ClinicalTrials.gg
CompletedNCT04108988Updated Nov 8, 2023Results posted

A Digital Intervention for HIV Prevention in Black Adolescent Girls

An interventional study of InvestiDate and Non-Health Related Video Game in HIV and Risk Reduction Behavior, sponsored by Yale University. Completed at 1 site in United States. Open to female participants aged 14 Years to 18 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-11-08.

Sponsored by Yale University · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
117
Allocation
Randomized
Ages
14 Years to 18 Years
Sex
Female
01

Study summary

The purpose of this study is to develop and evaluate an innovative behavioral HIV prevention videogame intervention to bolster motivation and provide skill-building opportunities to improve Black adolescent girls' ability to negotiate around risk including advocating for partner HIV/sexually transmitted infection (STI) testing, increasing their knowledge and awareness of HIV/STIs, and for reducing sexual risk-taking behaviors.

Read the detailed description

This study will develop and evaluate a multiplayer videogame aimed at Black adolescent girls with the intent of teaching the ability to negotiate around risk including advocating for partner HIV/STI testing, increasing their knowledge and awareness of HIV/STIs, and for reducing sexual risk-taking behaviors.

The intervention will be developed and delivered as a social, multiplayer videogame, a compelling context for Black adolescent girls who constantly interact and seek counsel from their peers. To this end, the Specific Aims, focusing on Black adolescent girls aged 14-18 years, are to:

  1. (Phase 1) Translate the culturally and socially-tailored card game One Night Stan to a multiplayer videogame called InvestiDate using game design and content experts and focus group input from 30 Black adolescent girls.
  2. (Phase 2) Conduct a pilot randomized controlled trial comparing the multiplayer videogame InvestiDate (the new adaptation of the One Night Stan intervention) vs. an attention/control non-health-related multiplayer videogame with 80 participants collecting assessment data at baseline, one, and four months to:

    1. Determine the intervention's acceptability and feasibility by collecting quantitative and qualitative data on Black adolescent girls' satisfaction and gameplay experience of the intervention.
    2. Determine the preliminary impact of the intervention on knowledge (information), intentions/attitudes (motivation), social norms, and behavioral skills as related to: i) HIV/STI testing and partner testing and ii) condom use, and iii) sexual risk behavior reduction, such as alcohol and drug use.
02

Conditions studied

  • HIV
  • Risk Reduction Behavior

Keywords

  • Black adolescent girls
03

In context

Risk Reduction Behavior

72 studies on the registry are indexed under Risk Reduction Behavior; 25 are open to participants now.

This study's enrollment of 117 is below the median of 200 across 66 interventional studies indexed under Risk Reduction Behavior.

Browse Risk Reduction Behavior studies →

Lead sponsor

Yale University is the lead sponsor of 1,763 studies on the registry; 290 are open to participants now.

Of its 217 completed or terminated interventional studies of FDA-regulated products, 129 (59%) have results posted.

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

04

Who can participate

Ages eligible
14 Years to 18 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Both phases (includes focus groups- Phase 1)

  • Black (race)
  • Heterosexual
  • Currently enrolled in high school

Pilot Test (Phase 2)

  • Ability to participate in web-based videogame
  • Willing to sit for at least 60 minutes (to play the game)
  • No HIV testing in the last 12 months
  • Ability to provide assent or parental/guardian consent

Exclusion criteria

Exclusion Criteria:

  • Failure to meet inclusion criteria
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
117 participants (actual)

Study arms

  • Experimental
    InvestiDate Intervention

    One Night Stan will be adapted as a multiplayer videogame called InvestiDate based on the card game prototype with a focus on a slightly younger age group.

    Behavioral: InvestiDate

  • Placebo comparator
    Non-Health Related Game

    Participants in the non-health related game group will play a multiplayer game unrelated to the content of InvestiDate.

    Other: Non-Health Related Video Game

Interventions

  • BehavioralInvestiDate

    Participants will be randomly assigned to play either InvestiDate (n=40), or the non-health related attention and time control condition multiplayer videogame (n=40).

  • OtherNon-Health Related Video Game

    Participants will be randomly assigned to play either InvestiDate (n=40), or the non-health related attention and time control condition multiplayer videogame (n=40).

06

What researchers measure

Primary outcomes

  1. Feasibility Assessed Using Change in Retention Rates

    Feasibility of this intervention is assessed by the percent of total questionnaires returned out of all distributed at each time point to assess retention rates. Rates \>80% indicate high retention.

    Time frame: Baseline, 1 month and 4 months

  2. Acceptability Assessed Via Self-reported Survey

    Acceptability of the intervention condition is assessed via self-reported survey at the post gameplay time point using the game experience and satisfaction questionnaire, which is a 10-item scale with 4-point Likert-type responses ranging from 1 (strongly disagree) to 4 (strongly agree). Total score range 10-40. Data were collected from participants in the experimental group only. Higher scores indicate stronger agreement with the statement.

    Time frame: 1 month

  3. Acceptability Assessed by Favorite Investidate Activities

    Participants were asked to indicate (from a list) their favorite activity in the game. The data presented here indicates the total number of participants in the experimental group that selected each activity as their favorite.

    Time frame: Month 4

  4. Total Time Playing

    The mean total time spent playing the videogame

    Time frame: Month 4

  5. Change From Baseline at 4 Months: HIV/STI Testing- Self

    HIV/STI Testing- self will be used to determine if individuals who play InvestiDate will report more HIV/STI testing and partner testing in comparison to the control condition. Investigators will conduct a longitudinal analysis using a hierarchical linear mixed models approach to compare participants in the intervention group to participants in the control group on reported participant and partner HIV/STI testing from baseline across all follow-up assessments. Data presented here shows the number of participants who said YES they had been tested out of the total number of participants in each group that responded to the question.

    Time frame: Baseline, 1 month and 4 months

  6. Change From Baseline at 4 Months: HIV/STI Testing- Partner

    HIV/STI Testing- partner will be used to test the hypothesis that individuals who play InvestiDate will report more HIV/STI testing and partner testing in comparison to the control condition. The investigators will conduct a longitudinal analysis using a hierarchical linear mixed models approach to compare participants in the intervention group to participants in the control group on reported participant and partner HIV/STI testing from baseline across all follow-up assessments.

    Time frame: Baseline, 1 month and 4 months

Secondary outcomes

  1. Change in Use of Condoms

    At each time point, participants responded to the item "Did you use a condom the last time you had sex?" Response options were "yes", "no", and "I have never had sex". Data presented here shows the number of participants who answered YES out of the number of people in each group that responded to the question.

    Time frame: Baseline, 1 month and 4 months

  2. Change in Self-Efficacy to Use Condoms (SECU) Using the Condom Use Self-Efficacy Scale (CUSES)

    The CUSES is a 28 item self-report questionnaire which elicits responses using a five-point Likert scale format, ranging from 'strongly disagree' to 'strongly agree'. 10 of the 28 items were administered and scores were summed for each item for each participant. Each of the responses is scored as follows: 'strongly disagree' = 0, 'disagree' = 1, 'undecided' = 2, 'agree' = 3 and 'strongly agree' = 4. The possible range of scores is 0-40, with higher scores indicating greater self-efficacy.

    Time frame: Baseline, 1 month, 4 months

  3. Change in SECU Using Sexual Risk Behavior Beliefs and Self-efficacy (SRBBS)

    The SRBBS measure includes 3 items (e.g., "How sure ate you that you could use a condom correctly or explain to your partner how to use a condom correctly?") measured on a scale from 1 (not sure at all) to 5 (extremely sure). For each participant a mean of the 3 items was calculated. Scores range from 1-5 with higher scores indicating higher levels of self-efficacy.

    Time frame: Baseline, 1 month, 4 months

  4. Change in Self-efficacy in Refusing Sex (SER) Using the SER Subscale of the SRBBS

    This subscale includes three items (e.g., "Imagine that you met someone at a party. He or she wants to have sex with you. Even though you are very attracted to each other, you're not ready to have sex. How sure are you that you could keep from having sex") rated on a scale ranging from 1 (not sure at all) to 5 (extremely sure). A mean score for the three items was calculated for each participant with score ranging from 1-5. Higher scores indicating higher levels of self-efficacy for refusing sex.

    Time frame: Baseline, 1 month and 4 months

  5. Change in Self-efficacy in Communication Using the Self-efficacy for Communication (SECM) Subscale of the SRBBS

    Self-efficacy for communication was assessed using the SECM subscale of the SRBBS. This subscale includes three items (e.g., "Imagine that you and your partner have been having sex but have not used condoms. You really want to start using condoms. How sure are you that you could tell that person that you want to use condoms") rated on a scale ranging from 1 (not sure at all) to 5 (extremely sure). A mean score for the three items was calculated for each participant with score ranging from 1-5. Higher scores indicating higher levels of communication.

    Time frame: Baseline, 1 month and 4 months

  6. Change in Self-efficacy for PrEP

    Self-Efficacy for using PrEP was assessed with a 4 item survey. Each item was measured on a scale ranging from 1 (strongly disagree) to 5 (strongly agree). A mean score for the three items was calculated for each participant with score ranging from 1-5. Higher scores indicating higher levels of self-efficacy.

    Time frame: Baseline, 1 month and 4 months

  7. Change in Attitudes About Condom Use (ACU) Assessed Using the ACU Subscale of the SRBBS

    Attitudes about condom use were assessed using the ACU subscale of the SRBBS. This subscale includes three items scored from -2 (strongly disagree) to +2 (strongly agree). A mean score was calculated for each participant with negative mean scores indicating negative (unhealthy) attitudes about condom use and positive scores indicating positive (healthy) attitudes about condom use.

    Time frame: Baseline, 1 month and 4 months

  8. Change in Attitudes About Sexual Intercourse (ASI) Were Assessed Using the ASI Subscale of the SRBBS

    Attitudes about sexual intercourse were assessed using the ASI subscale of the SRBBS. This subscale includes three items scored from -2 (strongly disagree) to +2 (strongly agree). A mean score was calculated for each participant with negative mean scores indicating negative (unhealthy) attitudes about condom use and positive scores indicating positive (healthy) attitudes about sexual intercourse.

    Time frame: Baseline, 1 month and 4 months

  9. Change in Intentions to Find a Clinic to Speak to a Doctor About PrEP

    Intentions were measured with one item ("I intend to find a clinic in my community where I can speak to a doctor or health care provider about PrEP"). A mean score for the three items was calculated for each participant with score ranging from 1-5. Higher scores indicating stronger intentions.

    Time frame: Baseline, 1 months and 4 months

  10. Change in Sexually Transmitted Infections (STI)/HIV Knowledge

    STI/HIV knowledge was assessed using 12 questions for which participants could answer "true", "false", or "not sure". The answers were recoded as correct or incorrect, with "not sure" being coded as incorrect, and a sum was calculated for each participant. Scores range from 0 - 12 with higher scores indicating more STI-HIV knowledge.

    Time frame: Baseline, 1 months and 4 months

  11. Change in Norms About Condom Use (NCU) Assessed Using the NCU Subscale of the SRBBS

    Norms about condom use were assessed using the NCU subscale of the SRBBS. This subscale includes three items scored from -2 (strongly disagree) to +2 (strongly agree). A mean score was calculated for each participant with negative mean scores indicating negative (unhealthy) perceived about condom use and positive scores indicating positive (healthy) perceived norms about sexual intercourse.

    Time frame: Baseline, 1 months and 4 months

  12. Change in Norms About Intercourse (NSI) Assessed Using the NSI Subscale of the SRBBS

    Norms about sexual intercourse were assessed using the NSI subscale of the SRBBS. This subscale includes three items scored from -2 (strongly disagree) to +2 (strongly agree). A mean score was calculated for each participant with negative mean scores indicating negative (unhealthy) perceived about condom use and positive scores indicating positive (healthy) perceived norms about sexual intercourse.

    Time frame: Baseline, 1 months and 4 months

  13. Change in Perceived Norms About PrEP

    Perceived norms about the use of PrEP were assessed using a 2 item survey. Both items were rated from 1 (not at all) to 4 (a lot). A mean of the two items was calculated for each participant with score ranging from 1-4. Higher scores indicate more positive perceived norms about the use of PrEP.

    Time frame: Baseline, 1 months and 4 months

  14. Change in Barriers to Condom Use (BCU) Assessed Using the BCU Subscale of the SRBBS

    The BCU subscale includes six items assessed on a scale ranging from 1 (strongly disagree) to 5 (strongly agree). A mean score was calculated for each participant with score ranging from 1-5. Higher scores indicating more perceived barriers to condom use.

    Time frame: Baseline, 1 months and 4 months

  15. Change in Behavior of Purchasing Condoms

    Participants reported on whether they had purchased condoms ever (baseline) or since they first played the videogame over zoom as part of this research study (1 month, 4 months). The response options were "yes" or "no". Data presented here shows the number of participants who answered YES out of the number of people in each group that responded to the question.

    Time frame: Baseline, 1 month and 4 months

  16. Change in Behavior of Having Looked up a Place to Get HIV or STI Testing

    Participants reported on whether they had looked up a place to get HIV or STI testing ever (baseline) or since they first played the videogame over zoom as part of this research study (1 month, 4 months). The response options were "yes" or "no". Data presented here shows the number of participants who answered YES out of the number of people in each group that responded to the question.

    Time frame: Baseline, 1 month and 4 months

  17. Change in Behavior of Having Talked With Partner About Getting Tested for HIV or STI

    Participants reported on whether they had talked with a partner about getting tested for HIV or STIs ever (baseline) or since they first played the videogame over zoom as part of this research study (1 month, 4 months). The response options were "yes" or "no". Data presented here shows the number of participants who answered YES out of the number of people in each group that responded to the question.

    Time frame: Baseline, 1 month and 4 months

  18. Change in Birth Control Use

    Participants were asked to indicate if they used birth control last time they had sex. The response options were "yes", "no", and "I have never had sex". Data presented here shows the number of participants who answered YES out of the number of people in each group that responded to the question.

    Time frame: Baseline, 1 month and 4 months

  19. Change in Behavior Regarding Refusal to Have Sex

    At 1 month and 4 months, participants were asked if they had refused to have sex with a partner because he would not use a condom in the time since they first played the videogame over zoom as part of this research study. The response options were "yes" or "no".

    Time frame: 1 month and 4 months

  20. Number of Participants Refusal to Have Sex

    At baseline participants were asked to indicate if they had refused to have sex with a partner because he would not use a condom ever. Response options were "always", "most of the time", "about half the time", "sometimes", and "never".

    Time frame: Baseline

  21. Number of Participants That Asked Partner About Previous Condom Use

    At baseline participants were asked how often they ask their sexual partners whether or not they have used a condom in previous sexual encounters? Response options were "always", "most of the time", "about half the time", "sometimes", and "never".

    Time frame: Baseline

  22. Number of Times Participants Asked Partner About Previous Condom Use

    At 1 month and 4 months, participants were asked how many times they discussed condom use with a sexual partner since first playing the videogame on zoom as part of this research study.

    Time frame: 1 month and 4 months

  23. Number of Times Participants Talked to Family or Adults About HIV

    Participants were asked how many times they had talked with their family or other adults about HIV ever (baseline) or since they played the videogame on zoom as part of this research study (1 month, 4 months).

    Time frame: baseline, 1 month and 4 months

  24. Number of Times Participants Engaged in Sexual Intercourse

    Participants were asked how many times they had engaged in sexual intercourse ever (baseline, post-intervention) or since playing the videogame on zoom as part of this research study (1 month, 4 months).

    Time frame: baseline, 1 month and 4 months

  25. Number of Times Participants Engaged in Anal Sex

    Participants were asked how many times they had engaged in anal sex ever (baseline) or since playing the videogame on zoom as part of this research study (1 month, 4 months).

    Time frame: baseline, 1 month and 4 months

07

Results

Posted Nov 8, 2023

Participant flow

Participant flow — Overall Study
MilestoneInvestiDate InterventionNon-Health Related Game
Started6156
Consent and baseline4039
Completed post gameplay survey4038
Completed one month follow-up4039
Completed four month follow-up3839
Completed4039
Not completed2117

Outcome measures

PrimaryFeasibility Assessed Using Change in Retention Rates

Feasibility of this intervention is assessed by the percent of total questionnaires returned out of all distributed at each time point to assess retention rates. Rates \>80% indicate high retention.

Time frame:
Baseline, 1 month and 4 months
Reported as:
Number · percentage of questionnaires returned
Feasibility Assessed Using Change in Retention Rates
percentage of questionnaires returnedInvestiDate InterventionNon-Health Related Game
Baseline97.597.4
1 month97.5100
4 months92.5100
PrimaryAcceptability Assessed Via Self-reported Survey

Acceptability of the intervention condition is assessed via self-reported survey at the post gameplay time point using the game experience and satisfaction questionnaire, which is a 10-item scale with 4-point Likert-type responses ranging from 1 (strongly disagree) to 4 (strongly agree). Total score range 10-40. Data were collected from participants in the experimental group only. Higher scores indicate stronger agreement with the statement.

Time frame:
1 month
Reported as:
Mean · score on a scale
Acceptability Assessed Via Self-reported Survey
score on a scaleInvestiDate Intervention
I would play this game again3.64 ± 0.54
I was frustrated with this game1.54 ± 0.56
I would make decisions in real life like I made them in the game3.44 ± 0.75
I liked the way the game looked3.51 ± 0.68
I felt connected to the characters in the game3.03 ± 0.67
I felt responsible for the choices I made in the game3.54 ± 0.51
I liked talking with other players about what was happening in the game3.51 ± 0.56
I enjoyed playing the game agree3.75 ± 0.44
The game was challenging1.97 ± 0.81
I would tell my friends to play this game3.44 ± 0.64
PrimaryAcceptability Assessed by Favorite Investidate Activities

Participants were asked to indicate (from a list) their favorite activity in the game. The data presented here indicates the total number of participants in the experimental group that selected each activity as their favorite.

Time frame:
Month 4
Reported as:
Count of participants · Participants
Acceptability Assessed by Favorite Investidate Activities
ParticipantsInvestiDate Intervention
Investigate a guy21
Trivia11
Presentation3
Chat with a guy3
Chat with a doctor0
Chat with a friend0
Videos with advice from Chelsea and Brandon1
PrimaryTotal Time Playing

The mean total time spent playing the videogame

Time frame:
Month 4
Reported as:
Mean · minutes
Total Time Playing
minutesInvestiDate Intervention
Total Time Playing105.56 ± 12.92
PrimaryChange From Baseline at 4 Months: HIV/STI Testing- Self

HIV/STI Testing- self will be used to determine if individuals who play InvestiDate will report more HIV/STI testing and partner testing in comparison to the control condition. Investigators will conduct a longitudinal analysis using a hierarchical linear mixed models approach to compare participants in the intervention group to participants in the control group on reported participant and partner HIV/STI testing from baseline across all follow-up assessments. Data presented here shows the number of participants who said YES they had been tested out of the total number of participants in each group that responded to the question.

Time frame:
Baseline, 1 month and 4 months
Reported as:
Count of participants · Participants
Change From Baseline at 4 Months: HIV/STI Testing- Self
ParticipantsInvestiDate InterventionNon-Health Related Game
Baseline48
1 month29
4 months48
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.248
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.022
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.193
PrimaryChange From Baseline at 4 Months: HIV/STI Testing- Partner

HIV/STI Testing- partner will be used to test the hypothesis that individuals who play InvestiDate will report more HIV/STI testing and partner testing in comparison to the control condition. The investigators will conduct a longitudinal analysis using a hierarchical linear mixed models approach to compare participants in the intervention group to participants in the control group on reported participant and partner HIV/STI testing from baseline across all follow-up assessments.

Time frame:
Baseline, 1 month and 4 months
Reported as:
Count of participants · Participants
Change From Baseline at 4 Months: HIV/STI Testing- Partner
ParticipantsInvestiDate InterventionNon-Health Related Game
Baseline810
1 month811
4 months48
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.246
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.467
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.550
SecondaryChange in Use of Condoms

At each time point, participants responded to the item "Did you use a condom the last time you had sex?" Response options were "yes", "no", and "I have never had sex". Data presented here shows the number of participants who answered YES out of the number of people in each group that responded to the question.

Time frame:
Baseline, 1 month and 4 months
Reported as:
Count of participants · Participants
Change in Use of Condoms
ParticipantsInvestiDate InterventionNon-Health Related Game
Baseline119
1 month78
4 months47
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.596
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.974
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.651
SecondaryChange in Self-Efficacy to Use Condoms (SECU) Using the Condom Use Self-Efficacy Scale (CUSES)

The CUSES is a 28 item self-report questionnaire which elicits responses using a five-point Likert scale format, ranging from 'strongly disagree' to 'strongly agree'. 10 of the 28 items were administered and scores were summed for each item for each participant. Each of the responses is scored as follows: 'strongly disagree' = 0, 'disagree' = 1, 'undecided' = 2, 'agree' = 3 and 'strongly agree' = 4. The possible range of scores is 0-40, with higher scores indicating greater self-efficacy.

Time frame:
Baseline, 1 month, 4 months
Reported as:
Mean · score on a scale
Change in Self-Efficacy to Use Condoms (SECU) Using the Condom Use Self-Efficacy Scale (CUSES)
score on a scaleInvestiDate InterventionNon-Health Related Game
Baseline24.5 ± 6.3527.52 ± 5.7
1 month29.3 ± 5.4626.61 ± 5.56
4 months28.3 ± 6.0728.09 ± 6.64
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · ANOVA · p = 0.089Test for the interaction between treatment and time.
SecondaryChange in SECU Using Sexual Risk Behavior Beliefs and Self-efficacy (SRBBS)

The SRBBS measure includes 3 items (e.g., "How sure ate you that you could use a condom correctly or explain to your partner how to use a condom correctly?") measured on a scale from 1 (not sure at all) to 5 (extremely sure). For each participant a mean of the 3 items was calculated. Scores range from 1-5 with higher scores indicating higher levels of self-efficacy.

Time frame:
Baseline, 1 month, 4 months
Reported as:
Mean · score on a scale
Change in SECU Using Sexual Risk Behavior Beliefs and Self-efficacy (SRBBS)
score on a scaleInvestiDate InterventionNon-Health Related Game
Baseline2.87 ± 0.993.02 ± 1.07
1 month3.71 ± 1.133.33 ± 1.09
4 months3.62 ± 1.063.57 ± 0.74
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · ANOVA · p = 0.095Test for the interaction between treatment and time.
SecondaryChange in Self-efficacy in Refusing Sex (SER) Using the SER Subscale of the SRBBS

This subscale includes three items (e.g., "Imagine that you met someone at a party. He or she wants to have sex with you. Even though you are very attracted to each other, you're not ready to have sex. How sure are you that you could keep from having sex") rated on a scale ranging from 1 (not sure at all) to 5 (extremely sure). A mean score for the three items was calculated for each participant with score ranging from 1-5. Higher scores indicating higher levels of self-efficacy for refusing sex.

Time frame:
Baseline, 1 month and 4 months
Reported as:
Mean · score on a scale
Change in Self-efficacy in Refusing Sex (SER) Using the SER Subscale of the SRBBS
score on a scaleInvestiDate InterventionNon-Health Related Game
Baseline4.03 ± 0.813.98 ± 0.87
1 month4.4 ± 0.753.88 ± 0.94
4 months4.4 ± 0.834.07 ± 0.88
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · ANOVA · p = 0.136Test for the interaction between treatment and time.
SecondaryChange in Self-efficacy in Communication Using the Self-efficacy for Communication (SECM) Subscale of the SRBBS

Self-efficacy for communication was assessed using the SECM subscale of the SRBBS. This subscale includes three items (e.g., "Imagine that you and your partner have been having sex but have not used condoms. You really want to start using condoms. How sure are you that you could tell that person that you want to use condoms") rated on a scale ranging from 1 (not sure at all) to 5 (extremely sure). A mean score for the three items was calculated for each participant with score ranging from 1-5. Higher scores indicating higher levels of communication.

Time frame:
Baseline, 1 month and 4 months
Reported as:
Mean · score on a scale
Change in Self-efficacy in Communication Using the Self-efficacy for Communication (SECM) Subscale of the SRBBS
score on a scaleInvestiDate InterventionNon-Health Related Game
Baseline4.14 ± 0.674.13 ± 0.77
1 month4.45 ± 0.624.06 ± 0.87
4 months4.37 ± 0.744.05 ± 0.87
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · ANOVA · p = 0.133Test for the interaction between treatment and time.
SecondaryChange in Self-efficacy for PrEP

Self-Efficacy for using PrEP was assessed with a 4 item survey. Each item was measured on a scale ranging from 1 (strongly disagree) to 5 (strongly agree). A mean score for the three items was calculated for each participant with score ranging from 1-5. Higher scores indicating higher levels of self-efficacy.

Time frame:
Baseline, 1 month and 4 months
Reported as:
Mean · score on a scale
Change in Self-efficacy for PrEP
score on a scaleInvestiDate InterventionNon-Health Related Game
Baseline4.16 ± 0.784.13 ± 0.75
1 month4.51 ± 0.574.16 ± 0.71
4 months4.42 ± 0.824.32 ± 0.69
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · ANOVA · p = 0.210Test for the interaction between treatment and time.
SecondaryChange in Attitudes About Condom Use (ACU) Assessed Using the ACU Subscale of the SRBBS

Attitudes about condom use were assessed using the ACU subscale of the SRBBS. This subscale includes three items scored from -2 (strongly disagree) to +2 (strongly agree). A mean score was calculated for each participant with negative mean scores indicating negative (unhealthy) attitudes about condom use and positive scores indicating positive (healthy) attitudes about condom use.

Time frame:
Baseline, 1 month and 4 months
Reported as:
Mean · score on a scale
Change in Attitudes About Condom Use (ACU) Assessed Using the ACU Subscale of the SRBBS
score on a scaleInvestiDate InterventionNon-Health Related Game
Baseline1.64 ± 0.541.57 ± 0.75
1 month1.72 ± 0.561.54 ± 0.71
4 months1.56 ± 0.671.61 ± 0.61
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · ANOVA · p = 0.392Test for the interaction between treatment and time.
SecondaryChange in Attitudes About Sexual Intercourse (ASI) Were Assessed Using the ASI Subscale of the SRBBS

Attitudes about sexual intercourse were assessed using the ASI subscale of the SRBBS. This subscale includes three items scored from -2 (strongly disagree) to +2 (strongly agree). A mean score was calculated for each participant with negative mean scores indicating negative (unhealthy) attitudes about condom use and positive scores indicating positive (healthy) attitudes about sexual intercourse.

Time frame:
Baseline, 1 month and 4 months
Reported as:
Mean · score on a scale
Change in Attitudes About Sexual Intercourse (ASI) Were Assessed Using the ASI Subscale of the SRBBS
score on a scaleInvestiDate InterventionNon-Health Related Game
Baseline-0.05 ± 0.43-0.06 ± 0.57
1 month0.09 ± 0.500.08 ± 0.58
4 months-0.05 ± 0.510.11 ± 0.51
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · ANOVA · p = 0.411Test for the interaction between treatment and time.
SecondaryChange in Intentions to Find a Clinic to Speak to a Doctor About PrEP

Intentions were measured with one item ("I intend to find a clinic in my community where I can speak to a doctor or health care provider about PrEP"). A mean score for the three items was calculated for each participant with score ranging from 1-5. Higher scores indicating stronger intentions.

Time frame:
Baseline, 1 months and 4 months
Reported as:
Mean · score on a scale
Change in Intentions to Find a Clinic to Speak to a Doctor About PrEP
score on a scaleInvestiDate InterventionNon-Health Related Game
Baseline2.58 ± 0.812.58 ± 0.89
1 month3.22 ± 1.153.08 ± 1.19
4 months3.06 ± 1.293.34 ± 1.05
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · ANOVA · p = 0.294Test for the interaction between treatment and time.
SecondaryChange in Sexually Transmitted Infections (STI)/HIV Knowledge

STI/HIV knowledge was assessed using 12 questions for which participants could answer "true", "false", or "not sure". The answers were recoded as correct or incorrect, with "not sure" being coded as incorrect, and a sum was calculated for each participant. Scores range from 0 - 12 with higher scores indicating more STI-HIV knowledge.

Time frame:
Baseline, 1 months and 4 months
Reported as:
Mean · score on a scale
Change in Sexually Transmitted Infections (STI)/HIV Knowledge
score on a scaleInvestiDate InterventionNon-Health Related Game
Baseline7.76 ± 2.368.41 ± 2.05
1 month9.06 ± 1.598.73 ± 1.59
4 months9.06 ± 1.58.43 ± 1.92
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · ANOVA · p = 0.031Test for the interaction between treatment and time.
SecondaryChange in Norms About Condom Use (NCU) Assessed Using the NCU Subscale of the SRBBS

Norms about condom use were assessed using the NCU subscale of the SRBBS. This subscale includes three items scored from -2 (strongly disagree) to +2 (strongly agree). A mean score was calculated for each participant with negative mean scores indicating negative (unhealthy) perceived about condom use and positive scores indicating positive (healthy) perceived norms about sexual intercourse.

Time frame:
Baseline, 1 months and 4 months
Reported as:
Mean · score on a scale
Change in Norms About Condom Use (NCU) Assessed Using the NCU Subscale of the SRBBS
score on a scaleInvestiDate InterventionNon-Health Related Game
Baseline0.93 ± 1.070.98 ± 0.88
1 month1.29 ± 0.991.03 ± 0.98
4 months1.17 ± 0.961.05 ± 0.91
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · ANOVA · p = 0.262Test for the interaction between treatment and time
SecondaryChange in Norms About Intercourse (NSI) Assessed Using the NSI Subscale of the SRBBS

Norms about sexual intercourse were assessed using the NSI subscale of the SRBBS. This subscale includes three items scored from -2 (strongly disagree) to +2 (strongly agree). A mean score was calculated for each participant with negative mean scores indicating negative (unhealthy) perceived about condom use and positive scores indicating positive (healthy) perceived norms about sexual intercourse.

Time frame:
Baseline, 1 months and 4 months
Reported as:
Mean · score on a scale
Change in Norms About Intercourse (NSI) Assessed Using the NSI Subscale of the SRBBS
score on a scaleInvestiDate InterventionNon-Health Related Game
Baseline0.05 ± 0.540.01 ± 0.47
1 month0.19 ± 0.540.22 ± 0.73
4 months-0.04 ± 0.540.25 ± 0.53
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · ANOVA · p = 0.116Test for the interaction between treatment and time.
SecondaryChange in Perceived Norms About PrEP

Perceived norms about the use of PrEP were assessed using a 2 item survey. Both items were rated from 1 (not at all) to 4 (a lot). A mean of the two items was calculated for each participant with score ranging from 1-4. Higher scores indicate more positive perceived norms about the use of PrEP.

Time frame:
Baseline, 1 months and 4 months
Reported as:
Mean · score on a scale
Change in Perceived Norms About PrEP
score on a scaleInvestiDate InterventionNon-Health Related Game
Baseline3.21 ± 0.683.08 ± 0.82
1 month3.33 ± 0.713.51 ± 0.54
4 months3.33 ± 0.643.42 ± 0.56
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · ANOVA · p = 0.016Test for the interaction between treatment and time.
SecondaryChange in Barriers to Condom Use (BCU) Assessed Using the BCU Subscale of the SRBBS

The BCU subscale includes six items assessed on a scale ranging from 1 (strongly disagree) to 5 (strongly agree). A mean score was calculated for each participant with score ranging from 1-5. Higher scores indicating more perceived barriers to condom use.

Time frame:
Baseline, 1 months and 4 months
Reported as:
Mean · score on a scale
Change in Barriers to Condom Use (BCU) Assessed Using the BCU Subscale of the SRBBS
score on a scaleInvestiDate InterventionNon-Health Related Game
Baseline2.53 ± 0.772.59 ± 0.86
1 month2.32 ± 0.872.49 ± 0.84
4 months2.33 ± 0.742.37 ± 0.77
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · ANOVA · p = 0.667Test for the interaction between treatment and time.
SecondaryChange in Behavior of Purchasing Condoms

Participants reported on whether they had purchased condoms ever (baseline) or since they first played the videogame over zoom as part of this research study (1 month, 4 months). The response options were "yes" or "no". Data presented here shows the number of participants who answered YES out of the number of people in each group that responded to the question.

Time frame:
Baseline, 1 month and 4 months
Reported as:
Count of participants · Participants
Change in Behavior of Purchasing Condoms
ParticipantsInvestiDate InterventionNon-Health Related Game
Baseline55
1 month76
4 months27
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.09
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.72
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.97
SecondaryChange in Behavior of Having Looked up a Place to Get HIV or STI Testing

Participants reported on whether they had looked up a place to get HIV or STI testing ever (baseline) or since they first played the videogame over zoom as part of this research study (1 month, 4 months). The response options were "yes" or "no". Data presented here shows the number of participants who answered YES out of the number of people in each group that responded to the question.

Time frame:
Baseline, 1 month and 4 months
Reported as:
Count of participants · Participants
Change in Behavior of Having Looked up a Place to Get HIV or STI Testing
ParticipantsInvestiDate InterventionNon-Health Related Game
Baseline816
1 month1621
4 months912
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.53
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.303
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.042
SecondaryChange in Behavior of Having Talked With Partner About Getting Tested for HIV or STI

Participants reported on whether they had talked with a partner about getting tested for HIV or STIs ever (baseline) or since they first played the videogame over zoom as part of this research study (1 month, 4 months). The response options were "yes" or "no". Data presented here shows the number of participants who answered YES out of the number of people in each group that responded to the question.

Time frame:
Baseline, 1 month and 4 months
Reported as:
Count of participants · Participants
Change in Behavior of Having Talked With Partner About Getting Tested for HIV or STI
ParticipantsInvestiDate InterventionNon-Health Related Game
Baseline810
1 month811
4 months48
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.246
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.467
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.55
SecondaryChange in Birth Control Use

Participants were asked to indicate if they used birth control last time they had sex. The response options were "yes", "no", and "I have never had sex". Data presented here shows the number of participants who answered YES out of the number of people in each group that responded to the question.

Time frame:
Baseline, 1 month and 4 months
Reported as:
Count of participants · Participants
Change in Birth Control Use
ParticipantsInvestiDate InterventionNon-Health Related Game
Baseline95
1 month43
4 months55
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.987
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.898
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.238
SecondaryChange in Behavior Regarding Refusal to Have Sex

At 1 month and 4 months, participants were asked if they had refused to have sex with a partner because he would not use a condom in the time since they first played the videogame over zoom as part of this research study. The response options were "yes" or "no".

Time frame:
1 month and 4 months
Reported as:
Count of participants · Participants
Change in Behavior Regarding Refusal to Have Sex
ParticipantsInvestiDate InterventionNon-Health Related Game
1 month — yes119
1 month — no2730
4 months — yes73
4 months — no3036
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.148
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.557
SecondaryNumber of Participants Refusal to Have Sex

At baseline participants were asked to indicate if they had refused to have sex with a partner because he would not use a condom ever. Response options were "always", "most of the time", "about half the time", "sometimes", and "never".

Time frame:
Baseline
Reported as:
Count of participants · Participants
Number of Participants Refusal to Have Sex
ParticipantsInvestiDate InterventionNon-Health Related Game
Always69
Most of the time13
Sometimes55
Never2621
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.653
SecondaryNumber of Participants That Asked Partner About Previous Condom Use

At baseline participants were asked how often they ask their sexual partners whether or not they have used a condom in previous sexual encounters? Response options were "always", "most of the time", "about half the time", "sometimes", and "never".

Time frame:
Baseline
Reported as:
Count of participants · Participants
Number of Participants That Asked Partner About Previous Condom Use
ParticipantsInvestiDate InterventionNon-Health Related Game
Always97
Most of the time33
Sometimes43
Never2224
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · Chi-squared · p = 0.977
SecondaryNumber of Times Participants Asked Partner About Previous Condom Use

At 1 month and 4 months, participants were asked how many times they discussed condom use with a sexual partner since first playing the videogame on zoom as part of this research study.

Time frame:
1 month and 4 months
Reported as:
Mean · number of times asked partner
Number of Times Participants Asked Partner About Previous Condom Use
number of times asked partnerInvestiDate InterventionNon-Health Related Game
1 month1.29 ± 2.750.59 ± 1.25
4 months0.92 ± 2.431.13 ± 2.90
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · t-test, 2 sided · p = 0.735
  • InvestiDate Intervention vs Non-Health Related Game · t-test, 2 sided · p = 0.159
SecondaryNumber of Times Participants Talked to Family or Adults About HIV

Participants were asked how many times they had talked with their family or other adults about HIV ever (baseline) or since they played the videogame on zoom as part of this research study (1 month, 4 months).

Time frame:
baseline, 1 month and 4 months
Reported as:
Mean · number of times talked to family/adults
Number of Times Participants Talked to Family or Adults About HIV
number of times talked to family/adultsInvestiDate InterventionNon-Health Related Game
baseline1.60 ± 2.626.64 ± 22.08
1 month3.68 ± 16.121.82 ± 3.00
4 months1.3 ± 6.60259.95 ± 1600.78
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · t-test, 2 sided · p = 3.19
  • InvestiDate Intervention vs Non-Health Related Game · t-test, 2 sided · p = 0.487
  • InvestiDate Intervention vs Non-Health Related Game · t-test, 2 sided · p = 0.165
SecondaryNumber of Times Participants Engaged in Sexual Intercourse

Participants were asked how many times they had engaged in sexual intercourse ever (baseline, post-intervention) or since playing the videogame on zoom as part of this research study (1 month, 4 months).

Time frame:
baseline, 1 month and 4 months
Reported as:
Mean · number of times had sex
Number of Times Participants Engaged in Sexual Intercourse
number of times had sexInvestiDate InterventionNon-Health Related Game
baseline14.78 ± 79.266.64 ± 8.77
1 month1.58 ± 6.480.50 ± 0.98
4 months3.24 ± 16.411.26 ± 3.01
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · t-test, 2 sided · p = 0.473
  • InvestiDate Intervention vs Non-Health Related Game · t-test, 2 sided · p = 0.316
  • InvestiDate Intervention vs Non-Health Related Game · t-test, 2 sided · p = 0.345
SecondaryNumber of Times Participants Engaged in Anal Sex

Participants were asked how many times they had engaged in anal sex ever (baseline) or since playing the videogame on zoom as part of this research study (1 month, 4 months).

Time frame:
baseline, 1 month and 4 months
Reported as:
Mean · number of times had sex
Number of Times Participants Engaged in Anal Sex
number of times had sexInvestiDate InterventionNon-Health Related Game
baseline0.28 ± 1.590.08 ± 0.27
1 month0.55 ± 3.240.03 ± 0.16
4 months0.03 ± 0.160.18 ± 0.60
Statistical analysis
  • InvestiDate Intervention vs Non-Health Related Game · t-test, 2 sided · p = 0.141
  • InvestiDate Intervention vs Non-Health Related Game · t-test, 2 sided · p = 0.314
  • InvestiDate Intervention vs Non-Health Related Game · t-test, 2 sided · p = 0.444

Adverse events

Collected over 4 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
InvestiDate Intervention0/40 (0%)0/40 (0%)0/40 (0%)
Non-Health Related Game0/39 (0%)0/39 (0%)0/39 (0%)

Baseline characteristics

Age, Customized
Age, Customized(Participants)InvestiDate InterventionNon-Health Related GameTotal
14347
157310
16111425
1714620
1841216
19101
Sex: Female, Male
Sex: Female, Male(Participants)InvestiDate InterventionNon-Health Related GameTotal
Female403979
Male000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)InvestiDate InterventionNon-Health Related GameTotal
Black or African American373572
Multi-Racial347
Hispanic or Latino336
Not Hispanic or Latino373673
Region of Enrollment
Region of Enrollment(participants)InvestiDate InterventionNon-Health Related GameTotal
United States403979
Sexual Orientation
Sexual Orientation(Participants)InvestiDate InterventionNon-Health Related GameTotal
Straight or heterosexual192544
Bisexual141125
Questioning or unsure538
Queer101
Asexual101
08

Study locations

1 site
  • Kimberly Hieftje
    New Haven, Connecticut 06510, United States
09

References and documents

Publications

  • Budge M, Opara I, Weser VU, Sands BE, Hieftje KD. Black Adolescent Females' Perceptions of PrEP for HIV Risk Reduction. J Int Assoc Provid AIDS Care. 2023 Jan-Dec;22:23259582231206934. doi: 10.1177/23259582231206934. PubMed 37853731 ↗
  • Weser V, Opara I, Budge M, Duncan L, Fernandes CF, Hussett-Richardson S, Sands B, Hieftje K. Pilot-testing a Multiplayer HIV and Sexually Transmitted Infection Prevention Video Game Intervention for Black Adolescent Girls: Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2023 Jan 23;12:e43666. doi: 10.2196/43666. PubMed 36689272 ↗

Study documents

  • Protocol and statistical analysis plan · Dec 19, 2021
  • Informed consent form · Sep 30, 2021
  • Informed consent form · Sep 30, 2021
  • Informed consent form · Sep 30, 2021

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

Individual participant data

Plan to share: Undecided

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Feb 2022 to primary completion in Sep 2022, 7 months.

Results were first posted in Nov 2023, 1 year 1 month after primary completion.

Of 56 non-industry interventional studies with no phase under Risk Reduction Behavior, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 42. This study's 7 months is below that.

Counting every sponsor, half of 57 studies reached it within 28 months; a quarter within 19 and three quarters within 49.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 26, 2019
First posted
Sep 30, 2019
StartActual
Feb 1, 2022
Primary completionActual
Sep 24, 2022
CompletionActual
Sep 24, 2022
Results first posted
Nov 8, 2023
Last update
Nov 8, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 8, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04108988
Lead sponsor
Yale University
Responsible party
Sponsor
First posted
Sep 30, 2019
Start date
Feb 1, 2022
Primary completion
Sep 24, 2022
Completion
Sep 24, 2022
Results posted
Nov 8, 2023
Last update
Nov 8, 2023

Study contacts

Kimberly Hieftje, PhD
principal investigator · Yale University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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