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NCT03511131: SMART

A Pragmatic Trial of An Adaptive eHealth HIV Prevention Program for Diverse Adolescent MSM

Completed NA Last updated 12 August 2022
What this trial tests

NA trial testing Queer Sex Ed in Hiv in 1,306 participants. Completed in 12 December 2021.

Timeline
18 April 2018
Primary endpoint
12 December 2021
12 December 2021

Quick facts

Lead sponsorNorthwestern University
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designsequential
Maskingsingle
Primary purposeprevention
Enrollment1,306
Start date18 April 2018
Primary completion12 December 2021
Estimated completion12 December 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Northwestern University

Who can join

Adults 13 to 18, male only, with Hiv or Adolescent Behavior. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

This pragmatic trial of an HIV prevention program focuses on HIV risk-reduction in men who have sex with men (MSM) ages 13-18. The design is a three-tiered, internet-based HIV prevention intervention series that uses a sequential multiple assignment randomized trial (SMART) to track adolescent MSM reporting varying degree of sexual risk.The program package includes: (1-low risk) a universally-delivered, brief, online sexual health education program designed for sexual and gender minority youth regardless of whether they are sexually active (Queer Sex Ed); (2-middle risk) a more intensive online intervention designed for diverse AMSM engaging in HIV transmission risk behaviors (Keep It Up!), and (3-high risk) the most intensive is a motivational interviewing (MI) intervention that will be delivered by MI therapists via online videochat (Young Men's Health Project).

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Factors Associated With HIV Testing in Teenage Men Who Have Sex With Men.
    Mustanski B, Moskowitz DA, Moran KO, Rendina HJ, et al · · 2020 · cited 38× · PMID 32047100 · DOI 10.1542/peds.2019-2322
  2. Evaluation of a Stepped-Care eHealth HIV Prevention Program for Diverse Adolescent Men Who Have Sex With Men: Protocol for a Hybrid Type 1 Effectiveness Implementation Trial of SMART.
    Mustanski B, Moskowitz DA, Moran KO, Newcomb ME, et al · · 2020 · cited 32× · PMID 32779573 · DOI 10.2196/19701
  3. Effectiveness of the SMART Sex Ed program among 13-18 year old English and Spanish speaking adolescent men who have sex with men.
    Mustanski B, Saber R, Macapagal K, Matson M, et al · · 2023 · cited 18× · PMID 35951143 · DOI 10.1007/s10461-022-03806-2
  4. Social Media and Online Dating Safety Practices by Adolescent Sexual and Gender Diverse Men: Mixed-Methods Findings From the SMART Study.
    Sinno J, Macapagal K, Mustanski B. · · 2024 · cited 5× · PMID 37791926 · DOI 10.1016/j.jadohealth.2023.07.030
  5. Effectiveness of the smart program: Stepped-care HIV prevention for gay and bisexual adolescent boys.
    Mustanski B, Macapagal K, Li DH, Rodriguez-Diaz CE, et al · · 2025 · cited 1× · PMID 39992778 · DOI 10.1037/hea0001471
  6. Use of a custom testing center locator tool to improve STI and HIV testing rates in adolescent men who have sex with men as part of an online sexual health program.
    Saber R, Mongrella M, Matson M, Carty-Fickes E, et al · · 2022 · cited 1× · PMID 37228693 · DOI 10.1016/j.procs.2022.09.088
  7. Identifying leaks in the STEM recruitment pipeline among sexual and gender minority US secondary students.
    Xavier Hall CD, Wood CV, Hurtado M, Moskowitz DA, et al · · 2022 · cited 1× · PMID 35658021 · DOI 10.1371/journal.pone.0268769
  8. An empirical test of the Information-Motivation-Behavioral Skills model of willingness and intention to use HIV pre-exposure prophylaxis among adolescent men who have sex with men.
    Yellin H, Wang Y, Huebner DM, Rodríguez-Díaz CE, et al · · 2025 · PMID 40971723 · DOI 10.1093/abm/kaaf070

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