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NCT04426656

The Development of a Mobile-based App to Increase Uptake of Pre-Exposure Prophylaxis (PrEP) by Men Who Have Sex With Men in China

Completed NA Results posted Last updated 2 March 2022
What this trial tests

NA trial testing Phone application in HIV in 70 participants. Completed in 2 April 2021.

Timeline
8 July 2020
Primary endpoint
2 April 2021
2 April 2021

Quick facts

Lead sponsorUniversity of North Carolina, Chapel Hill
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposeother
Enrollment70
Start date8 July 2020
Primary completion2 April 2021
Estimated completion2 April 2021
Sites1 location across China

Drugs / interventions tested

Conditions studied

Sponsor

University of North Carolina, Chapel Hill

Who can join

Adults 18 to 99, male only, with HIV or Pre-exposure Prophylaxis. 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.

Change in Intention to Use PrEP Score Primary · Baseline and up to 12 weeks

Individual perceived likelihood to start using PrEP, measured by a one-item question with a bipolar response scale (-3 to 3). Higher score indicates higher intention to use.

Baseline to Week 4
GroupValue95% CI
Part 2 Standard of Care0.19± 1.72
Part 2 Mini-app0.00± 2.32
Baseline to Week 8
GroupValue95% CI
Part 2 Standard of Care0.57± 2.62
Part 2 Mini-app-0.09± 2.29
Baseline to Week 12
GroupValue95% CI
Part 2 Standard of Care1.00± 2.59
Part 2 Mini-app-0.40± 2.59
Number of Participants Who Initiate PrEP by Week 8 Primary · Up to 8 weeks

Individual's self-reported whether starting use of PrEP medication (binary: Yes/No)

GroupValue95% CI
Part 2 Standard of Care5
Part 2 Mini-app8
Number of Participants at Different Change Stages to PrEP Initiation at Baseline Primary · Baseline

Individual's stages in the changing process towards starting using PrEP, which includes pre-contemplation (no interest in using PrEP), contemplation (interested in using PrEP but no action taken), preparation (plan to start PrEP and have taken initial actions), action (have started using PrEP), and maintenance (stay adherent to PrEP regimen). Each stage will be assessed by 1 or 2 questions (Yes/No) to determine which stage the individual is currently at.

GroupValue95% CI
Part 2 Standard of Care9
Part 2 Mini-app15
Part 2 Standard of Care8
Part 2 Mini-app24
Part 2 Standard of Care4
Part 2 Mini-app4
Part 2 Standard of Care0
Part 2 Mini-app0
Number of Participants at Different Change Stages to PrEP Initiation at Week 4 Primary · Week 4

Individual's stages in the changing process towards starting using PrEP, which includes pre-contemplation (no interest in using PrEP), contemplation (interested in using PrEP but no action taken), preparation (plan to start PrEP and have taken initial actions), action (have started using PrEP), and maintenance (stay adherent to PrEP regimen). Each stage will be assessed by 1 or 2 questions (Yes/No) to determine which stage the individual is currently at.

GroupValue95% CI
Part 2 Standard of Care10
Part 2 Mini-app15
Part 2 Standard of Care5
Part 2 Mini-app12
Part 2 Standard of Care6
Part 2 Mini-app12
Part 2 Standard of Care0
Part 2 Mini-app4
Number of Participants at Different Change Stages to PrEP Initiation at Week 8 Primary · Week 8

Individual's stages in the changing process towards starting using PrEP, which includes pre-contemplation (no interest in using PrEP), contemplation (interested in using PrEP but no action taken), preparation (plan to start PrEP and have taken initial actions), action (have started using PrEP), and maintenance (stay adherent to PrEP regimen). Each stage will be assessed by 1 or 2 questions (Yes/No) to determine which stage the individual is currently at.

GroupValue95% CI
Part 2 Standard of Care8
Part 2 Mini-app20
Part 2 Standard of Care4
Part 2 Mini-app7
Part 2 Standard of Care4
Part 2 Mini-app8
Part 2 Standard of Care5
Part 2 Mini-app8
Number of Participants at Different Change Stages to PrEP Initiation at Week 12 Primary · Week 12

Individual's stages in the changing process towards starting using PrEP, which includes pre-contemplation (no interest in using PrEP), contemplation (interested in using PrEP but no action taken), preparation (plan to start PrEP and have taken initial actions), action (have started using PrEP), and maintenance (stay adherent to PrEP regimen). Each stage will be assessed by 1 or 2 questions (Yes/No) to determine which stage the individual is currently at.

GroupValue95% CI
Part 2 Standard of Care8
Part 2 Mini-app17
Part 2 Standard of Care3
Part 2 Mini-app11
Part 2 Standard of Care5
Part 2 Mini-app7
Part 2 Standard of Care5
Part 2 Mini-app8
Change in PrEP Knowledge Score at Week 4, 8 and 12 Secondary · Baseline and up to 12 weeks

Individual's understanding of PrEP, measured by a 5-item True/False quiz. Values range from 0-5. Higher score indicates better PrEP knowledge.

Baseline to Week 4
GroupValue95% CI
Part 2 Standard of Care0.33± 0.72
Part 2 Mini-app0.13± 0.79
Baseline to Week 8
GroupValue95% CI
Part 2 Standard of Care0.33± 0.66
Part 2 Mini-app0.16± 0.78
Baseline to Week 12
GroupValue95% CI
Part 2 Standard of Care0.38± 0.50
Part 2 Mini-app0.19± 0.82
Number of Participants Who Are Willing to Pay a Specified Percentage of Monthly Income for PrEP Secondary · Up to 12 weeks

Willingness to pay for PrEP ranging from 0-100% of monthly income. Amount spent will be assessed at Baseline, Weeks 4, 8, and 12.

Baseline
GroupValue95% CI
Part 2 Standard of Care0
Part 2 Mini-app6
Part 2 Standard of Care0
Part 2 Mini-app0
Part 2 Standard of Care0
Part 2 Mini-app4
Part 2 Standard of Care1
Part 2 Mini-app6
Week 4
GroupValue95% CI
Part 2 Standard of Care0
Part 2 Mini-app4
Part 2 Standard of Care0
Part 2 Mini-app0
Part 2 Standard of Care0
Part 2 Mini-app7
Part 2 Standard of Care5
Part 2 Mini-app5
Week 8
GroupValue95% CI
Part 2 Standard of Care0
Part 2 Mini-app5
Part 2 Standard of Care0
Part 2 Mini-app1
Part 2 Standard of Care1
Part 2 Mini-app4
Part 2 Standard of Care4
Part 2 Mini-app5
Week 12
GroupValue95% CI
Part 2 Standard of Care0
Part 2 Mini-app3
Part 2 Standard of Care0
Part 2 Mini-app1
Part 2 Standard of Care2
Part 2 Mini-app5
Part 2 Standard of Care8
Part 2 Mini-app8
Change in PrEP Self-Efficacy Score Secondary · Baseline and up to 12 weeks

Self-Efficacy will be assessed at Baseline, Weeks 4, 8, and 12 using an 8-item PrEP self-efficacy scale. Values range from 0-5. Higher scores indicate higher self-efficacy to use PrEP.

Baseline to Week 4
GroupValue95% CI
Part 2 Standard of Care0.05± 0.40
Part 2 Mini-app0.07± 0.39
Baseline to Week 8
GroupValue95% CI
Part 2 Standard of Care0.08± 0.50
Part 2 Mini-app0.03± 0.41
Baseline to Week 12
GroupValue95% CI
Part 2 Standard of Care0.10± 0.47
Part 2 Mini-app0.13± 0.44
Change in PrEP Attitude Score Secondary · Baseline and up to 12 weeks

Individual's attitude towards PrEP, measured by a 5-item scale. Values range from 0-5. Higher scores indicate more positive attitude toward PrEP. The PrEP Attitude will be assessed at Baseline, Weeks 4, 8, and 12.

Baseline to Week 4
GroupValue95% CI
Part 2 Standard of Care0.06± 0.32
Part 2 Mini-app0.07± 0.66
Baseline to Week 8
GroupValue95% CI
Part 2 Standard of Care0.23± 0.79
Part 2 Mini-app0.01± 0.72
Baseline to Week 12
GroupValue95% CI
Part 2 Standard of Care0.02± 0.44
Part 2 Mini-app0.02± 0.72
Change in PrEP Stigma Score Secondary · Baseline and up to 12 weeks

Individual's perceived stigma related to PrEP, measured by 5-item PrEP stigma scale. Values range from 0-5. Higher score indicates higher perceived stigma related to PrEP. The PrEP Stigma will be assessed at Baseline, Weeks 4, 8, and 12.

Baseline to Week 4
GroupValue95% CI
Part 2 Standard of Care0.06± 0.32
Part 2 Mini-app-0.02± 0.69
Baseline to Week 8
GroupValue95% CI
Part 2 Standard of Care0.23± 0.79
Part 2 Mini-app0.09± 0.72
Baseline to Week 12
GroupValue95% CI
Part 2 Standard of Care0.02± 0.44
Part 2 Mini-app0.03± 0.72
Number of Participants Who Ordered At-home HIV/Syphilis Tests Secondary · 12 weeks

Number of participants who ordered at-home HIV/syphilis tests through the mini-app based on the study record. Values range from 0 to greater than 0. Higher indicates higher frequency of participants who ordered HIV/syphilis tests completed through the study.

GroupValue95% CI
Part 2 Mini-app13

Sponsor's own description

This study aims to use a mini-application on the popular Chinese social media mobile platform, WeChat, to improve HIV pre-exposure prophylaxis (PrEP) uptake among at-risk men who have sex with men (MSM). UNC investigators will work in close partnership with a well-established HIV special hospital and the local MSM community to understand key barriers to PrEP use, and develop a mobile-based intervention to increase PrEP uptake among young MSM in Guangzhou, China.

Publications & conference data

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

  1. Community-engaged mHealth intervention to increase uptake of HIV pre-exposure prophylaxis (PrEP) among gay, bisexual and other men who have sex with men in China: study protocol for a pilot randomised controlled trial.
    Li C, Xiong Y, Muessig KE, Tang W, et al · · 2022 · cited 15× · PMID 35537794 · DOI 10.1136/bmjopen-2021-055899
  2. An instant messaging mobile phone application for promoting HIV pre-exposure prophylaxis uptake among Chinese gay, bisexual and other men who have sex with men: A mixed methods feasibility and piloting randomized controlled trial study.
    Li C, Xiong Y, Maman S, Matthews DD, et al · · 2023 · cited 8× · PMID 37956177 · DOI 10.1371/journal.pone.0285036
  3. A community-engaged mHealth intervention to increase uptake of HIV Pre-Exposure Prophylaxis (PrEP) among gay, bisexual and other men who have sex with men in China: Study protocol for a pilot randomized controlled trial
    Li C, Xiong Y, Muessig KE, Tang W, et al · · 2020 · cited 1× · DOI 10.1101/2020.10.19.20215400

Verify or expand the search:

Other recruiting trials for HIV

Currently open trials in the same condition.

Other University of North Carolina, Chapel Hill trials

Trials by the same sponsor.

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