RecruitingNot ApplicableNCT07115498

Piloting the Incentivized Text-Based Adherence Game Intervention.

Piloting a Mobile Adherence Game With Economic Incentives for Young People With HIV in Ghana

Sponsor

Providence College

Enrollment

20 participants

Start Date

May 16, 2025

Study Type

INTERVENTIONAL

Conditions

HIV Treatment Adherence

Summary

This project will develop and test a novel intervention to improve HIV treatment adherence among young adults with HIV who attend an HIV clinic in Kumasi, Ghana. The intervention is called incentivized Text-Based Adherence Game (iTAG). It is delivered solely via text messages and includes many advanced features including a point system that rewards participants for responding to texts, a scoreboard that compares participants' progress with each other, and messages on a range of health and HIV-related topics. To evaluate iTAG, we will recruit 20 young people, ages 18-24, with HIV (YPWH) to complete 90 days worth of intervention text messages. Before and after receiving iTAG messages, they will complete computer assessments used to measure HIV medication adherence as well as other factors believed to be influence adherence such as social support. By examining participants score from before and after receiving the intervention, and by talking with participants after they receive the intervention, we hope to understand whether iTAG is acceptable to YPWH and could potential lead to improvements in their HIV treatment adherence.

Eligibility

Min Age: 18 YearsMax Age: 24 Years

Plain Language Summary

Simplified for easier understanding

This pilot study tests a text message-based game program that rewards young people with HIV for taking their antiretroviral (HIV) medications on time. The goal is to see if incentivized games delivered by text can improve medication adherence. **You may be eligible if...** - You are 18–24 years old - You are being treated for HIV at the recruitment site - You are on antiretroviral therapy (ART) - You own a mobile phone - You have recently missed doses of your medication - Your HIV viral load has been detectable in the last 3 months **You may NOT be eligible if...** - You have a physical or cognitive disability that would prevent participation - You are already enrolled in another HIV medication adherence study Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALiTAG

Participants in this intervention start by receiving a brief (15 minute) in-person standard-of-care counseling session focused on increasing their knowledge of HIV treatment adherence and strategies to improve adherence. Following this session, they will then receive daily or less frequent text messages (SMS) over the course of three months. Messages are primary two-way, automated, and have preprogrammed response options. Message content includes HIV medication reminders, motivational messages, information on topics relevant to HIV treatment (e.g., HIV disclosure) in the form of quizzes, opportunities to reach out for support from clinic staff or peer mentors, and game-based messages including story messages, a weekly scoreboard, point system progress, and peer interactions.

Locations(1)

Komfo Anokye Teaching Hospital

Kumasi, Ghana

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NCT07115498