NCT07292584

Brief Summary

The goal of this study is to test if a Digital PrEP Toolkit helps cisgender women learn about and access PrEP in Alabama and Mississippi. PrEP is a medication that prevents HIV infection. The main questions it aims to answer are: Can participants complete the Digital PrEP Toolkit in under 10 minutes? Do participants find the Digital PrEP Toolkit useful and easy to use? Does the Digital PrEP Toolkit increase the number of women who start taking PrEP? Investigators will work with up to 125 women at 3 HIV and STI clinics in Alabama and Mississippi. Participants will use the Digital PrEP Toolkit on a tablet at the clinic. They will answer questions about their HIV knowledge before and after using the Toolkit. Participants will then discuss PrEP options with a healthcare staff member and decide if they want to start PrEP. Participants will answer follow-up questions at 3 months. Investigators will also review participants' medical records at 6 months to see if they started PrEP and are still taking it.

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
125

participants targeted

Target at P50-P75 for not_applicable

Timeline
19mo left

Started Apr 2026

Geographic Reach
1 country

4 active sites

Status
not yet recruiting

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress6%
Apr 2026Dec 2027

First Submitted

Initial submission to the registry

November 24, 2025

Completed
24 days until next milestone

First Posted

Study publicly available on registry

December 18, 2025

Completed
3 months until next milestone

Study Start

First participant enrolled

April 1, 2026

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2027

Last Updated

March 19, 2026

Status Verified

March 1, 2026

Enrollment Period

1.7 years

First QC Date

November 24, 2025

Last Update Submit

March 18, 2026

Conditions

Keywords

PrEPHIV preventioncisgender womenDigital HealthDigital InterventionHealth EducationDecision Support ToolAlabamaMississippiSoutheast United States

Outcome Measures

Primary Outcomes (6)

  • Feasibility: Toolkit completion rate

    Percentage of eligible women who complete the PrEP Toolkit out of women screened and enrolled

    Throughout 12-month enrollment period

  • Feasibility: Toolkit Completion Time

    Average time needed to complete PrEP Toolkit activities

    Throughout 12-month enrollment period

  • Acceptability: Participant Satisfaction

    Participant satisfaction will be assessed using a study-specific satisfaction questionnaire measuring perceived value and ease of use of the Digital PrEP Toolkit. The questionnaire includes Likert-scale items (range: 1-5, with higher scores indicating greater satisfaction) evaluating Toolkit usability, perceived usefulness, and overall satisfaction.

    From enrollment to the end of the 3 month follow-up period at 15-months

  • Preliminary Efficacy: Participant PrEP Uptake

    Proportion of eligible women who initiate PrEP after using the PrEP Toolkit to eligible clients screened

    From enrollment to the end of the 3 month follow up period at 15-months

  • Preliminary Efficacy: Clinic-level PrEP uptake

    Comparison of PrEP uptake rates up to 12-months prior to study start to PrEP uptake rates during the approximately 12-month study enrollment period among eligible women at the partnering clinic sites

    From enrollment to the end of the 3 month follow up period at 15-months

  • Preliminary Efficacy: HIV and PrEP Knowledge

    Changes in HIV and PrEP knowledge will be assessed using an adapted version of the updated HIV Knowledge Questionnaire (range: 0-31, with higher scores indicating greater knowledge).

    From enrollment to the end of the 3 month follow up period at 15-months

Secondary Outcomes (4)

  • Number of Participants by Sexual Health Priority

    Throughout 12-month enrollment period

  • Number of Participants by HIV Prevention Preference

    Throughout 12-month enrollment period

  • Number of Participants by PrEP Modality Choice

    From enrollment to the end of the 3 month follow up period at 15-months

  • PrEP Persistence

    From enrollment to the end of the 6 month follow up period at 18-months

Study Arms (1)

Implementation of interactive digital PrEP toolkit for increased PrEP uptake

EXPERIMENTAL

The goal of the intervention is to strengthen the PrEP care continuum by developing and testing an interactive digital PrEP toolkit designed to improve PrEP awareness, screening, engagement, retention, adherence, and persistence among individuals at increased risk for HIV seroconversion. Specifically, the intervention aims to reduce racial and gender disparities in PrEP uptake and use.

Behavioral: Interactive Digital PrEP Toolkit

Interventions

Evaluation of an Interactive Digital PrEP Toolkit for women in AL and MS

Implementation of interactive digital PrEP toolkit for increased PrEP uptake

Eligibility Criteria

Age18 Years+
Sexfemale(Gender-based eligibility)
Gender Eligibility DetailsFemale
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • HIV-negative
  • Cisgender women
  • years or older
  • English-speaking
  • Report sexual activity in the last six months or anticipate sexual activity in the next six months.

You may not qualify if:

  • Younger than 18 years of age
  • Do not identify as female and/or were not biologically assigned female at birth
  • Living with HIV
  • Report no sexual activity in the past six months and no anticipated sexual activity in the next six months
  • Unable or unwilling to provide informed consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

University of Alabama at Birmingham

Birmingham, Alabama, 35205, United States

Location

Five Horizons Health Services

Montgomery, Alabama, 36111, United States

Location

Five Horizons Health Services

Tuscaloosa, Alabama, 35401, United States

Location

Five Horizons Health Services

Starkville, Mississippi, 39759, United States

Location

MeSH Terms

Conditions

CoitusHealth Education

Condition Hierarchy (Ancestors)

Sexual BehaviorBehaviorAdherence InterventionsMedication AdherencePatient CompliancePatient Acceptance of Health CareTreatment Adherence and ComplianceHealth Behavior

Study Officials

  • Mirjam-Colette Kempf, PhD, MPH

    University of Alabama at Birmingham

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Mirjam-Colette Kempf, PhD, MPH

CONTACT

Victoria McDonald, MPH

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
PREVENTION
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
University Professor

Study Record Dates

First Submitted

November 24, 2025

First Posted

December 18, 2025

Study Start

April 1, 2026

Primary Completion (Estimated)

December 1, 2027

Study Completion (Estimated)

December 1, 2027

Last Updated

March 19, 2026

Record last verified: 2026-03

Data Sharing

IPD Sharing
Will share

Our current plans call for the results of the process and outcome evaluations collected as part of this project will be shared via professional presentations and publications and will also be shared upon request. De-identified data will also be electronically encrypted and archived for use by others who are interested in using this data. New procedures, protocols, data collection instruments and analytic routines will be made available to interested investigators.

Time Frame
Data will be available after analysis is completed.
Access Criteria
Only de-identified information will be available.

Locations