CClinicalTrials.gg
CompletedNCT01786148MFHUpdated Nov 29, 2019Results posted

Music for Health Project

An interventional study of mobile phone application in Human Immunodeficiency Virus, sponsored by Emory University. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-11-29.

Sponsored by Emory University · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
149
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The overall goal of this project is to use technology to improve adherence to antiretroviral therapy (ART)and increase access to ART adherence care for those HIV+ persons living in rural areas. The LIVE Network audio music program mobile application (app) is innovative, practical, portable, and could be rapidly scaled up to address the adherence self-management needs of rural groups nationwide. If successful, the impact on HIV care will be immense and could transform the delivery of HIV self-management and adherence education by overcoming barriers of geographic isolation, transportation, stigma and confidentiality in this vulnerable group.

Read the detailed description

The project has two primary aims and one exploratory aim. 1.0 Revise and adapt the Live Network (LN) program and manual for rural persons living with HIV/AIDS (PLWHA) and develop into a mobile application.

2.0 Conduct a randomized controlled trial to test the efficacy of the program. When compared with an educational music control condition at 3, 6, and 9 months post-baseline, those randomized to the LN will have: H1: Significantly higher mean antiretroviral therapy (ART) adherence rates (measured by pill counts, self report).

H2: Significantly higher mean levels of ART drug levels in hair sample analyses.

H3: Significantly better clinical indicators: higher mean CD4 lymphocyte counts and percents, a larger proportion achieving virologic suppression (proportion with HIV RNA PCR \<50 copies/ml), and smaller proportion with evidence of drug resistance, all as measured by medical record review.

3.0 Explore: a) the effects of LN on symptoms and symptom management; b) the roles of self-efficacy, outcome expectancies, and personal goal setting as mediators, and depression and health literacy as moderators of adherence.

02

Conditions studied

  • Human Immunodeficiency Virus

Keywords

  • HIV/AIDS
  • Adherence
  • Self-management
  • Antiretroviral therapy
03

In context

Acquired Immunodeficiency Syndrome

2,040 studies on the registry are indexed under Acquired Immunodeficiency Syndrome; 272 are open to participants now.

This study's enrollment of 149 is above the median of 105 across 1,543 interventional studies indexed under Acquired Immunodeficiency Syndrome.

Browse Acquired Immunodeficiency Syndrome studies →

Lead sponsor

Emory University is the lead sponsor of 1,386 studies on the registry; 236 are open to participants now.

Of its 229 completed or terminated interventional studies of FDA-regulated products, 174 (76%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • HIV+ individuals initiating ART for the first time (except women who may have had ART during pregnancy); or HIV+ individuals changing ART regimen within the past 3 months due to side effects or virologic resistance; or HIV+ individuals with a detectable viral load ≥ 40copies/ml; or HIV+ individuals on ART medication
  • English speaking
  • Willing to complete 4 assessments
  • Willing to complete monthly, unannounced pill counts
  • Willing to allow collection of hair samples
  • Willing to be randomly assigned to either condition
  • Willing to participate in study activities that include using smart phone and mobile app

Exclusion criteria

Exclusion Criteria:

  • Have a history of bilateral hearing loss (health care provider diagnosed or self-identified)
  • Homeless
  • Have a cognitive impairment (inability to comprehend the informed consent)
  • Display psychotic symptoms, as determined by the Brief Symptom Inventory (BSI)
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
149 participants (actual)

Study arms

  • Active comparator
    Educational music mobile app

    A prerecorded program of songs on various topics in a mobile phone application (app). It is designed to provide education about non-health related topics and will be equivalent in length to the intervention app.

    Behavioral: mobile phone application

  • Experimental
    Live Network mobile phone App

    The LN is a prerecorded mobile phone application (app). It employs a radio talk show format in which a Disc Jockey entertains HIV medication-, adherence-, and self-management-related questions and comments from callers and poses them to expert care providers, whose responses to these questions are augmented by songs that shed additional light on these issues.

    Behavioral: mobile phone application

Interventions

  • Behavioralmobile phone application
06

What researchers measure

Primary outcomes

  1. Change in Antiretroviral Therapy (ART) Adherence Rates

    Adherence rate was measured with the Antiretroviral General Adherence Scale (AGAS) which measures the general ease and ability to take one's medication as prescribed in the past 30 days. It includes 5 items scored 1 to 6, with the possible scores for this instrument ranging from 5 to 30, and higher scores reflect better adherence.

    Time frame: Baseline, 3 months post-baseline, 6 months post-baseline and 9 months post-baseline

Secondary outcomes

  1. Change in Antiretroviral (ART) Drug Levels in Hair Sample Analyses.

    No data available due to inability of the lab to accurately extract drug from hair.

    Time frame: 3, 6, and 9 months post-baseline

  2. Clinical Indicator: Change in Mean CD4 Percentage

    CD4 count is a test that measures the number of CD4 cells in your blood. CD4 cells, also known as T cell lymphocytes, are white blood cells that fight infection and play an important role in your immune system. A CD4 count is used to check the health of the immune system in people infected with HIV (human immunodeficiency virus). The count measures the number of CD4 cells in a small sample of blood. The percent of CD4 cells measure the percentage of all lymphocytes that are CD4 cells. The study assesses the percentage of CD4 lymphocytes over time.

    Time frame: Baseline, 3 months post-intervention, 6 months post-intervention, 9 months post-intervention, 9 to 12 months post-intervention

  3. Clinical Indicator: Number of Participants With Non-detectable Viral Load

    Change in number of participants with viral load presented as number of copies if \<50 copies versus ≥ 50 copies. Subjects were coded as having non-detectable viral loads if the "load" was \< 50 copies. The analyses performed reflects the number of subjects with non-detectable load (\<50) at Baseline, 3 months post-intervention, 6 months post-intervention, 9 months post-intervention, 9 to 12 months post-intervention.

    Time frame: Baseline, 3 months post-intervention, 6 months post-intervention, 9 months post-intervention, 9 to 12 months post-intervention

07

Results

Posted Nov 29, 2019

Participant flow

Participants were enrolled in the trial starting in June 2014 and randomized either to Educational music mobile app or to the Live Network mobile phone app

Participant flow — Overall Study
MilestoneEducational Music Mobile AppLive Network Mobile Phone App
Started7772
Completed5550
Not completed2222
Withdrew: Lost to follow-up2113
Withdrew: Death01
Withdrew: Withdrawal by subject07
Withdrew: Incarceration11

Outcome measures

PrimaryChange in Antiretroviral Therapy (ART) Adherence Rates

Adherence rate was measured with the Antiretroviral General Adherence Scale (AGAS) which measures the general ease and ability to take one's medication as prescribed in the past 30 days. It includes 5 items scored 1 to 6, with the possible scores for this instrument ranging from 5 to 30, and higher scores reflect better adherence.

Time frame:
Baseline, 3 months post-baseline, 6 months post-baseline and 9 months post-baseline
Reported as:
Mean · score on a scale
Change in Antiretroviral Therapy (ART) Adherence Rates
score on a scaleEducational Music Mobile AppLive Network Mobile Phone App
Baseline27.04 ± 4.2326.25 ± 5.18
3 months26.14 ± 4.8126.48 ± 5.39
6 months26.60 ± 5.4827.81 ± 3.90
9 months26.45 ± 5.9026.38 ± 5.99
SecondaryChange in Antiretroviral (ART) Drug Levels in Hair Sample Analyses.

No data available due to inability of the lab to accurately extract drug from hair.

Time frame:
3, 6, and 9 months post-baseline

No measurements were reported for this outcome.

SecondaryClinical Indicator: Change in Mean CD4 Percentage

CD4 count is a test that measures the number of CD4 cells in your blood. CD4 cells, also known as T cell lymphocytes, are white blood cells that fight infection and play an important role in your immune system. A CD4 count is used to check the health of the immune system in people infected with HIV (human immunodeficiency virus). The count measures the number of CD4 cells in a small sample of blood. The percent of CD4 cells measure the percentage of all lymphocytes that are CD4 cells. The study assesses the percentage of CD4 lymphocytes over time.

Time frame:
Baseline, 3 months post-intervention, 6 months post-intervention, 9 months post-intervention, 9 to 12 months post-intervention
Reported as:
Mean · percentage of CD4
Clinical Indicator: Change in Mean CD4 Percentage
percentage of CD4Educational Music Mobile AppLive Network Mobile Phone App
Baseline21.87 ± 12.6626.07 ± 14.26
3 months post-intervention21.68 ± 12.3725.91 ± 12.32
6 months post-intervention27.08 ± 12.9026.23 ± 13.27
9 months post-intervention26.13 ± 11.9224.08 ± 14.08
9 to 12 months post-intervention24.80 ± 11.4026.39 ± 10.49
SecondaryClinical Indicator: Number of Participants With Non-detectable Viral Load

Change in number of participants with viral load presented as number of copies if \<50 copies versus ≥ 50 copies. Subjects were coded as having non-detectable viral loads if the "load" was \< 50 copies. The analyses performed reflects the number of subjects with non-detectable load (\<50) at Baseline, 3 months post-intervention, 6 months post-intervention, 9 months post-intervention, 9 to 12 months post-intervention.

Time frame:
Baseline, 3 months post-intervention, 6 months post-intervention, 9 months post-intervention, 9 to 12 months post-intervention
Reported as:
Count of participants · Participants
Clinical Indicator: Number of Participants With Non-detectable Viral Load
ParticipantsEducational Music Mobile AppLive Network Mobile Phone App
Baseline2521
3 months post-intervention4935
6 months post-intervention4038
9 months post-intervention2733
9 to 12 months post-intervention2627

Adverse events

Collected over 9 months post-baseline. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Educational Music Mobile App0/77 (0%)0/77 (0%)0/77 (0%)
Live Network Mobile Phone App1/72 (1.4%)0/72 (0%)0/72 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Educational Music Mobile AppLive Network Mobile Phone AppTotal
Mean41.4 ± 11.637.3 ± 11.139.4 ± 11.6
Sex: Female, Male
Sex: Female, Male(Participants)Educational Music Mobile AppLive Network Mobile Phone AppTotal
Female282351
Male494998
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Educational Music Mobile AppLive Network Mobile Phone AppTotal
American Indian or Alaska Native112
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American6154115
White81523
More than one race000
Unknown or Not Reported729
Consider Yourself to be
Consider Yourself to be(Participants)Educational Music Mobile AppLive Network Mobile Phone AppTotal
Straight/Heterosexual422971
Gay/Homosexual282755
Bisexual51217
None of the above246
08

Study locations

1 site
  • Emory University
    Atlanta, Georgia 30322, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Mar 4, 2016

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 29, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01786148
Lead sponsor
Emory University
Collaborators
National Institute of Nursing Research (NINR)
Responsible party
Marcia McDonnell Holstad, DSN, FNP-BC (Associate Professor, Emory University) — Principal investigator
First posted
Feb 7, 2013
Start date
Jun 2014
Primary completion
Apr 19, 2017
Completion
Jun 30, 2017
Results posted
Nov 29, 2019
Last update
Nov 29, 2019

Study contacts

Marcia M Holstad, PhD
principal investigator · Emory University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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