An interventional study of Healthy Choices (HC) and HealthMpowerment (HMP) in Alcohol Drinking and HIV Infections, sponsored by Florida State University. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years to 29 Years. Per ClinicalTrials.gov, last updated 2026-11-03.
Sponsored by Florida State University · Not applicable, Interventional, and Health services research
This study is a national, fully virtual Type 3 hybrid implementation-effectiveness clinical trial using the Multiphase Optimization Strategy (MOST) to evaluate implementation strategies designed to optimize delivery of the Healthy Choices (HC) behavioral intervention through the HealthMpowerment (HMP) digital health platform. A total of 360 emerging adults ages 18-29 who are eligible for antiretroviral therapy (ART) or pre-exposure prophylaxis (PrEP) and report recent alcohol use will be randomized using a factorial design to combinations of three implementation strategies: a personalized video introduction to an HC peer counselor, tailored digital messaging, and asynchronous support from an HC counselor. All participants receive HC-HMP. The primary implementation outcome is HC direct-to-consumer fidelity, measured by the number of HC counseling sessions completed. Secondary outcomes include HMP fidelity assessed using platform-generated paradata, alcohol use, and HIV transmission risk. Participants complete assessments at baseline, 3 months, and 6 months.
4,344 studies on the registry are indexed under HIV Infections; 243 are open to participants now.
This study's planned enrollment of 360 is above the median of 83 across 3,315 interventional studies indexed under HIV Infections.
Browse HIV Infections studies →Florida State University is the lead sponsor of 247 studies on the registry; 47 are open to participants now.
Of its 16 completed or terminated interventional studies of FDA-regulated products, 9 (56%) have results posted.
Compared within HIV Infections, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Alcohol Drinking. The counts are of registry records indexed under each term, refreshed daily. How we classify →
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Exclusion Criteria:
Participants receive HC-HMP without any of the three implementation strategies (Video Introduction, Tailored Digital Messaging, or Asynchronous Support).
Behavioral: Healthy Choices (HC) · Behavioral: HealthMpowerment (HMP)
Participants receive HC-HMP with the Low-Touch implementation strategy (Video Introduction) and without the Medium-Touch or High-Touch implementation strategies.
Behavioral: Healthy Choices (HC) · Behavioral: HealthMpowerment (HMP) · Behavioral: Low-Touch: Video Introduction
Participants receive HC-HMP with the Medium-Touch implementation strategy (Tailored Digital Messaging) and without the Low-Touch or High-Touch implementation strategies.
Behavioral: Healthy Choices (HC) · Behavioral: HealthMpowerment (HMP) · Behavioral: Medium-Touch: Tailored Text Messaging
Participants receive HC-HMP with the High-Touch implementation strategy (Asynchronous Support) and without the Low-Touch or Medium-Touch implementation strategies.
Behavioral: Healthy Choices (HC) · Behavioral: HealthMpowerment (HMP) · Behavioral: High-Touch: Asynchronous Support
Participants receive HC-HMP with the Low-Touch (Video Introduction) and Medium-Touch (Tailored Digital Messaging) implementation strategies and without the High-Touch implementation strategy.
Behavioral: Healthy Choices (HC) · Behavioral: HealthMpowerment (HMP) · Behavioral: Low-Touch: Video Introduction · Behavioral: Medium-Touch: Tailored Text Messaging
Participants receive HC-HMP with the Low-Touch (Video Introduction) and High-Touch (Asynchronous Support) implementation strategies and without the Medium-Touch implementation strategy.
Behavioral: Healthy Choices (HC) · Behavioral: HealthMpowerment (HMP) · Behavioral: Low-Touch: Video Introduction · Behavioral: High-Touch: Asynchronous Support
Participants receive HC-HMP with the Medium-Touch (Tailored Digital Messaging) and High-Touch (Asynchronous Support) implementation strategies and without the Low-Touch implementation strategy.
Behavioral: Healthy Choices (HC) · Behavioral: HealthMpowerment (HMP) · Behavioral: Medium-Touch: Tailored Text Messaging · Behavioral: High-Touch: Asynchronous Support
Participants receive HC-HMP with all three implementation strategies: Low-Touch (Video Introduction), Medium-Touch (Tailored Digital Messaging), and High-Touch (Asynchronous Support).
Behavioral: Healthy Choices (HC) · Behavioral: HealthMpowerment (HMP) · Behavioral: Low-Touch: Video Introduction · Behavioral: Medium-Touch: Tailored Text Messaging · Behavioral: High-Touch: Asynchronous Support
Healthy Choices is an evidence-based behavioral intervention consisting of four individual counseling sessions grounded in Motivational Interviewing. Sessions are delivered remotely by trained interventionists using secure videoconferencing and address alcohol use, HIV prevention and treatment behaviors, stress management, and other HIV-related health behaviors.
HealthMpowerment is a mobile digital health platform providing digital health education and behavioral resources, peer and community features, self-monitoring tools, scheduling and reminders, and other intervention resources.
Participants randomized to this strategy receive a brief, personalized video introduction to an HC peer counselor designed to foster early trust and empathy and support participant autonomy.
Participants randomized to this strategy receive tailored motivational and self-management messages designed to support participation in Healthy Choices and engagement with relevant intervention content. Message timing and content may be adapted based on participant engagement.
Participants randomized to this strategy have access for three months to individualized asynchronous messaging with an HC counselor through the HMP platform. The support is designed to address barriers to participation and support engagement with HC and HMP resources.
Healthy Choices Direct-to-Consumer Fidelity
Number of Healthy Choices counseling sessions completed by each participant during the 3-month intervention period. Participants may complete 0 to 4 sessions. A session is considered completed when the participant attends at least 15 minutes of the 30-minute virtual session.
Time frame: Baseline through 3 months
HealthMpowerment Fidelity
Engagement with the HealthMpowerment platform assessed using platform-generated usage paradata, including frequency of logins, time spent on the platform, and use of individual HMP features.
Time frame: Baseline through 6 months
Maximum Alcohol Consumption Over a 3-Day Period
Alcohol use assessed using the Timeline Followback (TLFB), which assesses daily alcohol consumption during the prior 14 days. The outcome is the maximum number of drinks consumed during a 3-day period.
Time frame: Baseline, 3 months, and 6 months
HIV Transmission Risk
Dichotomous status-neutral HIV transmission risk measure based on participant self-report. Participants reporting no condomless anal or vaginal intercourse, PrEP adherence of more than four doses per week, or self-reported viral suppression are classified as low risk (0); participants not meeting any of these criteria are classified as higher risk (1).
Time frame: Baseline, 3 months, and 6 months
Start is estimated for Jun 2027; primary completion for Aug 2030, 38 months later.
Of 550 non-industry interventional studies with no phase under HIV Infections, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 45. This study's planned 38 months is above that.
Counting every sponsor, half of 560 studies reached it within 28 months; a quarter within 16 and three quarters within 45.
How these figures are worked out, and which studies are left out of them.
From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.
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