Trial Outcomes & Findings for Development of a Tailored HIV Prevention Intervention for Young Men (NCT NCT02842060)

NCT ID: NCT02842060

Last Updated: 2019-07-16

Results Overview

The investigators estimated the change in the total number of participants who reported engaging in condomless anal intercourse from baseline to 90-day follow-up.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

180 participants

Primary outcome timeframe

Count of participants from baseline to 90-day follow-up reported

Results posted on

2019-07-16

Participant Flow

Participant milestones

Participant milestones
Measure
myDEx Intervention
The proposed intervention will consist of a 6-session web-based program. Across sessions, the investigators will emphasize the importance of sexual decision-making across different partner types, help YMSM consider what type of relationship(s) they want, and align these relationship desires with safer sex practices. myDEx: myDEx will consist of a 6-session online program. Cognizant of challenges maintaining users' attention in a web application and to facilitate delivery through a smartphone, the investigators will design each session to be no more than 20 minutes in length. In the course of these 6 sessions, participants will have a total of 120 minutes of intervention exposure. Across sessions, the investigators will emphasize the importance of sexual decision-making across different partner types, help men consider what type of relationship(s) they want, and align these relationship desires with safer sex practices.
Non-tailored HIV Prevention
The investigators will create a 6-session web-based attention-control comparison to match myDEx in time and attention yet have non-tailored and non-interactive content (NTHP). NTHP will include HIV/STI information currently available on sex education websites. NTHP: The investigators will create a 6-session attention-control comparison to match the intervention in time and attention yet have non-tailored and non-interactive content (NTHP). NTHP will include HIV/STI information currently available on sex education websites. The attention-control condition allows the investigators to avoid confounding due to content and ensures that all participants receive some HIV prevention content given their high vulnerability to HIV. Further, this comparison will help critically examine the extent to which tailoring increases the acceptability to the program, above and beyond having a non-tailored, non-interactive intervention.
Overall Study
STARTED
120
60
Overall Study
COMPLETED
120
60
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Development of a Tailored HIV Prevention Intervention for Young Men

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
myDEx Intervention
n=120 Participants
The proposed intervention will consist of a 6-session web-based program. Across sessions, the investigators will emphasize the importance of sexual decision-making across different partner types, help YMSM consider what type of relationship(s) they want, and align these relationship desires with safer sex practices. myDEx: myDEx will consist of a 6-session online program. Cognizant of challenges maintaining users' attention in a web application and to facilitate delivery through a smartphone, the investigators will design each session to be no more than 20 minutes in length. In the course of these 6 sessions, participants will have a total of 120 minutes of intervention exposure. Across sessions, the investigators will emphasize the importance of sexual decision-making across different partner types, help men consider what type of relationship(s) they want, and align these relationship desires with safer sex practices.
Non-tailored HIV Prevention
n=60 Participants
The investigators will create a 6-session web-based attention-control comparison to match myDEx in time and attention yet have non-tailored and non-interactive content (NTHP). NTHP will include HIV/STI information currently available on sex education websites. NTHP: The investigators will create a 6-session attention-control comparison to match the intervention in time and attention yet have non-tailored and non-interactive content (NTHP). NTHP will include HIV/STI information currently available on sex education websites. The attention-control condition allows the investigators to avoid confounding due to content and ensures that all participants receive some HIV prevention content given their high vulnerability to HIV. Further, this comparison will help critically examine the extent to which tailoring increases the acceptability to the program, above and beyond having a non-tailored, non-interactive intervention.
Total
n=180 Participants
Total of all reporting groups
Age, Continuous
21.57 years
STANDARD_DEVIATION 1.81 • n=99 Participants
21.87 years
STANDARD_DEVIATION 1.78 • n=107 Participants
21.67 years
STANDARD_DEVIATION 1.81 • n=206 Participants
Sex: Female, Male
Female
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Sex: Female, Male
Male
120 Participants
n=99 Participants
60 Participants
n=107 Participants
180 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
35 Participants
n=99 Participants
19 Participants
n=107 Participants
54 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
85 Participants
n=99 Participants
41 Participants
n=107 Participants
126 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Asian
7 Participants
n=99 Participants
3 Participants
n=107 Participants
10 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
12 Participants
n=99 Participants
6 Participants
n=107 Participants
18 Participants
n=206 Participants
Race (NIH/OMB)
White
81 Participants
n=99 Participants
40 Participants
n=107 Participants
121 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
20 Participants
n=99 Participants
10 Participants
n=107 Participants
30 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
120 participants
n=99 Participants
60 participants
n=107 Participants
180 participants
n=206 Participants
Current PrEP Use
17 Participants
n=99 Participants
8 Participants
n=107 Participants
25 Participants
n=206 Participants
Receptive Anal Sex (past 30 days)
70 Participants
n=99 Participants
40 Participants
n=107 Participants
110 Participants
n=206 Participants
Alcohol use before/during sex (past 30 days)
43 Participants
n=99 Participants
27 Participants
n=107 Participants
70 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Count of participants from baseline to 90-day follow-up reported

The investigators estimated the change in the total number of participants who reported engaging in condomless anal intercourse from baseline to 90-day follow-up.

Outcome measures

Outcome measures
Measure
myDEx Intervention
n=120 Participants
The proposed intervention will consist of a 6-session web-based program. Across sessions, the investigators will emphasize the importance of sexual decision-making across different partner types, help YMSM consider what type of relationship(s) they want, and align these relationship desires with safer sex practices. myDEx: myDEx will consist of a 6-session online program. Cognizant of challenges maintaining users' attention in a web application and to facilitate delivery through a smartphone, the investigators will design each session to be no more than 20 minutes in length. In the course of these 6 sessions, participants will have a total of 120 minutes of intervention exposure. Across sessions, the investigators will emphasize the importance of sexual decision-making across different partner types, help men consider what type of relationship(s) they want, and align these relationship desires with safer sex practices.
Non-tailored HIV Prevention
n=60 Participants
The investigators will create a 6-session web-based attention-control comparison to match myDEx in time and attention yet have non-tailored and non-interactive content (NTHP). NTHP will include HIV/STI information currently available on sex education websites. NTHP: The investigators will create a 6-session attention-control comparison to match the intervention in time and attention yet have non-tailored and non-interactive content (NTHP). NTHP will include HIV/STI information currently available on sex education websites. The attention-control condition allows the investigators to avoid confounding due to content and ensures that all participants receive some HIV prevention content given their high vulnerability to HIV. Further, this comparison will help critically examine the extent to which tailoring increases the acceptability to the program, above and beyond having a non-tailored, non-interactive intervention.
Number of Participants With Change in Number of Risky Sexual Partnerships
Engaged in Condomless Receptive Anal Sex
32 Participants
24 Participants
Number of Participants With Change in Number of Risky Sexual Partnerships
No Condomless Receptive Anal Sex
88 Participants
36 Participants

PRIMARY outcome

Timeframe: Count of participants from baseline to 90-day follow-up reported

The investigators estimated the number of participants who reported testing for HIV from baseline to 90-day follow-up.

Outcome measures

Outcome measures
Measure
myDEx Intervention
n=120 Participants
The proposed intervention will consist of a 6-session web-based program. Across sessions, the investigators will emphasize the importance of sexual decision-making across different partner types, help YMSM consider what type of relationship(s) they want, and align these relationship desires with safer sex practices. myDEx: myDEx will consist of a 6-session online program. Cognizant of challenges maintaining users' attention in a web application and to facilitate delivery through a smartphone, the investigators will design each session to be no more than 20 minutes in length. In the course of these 6 sessions, participants will have a total of 120 minutes of intervention exposure. Across sessions, the investigators will emphasize the importance of sexual decision-making across different partner types, help men consider what type of relationship(s) they want, and align these relationship desires with safer sex practices.
Non-tailored HIV Prevention
n=60 Participants
The investigators will create a 6-session web-based attention-control comparison to match myDEx in time and attention yet have non-tailored and non-interactive content (NTHP). NTHP will include HIV/STI information currently available on sex education websites. NTHP: The investigators will create a 6-session attention-control comparison to match the intervention in time and attention yet have non-tailored and non-interactive content (NTHP). NTHP will include HIV/STI information currently available on sex education websites. The attention-control condition allows the investigators to avoid confounding due to content and ensures that all participants receive some HIV prevention content given their high vulnerability to HIV. Further, this comparison will help critically examine the extent to which tailoring increases the acceptability to the program, above and beyond having a non-tailored, non-interactive intervention.
Number of Participants With Change in HIV Testing Behavior
56 Participants
29 Participants

SECONDARY outcome

Timeframe: Baseline to 90-day follow-up period

The investigators will measure the change in safer sex self-efficacy over time using the HIV Risk Behavior Self-Efficacy Scale by Fisher, Fisher, Misovich, Kimble \& Malloy (1996). The scale is measured on a 4-point scale (range 1-4), where higher scores mean less self-efficacy to negotiate safer sex with partners met online.

Outcome measures

Outcome measures
Measure
myDEx Intervention
n=95 Participants
The proposed intervention will consist of a 6-session web-based program. Across sessions, the investigators will emphasize the importance of sexual decision-making across different partner types, help YMSM consider what type of relationship(s) they want, and align these relationship desires with safer sex practices. myDEx: myDEx will consist of a 6-session online program. Cognizant of challenges maintaining users' attention in a web application and to facilitate delivery through a smartphone, the investigators will design each session to be no more than 20 minutes in length. In the course of these 6 sessions, participants will have a total of 120 minutes of intervention exposure. Across sessions, the investigators will emphasize the importance of sexual decision-making across different partner types, help men consider what type of relationship(s) they want, and align these relationship desires with safer sex practices.
Non-tailored HIV Prevention
n=51 Participants
The investigators will create a 6-session web-based attention-control comparison to match myDEx in time and attention yet have non-tailored and non-interactive content (NTHP). NTHP will include HIV/STI information currently available on sex education websites. NTHP: The investigators will create a 6-session attention-control comparison to match the intervention in time and attention yet have non-tailored and non-interactive content (NTHP). NTHP will include HIV/STI information currently available on sex education websites. The attention-control condition allows the investigators to avoid confounding due to content and ensures that all participants receive some HIV prevention content given their high vulnerability to HIV. Further, this comparison will help critically examine the extent to which tailoring increases the acceptability to the program, above and beyond having a non-tailored, non-interactive intervention.
Change in Self-efficacy Motivations to Engage in HIV Prevention Behaviors
1.93 score on a scale
Standard Deviation .56
1.99 score on a scale
Standard Deviation .49

SECONDARY outcome

Timeframe: Baseline to 90-day follow-up period

The investigators will measure symptoms of depression and anxiety using the Brief Symptom Inventory by Derogatis \& Spencer (1982). Higher mean scores (scale 1-4) indicate greater symptoms of psychological distress.

Outcome measures

Outcome measures
Measure
myDEx Intervention
n=94 Participants
The proposed intervention will consist of a 6-session web-based program. Across sessions, the investigators will emphasize the importance of sexual decision-making across different partner types, help YMSM consider what type of relationship(s) they want, and align these relationship desires with safer sex practices. myDEx: myDEx will consist of a 6-session online program. Cognizant of challenges maintaining users' attention in a web application and to facilitate delivery through a smartphone, the investigators will design each session to be no more than 20 minutes in length. In the course of these 6 sessions, participants will have a total of 120 minutes of intervention exposure. Across sessions, the investigators will emphasize the importance of sexual decision-making across different partner types, help men consider what type of relationship(s) they want, and align these relationship desires with safer sex practices.
Non-tailored HIV Prevention
n=51 Participants
The investigators will create a 6-session web-based attention-control comparison to match myDEx in time and attention yet have non-tailored and non-interactive content (NTHP). NTHP will include HIV/STI information currently available on sex education websites. NTHP: The investigators will create a 6-session attention-control comparison to match the intervention in time and attention yet have non-tailored and non-interactive content (NTHP). NTHP will include HIV/STI information currently available on sex education websites. The attention-control condition allows the investigators to avoid confounding due to content and ensures that all participants receive some HIV prevention content given their high vulnerability to HIV. Further, this comparison will help critically examine the extent to which tailoring increases the acceptability to the program, above and beyond having a non-tailored, non-interactive intervention.
Changes in Psychological Well-being
1.84 score on a scale
Standard Deviation .58
1.93 score on a scale
Standard Deviation .66

Adverse Events

myDEx Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Non-tailored HIV Prevention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Jose Bauermeister

University of Pennsylvania

Phone: 215-898-9993

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place