RecruitingNot ApplicableNCT06934395

SHARE Program: SUSTAIN

Sustaining Healthy Choices: Optimizing a State-wide Scalable Intervention to Improve Alcohol and HIV Self-management in Adolescents and Emerging Adults


Sponsor

Florida State University

Enrollment

150 participants

Start Date

Mar 22, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of PROJECT SUSTAIN is to optimize Healthy Choices to advance an adaptive and scalable intervention designed to improve self-management of alcohol and HIV in Young People with HIV (YPWH) while understanding the context for state-wide implementation and sustainment in a Hybrid Experimental Design (HED). SUSTAIN utilizes mHealth and telehealth intervention delivery of Healthy Choices (HC), combined with text messaging between sessions, to increase the likelihood of daily medication adherence (primary outcome), and increase the likelihood of achieving viral suppression and meeting criteria for no risky alcohol use at month 3 (secondary outcome).


Eligibility

Min Age: 18 YearsMax Age: 29 Years

Inclusion Criteria7

  • Be 18 years and 0 months to 29 years and 11 months.
  • Currently reside in Florida
  • History of alcohol use
  • Are not pregnant nor trying to conceive within the study's timeline
  • Are able to read and understand English
  • Have internet access via smartphone, tablet or computer
  • Are willing to provide informed consent.

Exclusion Criteria3

  • Adults unable to consent
  • Prisoners
  • Those using long-acting injectables as HIV medication regimen

Interventions

BEHAVIORALHealthy Choices

Healthy Choices is an adapted and developmentally tailored intervention designed to address self-management of risk behaviors and HIV from Motivational Enhancement Therapy, a brief alcohol intervention in SAMHSA's registry of evidenced-based programs. For the purposes of this project, this intervention will be delivered as a combination approach, with all participants receiving an initial session via CIAS, and randomized to either receiving a telehealth session with a trained interventionist at week 2, with additional randomizations for telehealth sessions at weeks 4 and 6. The goal is to test if delivering (vs. not delivering) a coaching session increases the likelihood of achieving viral suppression and meeting criteria for no risky alcohol use at month 3

BEHAVIORALText Message Prompts

This within-participant micro-randomization will test whether, on average, delivering (vs. not delivering) a text messaged prompt focused on medication adherence or stress increases the likelihood of medication adherence by the end of the current day .


Locations(4)

Florida State University, Center for Translational Behavioral Science

Tallahassee, Florida, United States

University of South Florida

Tampa, Florida, United States

Northeastern University

Boston, Massachusetts, United States

University of Michigan

Ann Arbor, Michigan, United States

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NCT06934395


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