ClinicalTrials.gg
CompletedNCT05873855Updated Jul 28, 2025

Acceptability, Feasibility, and Preliminary Impact of a Web-based, HIV Prevention Toolkit With Cisgender Male Couples in Lima, Peru

An interventional study of Para ti, para mi, para nosotros (P3) and Waitlist Control Para ti, para mi, para nosotros (P3) in HIV Infections, Hiv and Sexually Transmitted Infections (Not HIV or Hepatitis), sponsored by Florida International University. Completed at 1 site in United States. Open to male participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-07-28.

Sponsored by Florida International University · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Dec 2022, registered May 2023).
Phase
Not applicable
Study type
Interventional
Enrollment
148
Allocation
Randomized
Ages
18 Years and older
Sex
Male
01

Study summary

This digital couples-based HIV/STI prevention intervention project will determine preliminary efficacy to improve uptake of evidence-based strategies and a tailored prevention plan among cisgender male couples who are in a relationship (defined as greater than 3 months or more).

Read the detailed description

The project draws on our strong findings from the preliminary work we conducted in Lima. The 3-year project will update and adapt an existing digital health couples-based HIV/STI prevention toolkit intervention that showed promise for reducing couples' HIV risk. The intervention is theoretically grounded in Couples Interdependence Theory for health behavior change. The project is a 6-month pilot randomized control trial with 60 at-risk male couples using a delayed, educational control condition of 3 months. Our Specific Aims are to: 1) Assess feasibility to retain 60 consented and eligible male couples in a 6-month pilot RCT through quantitative measurement of enrollment and retention/attrition rates, and by reason for attrition; 2) Describe acceptability of the adapted toolkit intervention using mixed methods23 from 3 data sources. At last follow-up, partners responses to the Health Information Usability Evaluation Scale24 and other survey items (e.g., 3 things liked best/least about the toolkit, features for improvement) will be captured, along with the additional details they will share about their experiences during the individual-level, qualitative exit interview; 3) Examine preliminary impact of the toolkit intervention on couples': a) formation and adherence to a tailored risk-reduction plan and agreement; b) relationship functioning (e.g., communication); c) use of/adherence to evidence-based HIV/STI prevention strategies; and d) HIV/STI incidence. Preliminary impact will be assessed via changes in couples' outcomes a-d over time between trial arms, and for all couples.

02

Conditions studied

  • HIV Infections
  • Hiv
  • Sexually Transmitted Infections (Not HIV or Hepatitis)
  • Sexually Transmitted Diseases
  • Sexual Behavior
  • Risk Reduction

Keywords

  • prevention
  • relationship functioning
  • adherence
  • prevention strategies
03

In context

HIV Infections

4,734 studies on the registry are indexed under HIV Infections; 244 are open to participants now.

This study's enrollment of 148 is above the median of 80 across 3,489 interventional studies indexed under HIV Infections.

Browse HIV Infections studies →

Lead sponsor

Florida International University is the lead sponsor of 104 studies on the registry; 20 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
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

  1. being assigned male at birth and currently identifying as male (cis-gender);
  2. having had anal sex with each other in the past 3 months;
  3. referring to each other as being in a relationship, defined as "someone you feel emotionally or romantically committed to above all others, and may be referred to as partner, husband, partner, etc.";
  4. being in a relationship with each other for 3 months or longer;
  5. being at least 18 years of age;
  6. not having any history of intimate partner violence since their relationship began;
  7. self-reporting not feeling coerced by their partner to take part in the study activities;
  8. having their own Internet/web-connected device (e.g. smartphone, laptop, tablet, computer);
  9. living in the Lima metro area and planning to live there for the next 6 months;
  10. willing to receive an in-person rapid test (if applicable);
  11. willing to be tested for other STIs and use swabs to self-collect their own specimens; and
  12. willing to attend an in-person appointment at baseline and at 6 months.

Exclusion criteria

Exclusion Criteria:

-Does not meet one or more of the inclusion criteria

Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
148 participants (actual)

Study arms

  • Experimental
    Intervention

    From baseline to 6 months, participants randomized to the intervention arm will have access to the P3 web app intervention and all of its contents (5 modules, resources, etc.), including post-baseline assessments that will occur at 3 months and 6 months.

    Behavioral: Para ti, para mi, para nosotros (P3)

  • Experimental
    Waitlist Control

    From baseline to 3-months, participants in the waitlist control condition will have access to the P3 web app for post-baseline assessment of 3 months and the resources section. From 3 months to 6 months, participants randomized to the waitlist control arm will then have access to the P3 web app intervention and all of its contents (5 modules, resources, etc.), including post-baseline assessment that will occur at 6 months.

    Behavioral: Waitlist Control Para ti, para mi, para nosotros (P3)

Interventions

  • BehavioralPara ti, para mi, para nosotros (P3)

    From day 1 to day 180 (i.e., entire 6-month duration, post baseline) of the pilot trial, participants randomized to the intervention arm will have access to use the five modules as directed. The P3 intervention includes modules focused on topics of: HIV/STI prevention, sexual agreements, communication/decision-making skills, strengthening relationships and creating goals, and physical activity.

  • BehavioralWaitlist Control Para ti, para mi, para nosotros (P3)

    From day 91 to day 180 (i.e., starting after 3-month assessment) of the pilot trial, participants randomized to the waitlist control condition will have access to use the five modules as directed. The P3 intervention includes modules focused on topics of: HIV/STI prevention, sexual agreements, communication/decision-making skills, strengthening relationships and creating goals, and physical activity.

06

What researchers measure

Primary outcomes

  1. Changes in the creation of a detailed risk reduction plan by comparing responses from baseline to 3-months, 3-months to 6-months, and baseline to 6-months.

    Participants will be asked if they created a detailed risk-reduction plan that contains evidence-based strategies with their partner at all time points, using a dichotomous measure containing yes/no responses. Changes in number of individuals and couples who create a detailed risk reduction plan from baseline to 3-months, 3-months to 6-months, and baseline to 6-months.

    Time frame: baseline to 3-months, 3-months to 6-months, and baseline to 6-months

  2. Changes in the creation of a detailed agreement by comparing responses from baseline to 3-months, 3-months to 6-months, and baseline to 6-months.

    Participants will be asked if they created a detailed agreement with their partner at all time points, using a dichotomous measure containing yes/no responses. Changes in number of individuals and couples who create a detailed sexual agreement from baseline to 3-months, 3-months to 6-months, and baseline to 6-months.

    Time frame: baseline to 3-months, 3-months to 6-months, and baseline to 6-months.

  3. Changes in adherence to risk-reduction plan by comparing responses from baseline to 3-months, 3-months to 6-months, and baseline to 6-months.

    Participants will be asked whether they had adhered to their risk reduction plan at all time points. Changes to categorical responses (yes/no) at individual and couple levels from baseline to 3-months, 3-months to 6-months, and baseline to 6-months.

    Time frame: baseline to 3-months, 3-months to 6-months, and baseline to 6-months.

  4. Changes in adherence to agreement by comparing responses from baseline to 3-months, 3-months to 6-months, and baseline to 6-months.

    Participants will be asked whether they had adhered to their agreement at all time points. Changes to categorical responses (yes/no) at individual and couple levels from baseline to 3-months, 3-months to 6-months, and baseline to 6-months.

    Time frame: baseline to 3-months, 3-months to 6-months, and baseline to 6-months

  5. Changes in the number of evidence-based prevention strategies being used over time by comparing responses from baseline to 3-months, 3-months to 6-months, and baseline to 6-months.

    Participants will be asked to select which evidence-based HIV/STI prevention strategies they are currently using at all time points. Changes to categorical responses (yes/no) at individual and couple levels from baseline to 3-months, 3-months to 6-months, and baseline to 6-months.

    Time frame: baseline to 3-months, 3-months to 6-months, and baseline to 6-months

  6. Change in HIV incidence by comparing results from testing at baseline to 6-months.

    Participants will be asked to provide sample to test for HIV at baseline and 6-months. Count: New HIV diagnosis via testing at follow-up occurring 6 months after baseline randomization.

    Time frame: baseline to 6 months

  7. Change in STI incidence by comparing results from testing at baseline to 6-months.

    Participants will be asked to provide sample to test for HIV at baseline and 6-months. Count: New STI diagnosis via testing at follow-up occurring 6 months after baseline randomization.

    Time frame: baseline to 6 months

  8. Changes in relationship mutual constructive communication (MCC) patterns by comparing responses from baseline to 3-months, 3-months to 6-months, and baseline to 6-months.

    Participants will be asked about their MCC patterns at all time points, using a validated theoretical measure containing 11 questions with Likert-type scale responses ranging from 1-9. Higher scores indicate more positive communication patterns. Changes in mean scores (individual, couple) will be evaluated from baseline to 3-months and 3-months to 6-months.

    Time frame: baseline to 3-months, 3-months to 6-months, and baseline to 6-months

07

Study locations

1 site
  • Florida International University
    Miami, Florida 33199, United States
08

References and documents

Publications

  • Mitchell JW, Bursac Z, Diaz D, Reyes Diaz EM, Silva-Santisteban A, Konda KA. Assessing a Couples-Based, Digital HIV Serostatus-Neutral Intervention (Para Ti, Para Mi, Para Nosotros) for Adult Cisgender Sexual Minority Male Couples in Lima, Peru: Protocol for a 6-Month Pilot Randomized Controlled Trial. JMIR Res Protoc. 2024 Oct 10;13:e63106. doi: 10.2196/63106. PubMed 39388228 ↗

Individual participant data

Plan to share: Yes — Findings from aims 1-3 will be shared via presentation(s) at peer-reviewed national and international conferences, such as the International AIDS Conference, IAS, AIDS Impact, and the International Congress of Behavioral Medicine. Findings resulting from the analysis of the data related to the 6-month pilot randomized control trial will be shared as Research Papers in leading, peer-reviewed journals, such as: JMIR Mhealth Uhealth, AIDS and Behavior, JAIDS, and Prevention Science. A de-identified version of the project's final analytic dataset and codebook will be shared and made available via a download link located at the Florida International University Digital Repository.

Time frame: Data will become available in early 2025.

Access criteria: User registration will be required in order to access or download files. As part of the registration process, users must agree to the conditions of use governing access to the public release data, including restrictions against attempting to identify study participants, destruction of the data after analyses are completed, reporting responsibilities, restrictions on redistribution of the data to third parties, and proper acknowledgement of the data resource.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05873855
Collaborators
University of Southern California, Universidad Peruana Cayetano Heredia
Responsible party
Sponsor
First posted
May 24, 2023
Start date
Dec 27, 2022
Primary completion
Apr 26, 2024
Completion
Jun 30, 2025
Last update
Jul 28, 2025

Study contacts

Jason W Mitchell, PhD
principal investigator · Florida International 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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