Trial Outcomes & Findings for Digital Star: HIV Prevention for Youth in Mental Health Treatment (NCT NCT02921841)

NCT ID: NCT02921841

Last Updated: 2020-01-27

Results Overview

HIV Knowledge Questionnaire. A 18-item (true, false, uncertain) scale surveys routes of transmission, casual contact misconceptions, general information and course of illness. Scores range from 0-18 with higher scores indicating greater HIV knowledge.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

125 participants

Primary outcome timeframe

3 months post-intervention

Results posted on

2020-01-27

Participant Flow

Participant milestones

Participant milestones
Measure
DSTAR
Digital HIV Prevention intervention developed to specifically address the needs of youth in mental health treatment. Sessions introduce affect regulation and cognitive monitoring in sexual situations, and provide basic sexual health skills and education.
DHEALTH
Digital general health promotion intervention. Time and attention matched intervention that targets health behaviors relevant to youth including exercise, nutrition, sleep, and smoking. Basic information about HIV and sexuality is also included.
Overall Study
STARTED
68
57
Overall Study
COMPLETED
52
44
Overall Study
NOT COMPLETED
16
13

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Digital Star: HIV Prevention for Youth in Mental Health Treatment

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
DSTAR
n=68 Participants
Digital HIV Prevention intervention developed to specifically address the needs of youth in mental health treatment. Sessions introduce affect regulation and cognitive monitoring in sexual situations, and provide basic sexual health skills and education.
DHEALTH
n=57 Participants
Digital general health promotion intervention. Time and attention matched intervention that targets health behaviors relevant to youth including exercise, nutrition, sleep, and smoking. Basic information about HIV and sexuality is also included.
Total
n=125 Participants
Total of all reporting groups
Age, Continuous
15.9 years
STANDARD_DEVIATION 1.4 • n=99 Participants
15.8 years
STANDARD_DEVIATION 1.3 • n=107 Participants
15.8 years
STANDARD_DEVIATION 1.4 • n=206 Participants
Sex/Gender, Customized
Gender · Male
42 Participants
n=99 Participants
40 Participants
n=107 Participants
82 Participants
n=206 Participants
Sex/Gender, Customized
Gender · Female
23 Participants
n=99 Participants
17 Participants
n=107 Participants
40 Participants
n=206 Participants
Sex/Gender, Customized
Gender · Other
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Sex/Gender, Customized
Gender · Unknown or Not Reported
2 Participants
n=99 Participants
0 Participants
n=107 Participants
2 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
24 Participants
n=99 Participants
20 Participants
n=107 Participants
44 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
43 Participants
n=99 Participants
36 Participants
n=107 Participants
79 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=99 Participants
2 Participants
n=107 Participants
4 Participants
n=206 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
6 Participants
n=99 Participants
6 Participants
n=107 Participants
12 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
White
27 Participants
n=99 Participants
24 Participants
n=107 Participants
51 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
18 Participants
n=99 Participants
10 Participants
n=107 Participants
28 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
13 Participants
n=99 Participants
13 Participants
n=107 Participants
26 Participants
n=206 Participants
Region of Enrollment
United States
68 participants
n=99 Participants
57 participants
n=107 Participants
125 participants
n=206 Participants
History of Arrest
No
35 Participants
n=99 Participants
26 Participants
n=107 Participants
61 Participants
n=206 Participants
History of Arrest
Yes
33 Participants
n=99 Participants
31 Participants
n=107 Participants
64 Participants
n=206 Participants
Sexual Orientation
Heterosexual
50 Participants
n=99 Participants
41 Participants
n=107 Participants
91 Participants
n=206 Participants
Sexual Orientation
Homosexual
5 Participants
n=99 Participants
3 Participants
n=107 Participants
8 Participants
n=206 Participants
Sexual Orientation
Bisexual
9 Participants
n=99 Participants
8 Participants
n=107 Participants
17 Participants
n=206 Participants
Sexual Orientation
Undecided/Questioning
3 Participants
n=99 Participants
4 Participants
n=107 Participants
7 Participants
n=206 Participants
Sexual Orientation
Unknown or Not Reported
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
School Lunch Price
Full Price
21 Participants
n=99 Participants
17 Participants
n=107 Participants
38 Participants
n=206 Participants
School Lunch Price
Reduced Price or Free
45 Participants
n=99 Participants
39 Participants
n=107 Participants
84 Participants
n=206 Participants
School Lunch Price
Unknown or Not Reported
2 Participants
n=99 Participants
1 Participants
n=107 Participants
3 Participants
n=206 Participants

PRIMARY outcome

Timeframe: 3 months post-intervention

Population: Missing data accounts for the discrepancy in the analytic sample for this measure.

HIV Knowledge Questionnaire. A 18-item (true, false, uncertain) scale surveys routes of transmission, casual contact misconceptions, general information and course of illness. Scores range from 0-18 with higher scores indicating greater HIV knowledge.

Outcome measures

Outcome measures
Measure
DSTAR
n=52 Participants
Digital HIV Prevention intervention developed to specifically address the needs of youth in mental health treatment. Sessions introduce affect regulation and cognitive monitoring in sexual situations, and provide basic sexual health skills and education.
DHEALTH
n=43 Participants
Digital general health promotion intervention. Time and attention matched intervention that targets health behaviors relevant to youth including exercise, nutrition, sleep, and smoking. Basic information about HIV and sexuality is also included.
HIV Knowledge
11.10 score on a scale
Standard Deviation 3.32
10.98 score on a scale
Standard Deviation 3.18

PRIMARY outcome

Timeframe: 3 months post-intervention

Population: Missing data accounts for the discrepancy in the analytic sample for this measure.

The scale contains 13 items that reflect the context of condom use, such as "could use a condom when I'm very upset". Scores range from 13 to 52 with higher scores indicated lower self-efficacy for HIV prevention.

Outcome measures

Outcome measures
Measure
DSTAR
n=52 Participants
Digital HIV Prevention intervention developed to specifically address the needs of youth in mental health treatment. Sessions introduce affect regulation and cognitive monitoring in sexual situations, and provide basic sexual health skills and education.
DHEALTH
n=43 Participants
Digital general health promotion intervention. Time and attention matched intervention that targets health behaviors relevant to youth including exercise, nutrition, sleep, and smoking. Basic information about HIV and sexuality is also included.
Self-efficacy for HIV Prevention
37.83 score on a scale
Standard Deviation 9.76
37.37 score on a scale
Standard Deviation 8.63

PRIMARY outcome

Timeframe: 3-months post-intervention

Lifetime oral, vaginal, and/or anal sex

Outcome measures

Outcome measures
Measure
DSTAR
n=52 Participants
Digital HIV Prevention intervention developed to specifically address the needs of youth in mental health treatment. Sessions introduce affect regulation and cognitive monitoring in sexual situations, and provide basic sexual health skills and education.
DHEALTH
n=44 Participants
Digital general health promotion intervention. Time and attention matched intervention that targets health behaviors relevant to youth including exercise, nutrition, sleep, and smoking. Basic information about HIV and sexuality is also included.
Lifetime Sexual Intercourse
No
23 Participants
15 Participants
Lifetime Sexual Intercourse
Yes
29 Participants
29 Participants

PRIMARY outcome

Timeframe: 3-months post-intervention

Population: Missing data accounts for the discrepancies in the analytic sample for this measure.

Oral, vaginal, and/or anal sex in the past 3 months

Outcome measures

Outcome measures
Measure
DSTAR
n=52 Participants
Digital HIV Prevention intervention developed to specifically address the needs of youth in mental health treatment. Sessions introduce affect regulation and cognitive monitoring in sexual situations, and provide basic sexual health skills and education.
DHEALTH
n=43 Participants
Digital general health promotion intervention. Time and attention matched intervention that targets health behaviors relevant to youth including exercise, nutrition, sleep, and smoking. Basic information about HIV and sexuality is also included.
Recent Oral, Vaginal, and/or Anal Sex
No
34 Participants
27 Participants
Recent Oral, Vaginal, and/or Anal Sex
Yes
18 Participants
16 Participants

PRIMARY outcome

Timeframe: 3-months post-intervention

Population: Restricted to those that were sexually active in the past 3 months at the 3-month post-intervention follow-up. Missing data also accounts for the discrepancy in analytic sample for this measure.

Number of oral, vaginal, and/or anal sexual occurrences in the past 3 months.

Outcome measures

Outcome measures
Measure
DSTAR
n=16 Participants
Digital HIV Prevention intervention developed to specifically address the needs of youth in mental health treatment. Sessions introduce affect regulation and cognitive monitoring in sexual situations, and provide basic sexual health skills and education.
DHEALTH
n=10 Participants
Digital general health promotion intervention. Time and attention matched intervention that targets health behaviors relevant to youth including exercise, nutrition, sleep, and smoking. Basic information about HIV and sexuality is also included.
Frequency of Sexual Intercourse
13.75 sexual acts
Standard Deviation 18.11
9.40 sexual acts
Standard Deviation 15.61

PRIMARY outcome

Timeframe: 3-months post-intervention

Population: Restricted to those that were sexually active in the past 3 months at the 3-month post-intervention follow-up. Missing data also accounts for the discrepancy in the analytic sample for this measure.

Number of sexual partners in the past 3 months.

Outcome measures

Outcome measures
Measure
DSTAR
n=17 Participants
Digital HIV Prevention intervention developed to specifically address the needs of youth in mental health treatment. Sessions introduce affect regulation and cognitive monitoring in sexual situations, and provide basic sexual health skills and education.
DHEALTH
n=14 Participants
Digital general health promotion intervention. Time and attention matched intervention that targets health behaviors relevant to youth including exercise, nutrition, sleep, and smoking. Basic information about HIV and sexuality is also included.
Number of Sexual Partners
2.06 sexual partners
Standard Deviation 1.48
2.00 sexual partners
Standard Deviation 1.47

PRIMARY outcome

Timeframe: 3-months post-intervention

Population: Restricted to those who were sexually active in the past three months at the 3-month post-intervention follow-up. Missing data also accounts for the discrepancy in the analytic sample for this measure.

Number of times a condom was used during oral, vaginal, and/or anal sex

Outcome measures

Outcome measures
Measure
DSTAR
n=15 Participants
Digital HIV Prevention intervention developed to specifically address the needs of youth in mental health treatment. Sessions introduce affect regulation and cognitive monitoring in sexual situations, and provide basic sexual health skills and education.
DHEALTH
n=11 Participants
Digital general health promotion intervention. Time and attention matched intervention that targets health behaviors relevant to youth including exercise, nutrition, sleep, and smoking. Basic information about HIV and sexuality is also included.
Frequency of Condom Use
3.33 times a condom was used
Standard Deviation 6.45
2.36 times a condom was used
Standard Deviation 3.23

PRIMARY outcome

Timeframe: 3-months post-intervention

Population: Missing data accounts for the discrepancy in the analytic sample for this measure.

On a scale of 0 to 100, participants report how likely it is that they will use a condom when they have sex in the next 3 months. Zero represented "I will not use a condom", "50" represented "I will use a condom half the time.", and "100" represented "I will use a condom all the time.".

Outcome measures

Outcome measures
Measure
DSTAR
n=48 Participants
Digital HIV Prevention intervention developed to specifically address the needs of youth in mental health treatment. Sessions introduce affect regulation and cognitive monitoring in sexual situations, and provide basic sexual health skills and education.
DHEALTH
n=37 Participants
Digital general health promotion intervention. Time and attention matched intervention that targets health behaviors relevant to youth including exercise, nutrition, sleep, and smoking. Basic information about HIV and sexuality is also included.
Condom Use Intention
58.75 units on a scale
Standard Deviation 42.84
61.84 units on a scale
Standard Deviation 45.47

PRIMARY outcome

Timeframe: 3-months post-intervention

Alcohol use in the past 30 days (yes/no)

Outcome measures

Outcome measures
Measure
DSTAR
n=52 Participants
Digital HIV Prevention intervention developed to specifically address the needs of youth in mental health treatment. Sessions introduce affect regulation and cognitive monitoring in sexual situations, and provide basic sexual health skills and education.
DHEALTH
n=44 Participants
Digital general health promotion intervention. Time and attention matched intervention that targets health behaviors relevant to youth including exercise, nutrition, sleep, and smoking. Basic information about HIV and sexuality is also included.
Recent Alcohol Use
No
42 Participants
36 Participants
Recent Alcohol Use
Yes
10 Participants
8 Participants

PRIMARY outcome

Timeframe: 3-months post-intervention

Population: Restricted to those that indicated alcohol use in the past 30 days at the 3-month post-intervention follow-up. Missing data also accounts for the discrepancy in the analytic sample for this measure.

Number of days alcohol was used in the past 30 days

Outcome measures

Outcome measures
Measure
DSTAR
n=7 Participants
Digital HIV Prevention intervention developed to specifically address the needs of youth in mental health treatment. Sessions introduce affect regulation and cognitive monitoring in sexual situations, and provide basic sexual health skills and education.
DHEALTH
n=7 Participants
Digital general health promotion intervention. Time and attention matched intervention that targets health behaviors relevant to youth including exercise, nutrition, sleep, and smoking. Basic information about HIV and sexuality is also included.
Frequency of Recent Alcohol Use
5.71 days
Standard Deviation 10.73
7.57 days
Standard Deviation 10.34

PRIMARY outcome

Timeframe: 3-months post-intervention

Population: Restricted to those that indicated alcohol use in the past 30 days at the 3-month post-intervention follow-up. Missing data also accounts for the discrepancy in the analytic sample for this measure.

Number of drinks reported on days that a participant drank alcohol in the past 30 days

Outcome measures

Outcome measures
Measure
DSTAR
n=7 Participants
Digital HIV Prevention intervention developed to specifically address the needs of youth in mental health treatment. Sessions introduce affect regulation and cognitive monitoring in sexual situations, and provide basic sexual health skills and education.
DHEALTH
n=6 Participants
Digital general health promotion intervention. Time and attention matched intervention that targets health behaviors relevant to youth including exercise, nutrition, sleep, and smoking. Basic information about HIV and sexuality is also included.
Quantity of Recent Alcohol Use
3.14 alcoholic drinks
Standard Deviation 3.53
10.50 alcoholic drinks
Standard Deviation 6.44

PRIMARY outcome

Timeframe: 3-months post-intervention

Population: Missing data accounts for the discrepancy in analytic sample for this measure.

Marijuana use in the past 30 days (yes/no)

Outcome measures

Outcome measures
Measure
DSTAR
n=47 Participants
Digital HIV Prevention intervention developed to specifically address the needs of youth in mental health treatment. Sessions introduce affect regulation and cognitive monitoring in sexual situations, and provide basic sexual health skills and education.
DHEALTH
n=42 Participants
Digital general health promotion intervention. Time and attention matched intervention that targets health behaviors relevant to youth including exercise, nutrition, sleep, and smoking. Basic information about HIV and sexuality is also included.
Recent Marijuana Use
No
35 Participants
32 Participants
Recent Marijuana Use
Yes
12 Participants
10 Participants

PRIMARY outcome

Timeframe: 3-months post-intervention

Population: Restricted to those that indicated marijuana use in the past 30 days at the 3-month post-intervention follow-up.

Number of days marijuana was used in the past 30 days

Outcome measures

Outcome measures
Measure
DSTAR
n=12 Participants
Digital HIV Prevention intervention developed to specifically address the needs of youth in mental health treatment. Sessions introduce affect regulation and cognitive monitoring in sexual situations, and provide basic sexual health skills and education.
DHEALTH
n=10 Participants
Digital general health promotion intervention. Time and attention matched intervention that targets health behaviors relevant to youth including exercise, nutrition, sleep, and smoking. Basic information about HIV and sexuality is also included.
Frequency of Recent Marijuana Use
15.83 days
Standard Deviation 12.69
8.60 days
Standard Deviation 7.51

SECONDARY outcome

Timeframe: 3 months post-intervention (average 6 months)

Population: Missing data accounts for the discrepancy in the analytic sample for this measure.

A six-item scale assessing adolescents' perceived abilities to manage emotional upset (e.g., "In the past three months, I have had trouble controlling my feelings.") in sexual situations. Scores range from 6 to 24 with higher scores indicated poorer perceived ability to manage emotional upset in sexual situations.

Outcome measures

Outcome measures
Measure
DSTAR
n=51 Participants
Digital HIV Prevention intervention developed to specifically address the needs of youth in mental health treatment. Sessions introduce affect regulation and cognitive monitoring in sexual situations, and provide basic sexual health skills and education.
DHEALTH
n=42 Participants
Digital general health promotion intervention. Time and attention matched intervention that targets health behaviors relevant to youth including exercise, nutrition, sleep, and smoking. Basic information about HIV and sexuality is also included.
Affect Dysregulation Scale
9.39 score on a scale
Standard Deviation 2.60
8.90 score on a scale
Standard Deviation 2.97

Adverse Events

DSTAR

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

DHEALTH

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

Larry K. Brown, MD

Rhode Island Hospital

Phone: (401) 793 - 8808

Results disclosure agreements

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