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LYNX: A Novel Mobile App to Support Linkage to HIV/STI Testing PrEP for Young Men Who Have Sex With Men

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ClinicalTrials.gov Identifier: NCT03177512
Recruitment Status : Recruiting
First Posted : June 6, 2017
Last Update Posted : October 31, 2018
Sponsor:
Collaborators:
Cook County Health & Hospitals System
Duke University
Emory University
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
San Francisco Department of Public Health
University of California, San Francisco
University of North Carolina, Chapel Hill
University of South Florida
Information provided by (Responsible Party):
Albert Liu, Public Health Foundation Enterprises, Inc.

Brief Summary:
This study is testing the acceptability and feasibility of a highly interactive mobile application (app) to promote HIV/sexually transmitted infection (STI) testing and uptake of pre-exposure prophylaxis (PrEP) among young men who have sex with men (YMSM).

Condition or disease Intervention/treatment Phase
HIV Sexually Transmitted Diseases Risk Reduction Pre-Exposure Prophylaxis Behavioral: LYNX Mobile App Not Applicable

Detailed Description:

Using the Information-Motivation-Behavior Skills (IMB) model, we have developed LYNX, a highly interactive mobile app to promote accurate risk perception and increase HIV/STI testing and linkage to PrEP among young men who have sex with men (YMSM). Key components of the app include Sex Pro (a personalized HIV risk score), a sex diary to facilitate accurate data collection; HIV/STI testing information and reminders; access to home HIV/STI testing options; a geospatial-based locator of HIV/STI testing sites and PrEP clinics; PrEP information and videos; and online PrEP navigation.

This study is part of the iTech NIH U19, which has an overall goal to develop innovative technology-focused interventions addressing the HIV prevention and care continuum for youth.


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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 60 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: LYNX: A Novel Mobile App to Support Linkage to HIV/STI Testing and Pre-exposure Prophylaxis (PrEP) for Young Men Who Have Sex With Men
Actual Study Start Date : October 25, 2018
Estimated Primary Completion Date : June 2019
Estimated Study Completion Date : June 2019

Resource links provided by the National Library of Medicine

MedlinePlus related topics: HIV/AIDS

Arm Intervention/treatment
Experimental: LYNX Mobile App Behavioral: LYNX Mobile App
Access to the LYNX mobile app which includes the Sex Pro score tool, PrEP videos, HIV/STI testing reminders and geo-location features.

No Intervention: Control
Participants in this study arm will receive local standard of care for linkage to PrEP and HIV/STI testing.



Primary Outcome Measures :
  1. Acceptability [ Time Frame: 6 months ]
    System Usability Scale: a validated 10-measure scale that assesses subjective usability of a system, or, in this case, an app.

  2. Feasibility [ Time Frame: 6 months ]
    Frequency of logins, use of LYNX app components


Secondary Outcome Measures :
  1. Frequency of app use [ Time Frame: 6 months ]
    Usage data

  2. Duration of app use [ Time Frame: 6 months ]
    Usage data

  3. Analysis of mobile application data showing what parts were used in order to assess what app content and functionalities are most and least utilized. [ Time Frame: 6 months ]
    Usage data

  4. Number of HIV/STI home testing kits, condoms and lube requested [ Time Frame: 6 months ]
    Combined usage data

  5. Preliminary efficacy: HIV testing frequency [ Time Frame: 6 months ]
    Submitted evidence of HIV test results; Self-report

  6. Preliminary efficacy: STI testing frequency [ Time Frame: 6 months ]
    Submitted evidence of STI test results; Self-report

  7. PrEP interest and uptake as measured by self report [ Time Frame: 6 months ]
    Self-report of linkage to PrEP and PrEP utilization (aggregate analysis of questionnaire and phone interview)

  8. Sexual and drug use behaviors, as measured via questionnaire [ Time Frame: 6 months ]
    Self-report by questionnaire

  9. Utilization of health care, by self-report via questionnaires and interviews [ Time Frame: 6 months ]
    Self-reported questionnaire

  10. Information, Motivation, Behavior (IMB) model constructs for HIV/STI testing [ Time Frame: 6 months ]
    Summary data from from questionnaire regarding HIV/STI testing knowledge, motivations, and behavioral skills

  11. Information, Motivation, Behavior (IMB) model constructs for PrEP uptake [ Time Frame: 6 months ]
    Summary data from from questionnaire regarding PrEP knowledge, motivations, and behavioral skills



Information from the National Library of Medicine

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Ages Eligible for Study:   15 Years to 24 Years   (Child, Adult)
Sexes Eligible for Study:   Male
Gender Based Eligibility:   Yes
Gender Eligibility Description:   Cisgender male
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • No HIV test in the past 3 months (self-reported).
  • Not known to be HIV-infected (self-reported).
  • Not currently taking PrEP (self-reported).
  • Owns an Apple operating system (iOS) or Android mobile phone and willing and able to download the LYNX app onto their phone.
  • Willing and able to attend an in-person baseline visit in the Tampa or Chicago area.
  • Able to understand, read, and speak English.
  • Participants ages 15-18: self-report at least one episode of anal intercourse with a male or transfemale partner during the last 6 months
  • Participants ages 19-24: self-report evidence of high risk for acquiring HIV infection including at least one of the following:

    1. at least one episode of condomless anal sex with an HIV-positive or unknown HIV status male or transfemale partner during the last 6 months; or
    2. Anal sex with 2 or more male and/or transfemale partners during the last 6 months; or
    3. Exchange of money, gifts, shelter, or drugs for anal sex with a male or transfemale partner during the last 6 months; or
    4. Sex with a male or transfemale partner and has had an STI during the last 6 months.

Exclusion Criteria:

  • Currently enrolled in another HIV intervention study
  • Prior enrollment in an HIV vaccine trial with receipt of experimental vaccine product
  • Enrollment in an earlier phase of LYNX study
  • Any medical, psychiatric, or social condition or other responsibilities that, in the judgment of the investigator, would make participation in the study unsafe, complicate interpretation of study outcome data, or otherwise interfere with achieving the study objectives.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03177512


Contacts
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Contact: Kenneth Coleman, M.A. 415-437-7443 kenneth.coleman@sfdph.org
Contact: Hyman Scott, M.D., MPH 415-437-7483 hyman.scott@sfdph.org

Locations
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United States, Florida
University of South Florida, Department of Pediatrics Recruiting
Tampa, Florida, United States, 33606
Contact: Amayvis Garcia    813-410-4105    arebolle@health.usf.edu   
Contact: Elizabeth Enriquez Bruce, MD, CRA-USF    813-259-8786    enriquezbruce@health.usf.edu   
Principal Investigator: Patricia Emmanuel, M.D.         
United States, Illinois
The CORE Center, Cook County Health and Hospitals System Recruiting
Chicago, Illinois, United States, 60612
Contact: Kelly Bojan, DNP, APN    312-572-4716    kbojan@cookcountyhhs.org   
Principal Investigator: Temitope Oyedele, M.D.         
Sub-Investigator: Lisa Henry-Reid, M.D.         
Sponsors and Collaborators
Public Health Foundation Enterprises, Inc.
Cook County Health & Hospitals System
Duke University
Emory University
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
San Francisco Department of Public Health
University of California, San Francisco
University of North Carolina, Chapel Hill
University of South Florida
Investigators
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Study Chair: Albert Liu, M.D., MPH Bridge HIV, San Francisco Department of Public Health
Study Chair: Hyman Scott, M.D., MPH Bridge HIV, San Francisco Department of Public Health

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Albert Liu, Clinical Research Director, Public Health Foundation Enterprises, Inc.
ClinicalTrials.gov Identifier: NCT03177512     History of Changes
Other Study ID Numbers: 17-21876
U19HD089881 ( U.S. NIH Grant/Contract )
First Posted: June 6, 2017    Key Record Dates
Last Update Posted: October 31, 2018
Last Verified: October 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Albert Liu, Public Health Foundation Enterprises, Inc.:
PrEP
HIV Testing
STI Testing
Mobile app
Technology
Young men who have sex with men

Additional relevant MeSH terms:
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Sexually Transmitted Diseases
Infection
Virus Diseases
Genital Diseases, Male
Genital Diseases, Female