CClinicalTrials.gg
CompletedNCT04865341Updated May 1, 2026Results posted

Mobile-health (mHealth) Intervention to Support HIV Self-testing and PrEP Uptake Among Young Men Who Have Sex With Men

An interventional study of IMB and Information-Only Control in Human Immunodeficiency Virus, sponsored by Medical College of Wisconsin. Completed at 1 site in United States. Open to male participants aged 17 Years to 24 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-01.

Sponsored by Medical College of Wisconsin · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
118
Allocation
Randomized
Ages
17 Years to 24 Years
Sex
Male
01

Study summary

The proposed study will involve adolescent (17-24 years old) men who have sex with men (described as YMSM hereafter) who meet eligibility criteria to participate. Prospective study candidates will receive a copy of the IRB-approved informed consent forms and, if they choose to participate, will provide consent before enrollment into this study. Involvement of human subjects is detailed in the Research Strategy portion of this proposal, Recruitment and Retention Plan, and Protection of Human Subjects sections. Briefly, investigators will develop and pilot a randomized controlled trial (RCT) to support HIV self-testing (HIVST) and pre-exposure prophylaxis (PrEP) uptake. Intervention content will be focused on constructs of the Information-Motivation-Behavioral Skills (IMB) model. To reduce cost and increase feasibility, investigators plan to incorporate previously developed content as much as possible-investigators see integration of this content as a major strength. Investigators will include content about HIV testing and PrEP and other resources including the geo-targeted directories to find clinic settings that offer HIV testing and PrEP, all of which are publicly available. Investigators believe our approach of guiding YMSM through intervention modules based on theory will help improve content retention/use and ultimately influence constructs posited to result in behavior change. Investigators foresee using multiple forms of attention-matched material, media, and programming to engage (and retain engagement) of YMSM throughout the intervention. Intervention content was developed on feedback from focus groups, survey results, youth advisory board feedback, and usability testing. Primary endpoints of this study include HIVST and PrEP uptake, including stage of change towards HIVST and PrEP uptake. Secondary outcomes include changes in IMB model indicators (e.g., HIV prevention knowledge).

Read the detailed description

The research activity designated as a clinical trial is our pilot RCT where investigators will then enroll 120 YMSM and randomly assign individuals to one of two experimental groups: (1) information-only (I), and (2) information + motivation + behavioral skills (IMB). Randomization will be blinded using Qualtrics, and randomization will occur in a ratio of 1:1 between the two groups. Individuals assigned to group 1 will receive attention-matched information-only content about HIVST and PrEP related information. Intervention content will be based upon the formative research. After completion of the baseline survey, randomization, and intervention, participants will be followed for a period of three months. Individuals will be surveyed at 1- and 3-months post intervention to assess our primary endpoints of HIVST and PrEP uptake. Preliminary impact will be assessed using within- and between-subjects analyses. First, investigators will test the performance of randomization by chi-squared comparisons and ANOVAs for categorical and continuous variables, respectively. Second, investigators will test for differential attrition by treatment group at 1- and 3-month follow-up assessments. Third, investigators will assess post-intervention HIV testing and PrEP uptake using factorial logistic regressions to determine between-group differences, adjusting for any breakdowns in randomization or differential attrition. Fourth, investigators will test for changes in stage of change indicators by randomized group, time, and group*time interaction, with similar adjustment procedures, using GEE; this analysis will help us determine a trend towards HIVST or PrEP uptake were investigators to extend the length of follow-up. Power: Our study has 80% power to detect a ½ stage average difference (d = 0.68; α = 0.05) on the PrEP cascade comparing the three experimental groups combined to the information-only control assuming 80% retention. As the purpose of this study is to pilot the RCT, investigators have not powered this study to determine differences between the experimental group compared to the control group (which is planned for the full RCT in a future R01). Finally, investigators will conduct within-subjects tests comparing baseline and follow-up IMB construct scale scores stratified by group as an evaluation of internal validity (i.e., did the interventions have an effect on the targeted constructs?).

02

Conditions studied

  • Human Immunodeficiency Virus

Keywords

  • HIV testing
  • HIV pre-exposure prophylaxis
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 118 is above the median of 105 across 1,543 interventional studies indexed under Acquired Immunodeficiency Syndrome.

Browse Acquired Immunodeficiency Syndrome studies →

Lead sponsor

Medical College of Wisconsin is the lead sponsor of 540 studies on the registry; 120 are open to participants now.

Of its 71 completed or terminated interventional studies of FDA-regulated products, 56 (79%) have results posted.

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

04

Who can participate

Ages eligible
17 Years to 24 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Inclusion criteria

  1. 17-24 years old;
  2. Individuals who self-identify as male (including transgender men) and report any male sexual partners in the past 6 months;
  3. Resident of the US based on home address;
  4. HIV-negative or unknown status based on self-report; and
  5. Self-reported risk for HIV (based on CDC criteria for PrEP use) defined as reporting any of the following in the past six months:

    1. Bacterial STI
    2. Condomless anal sex (CAS) with a casual male sexual partner
    3. CAS with an HIV-positive or unknown status main partner
    4. CAS with an HIV-negative main partner who reports CAS with other male partners.

Exclusion criteria

Exclusion Criteria:

  1. Current PrEP use;
  2. Unstable, serious psychiatric symptoms;
  3. Currently suicidal/homicidal; and
  4. Evidence of gross cognitive impairment.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
118 participants (actual)

Study arms

  • Experimental
    IMB

    Individuals randomized to this arm will receive a behavioral intervention based on the Information-Motivation-Behavior (IMB) model designed to increase HIV self-testing, among other protective behaviors.

    Behavioral: IMB

  • Other
    Information-Only Control

    Attention-matched comparison condition (information-only)

    Behavioral: Information-Only Control

Interventions

  • BehavioralIMB

    Intervention content will be focused on the Information-Motivation-Behavioral Skills (IMB) model. We plan to incorporate previously developed content as much as possible and will include content about HIV testing and PrEP and other resources. We believe our approach of guiding YMSM through intervention modules based on theory will help improve content retention/use and ultimately influence constructs posited to result in behavior change. We foresee using multiple forms of attention-matched material, media, and programming to engage (and retain engagement) of YMSM throughout the intervention.

  • BehavioralInformation-Only Control

    Intervention content will be focused on the information construct of the Information-Motivation-Behavioral Skills (IMB) model. We plan to incorporate previously developed content as much as possible and will include professionally produced videos about HIV testing and PrEP and other resources. We believe our approach of guiding YMSM through intervention modules based on theory will help improve content retention/use and ultimately influence constructs posited to result in behavior change. We foresee using multiple forms of attention-matched material, media, and programming to engage (and retain engagement) of YMSM throughout the brief single-session intervention (45-60 minutes).

06

What researchers measure

Primary outcomes

  1. Number of Participants With Self-reported Self-administration of HIV Testing

    Self-reported self-administration of HIV testing within the past 3 months (i.e., since baseline assessment).

    Time frame: 3 months

  2. Number of Participants With Self-reported PrEP Uptake

    Self-reported PrEP uptake

    Time frame: 3 months

07

Results

Posted May 1, 2026
Limitations and caveats
The comparison/control condition was attention-matched with content aligned with the content provided in the experimental condition but limited to information-only constructs; thus, the effect size of the experimental group is likely to be much higher compared to a non-intervention control condition. Primary outcomes were also assessed by self-report, which is subject to social desirability bias.

Participant flow

Individuals were recruited to participate in the randomized controlled trial from social media via Meta, Grindr-a men-for-men geosocial networking app, and referrals from other studies conducted at the Center for AIDS Intervention Research beginning March 2024 with enrollment complete by July 2024. We iteratively refined ads in partnership with a youth advisory board and queer-led professional marketing firm to recruit a diverse sample of YSMM by race/ethnicity.

Participant flow — Overall Study
MilestoneExperimental IMB GroupInformation-Only Control
Started5860
Completed5860
Not completed00

Outcome measures

PrimaryNumber of Participants With Self-reported Self-administration of HIV Testing

Self-reported self-administration of HIV testing within the past 3 months (i.e., since baseline assessment).

Time frame:
3 months
Reported as:
Count of participants · Participants
Number of Participants With Self-reported Self-administration of HIV Testing
ParticipantsExperimental IMB GroupInformation-Only Control
Number of Participants With Self-reported Self-administration of HIV Testing4644
PrimaryNumber of Participants With Self-reported PrEP Uptake

Self-reported PrEP uptake

Time frame:
3 months
Reported as:
Count of participants · Participants
Number of Participants With Self-reported PrEP Uptake
ParticipantsExperimental IMB GroupInformation-Only Control
Number of Participants With Self-reported PrEP Uptake910

Adverse events

Collected over From enrollment until end of follow-up, up to 3 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Experimental IMB Group—0/58 (0%)0/58 (0%)
Information-Only Control—0/60 (0%)0/60 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Experimental IMB GroupInformation-Only ControlTotal
Mean21.3 ± 2.221.8 ± 2.121.5 ± 2.2
Sex/Gender, Customized
Sex/Gender, Customized(Participants)Experimental IMB GroupInformation-Only ControlTotal
Cisgender male5257109
Transgender male or non-binary639
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Experimental IMB GroupInformation-Only ControlTotal
Asian American/Pacific Islander5611
Black or African American13720
Hispanic or Latino/x172542
White221840
Multiracial or another category145
08

Study locations

1 site
  • Medical College of Wisconsin
    Milwaukee, Wisconsin 53226, United States
09

References and documents

Publications

  • John SA, Lopez-Rios J, Starks TJ, Rendina HJ, Grov C. Willingness to Distribute HIV Self-Testing Kits to Recent Sex Partners Among HIV-Negative Gay and Bisexual Men and an Examination of Free-Response Data from Young Men Participating in the Nationwide Cohort. Arch Sex Behav. 2020 Aug;49(6):2081-2089. doi: 10.1007/s10508-020-01752-5. Epub 2020 Jun 3. PubMed 32495242 ↗
  • John SA, Walsh JL, Quinn KG, Cho YI, Weinhardt LS. Testing the Interpersonal-Behavior model to explain intentions to use patient-delivered partner therapy. PLoS One. 2020 May 20;15(5):e0233348. doi: 10.1371/journal.pone.0233348. eCollection 2020. PubMed 32433680 ↗
  • John SA, Quinn KG, Pleuhs B, Walsh JL, Petroll AE. HIV Post-Exposure Prophylaxis (PEP) Awareness and Non-Occupational PEP (nPEP) Prescribing History Among U.S. Healthcare Providers. AIDS Behav. 2020 Nov;24(11):3124-3131. doi: 10.1007/s10461-020-02866-6. PubMed 32300991 ↗
  • Quinn KG, Zarwell M, John SA, Christenson E, Walsh JL. Perceptions of PrEP Use Within Primary Relationships Among Young Black Gay, Bisexual, and Other Men Who Have Sex with Men. Arch Sex Behav. 2020 Aug;49(6):2117-2128. doi: 10.1007/s10508-020-01683-1. Epub 2020 Apr 2. PubMed 32240437 ↗
  • Pleuhs B, Quinn KG, Walsh JL, Petroll AE, John SA. Health Care Provider Barriers to HIV Pre-Exposure Prophylaxis in the United States: A Systematic Review. AIDS Patient Care STDS. 2020 Mar;34(3):111-123. doi: 10.1089/apc.2019.0189. Epub 2020 Feb 28. PubMed 32109141 ↗

Study documents

  • Protocol and statistical analysis plan · Feb 29, 2024

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

Individual participant data

Plan to share: Yes — Datasets will be deposited in the NIMH Data Archive (NDA)

Supporting information: Study protocol, Sap, Analytic code

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04865341
Lead sponsor
Medical College of Wisconsin
Responsible party
Steven A John (Assistant Professor, Medical College of Wisconsin) — Principal investigator
First posted
Apr 29, 2021
Start date
Mar 21, 2024
Primary completion
Aug 31, 2024
Completion
Aug 31, 2024
Results posted
May 1, 2026
Last update
May 1, 2026

Study contacts

Steven A John, MPH, PhD
principal investigator · Medical College of Wisconsin

Oversight

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

Not currently enrolling

This study is completed, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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