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NCT06476847Completed

A Simple Intervention to Increase Persistence on PrEP in MSM to Improve Decision Making

The Role of Cognitive Biases in the Decision to Request, Offer, Accept and Continue on PrEP From a Health Care Provider and Patient Perspective (Men Who Have Sex With Men)

Source: ClinicalTrials.gov · Last updated 2 Oct 2026

Brief summary (registry, in English)

Oral HIV pre-exposure prophylaxis (PrEP) is a highly effective HIV prevention modality that requires individuals to take a daily tablet to prevent themselves acquiring HIV. In South Africa while this is freely available in the public sector, persistence (that is continuation after initiation) is low amongst vulnerable populations, including men who have sex with men (MSM). This study is a feasibility and acceptability study of a behavioral economics informed intervention to improve persistence amongst MSM newly initiating PrEP in South Africa. The goal of this study is to show that this approach is possible in a routine setting and gather the necessary data for a fully powered effectiveness trial. Study participants will complete a baseline questionnaire and then be randomized to either receive standard of care (control) or to receive the intervention. The intervention package consists of evidence informed reminders, commitment pledges and planning prompts. The intervention package aims to address present bias, optimism bias and salience. The intervention is delivered and the enrollment visit and then through mobile phone reminders / text messages. There is no further in person interaction after the initial interaction. Participants may be contacted for a telephonic enplane questionnaire. Outcome data is obtained from passive followup through routine medical record review with the primary end point being persistence at 3 months.

Status (registry)
Completed
Study type
Interventional
Enrollment
106 (actual)
First submitted
21 Jun 2024
Start date
23 Jan 2025
Primary completion date
28 Feb 2026
Lead sponsor
Boston University
Diseases
HIV
NCT number
NCT06476847

What you commit to

  • Study type: Interventional
  • Participants enrolled: 106
  • From 23 Jan 2025 to the primary completion date, 28 Feb 2026
  • 2 sites in 2 countries
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Previous PrEP experience within the last year (12 months from enrolment)

Other

  • PrEP status unknown

Who the study is looking for

  • Not currently on pre exposure prophylaxis (PrEP); no PrEP within the last 12 months
  • Initiating PrEP on the date of enrolment
  • Access to a mobile phone
  • Willing and able to provide written informed consent in English

Age in the registry: 18 years to - · Sex: Male · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (2)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Boston Univeristy School ofPublic Health, Global Health
Coordinator of this site? Confirm its status
BostonUnited StatesUnknown status
The Aurum POP INN Clinic
Coordinator of this site? Confirm its status
PretoriaSouth AfricaUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.