SHARE Program: SUSTAIN

NCT ID: NCT06934395

Last Updated: 2025-06-19

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

RECRUITING

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-22

Study Completion Date

2026-07-31

Brief Summary

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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).

Detailed Description

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Primary aim: To 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.

Secondary aim: To test whether offering (vs. not offering) a Healthy Choices telehealth coaching session at the end of week 2 (day 14) increases the likelihood of achieving viral suppression and meeting criteria for no risky alcohol use at month 3.

Implementation Aim: Assess barriers and facilitators to the implementation and sustainment of intervention sequences for state-wide scale up using mixed methods (EPIS qualitative interviews, youth satisfaction and dose received, fidelity for telehealth, paradata for mHealth, and cost-effectiveness analysis).

Cross-project Moderator Aim: Explore age, biological sex and gender, ethnicity, other substance use, and mental health as moderators of intervention effects.

Primary hypothesis to be tested: Delivering (vs. not delivering) a text messaged prompt will lead to greater likelihood of medication adherence by the end of the current day.

Secondary hypothesis to be tested: Offering a Healthy Choices telehealth coaching at the end of week 2 will lead to greater likelihood of achieving viral suppression and meeting criteria for no risky alcohol use at month 3 (post-intervention) compared to not offering a Healthy Choices telehealth coaching session at the end of week 2.

Conditions

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Hiv

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Within-participant micro-randomization - Prompt

Participants will be randomized daily to receive a text messaged prompt focused on medication adherence or stress.

Group Type EXPERIMENTAL

Text Message Prompts

Intervention Type BEHAVIORAL

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 .

Within-participant micro-randomization - No Prompt

Participants will be randomized daily to not receive a text messaged prompt focused on medication adherence or stress.

Group Type NO_INTERVENTION

No interventions assigned to this group

Between-participant randomization - CIAS + Week 2 Coaching Session

Participants will be randomized at the end of week 2 (day 14) to receive the Healthy Choices telehealth intervention with trained interventionist at week 2.

All enrolled participants will receive an initial Healthy Choices mHealth intervention which involves a MI based coaching session via Computerized Intervention Authoring Software (CIAS).

Group Type EXPERIMENTAL

Healthy Choices

Intervention Type BEHAVIORAL

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

Between-participant randomization - CIAS + No Week 2 Coaching Session

Participants will be randomized at the end of week 2 (day 14) to NOT receive the Healthy Choices telehealth intervention with trained interventionist at week 2.

All enrolled participants will receive an initial Healthy Choices mHealth intervention which involves a MI based coaching session via Computerized Intervention Authoring Software (CIAS).

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Healthy 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

Intervention Type BEHAVIORAL

Text 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 .

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* 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 Criteria

* Adults unable to consent
* Prisoners
* Those using long-acting injectables as HIV medication regimen
Minimum Eligible Age

18 Years

Maximum Eligible Age

29 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Florida

OTHER

Sponsor Role collaborator

Northeastern University

OTHER

Sponsor Role collaborator

University of Michigan

OTHER

Sponsor Role collaborator

University of South Florida

OTHER

Sponsor Role collaborator

CAN Community Health

OTHER

Sponsor Role collaborator

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

NIH

Sponsor Role collaborator

Florida State University

OTHER

Sponsor Role lead

Responsible Party

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Sylvie Naar

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Florida State University, Center for Translational Behavioral Science

Tallahassee, Florida, United States

Site Status RECRUITING

University of South Florida

Tampa, Florida, United States

Site Status ACTIVE_NOT_RECRUITING

Northeastern University

Boston, Massachusetts, United States

Site Status ACTIVE_NOT_RECRUITING

University of Michigan

Ann Arbor, Michigan, United States

Site Status ACTIVE_NOT_RECRUITING

Countries

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United States

Central Contacts

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Karen MacDonell, PhD

Role: CONTACT

850-644-2334

Sara Green, MSW

Role: CONTACT

8506442334

Facility Contacts

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Karen MacDonell, PhD

Role: primary

Sara Green, MSW

Role: backup

850-644-2334

Other Identifiers

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5P01AA029547

Identifier Type: NIH

Identifier Source: secondary_id

View Link

STUDY00002536

Identifier Type: -

Identifier Source: org_study_id

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