Supporting Treatment Adherence for Resilience and Thriving (START)
START
2 other identifiers
interventional
286
1 country
1
Brief Summary
This Phase II randomized controlled trial is testing the efficacy of a cell phone application called START for helping men who use stimulants like methamphetamine to get the most out of their HIV treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jun 2022
Typical duration for not_applicable
1 active site
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
November 15, 2021
CompletedFirst Posted
Study publicly available on registry
December 2, 2021
CompletedStudy Start
First participant enrolled
June 15, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 31, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
July 31, 2025
CompletedFebruary 17, 2026
February 1, 2026
3.1 years
November 15, 2021
February 14, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Unsuppressed HIV Viral Load
Proportion of participants with a viral load \> 300 copies/mL from dried blood spot samples
6 Months
Secondary Outcomes (4)
Unsuppressed Viral Load
12 Months
Self-Reported Stimulant Use Severity
12 Months
Self-Reported Anti-Retroviral Therapy (ART) Adherence
12 Months
Positive Affect
12 Months
Study Arms (2)
START mHealth Intervention
EXPERIMENTALParticipants randomized to receive the START mHealth intervention will have access to the mHealth application for 6 months following randomization.
Website referrals
NO INTERVENTIONParticipants in this condition will receive no intervention and will have access to a website with resources related to substance use disorder treatment and HIV treatment.
Interventions
The START mHealth intervention is a mobile application that will be downloaded by participants through their mobile phones. The application targets information, motivation, and behavioral skills relevant to ART adherence. Participants will have access to this application for 6 months.
Eligibility Criteria
You may not qualify if:
- HIV-negative or never tested for HIV;
- HIV-positive men without a current ART prescription;
- Does not return a viable DBS specimen at baseline for viral load testing
- Not a sexual minority man
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Florida International University
Miami, Florida, 33199, United States
Related Publications (1)
Davis-Ewart L, Atkins L, Ghanooni D, Diaz JE, Chuku CC, Balise R, DeVries BA, Miller-Perusse M, Ackley Iii D, Moskowitz JT, McCollister K, Fardone E, Hirshfield S, Horvath KJ, Carrico AW. Supporting treatment adherence for resilience and thriving (START): protocol for a mHealth randomized controlled trial. BMC Public Health. 2024 Aug 29;24(1):2350. doi: 10.1186/s12889-024-19745-7.
PMID: 39210314DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Adam W Carrico, PhD
Florida International University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor and Chair
Study Record Dates
First Submitted
November 15, 2021
First Posted
December 2, 2021
Study Start
June 15, 2022
Primary Completion
July 31, 2025
Study Completion
July 31, 2025
Last Updated
February 17, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will not share