Last reviewed · How we verify

NCT03535337: SMART

Adherence Interventions for HIV Youth Via Text & Cell Phone - Sequential Multiple Assignment Randomized Trial (SMART)

Completed NA Results posted Last updated 13 December 2024
What this trial tests

NA trial testing CPS in HIV Infections in 83 participants. Completed in 31 May 2022.

Timeline
1 September 2018
Primary endpoint
31 May 2022
31 May 2022

Quick facts

Lead sponsorFlorida State University
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designsequential
Maskingnone
Primary purposesupportive care
Enrollment83
Start date1 September 2018
Primary completion31 May 2022
Estimated completion31 May 2022
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Florida State University

Who can join

Adults 15 to 24, any sex, with HIV Infections. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Undetectable Viral Load Primary · baseline, month 3, month 6, month 9, and month 12

Percent of participants that have an undetectable HIV Viral Load.

Baseline
GroupValue95% CI
Stage 1 Cell Phone Support58.8
Stage 1 Short Message Service (SMS)62.9
3 Month
GroupValue95% CI
Stage 1 Cell Phone Support89.5
Stage 1 Short Message Service (SMS)87.5
Stage 2 Cell Phone Support CPS-I100
Stage 2 Cell Phone Support SMS-I100
Stage 2 Cell Phone Support CPS-T100
Stage 2 Cell Phone Support SC100
Stage 2 Short Message Service SMS-T90.0
Stage 2 Short Message Service SC100
6 Month
GroupValue95% CI
Stage 1 Cell Phone Support93.8
Stage 1 Short Message Service (SMS)89.5
Stage 2 Cell Phone Support CPS-I100
Stage 2 Cell Phone Support CPS-T85.7
Stage 2 Cell Phone Support SC100
Stage 2 Short Message Service SMS-T100
Stage 2 Short Message Service SC85.7
Stage 2 Short Message Service SMS-I100
9 Month
GroupValue95% CI
Stage 1 Cell Phone Support83.3
Stage 1 Short Message Service (SMS)83.3
Stage 2 Cell Phone Support CPS-I100
Stage 2 Cell Phone Support SMS-I100
Stage 2 Cell Phone Support CPS-T80.0
Stage 2 Cell Phone Support SC80.0
Stage 2 Short Message Service SMS-T100
Stage 2 Short Message Service SC83
Stage 2 Short Message Service SMS-I100
12 Month
GroupValue95% CI
Stage 1 Cell Phone Support80.0
Stage 1 Short Message Service (SMS)100.0
Stage 2 Cell Phone Support CPS-T100
Stage 2 Cell Phone Support SC50.0
Stage 2 Short Message Service SMS-T100
Stage 2 Short Message Service SC100
Stage 2 Short Message Service CPS-I100
Medication Adherence Rate - 7 Day Primary · baseline, month 3, month 6, month 9, and month 12

Self reported percentage of medication taken in the past 7 days prior to assessment point. Medication adherence rates will be compared between CPS and SMS groups.

Baseline
GroupValue95% CI
Stage 1 Cell Phone Support63.68± 34.91
Stage 1 Short Message Service (SMS)74.52± 29.81
3 month
GroupValue95% CI
Stage 1 Cell Phone Support90.69± 15.57
Stage 1 Short Message Service (SMS)76.18± 34.20
Stage 2: Cell Phone Support CPS-I70.00± 0.00
Stage 2 Cell Phone Support SMS-I100± 0.00
Stage 2 Cell Phone Support CPS-T94.60± 8.20
Stage 2 Cell Phone Support SC88.00± 19.30
Stage 2 Short Message Service SMS-T95.40± 8.80
Stage 2 Short Message Service SC79.30± 32.50
Stage 2 Short Message Service CPS-I15.00± 21.20
Stage 2 Short Message Service SMS-I42.00± 35.60
6 month
GroupValue95% CI
Stage 1 Cell Phone Support80.00± 31.93
Stage 1 Short Message Service (SMS)84.55± 20.09
Stage 2: Cell Phone Support CPS-I100± 0.00
Stage 2 Cell Phone Support SMS-I40± 45.80
Stage 2 Cell Phone Support CPS-T96.30± 7.40
Stage 2 Cell Phone Support SC74.40± 33.20
Stage 2 Short Message Service SMS-T94.60± 8.80
Stage 2 Short Message Service SC76.70± 28.10
Stage 2 Short Message Service CPS-I95.00± 7.10
Stage 2 Short Message Service SMS-I70.00± 24.50
9 month
GroupValue95% CI
Stage 1 Cell Phone Support79.17± 29.18
Stage 1 Short Message Service (SMS)82.76± 23.89
Stage 2: Cell Phone Support CPS-I100± 0.00
Stage 2 Cell Phone Support SMS-I76.70± 40.40
Stage 2 Cell Phone Support CPS-T85.70± 21.50
Stage 2 Cell Phone Support SC72.00± 35.50
Stage 2 Short Message Service SMS-T94.60± 5.20
Stage 2 Short Message Service SC92.50± 7.10
Stage 2 Short Message Service CPS-I56.70± 40.40
Stage 2 Short Message Service SMS-I54.00± 28.80
12 month
GroupValue95% CI
Stage 1 Cell Phone Support73.33± 38.12
Stage 1 Short Message Service (SMS)79.63± 30.19
Stage 2 Cell Phone Support SMS-I33.30± 57.70
Stage 2 Cell Phone Support CPS-T98.00± 4.50
Stage 2 Cell Phone Support SC79.10± 29.50
Stage 2 Short Message Service SMS-T97.00± 6.70
Stage 2 Short Message Service SC70.00± 36.30
Stage 2 Short Message Service CPS-I66.70± 25.20
Stage 2 Short Message Service SMS-I46.70± 47.30
Medication Adherence - 30 Days Primary · baseline, month 3, month 6, month 9, and month 12

Self reported percentage of medication taken in the past 30 days prior to assessment point. Medication adherence rates will be compared between CPS and SMS groups.

Baseline
GroupValue95% CI
Stage 1 Cell Phone Support68.55± 27.18
Stage 1 Short Message Service (SMS)74.33± 23.60
3 Month
GroupValue95% CI
Stage 1 Cell Phone Support87.56± 20.35
Stage 1 Short Message Service (SMS)84.87± 22.73
Stage 2 Cell Phone Support CPS-I75.00± 0.00
Stage 2 Cell Phone Support SMS-I53.00± 32.50
Stage 2 Cell Phone Support CPS-T95.10± 6.00
Stage 2 Cell Phone Support SC88.00± 22.00
Stage 2 Short Message Service SMS-T96.20± 4.60
Stage 2 Short Message Service SC83.90± 24.50
Stage 2 Short Message Service CPS-I70.00± 0.00
Stage 2 Short Message Service SMS-I58.00± 31.10
6 Month
GroupValue95% CI
Stage 1 Cell Phone Support85.48± 21.14
Stage 1 Short Message Service (SMS)82.13± 20.08
Stage 2 Cell Phone Support CPS-I77.50± 23.30
Stage 2 Cell Phone Support SMS-I88.50± 16.30
Stage 2 Cell Phone Support CPS-T96.00± 9.80
Stage 2 Cell Phone Support SC77.20± 27.00
Stage 2 Short Message Service SMS-T94.30± 8.40
Stage 2 Short Message Service SC73.50± 28.30
Stage 2 Short Message Service CPS-I95.00± 7.10
Stage 2 Short Message Service SMS-I55.00± 35.20
9 Month
GroupValue95% CI
Stage 1 Cell Phone Support78.34± 27.92
Stage 1 Short Message Service (SMS)83.74± 21.33
Stage 2 Cell Phone Support CPS-I93.00± 1.40
Stage 2 Cell Phone Support SMS-I90.50± 13.40
Stage 2 Cell Phone Support CPS-T87.40± 21.70
Stage 2 Cell Phone Support SC67.90± 35.50
Stage 2 Short Message Service SMS-T94.60± 6.00
Stage 2 Short Message Service SC91.10± 8.70
Stage 2 Short Message Service CPS-I56.00± 39.30
Stage 2 Short Message Service SMS-I58.00± 19.60
12 Month
GroupValue95% CI
Stage 1 Cell Phone Support83.94± 22.73
Stage 1 Short Message Service (SMS)80.60± 28.73
Stage 2 Cell Phone Support SMS-I52.00± 67.90
Stage 2 Cell Phone Support CPS-T94.00± 5.50
Stage 2 Cell Phone Support SC85.60± 12.80
Stage 2 Short Message Service SMS-T97.10± 6.30
Stage 2 Short Message Service SC75.40± 29.80
Stage 2 Short Message Service CPS-I69.00± 28.60
Stage 2 Short Message Service SMS-I17.00± 24.00

Sponsor's own description

The purpose of this study is to test an adaptive adherence intervention, which utilizes two mobile health (mHealth) intervention designs, in an effort to promote adherence to antiretroviral therapy (ART) and achieve and maintain viral load (VL) suppression in youth living with HIV (YLH) while increasing understanding of the context for wide-scale implementation of cell phone support (CPS) and text messaging support (SMS), with and without incentives.

Publications & conference data

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

  1. Accuracy of measures for antiretroviral adherence in people living with HIV.
    Smith R, Villanueva G, Probyn K, Sguassero Y, et al · · 2022 · cited 34× · PMID 35871531 · DOI 10.1002/14651858.cd013080.pub2
  2. Antiretroviral adherence for adolescents growing up with HIV: understanding real life, drug delivery and forgiveness.
    Foster C, Ayers S, Fidler S. · · 2020 · cited 30× · PMID 32523693 · DOI 10.1177/2049936120920177
  3. Adaptive Antiretroviral Therapy Adherence Interventions for Youth Living With HIV Through Text Message and Cell Phone Support With and Without Incentives: Protocol for a Sequential Multiple Assignment Randomized Trial (SMART).
    Belzer ME, MacDonell KK, Ghosh S, Naar S, et al · · 2018 · cited 27× · PMID 30573448 · DOI 10.2196/11183
  4. An Adaptive Antiretroviral Therapy Adherence Intervention for Youth with HIV Through Text Message and Cell Phone Support with and without Incentives: A Sequential Multiple Assignment Randomized Trial (SMART).
    Belzer ME, MacDonell K, Cain D, Ghosh S, et al · · 2025 · cited 5× · PMID 39702557 · DOI 10.1007/s10461-024-04558-x

Verify or expand the search:

Other recruiting trials for HIV Infections

Currently open trials in the same condition.

Other Florida State University trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03535337.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing