NCT02842060

Brief Summary

This study uses an interactive design and development process to develop tailored messages that align YMSM's relationship experiences and desires with HIV prevention strategies. The study includes a tailored online prevention, intervention, as well as an attention control non--tailored HIV prevention (NTHP) comparison intervention. The pilot RCT will compare the intervention (N=120) to NTHP (N=60) to assess intervention feasibility and acceptability, and gather preliminary behavioral data to inform a subsequent application. Follow-up assessments will be collected at thirty (30), sixty (60), and ninety (90) days post-intervention.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
180

participants targeted

Target at P50-P75 for not_applicable hiv-infections

Timeline
Completed

Started Nov 2016

Shorter than P25 for not_applicable hiv-infections

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 16, 2016

Completed
6 days until next milestone

First Posted

Study publicly available on registry

July 22, 2016

Completed
3 months until next milestone

Study Start

First participant enrolled

November 1, 2016

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2017

Completed
2.2 years until next milestone

Results Posted

Study results publicly available

July 16, 2019

Completed
Last Updated

July 16, 2019

Status Verified

June 1, 2019

Enrollment Period

6 months

First QC Date

July 16, 2016

Results QC Date

February 25, 2019

Last Update Submit

June 25, 2019

Conditions

Keywords

Prevention & ControlYoung AdultInternet

Outcome Measures

Primary Outcomes (2)

  • Number of Participants With Change in Number of Risky Sexual Partnerships

    The investigators estimated the change in the total number of participants who reported engaging in condomless anal intercourse from baseline to 90-day follow-up.

    Count of participants from baseline to 90-day follow-up reported

  • Number of Participants With Change in HIV Testing Behavior

    The investigators estimated the number of participants who reported testing for HIV from baseline to 90-day follow-up.

    Count of participants from baseline to 90-day follow-up reported

Secondary Outcomes (2)

  • Change in Self-efficacy Motivations to Engage in HIV Prevention Behaviors

    Baseline to 90-day follow-up period

  • Changes in Psychological Well-being

    Baseline to 90-day follow-up period

Study Arms (2)

myDEx Intervention

EXPERIMENTAL

The proposed intervention will consist of a 6-session web-based program. Cognizant of challenges maintaining users' attention in a web application and to facilitate delivery through a smartphone, the investigators will design each session to be no more than 20 minutes in length. In the course of these 6 sessions, YMSM will have a total of 120 minutes of intervention exposure. Across sessions, the investigators will emphasize the importance of sexual decision-making across different partner types, help YMSM consider what type of relationship(s) they want, and align these relationship desires with safer sex practices.

Behavioral: myDEx

Non-tailored HIV Prevention

ACTIVE COMPARATOR

The investigators will create a 6-session web-based attention-control comparison to match myDEx in time and attention yet have non-tailored and non-interactive content (NTHP). NTHP will include HIV/STI information currently available on sex education websites.

Behavioral: NTHP

Interventions

myDExBEHAVIORAL

myDEx will consist of a 6-session online program. Cognizant of challenges maintaining users' attention in a web application and to facilitate delivery through a smartphone, the investigators will design each session to be no more than 20 minutes in length. In the course of these 6 sessions, participants will have a total of 120 minutes of intervention exposure. Across sessions, the investigators will emphasize the importance of sexual decision-making across different partner types, help men consider what type of relationship(s) they want, and align these relationship desires with safer sex practices.

myDEx Intervention
NTHPBEHAVIORAL

The investigators will create a 6-session attention-control comparison to match the intervention in time and attention yet have non-tailored and non-interactive content (NTHP). NTHP will include HIV/STI information currently available on sex education websites. The attention-control condition allows the investigators to avoid confounding due to content and ensures that all participants receive some HIV prevention content given their high vulnerability to HIV. Further, this comparison will help critically examine the extent to which tailoring increases the acceptability to the program, above and beyond having a non-tailored, non-interactive intervention.

Non-tailored HIV Prevention

Eligibility Criteria

Age18 Years - 24 Years
Sexmale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Cis-gender male
  • Self-report as being single
  • Self report as HIV-negative at baseline
  • Speak and read English
  • Report unprotected anal intercourse with a male partner in prior six (6) months
  • Have access to computer or smartphone device

You may not qualify if:

  • Transgender identity
  • HIV positive diagnosis
  • Not residing in the United States
  • Does not engage in male-to-male sexual behavior

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

Related Publications (3)

  • Choi SK, Golinkoff J, Michna M, Connochie D, Bauermeister J. Correlates of Engagement Within an Online HIV Prevention Intervention for Single Young Men Who Have Sex With Men: Randomized Controlled Trial. JMIR Public Health Surveill. 2022 Jun 27;8(6):e33867. doi: 10.2196/33867.

  • Connochie D, Tingler RC, Bauermeister JA. Young men who have sex with men's awareness, acceptability, and willingness to participate in HIV vaccine trials: Results from a nationwide online pilot study. Vaccine. 2019 Oct 8;37(43):6494-6499. doi: 10.1016/j.vaccine.2019.08.076. Epub 2019 Sep 13.

  • Bauermeister JA, Tingler RC, Demers M, Harper GW. Development of a Tailored HIV Prevention Intervention for Single Young Men Who Have Sex With Men Who Meet Partners Online: Protocol for the myDEx Project. JMIR Res Protoc. 2017 Jul 19;6(7):e141. doi: 10.2196/resprot.7965.

MeSH Terms

Conditions

HIV Infections

Interventions

N-nitroso-1,2,3,6-tetrahydropyridine

Condition Hierarchy (Ancestors)

Blood-Borne InfectionsCommunicable DiseasesInfectionsSexually Transmitted Diseases, ViralSexually Transmitted DiseasesLentivirus InfectionsRetroviridae InfectionsRNA Virus InfectionsVirus DiseasesGenital DiseasesUrogenital DiseasesImmunologic Deficiency SyndromesImmune System Diseases

Limitations and Caveats

We did not include biological confirmation of HIV/STI status through serologic tests, as this pilot trial did not seek to detect statistical differences in outcomes. HIV testing will be included in a full-scale efficacy trial.

Results Point of Contact

Title
Dr. Jose Bauermeister
Organization
University of Pennsylvania

Study Officials

  • Jose A Bauermeister, PhD

    University of Pennsylvania

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Presidential Associate Professor of Nursing

Study Record Dates

First Submitted

July 16, 2016

First Posted

July 22, 2016

Study Start

November 1, 2016

Primary Completion

May 1, 2017

Study Completion

May 1, 2017

Last Updated

July 16, 2019

Results First Posted

July 16, 2019

Record last verified: 2019-06

Data Sharing

IPD Sharing
Will share

The investigators will assure the timely release and sharing of data two years after the publication of the main trial findings from the final dataset. Study variables will be available; however, the investigators will protect the rights and privacy of human subjects by redacting all identifiers from the dataset. The de-identified data from this project will be available through individual requests directed to the Principal Investigator.

Locations