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N/A N=246 Randomized Prevention

P3 (Prepared, Protected, emPowered)

Sexually Transmitted Diseases · Safe Sex · Adherence, Medication

Enrolled (actual)
246
Serious AEs
0.0%
Results posted
Sep 2022
Primary outcome: Primary: PrEP Adherence Defined by Tenofovir Diphosphate (P3 and P3+ vs Control) — 24; 33; 23; 18 Participants — p=0.04965

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
P3 (Behavioral); P3+ (Behavioral); Control (Behavioral)
Age
Pediatric, Adult · 16+ yrs
Sex
Male
Sponsor
University of North Carolina, Chapel Hill
Primary completion
Sep 2021

Outcome Measures

OutcomeResultp-value
PRIMARY
PrEP Adherence Defined by Tenofovir Diphosphate (P3 and P3+ vs Control)
24; 33; 23; 18; 25; 20 0.04965 sig
PRIMARY
PrEP Adherence Defined by Emtricitabine Triphosphate (P3 and P3+ vs Control)
36; 38; 29; 31; 31; 24 0.11
SECONDARY
Number of Participants With Self-reported Retention in PrEP Clinical Care
38; 43; 38; 32; 34; 25 0.68
SECONDARY
PrEP Persistence
66; 64; 59; 52; 49; 52 0.53
SECONDARY
Insertive Condomless Anal Sex
1; 0; 0; 0; 0; 0 0.93
SECONDARY
Receptive Condomless Anal Sex
1; 0; 1; 1; 0; 0 0.60
SECONDARY
Sexually Transmitted Infections (STI) Incidence
12; 14; 14; 11; 6; 10 0.60
SECONDARY
PrEP Adherence Defined by Tenofovir Diphosphate (P3 vs Control and P3+ vs Control)
24; 33; 23; 18; 25; 20
SECONDARY
PrEP Adherence Defined by Emtricitabine Triphosphate (P3 vs Control and P3+ vs Control)
36; 38; 29; 31; 31; 24
SECONDARY
Self-Reported Weekly PrEP Use
58; 59; 51; 49; 48; 47 0.11
SECONDARY
Self-Reported Monthly PrEP Use
100; 100; 90; 90; 90; 90 0.05
SECONDARY
Mean Site-Level Intervention Cost
551.88; 673.52

Summary

P3 (Prepared, Protected, emPowered) is an interactive smartphone app for HIV-uninfected YMSM and YTW that utilizes social networking and game-based mechanics as well as a comprehensive understanding of what constitutes "best practices" in app development to improve PrEP adherence and persistence in PrEP care.

Eligibility Criteria

Inclusion Criteria

  • Are aged 16-24
  • Were assigned male sex at birth
  • Report sex with men or transgender women
  • Are able to speak and read English
  • Have reliable daily access to an Android or iOS smartphone with a data plan
  • Are HIV-uninfected (self-report)
  • Are not currently on PrEP but plan to initiate in the next 7 days and have an active PrEP prescription (prescription confirmed by study staff) OR on PrEP have an active PrEP prescription (prescription confirmed by study staff)
  • Recruited from one of 9 subject recruitment venues (SRV) cities (Atlanta, Georgia; Boston, Massachusetts; Bronx, New York; Chicago, Illinois; Houston, Texas; Philadelphia, Pennsylvania; Tampa, Florida; Chapel Hill, NC; Charlotte, NC)

Exclusion Criteria

  • Aged younger than 15 years or older than 24 years
  • Not available to meet with project staff for planned study visit(s)
  • Non-English speaking
  • Living with HIV
  • Not currently prescribed PrEP (study staff unable to verify participant has an active PrEP prescription by a health provider)
  • Anticipate not having reliable access to a smartphone with a data plan for 2 or more days during field testing or 1 or more weeks during the RCT intervention period
  • Planning to move out of study area during the study period
  • Unwilling or unable to comply with protocol requirements.
  • Participated in field trial phase of P3 study
  • Unable to be consented due to active substance use or psychological condition.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03320512). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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