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RECRUITING
NCT06637436
NA

PrEP Readiness Interventions for Sustained Motivation (PRISM)

Sponsor: Florida International University

View on ClinicalTrials.gov

Summary

This is a hybrid type I, factorial randomized controlled trial to test the comparative and combined effectiveness of contingency management (CM) alone or CM with motivational interviewing (MI) for optimizing entry or re-entry into the PrEP care continuum. A total of 400 participants will be randomized to CM (n = 200) or MI+CM (n = 200), all delivered via Telehealth. Monthly follow-up assessments will be completed over 12 months to examine differential effectiveness for the primary outcome - filling a PrEP prescription (verified using a digital photo or detectable tenofovir diphosphate). Secondary outcomes will include: self-reported PrEP clinical evaluation by a PrEP provider; self-reported meth and other substance use severity (ASSIST), and self-reported receptive and insertive condomless anal sex (CAS).

Official title: Optimizing HIV Prevention for Highly Vulnerable Methamphetamine-using Sexual Minority Men

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

400

Start Date

2025-01-28

Completion Date

2028-04-30

Last Updated

2026-02-18

Healthy Volunteers

No

Interventions

BEHAVIORAL

Motivational Interviewing (MI)

This telehealth MI intervention seeks to increase intrinsic motivation and self-efficacy for starting or restarting pre-exposure prophylaxis (PrEP) in session one. Session two focuses on concomitant risk behaviors such as substance use and CAS.

BEHAVIORAL

Contingency Management (CM)

Provides incentives for initiating PrEP care ($50) and filling a PrEP prescription ($50) in the three months following randomization.

Locations (2)

Florida International University Stempel College of Public Health and Social Work

Miami, Florida, United States

Florida International University

Miami, Florida, United States