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WhatsApp Intervention to Assess the Effect of Messages in Adherence to Antiretrovirals in Young People with HIV in Peru

Not Applicable
Active, not recruiting
Conditions
HIV
Interventions
Behavioral: Standardized messages
Behavioral: Self-designed messages
Registration Number
NCT06500013
Lead Sponsor
Universidad Peruana Cayetano Heredia
Brief Summary

The goal of this clinical trial is to learn which type of messages is more efficacious to improve adherence to medication in young people living with HIV. The main question is aims to answer is:

-Are messages designed by participants (self-designed) more efficacious than messages designed by health providers to improve adherence to antiretroviral treatment (HIV medications)?

Researchers will compare both types of messages to see if one is better than the other in helping participants take their medications.

Participants will:

* Receive either messages designed by themselves or by health providers for 4 months.

* Be able to chat with health providers at any time, with special focus regarding questions about their condition, medications and health services.

* Complete questionnaires via WhatsApp describing how they are taking their medications, and how often they forget to take them.

* Complete questionnaires via WhatsApp describing their opinion about receiving the messages and being able to chat with health providers.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
131
Inclusion Criteria
  • People living with HIV of age 18-29 at the moment of signing informed consent.
  • Being a patient of the study center's Infectious Diseases clinic or National HIV Program, between March 2024 and July 2024.
  • Ownership of a mobile phone that supports WhatsApp.
Exclusion Criteria
  • Being pregnant at the moment of signing informed consent.
  • Being illiterate at the moment of signing informed consent.
  • Being blind at the moment of signing informed consent

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Standardized messagesStandardized messagesThis group of participants will receive messages designed by researchers based on behavioral change theories, up to 3 times a week in the day and time of their choosing, for 16 weeks.
Self-designed messagesSelf-designed messagesThis group of participants will design their own messages, and receive them via mobile messaging up to 3 times a week in the day and time of their choosing, for 16 weeks.
Primary Outcome Measures
NameTimeMethod
Change from Baseline in the Result of SMAQ Questionnaire Adjusted for the Effect of CovariablesBaseline, 16 weeks.

The SMAQ questionnaire evaluates medication adherence. It provides a dichotomic result of adherence (yes/no), and a semiquantitative estimate of adherence. Greater than 95% adherence is considered as adherent, and less than 95% as non-adherent.

Secondary Outcome Measures
NameTimeMethod
ART adherence measured by SMAQ Questionnaire at 4, 8 and 12 weeks of intervention4, 8 and 12 weeks of intervention

SMAQ provides a dichotomic result of adherence (yes/no): we will report percentage of participants adherent to ART per study group during the intervention.

Loss to follow-upFrom the start of delivery intervention until study completion

Loss to follow-up is defined as either (i) participants not responding to messages for ≥ 30 continuous days since receiving the intervention and not responding to messages or questionnaires at the end of their intervention period (t=16), or (ii) particip

Time of permanence in the studyBaseline until study completion (16 weeks).

Time of permanence in the study, indicated from the first date of intervention delivery until loss to-follow up or study completion. We will describe the median and interquartile range of this result in both study arms.

Metrics on the use of a bidirectional platform for intervention deliveryEnd of the intervention at 16 weeks.

Frequencies, percentages, and means with a standard deviation of messages and questionnaires programmed for sending, sent, received, read, and answered by participants. Frequencies and percentages of different process indicators self-reported by participants.

Trial Locations

Locations (1)

Hospital Cayetano Heredia

🇵🇪

Lima, Peru

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