Motivational Enhancement System for Adherence

NCT ID: NCT01009749

Last Updated: 2017-08-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

76 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-08-31

Study Completion Date

2011-05-31

Brief Summary

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This is a two-phase study, consisting of the following plan:

Phase I - This is a pre-test of the feasibility and acceptability of the beta version of a computer-delivered intervention, Motivational Enhancement System for Adherence (MESA), as well as the control intervention Motivational Enhancement System for Health (MESH) at three selected AMTUs. Following analysis of the responses in Phase I and further modification of the intervention, Phase II will be initiated.

Phase II - This is a pilot, randomized, controlled trial (RCT) testing a two-session computer-delivered intervention, MESA, designed to increase motivation for adherence to Highly Active Antiretroviral Therapy (HAART) among youth newly recommended to begin medications, as well as an attention control, MESH, matched for dose and delivery format. Phase II is open to all 15 AMTUs.

Detailed Description

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Conditions

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HIV

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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MESA

Group Type EXPERIMENTAL

Motivational Enhancement System for Adherence (MESA)

Intervention Type BEHAVIORAL

MESA is designed to increase motivation for adherence to Highly Active Antiretroviral Therapy (HAART) among youth newly recommended to begin medications.

MESH

Group Type ACTIVE_COMPARATOR

Motivational Enhancement System for Health (MESH)

Intervention Type BEHAVIORAL

Motivational Enhancement System for Health (MESH) is an attentional control providing information on nutrition and exercise.

Interventions

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Motivational Enhancement System for Adherence (MESA)

MESA is designed to increase motivation for adherence to Highly Active Antiretroviral Therapy (HAART) among youth newly recommended to begin medications.

Intervention Type BEHAVIORAL

Motivational Enhancement System for Health (MESH)

Motivational Enhancement System for Health (MESH) is an attentional control providing information on nutrition and exercise.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

Phase I \& II, all participants

* Engaged in care at the enrolling AMTU;
* HIV-1 infection documented by a positive result on any of the following licensed tests at any time: any HIV-1 antibody test confirmed by Western blot, HIV-1 culture, HIV-1 DNA PCR, or plasma HIV-1 RNA PCR \> 1,000 copies/ml;
* Age 16 to 24 years, inclusive at the time of enrollment;
* Naïve to antiretroviral therapy; NOTE: Females who have received antiretroviral therapy for the sole purpose of preventing maternal to child transmission (MTCT) will be considered antiretroviral naïve.
* Ability to understand written and/or spoken English;
* Willingness to provide signed informed consent/assent in either English or Spanish; and
* Parental or legal guardian permission, if warranted.

Phase I MESA Participants/Phase II All Participants - Recommended by a health care provider to start HAART for treatment of HIV-1 infection within the 12 weeks prior to protocol screening.

Phase I MESH Participants

\- Not recommended by a health care provider to start HAART for treatment of HIV-1 infection.

Exclusion Criteria

Phase I \& II, all participants

* Known pregnancy (pregnancy testing is not required);
* Inability to understand spoken or written English;
* Visibly distraught and/or visibly emotionally unstable (e.g., exhibiting suicidal, homicidal, manic or violent behavior);
* Active drug or alcohol use or dependence that, in the opinion of the site personnel, would interfere with ability to give true informed consent and to adhere to the study requirements;
* Active psychiatric condition that in the opinion of the site personnel, would interfere with the ability to give true informed consent and to adhere to the study requirements;
* Acute illness that, in the opinion of the treating clinician, would interfere with the participant's ability to adhere to the protocol requirements and/or interfere with the protocol objectives; and
* Concurrent participation or participation within the previous 4 weeks, in any behavioral intervention study or program, including, but not limited to, ATN 069 and ATN 073. Permission to co-enroll into other behavioral studies or programs must be obtained from the protocol chair or designee.

Phase II, All Participants Prior participation in the Phase I MESA intervention (Phase I MESH control participants are eligible to participate).
Minimum Eligible Age

16 Years

Maximum Eligible Age

24 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role collaborator

National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

University of North Carolina, Chapel Hill

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sylvie Naar-King, PhD

Role: STUDY_CHAIR

Adolescent Trials Network

Locations

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Children's Hopsital of Los Angeles

Los Angeles, California, United States

Site Status

Univ of Califormia at San Francisco

San Francisco, California, United States

Site Status

Children's Hosp Natinal Med Center

Washington D.C., District of Columbia, United States

Site Status

Children's Diagnostic and Treatment Center

Fort Lauderdale, Florida, United States

Site Status

University of Miami-Jackson Memorial Medical Center

Miami, Florida, United States

Site Status

University of South Florida

Tampa, Florida, United States

Site Status

Stoger Hospital of Cook County

Chicago, Illinois, United States

Site Status

Tulane Medical Center

New Orleans, Louisiana, United States

Site Status

University of Maryland

Baltimore, Maryland, United States

Site Status

Mount Sinai Medical Center

New York, New York, United States

Site Status

Children's Hospital at Montefiore Medical Center

The Bronx, New York, United States

Site Status

Children's Hopsital of Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

St. Jude Childrens Research Hospital

Memphis, Tennessee, United States

Site Status

University Pediatric Hospital

San Juan, , Puerto Rico

Site Status

Countries

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United States Puerto Rico

Related Links

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Other Identifiers

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ATN 072

Identifier Type: -

Identifier Source: org_study_id

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