PrEP Readiness Interventions for Sustained Motivation (PRISM)
Part of paid clinical trials in Miami, Florida.
- Sponsor
- Florida International University
- Study ID
- NCT06637436
- Status
- Recruiting
Conditions
- HIV
- Methamphetamine Disorders
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Motivational Interviewing (MI) — BEHAVIORALThis telehealth MI intervention seeks to increase intrinsic motivation and self-efficacy for starting or restarting PrEP in session one. Session two focuses on concomitant risk behaviors such as substance use and CAS.
- Contingency Management (CM) — BEHAVIORALProvides incentives for initiating PrEP or HIV care ($50) and filling a PrEP or ART prescription ($50) in the three months following randomization.
Study Details
This is a hybrid type I randomized controlled trial to test the effectiveness of contingency management (CM) alone versus CM with motivational interviewing (MI) for optimizing entry or re-entry into the HIV prevention or care continua. A total of 400 participants will be randomized to CM (n = 200) or MI+CM (n = 200), all delivered via telehealth. Monthly follow-up assessments will be completed over 12 months to examine effectiveness MI+CM for the primary outcome - filling a pre-exposure prophylaxis (PrEP) or anti-retroviral therapy (ART) prescription (verified using a digital photo). Secondary outcomes will include: self-reported PrEP or ART clinical evaluation by a provider; self-reported meth and other substance use severity (ASSIST), and self-reported receptive and insertive condomless anal sex (CAS).
Key Dates
- Start date
- Jan 28, 2025
- Status verified
- May 2026
- Primary completion
- Dec 30, 2027
- Completion
- Apr 30, 2028
Study Design
- Enrollment
- 400 participants (estimated)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- PREVENTION
Arms
- Experimental: Contingency ManagementProvides incentives for initiating PrEP or HIV care ($50) and filling a PrEP or ART prescription ($50) in the three months following randomization.
- Experimental: MI+CMTwo session MI counseling intervention delivered in the three months after randomization with CM.
Primary Outcome Measure
Proportion of Participants with Verified PrEP or ART Use [ Time Frame: 12 Months ]
Central Contacts
- Adam Carrico Professor, PhD305-348-7887
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Florida International University | Miami | Florida | 33199 |
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