About this trial
This study aims to develop and evaluate a multi-component mHealth intervention (mHC and FRESH) to reduce HIV-related and intersectional stigma and improve PrEP use among HIV-negative young transgender women (TGW) in Thailand.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18-29 years
Male sex at birth
Self-identify as transgender woman/female spectrum
HIV-negative (laboratory confirmed)
Disqualifiers
Serious cognitive or psychiatric condition affecting consent
Active suicidal ideation or major mental illness
Medical contraindications to PrEP
Enrolled in another HIV intervention study
Trial design
Sequential
Treatments tested in this trial
Mobile Healthy Choices (mHC)+SPC
BehavioralIntervention: * Behavioral: Mobile Healthy Choices (mHC) * Behavioral: Standard PrEP Counseling (SPC)
FRESH + SPC
BehavioralIntervention: * Behavioral: FRESH (Finding Respect and Ending Stigma around HIV) * Behavioral: Standard PrEP Counseling (SPC)
mHC + FRESH + SPC
BehavioralIntervention: * Behavioral: Mobile Healthy Choices (mHC) * Behavioral: FRESH * Behavioral: Standard PrEP Counseling (SPC)
Treatment groups
Trial outcomes
Primary outcomes
HIV-related stigma score
HIV-related stigma (including internalized, perceived, anticipated, and enacted stigma) will be assessed using validated stigma scales. Higher scores indicate greater stigma.
PrEP uptake
Proportion of participants who initiate PrEP during the study period among those not on PrEP at baseline.
PrEP adherence
PrEP adherence will be assessed using: * Self-reported adherence (e.g., number of doses taken in past 7 or 30 days) * Tenofovir diphosphate (TFV-DP) levels from dried blood spots Higher levels indicate better adherence.
HIV testing uptake
Proportion of participants who complete HIV testing at each follow-up visit.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Institute of HIV Research and Innovation Foundation, Thailand
Lead sponsor
National Institutes of Health (NIH)
Collaborator