About this trial
The study team will conduct a two-group study to examine the efficacy of implementing a combination intervention to improve economic stability and HIV preventive behaviors. The team will enroll approximately 500 young adults. Participants will be randomly assigned to one of two groups. The first group ("control") will receive text messages with information on job openings. The second group ("intervention") will receive text messages with information on job openings plus HIV prevention text messages, educational sessions on employment, income generation, and HIV prevention, economic resources, and mentoring.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Aged 18-24
Economically-vulnerable in past 12 months
Sexually active in past 12 months
Living in Baltimore
Disqualifiers
Aged 17 or younger
Older than 24 years
Unwilling to provide consent for study participation
Trial design
Parallel
Treatments tested in this trial
Job announcements plus HIV prevention text messages, educational sessions, economic resources, and mentoring.
BehavioralParticipants will receive job announcements plus HIV prevention text messages, educational sessions, economic resources, and mentoring.
Job announcements
BehavioralParticipants will receive job announcements only.
Treatment groups
Trial outcomes
Primary outcomes
Mean economic stability score of participants in each group in the past six months
The economic stability score of participants in each group in the past six months will be measured using a participant survey. The economic stability scale measures extent of economic stability and ranges from 0 to 64 with higher scores indicating a better outcome.
Secondary outcomes
Proportion of participants in each group who report one or more vaginal or anal sex acts without using a condom in the past six months
The proportion of participants in each group who report one or more vaginal or anal sex acts without using a condom in the past six months will be measured using a participant survey.
Proportion of participants in each group who report pre-exposure prophylaxis (PrEP) continuum progressive movement of one or more stages in the past six months
The proportion of participants in each group who report pre-exposure prophylaxis (PrEP) continuum progressive movement of one or more stages in the past six months will be measured using a participant survey. Participants will be assigned to one of nine stages based on their survey responses.
Other outcomes
Proportion of participants in each group who report one or more paid hours of work in the past six months
The proportion of participants in each group who report one or more paid hours of work in the past six months will be measured using a participant survey.
Mean financial distress score of participants in each group in the past six months
The mean financial distress score of participants in each group in the past six months will be measured using a participant survey. The financial distress scale measures extent of financial distress and ranges from 0 to 10 with higher scores indicating a worse outcome.
Mean total money spent on HIV prevention activities of participants in each group in the past six months
The mean total money spent on HIV prevention activities of participants in each group in the past six months will be measured using a participant survey.
Mean economic self-efficacy score of participants in each group in the past six months
The mean economic self-efficacy score of participants in each group in the past six months will be measured using a participant survey. The economic self-efficacy scale measures extent of economic self-efficacy and ranges from 0 to 16 with higher scores indicating a better outcome.
Sponsors and contacts
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University of North Carolina, Chapel Hill
Lead sponsor
National Institute on Minority Health and Health Disparities (NIMHD)
Collaborator