About this trial
Two combination interventions (HIV Case Finding Intervention and HIV Treatment Intervention), each with mHealth and Peer Navigation components, will be evaluated in two 48-week parallel hybrid effectiveness/implementation trials among youth aged 15-24 in Nigeria.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Aged 15 to 24
Male birth sex of any current gender identity
Understand basic English, Yoruba, Hausa, Igbo or Pidgin English For the PrEP component, must also be HIV-negative
Aged 15 to 24
Disqualifiers
Unable to provide consent
No parental permission if aged 15 and not emancipated
Trial design
Parallel
Treatments tested in this trial
Testing Peer navigation
BehavioralPeer navigators will promote HIV testing in YMSM and linkage to care if HIV-positive
PrEP Intervention
BehavioralMotivational-interviewing to promote uptake of PrEP among those who test HIV-negative
Treatment Peer Navigation
BehavioralPeer navigators will provide assistance and support to youth with HIV to optimize adherence to ART
Social Media Outreach
BehavioralSocial media outreach to identify youth at risk for HIV
SMS Test messaging
BehavioralText (SMS) messages to remind and encourage youth to adhere to their ART
Adherence standard of care
Other interventionStandard of care HIV treatment adherence
Treatment groups
Trial outcomes
Primary outcomes
Case Finding: HIV-positive serostatus
HIV-positive serostatus based on rapid test with confirmation
Treatment: Viral suppression
Viral suppression (\< 200 copies per mL)
Secondary outcomes
Case Finding: Linkage to HIV care
Linkage to HIV care within 30 days of positive HIV test
Case Finding: PrEP among youth who test HIV-negative
PrEP uptake among youth who test HIV-negative
Treatment: Adherence to antiretroviral therapy (ART)
\> 90% adherence to ART
Sponsors and contacts
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Northwestern University
Lead sponsor
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborator