Trial Outcomes & Findings for Improving Health Outcomes in Young Cisgender Men and Transgender Women (mLab App) (NCT NCT03803683)

NCT ID: NCT03803683

Last Updated: 2024-11-26

Results Overview

Total number of youth tested for HIV at 6 months

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

525 participants

Primary outcome timeframe

6 months

Results posted on

2024-11-26

Participant Flow

525 participants enrolled, however 523 were randomized as two participants withdrew prior to randomization.

Participant milestones

Participant milestones
Measure
mLab App Intervention
Youth randomized to the intervention arm (arm 1) will be provided with the mLab App, 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at their 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. mLab App: The mLab App is a web application that uses an image processing algorithm to interpret the results of the OraQuick® In-Home HIV Test. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Standard of Care HIV Information Control Arm
Youth randomized to the Standard of Care HIV information control arm (arm 2) will receive standard-of-care HIV/STI testing-related risk reduction counseling, a box of condoms, PrEP assessment, and referral information for clinics that provide PrEP during their first visit. Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including pre-exposure prophylaxis (PrEP) and HIV testing information that is found on the CDC website.They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website.
HIV Home Tests
Youth randomized to the HIV home testing arm (arm 3) will be provided with the 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at the 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Overall Study
STARTED
211
208
104
Overall Study
COMPLETED
161
189
88
Overall Study
NOT COMPLETED
50
19
16

Reasons for withdrawal

Reasons for withdrawal
Measure
mLab App Intervention
Youth randomized to the intervention arm (arm 1) will be provided with the mLab App, 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at their 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. mLab App: The mLab App is a web application that uses an image processing algorithm to interpret the results of the OraQuick® In-Home HIV Test. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Standard of Care HIV Information Control Arm
Youth randomized to the Standard of Care HIV information control arm (arm 2) will receive standard-of-care HIV/STI testing-related risk reduction counseling, a box of condoms, PrEP assessment, and referral information for clinics that provide PrEP during their first visit. Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including pre-exposure prophylaxis (PrEP) and HIV testing information that is found on the CDC website.They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website.
HIV Home Tests
Youth randomized to the HIV home testing arm (arm 3) will be provided with the 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at the 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Overall Study
Lost to Follow-up
41
18
12
Overall Study
Withdrawal by Subject
9
1
4

Baseline Characteristics

Improving Health Outcomes in Young Cisgender Men and Transgender Women (mLab App)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
mLab App Intervention
n=211 Participants
Youth randomized to the intervention arm (arm 1) will be provided with the mLab App, 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at their 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. mLab App: The mLab App is a web application that uses an image processing algorithm to interpret the results of the OraQuick® In-Home HIV Test. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Standard of Care HIV Information Control Arm
n=208 Participants
Youth randomized to the Standard of Care HIV information control arm (arm 2) will receive standard-of-care HIV/STI testing-related risk reduction counseling, a box of condoms, PrEP assessment, and referral information for clinics that provide PrEP during their first visit. Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including pre-exposure prophylaxis (PrEP) and HIV testing information that is found on the CDC website.They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website.
HIV Home Tests
n=104 Participants
Youth randomized to the HIV home testing arm (arm 3) will be provided with the 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at the 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Total
n=523 Participants
Total of all reporting groups
Age, Continuous
24.3 years
STANDARD_DEVIATION 3.23 • n=5 Participants
23.9 years
STANDARD_DEVIATION 3.34 • n=7 Participants
24.3 years
STANDARD_DEVIATION 3.28 • n=5 Participants
24.1 years
STANDARD_DEVIATION 3.28 • n=4 Participants
Sex/Gender, Customized
Male
186 Participants
n=5 Participants
193 Participants
n=7 Participants
96 Participants
n=5 Participants
475 Participants
n=4 Participants
Sex/Gender, Customized
Trans Feminine
7 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
13 Participants
n=4 Participants
Sex/Gender, Customized
Genderqueer
7 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
9 Participants
n=4 Participants
Sex/Gender, Customized
Non-binary
9 Participants
n=5 Participants
13 Participants
n=7 Participants
1 Participants
n=5 Participants
23 Participants
n=4 Participants
Sex/Gender, Customized
Other
2 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
3 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
73 Participants
n=5 Participants
61 Participants
n=7 Participants
26 Participants
n=5 Participants
160 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
137 Participants
n=5 Participants
147 Participants
n=7 Participants
77 Participants
n=5 Participants
361 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Race/Ethnicity, Customized
American Indian or Alaskan Native
2 Participants
n=5 Participants
4 Participants
n=7 Participants
1 Participants
n=5 Participants
7 Participants
n=4 Participants
Race/Ethnicity, Customized
Asian or Asian American
25 Participants
n=5 Participants
31 Participants
n=7 Participants
11 Participants
n=5 Participants
67 Participants
n=4 Participants
Race/Ethnicity, Customized
Black or African-American
22 Participants
n=5 Participants
19 Participants
n=7 Participants
6 Participants
n=5 Participants
47 Participants
n=4 Participants
Race/Ethnicity, Customized
Hispanic or Latino/Latinx
5 Participants
n=5 Participants
6 Participants
n=7 Participants
1 Participants
n=5 Participants
12 Participants
n=4 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Race/Ethnicity, Customized
White or Caucasian
123 Participants
n=5 Participants
118 Participants
n=7 Participants
62 Participants
n=5 Participants
303 Participants
n=4 Participants
Race/Ethnicity, Customized
Multiracial
21 Participants
n=5 Participants
13 Participants
n=7 Participants
15 Participants
n=5 Participants
49 Participants
n=4 Participants
Race/Ethnicity, Customized
Something else
12 Participants
n=5 Participants
17 Participants
n=7 Participants
6 Participants
n=5 Participants
35 Participants
n=4 Participants
Race/Ethnicity, Customized
Unknown/Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Region of Enrollment
United States
211 participants
n=5 Participants
208 participants
n=7 Participants
104 participants
n=5 Participants
523 participants
n=4 Participants
Sexual Orientation
Bisexual
36 Participants
n=5 Participants
24 Participants
n=7 Participants
12 Participants
n=5 Participants
72 Participants
n=4 Participants
Sexual Orientation
Gay/homosexual
142 Participants
n=5 Participants
156 Participants
n=7 Participants
82 Participants
n=5 Participants
380 Participants
n=4 Participants
Sexual Orientation
Queer
25 Participants
n=5 Participants
27 Participants
n=7 Participants
5 Participants
n=5 Participants
57 Participants
n=4 Participants
Sexual Orientation
Straight/heterosexual
2 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
5 Participants
n=4 Participants
Sexual Orientation
Other
6 Participants
n=5 Participants
0 Participants
n=7 Participants
3 Participants
n=5 Participants
9 Participants
n=4 Participants
Any HIV test in the past 6 months
74 Participants
n=5 Participants
60 Participants
n=7 Participants
22 Participants
n=5 Participants
156 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 6 months

Population: 175 in Arm1, 189 in Arm 2, and 94 in Arm 3 analyzed as this was the number of participants that completed the 6 month visit and from which data was collected.

Total number of youth tested for HIV at 6 months

Outcome measures

Outcome measures
Measure
mLab App Intervention
n=175 Participants
Youth randomized to the intervention arm (arm 1) will be provided with the mLab App, 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at their 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. mLab App: The mLab App is a web application that uses an image processing algorithm to interpret the results of the OraQuick® In-Home HIV Test. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Standard of Care HIV Information Control Arm
n=189 Participants
Youth randomized to the Standard of Care HIV information control arm (arm 2) will receive standard-of-care HIV/STI testing-related risk reduction counseling, a box of condoms, PrEP assessment, and referral information for clinics that provide PrEP during their first visit. Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including pre-exposure prophylaxis (PrEP) and HIV testing information that is found on the CDC website.They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website.
HIV Home Tests
n=94 Participants
Youth randomized to the HIV home testing arm (arm 3) will be provided with the 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at the 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Total Number of Youth Tested for HIV
154 Participants
123 Participants
68 Participants

PRIMARY outcome

Timeframe: 12 months

Population: 161 in Arm1, 189 in Arm 2, and 88 in Arm 3 analyzed as this was the number of participants that completed the 12 month visit and from which data was collected.

Total number of youth tested for HIV at 12 months

Outcome measures

Outcome measures
Measure
mLab App Intervention
n=161 Participants
Youth randomized to the intervention arm (arm 1) will be provided with the mLab App, 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at their 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. mLab App: The mLab App is a web application that uses an image processing algorithm to interpret the results of the OraQuick® In-Home HIV Test. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Standard of Care HIV Information Control Arm
n=189 Participants
Youth randomized to the Standard of Care HIV information control arm (arm 2) will receive standard-of-care HIV/STI testing-related risk reduction counseling, a box of condoms, PrEP assessment, and referral information for clinics that provide PrEP during their first visit. Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including pre-exposure prophylaxis (PrEP) and HIV testing information that is found on the CDC website.They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website.
HIV Home Tests
n=88 Participants
Youth randomized to the HIV home testing arm (arm 3) will be provided with the 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at the 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Total Number of Youth Tested for HIV
145 Participants
109 Participants
64 Participants

SECONDARY outcome

Timeframe: 6 months

Population: 154 in Arm 1, 123 in Arm 2, and 68 in Arm 3 analyzed as this was the number of participants that completed the HIV test and from which data was collected.

Total number of HIV negative/ positive results at 6 months

Outcome measures

Outcome measures
Measure
mLab App Intervention
n=154 Participants
Youth randomized to the intervention arm (arm 1) will be provided with the mLab App, 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at their 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. mLab App: The mLab App is a web application that uses an image processing algorithm to interpret the results of the OraQuick® In-Home HIV Test. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Standard of Care HIV Information Control Arm
n=123 Participants
Youth randomized to the Standard of Care HIV information control arm (arm 2) will receive standard-of-care HIV/STI testing-related risk reduction counseling, a box of condoms, PrEP assessment, and referral information for clinics that provide PrEP during their first visit. Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including pre-exposure prophylaxis (PrEP) and HIV testing information that is found on the CDC website.They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website.
HIV Home Tests
n=68 Participants
Youth randomized to the HIV home testing arm (arm 3) will be provided with the 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at the 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Total Number of HIV Negative/ Positive Results
Negative
154 Participants
123 Participants
68 Participants
Total Number of HIV Negative/ Positive Results
Positive
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 12 months

Population: 161 in Arm1, 189 in Arm 2, and 88 in Arm 3 analyzed as this was the number of participants that completed the 12 month visit and from which data was collected.

Total number of HIV negative/ positive results at 12 months

Outcome measures

Outcome measures
Measure
mLab App Intervention
n=161 Participants
Youth randomized to the intervention arm (arm 1) will be provided with the mLab App, 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at their 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. mLab App: The mLab App is a web application that uses an image processing algorithm to interpret the results of the OraQuick® In-Home HIV Test. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Standard of Care HIV Information Control Arm
n=189 Participants
Youth randomized to the Standard of Care HIV information control arm (arm 2) will receive standard-of-care HIV/STI testing-related risk reduction counseling, a box of condoms, PrEP assessment, and referral information for clinics that provide PrEP during their first visit. Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including pre-exposure prophylaxis (PrEP) and HIV testing information that is found on the CDC website.They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website.
HIV Home Tests
n=88 Participants
Youth randomized to the HIV home testing arm (arm 3) will be provided with the 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at the 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Total Number of HIV Negative/ Positive Results
Positive
0 Participants
0 Participants
0 Participants
Total Number of HIV Negative/ Positive Results
Negative
161 Participants
189 Participants
88 Participants

SECONDARY outcome

Timeframe: 6 months

Population: 175 in Arm1, 189 in Arm 2, and 94 in Arm 3 analyzed as this was the number of participants that completed the 6 month visit and from which data was collected.

Total number of youth who link to HIV care services at 6 months

Outcome measures

Outcome measures
Measure
mLab App Intervention
n=175 Participants
Youth randomized to the intervention arm (arm 1) will be provided with the mLab App, 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at their 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. mLab App: The mLab App is a web application that uses an image processing algorithm to interpret the results of the OraQuick® In-Home HIV Test. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Standard of Care HIV Information Control Arm
n=189 Participants
Youth randomized to the Standard of Care HIV information control arm (arm 2) will receive standard-of-care HIV/STI testing-related risk reduction counseling, a box of condoms, PrEP assessment, and referral information for clinics that provide PrEP during their first visit. Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including pre-exposure prophylaxis (PrEP) and HIV testing information that is found on the CDC website.They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website.
HIV Home Tests
n=94 Participants
Youth randomized to the HIV home testing arm (arm 3) will be provided with the 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at the 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Total Number of Youth Who Link to HIV Care Services
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 12 months

Population: 161 in Arm1, 189 in Arm 2, and 88 in Arm 3 analyzed as this was the number of participants that completed the 12 month visit and from which data was collected.

Total number of youth who link to HIV care services at 12 months

Outcome measures

Outcome measures
Measure
mLab App Intervention
n=161 Participants
Youth randomized to the intervention arm (arm 1) will be provided with the mLab App, 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at their 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. mLab App: The mLab App is a web application that uses an image processing algorithm to interpret the results of the OraQuick® In-Home HIV Test. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Standard of Care HIV Information Control Arm
n=189 Participants
Youth randomized to the Standard of Care HIV information control arm (arm 2) will receive standard-of-care HIV/STI testing-related risk reduction counseling, a box of condoms, PrEP assessment, and referral information for clinics that provide PrEP during their first visit. Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including pre-exposure prophylaxis (PrEP) and HIV testing information that is found on the CDC website.They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website.
HIV Home Tests
n=88 Participants
Youth randomized to the HIV home testing arm (arm 3) will be provided with the 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at the 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Total Number of Youth Who Link to HIV Care Services
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 6 months

Population: 175 in Arm1, 189 in Arm 2, and 94 in Arm 3 analyzed as this was the number of participants that completed the 6 month visit and from which data was collected.

Number of Sexual Partners in the past 3 months collected at the 6 month mark

Outcome measures

Outcome measures
Measure
mLab App Intervention
n=175 Participants
Youth randomized to the intervention arm (arm 1) will be provided with the mLab App, 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at their 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. mLab App: The mLab App is a web application that uses an image processing algorithm to interpret the results of the OraQuick® In-Home HIV Test. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Standard of Care HIV Information Control Arm
n=189 Participants
Youth randomized to the Standard of Care HIV information control arm (arm 2) will receive standard-of-care HIV/STI testing-related risk reduction counseling, a box of condoms, PrEP assessment, and referral information for clinics that provide PrEP during their first visit. Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including pre-exposure prophylaxis (PrEP) and HIV testing information that is found on the CDC website.They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website.
HIV Home Tests
n=94 Participants
Youth randomized to the HIV home testing arm (arm 3) will be provided with the 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at the 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Number of Sexual Partners in the Past 3 Months
2.12 partners
Standard Deviation 3.98
1.69 partners
Standard Deviation 3.56
1.78 partners
Standard Deviation 1.90

SECONDARY outcome

Timeframe: 12 months

Population: 161 in Arm1, 189 in Arm 2, and 88 in Arm 3 analyzed as this was the number of participants that completed the 12 month visit and from which data was collected.

Number of Sexual Partners in the past 3 months collected at the 12 month mark

Outcome measures

Outcome measures
Measure
mLab App Intervention
n=161 Participants
Youth randomized to the intervention arm (arm 1) will be provided with the mLab App, 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at their 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. mLab App: The mLab App is a web application that uses an image processing algorithm to interpret the results of the OraQuick® In-Home HIV Test. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Standard of Care HIV Information Control Arm
n=189 Participants
Youth randomized to the Standard of Care HIV information control arm (arm 2) will receive standard-of-care HIV/STI testing-related risk reduction counseling, a box of condoms, PrEP assessment, and referral information for clinics that provide PrEP during their first visit. Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including pre-exposure prophylaxis (PrEP) and HIV testing information that is found on the CDC website.They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website.
HIV Home Tests
n=88 Participants
Youth randomized to the HIV home testing arm (arm 3) will be provided with the 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at the 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Number of Sexual Partners in the Past 3 Months
2.24 partners
Standard Deviation 4.80
2.11 partners
Standard Deviation 7.44
2.43 partners
Standard Deviation 3.57

SECONDARY outcome

Timeframe: 6 months

Population: 175 in Arm1, 189 in Arm 2, and 94 in Arm 3 analyzed as this was the number of participants that completed the 6 month visit and from which data was collected.

Number of condomless anal sex acts in the past 3 months at 6 months

Outcome measures

Outcome measures
Measure
mLab App Intervention
n=175 Participants
Youth randomized to the intervention arm (arm 1) will be provided with the mLab App, 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at their 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. mLab App: The mLab App is a web application that uses an image processing algorithm to interpret the results of the OraQuick® In-Home HIV Test. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Standard of Care HIV Information Control Arm
n=189 Participants
Youth randomized to the Standard of Care HIV information control arm (arm 2) will receive standard-of-care HIV/STI testing-related risk reduction counseling, a box of condoms, PrEP assessment, and referral information for clinics that provide PrEP during their first visit. Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including pre-exposure prophylaxis (PrEP) and HIV testing information that is found on the CDC website.They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website.
HIV Home Tests
n=94 Participants
Youth randomized to the HIV home testing arm (arm 3) will be provided with the 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at the 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Number of Condomless Anal Sex Acts
7.35 condomless anal sex acts
Standard Deviation 15.34
8.21 condomless anal sex acts
Standard Deviation 21.67
7.56 condomless anal sex acts
Standard Deviation 9.93

SECONDARY outcome

Timeframe: 12 months

Population: 161 in Arm1, 189 in Arm 2, and 88 in Arm 3 analyzed as this was the number of participants that completed the 12 month visit and from which data was collected.

Number of condomless anal sex acts in the past 3 months at 12 months

Outcome measures

Outcome measures
Measure
mLab App Intervention
n=161 Participants
Youth randomized to the intervention arm (arm 1) will be provided with the mLab App, 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at their 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. mLab App: The mLab App is a web application that uses an image processing algorithm to interpret the results of the OraQuick® In-Home HIV Test. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Standard of Care HIV Information Control Arm
n=189 Participants
Youth randomized to the Standard of Care HIV information control arm (arm 2) will receive standard-of-care HIV/STI testing-related risk reduction counseling, a box of condoms, PrEP assessment, and referral information for clinics that provide PrEP during their first visit. Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including pre-exposure prophylaxis (PrEP) and HIV testing information that is found on the CDC website.They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website.
HIV Home Tests
n=88 Participants
Youth randomized to the HIV home testing arm (arm 3) will be provided with the 2 OraQuick tests (including the package insert), and a box of condoms to take home at baseline. They will receive 2 more OraQuick tests at the 6 month visit. At their baseline appointment, youth will also be sent an email or text with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the CDC website. They will also receive a study information card listing the Columbia University School of Nursing / Lurie Children's study teams' contact information. HIV Prevention Information: Youth randomized to the standard of care will be sent an email with links to mobile-optimized online prevention information, including PrEP and HIV testing information that is found on the Centers for Disease Control and Prevention (CDC) website. HIV Home Tests: Youth randomized into this arm will receive OraQuick® In-Home HIV Test.
Number of Condomless Anal Sex Acts
7.01 condomless anal sex acts
Standard Deviation 12.15
8.33 condomless anal sex acts
Standard Deviation 15.75
8.32 condomless anal sex acts
Standard Deviation 11.49

Adverse Events

mLab App Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Standard of Care HIV Information Control Arm

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

HIV Home Tests

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Rebecca Schnall, PhD, MPH, RN-BC, FAAN, FACMI

Columbia University

Phone: 212-342-6886

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place