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The SMART ART Study
Sponsor: Massachusetts General Hospital
Summary
The investigators propose A Sequential Multiple Assignment Randomized Trial of scalable interventions for ART delivery in South Africa- the SMART ART study-a randomized study to test adaptive ART delivery for persons with detectable viral load and/or not engaged in care.The types of differentiated service delivery (DSD) that will be examined in this study are incentives, community-based ART, and home delivery. The study plans to enroll up to 900 participants-people living with HIV and who are eligible for ART and living in KwaZulu-Natal, South Africa. The study aims to maximize the proportion of ART eligible persons living with HIV who achieve viral suppression at 18 months. The study will also evaluate the preferences of clients and providers for differentiated service delivery, and evaluate the cost effectiveness of adaptive HIV treatment for those who are not engaged in care.
Official title: A Sequential Multiple Assignment Randomized Trial of Scalable Interventions for ART Delivery in South Africa: the SMART ART Study
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
874
Start Date
2021-11-02
Completion Date
2025-07-03
Last Updated
2026-09-24
Healthy Volunteers
No
Interventions
Home delivery of ART
Home ART refill and monitoring, adherence support
Smart Lockers (Pele boxes)
Decentralized ART refills and monitoring, adherence support
Best clinic practices + conditional lottery incentives
Conditional lottery incentives Welcome back service (friendly providers, SMS, adherence support) Fast-track ART
Best clinic practices
Continue with best clinic practices
Locations (1)
Human Sciences Research Council Sweetwaters
Sweetwaters, KwaZulu-Natal, South Africa