Positive Steps to Enhance Problem Solving Skills

Completed · Not applicable

Conditions studied: Adherence

In brief

This randomized control trial is to test the efficacy of a stepped-care "adaptive" Antiretroviral Therapy (ART) adherence intervention ("Positive STEPS") for HIV infected adolescents and young adults, ages 16 to 29. Stepped care is a healthcare delivery model in which the least resource intensive part of an intervention is delivered first, and only those who do not improve then receive the high intensity, more resource intensive part of an intervention.

Key facts

Study ID

NCT03092531

Run by

University of California, Los Angeles

People needed

123

Starts

2018-02-01

Expected to finish

2024-06-30

Last updated by the study team

2024-07-25

Who can join

Age: 16 and older, up to 29. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Between 16 and 29 years of age
• HIV-infected (perinatally, transfusion, or behaviorally-acquired)
• Currently taking or prescribed antiretroviral therapy and: 1) Began taking ART < 3 months ago, OR 2) Has been taking ART for >3 AND has missed one or more doses in the past week or more than 3 doses in the past month.
• Daily access to a cell phone
• Has lived in the greater Providence, Boston, or Chicago area greater than three months
• Self-reports < 90% ART medication adherence in the past month (i.e., missed one or more doses in the past week or more than 3 doses in the past month) at screening
• Able to speak and understand English
• Not currently enrolled in another ART-adherence intervention study
• Willing and able to complete all study visits in person or remotely via video conferencing platform

You may not qualify if…

• Unable to give informed consent due to severe mental or physical illness, cognitive limitation, or substance intoxication at baseline visit
• HIV-uninfected
• Not currently on antiretroviral therapy
• Does not own a cell phone
• Has lived in the greater Providence, Boston, or Chicago area for less than three months or is planning to move outside the area within the next year
• Self-reports > 90% ART medication adherence in the past month AND has been taking ART for more than 3 months
• Unable to speak and understand English
• Currently enrolled in another ART-adherence intervention study
• Not willing to and able to complete all study visits in person or remotely via video conferencing platform

Where it is running

• UCLA Center for LGBTQ+ Advocacy, Research & Health — Los Angeles, California, United States
• Lurie Childrens Hospital — Chicago, Illinois, United States
• Fenway Health Institute — Boston, Massachusetts, United States
• Brown University School of Public Health — Providence, Rhode Island, United States

Full record on ClinicalTrials.gov

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