverse participants, ages 15-34 years, receiving PrEP care in clinical settings in New England and Mississippi. Formative evaluation interviews will be conducted with stakeholders (healthcare workers, clinic administrators, and patients taking PrEP) to inform intervention delivery. Data from the formative interviews will also be used to make necessary adaptations to the game and assess acceptability for diverse populations and clinics. Viral Combat will then be further tested with 200 participants ages 15-34 years, receiving PrEP care at clinical sites in the South (n=100 Jackson, MS) and New England (n=100, Providence, RI; Boston, MA) in a multisite Hybrid Type 1 effectiveness-implementation randomized controlled trial (RCT). This trial will test the efficacy of the intervention compared to a control condition (a non-PrEP related game) on biological and behavioral measures. At the end of the trial, a summative evaluation of the implementation context using the i-PARIHS framework will occur. These interviews with study participants and clinic staff will inform future implementation and dissemination of Viral Combat.
Description
In this study, the investigators will test the mobile game, Viral Combat, for efficacy and acceptability among diverse participants, ages 15-34 years, receiving PrEP care in clinical settings in New England and Mississippi. Formative evaluation interviews will be conducted with stakeholders (healthcare workers, clinic administrators, and patients taking PrEP) to inform intervention delivery. Data from the formative interviews will also be used to make necessary adaptations to the game and assess acceptability for diverse populations and clinics. Viral Combat will then be further tested with 20…
Eligibility
- Age range
- 15–34 years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * 15-34 years old * English speaking * Initiated PrEP in the last 30 days or re-initiated PrEP after not taking PrEP for at least 1 month * HIV negative as per clinician and clinical record * Able to give consent/assent and not impaired by cognitive or medical limitations as per clinical assessment. Exclusion Criteria: * None
Interventions
- BehavioralMultilevel Gaming Adherence Intervention
Information-Motivation-Behavior based mobile gaming application tailored for those taking PrEP and adherence-based text messages
- BehavioralTreatment as Usual +
non-PrEP related mobile gaming application
Locations (3)
- Boston Medical CenterBoston, Massachusetts
- University of Mississippi Medical CenterJackson, Mississippi
- Lifespan (The Miriam Hospital and Rhode Island Hospital)Providence, Rhode Island