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Advancing HIV Prevention and Linkage to Care Among MSM With Gamification

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT02946164
Recruitment Status : Completed
First Posted : October 27, 2016
Last Update Posted : February 22, 2018
AIDS Healthcare Foundation
University of California, Los Angeles
Information provided by (Responsible Party):
University of California, Berkeley

Tracking Information
First Submitted Date  ICMJE October 25, 2016
First Posted Date  ICMJE October 27, 2016
Last Update Posted Date February 22, 2018
Study Start Date  ICMJE October 2016
Actual Primary Completion Date October 31, 2017   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: October 25, 2016)
Repeat HIV Testing [ Time Frame: 6 months ]
The number of men in the intervention who receive ≥1 additional HIV tests over 6 months of follow-up
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: October 25, 2016)
HIV-related risk behavior [ Time Frame: 6 months ]
We will determine the number of reported sex partners, the prevalence and frequency of unprotected anal intercourse with a partner of opposite or unknown status in the past 6 months
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
Descriptive Information
Brief Title  ICMJE Advancing HIV Prevention and Linkage to Care Among MSM With Gamification
Official Title  ICMJE Advancing HIV Prevention and Linkage to Care Among MSM With Gamification
Brief Summary This study is a pilot evaluation of 'Stick To It', a behavioral intervention based on the concept of gamification. The objective of the program is to encourage young men who have sex with men (MSM) to be regularly screened for HIV and sexually transmitted infections (STIs) and to adopt safer sexual behaviors, with the ultimate goal to decrease HIV and STI incidence. Gamification is the application of game elements, like points, badges, and rewards, to non-game settings.
Detailed Description The investigators will conduct a quasi-experimental pilot study of 'Stick To It', a prevention intervention that uses gamification principles and mechanics. The intervention includes an online timer that reminds men to get tested, online quizzes, and peer recruitment; these activities are awarded with points redeemable for chances at prizes at participating clinics. The intervention was designed based on findings from interviews with health staff and focus groups with young MSM, and with input from a gamification consultant. The primary hypothesis is that the intervention will increase repeat HIV/STI testing among young MSM. The intervention will be implemented at two STI clinics in Oakland and Los Angeles, California in 2-week intervals for six months. The investigators will review medical records of exposed and unexposed young MSM attending the same STI clinics to compare uptake of quarterly HIV testing and self-reported behavior after six months.
Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Condition  ICMJE
  • HIV Infections
  • Sexually Transmitted Diseases
Intervention  ICMJE Behavioral: Stick To It
The intervention is a prize system linked to points earned through online and real-world activities designed to incentivize young MSM to test for HIV and STIs every three months. Participants receive points for pre-determined activities, such as: answering online quizzes, inviting friends to participate, and getting tested for HIV/STIs. Points are redeemable in person at two AIDS Healthcare Foundation Men's Wellness Centers, where participants will be able to exchange their points for gumballs from a gumball machine; different color combinations of gumballs correspond to prizes of different values. Participants are reminded to get tested regularly via SMS messages; in addition, they can check when their next test is due by checking their testing timer on the website.
Study Arms  ICMJE
  • No Intervention: Comparison: Standard of Care
    Standard services available to all men at AHF Wellness Centers.
  • Active Comparator: Intervention: 'Stick To It' Intervention
    Behavioral intervention.
    Intervention: Behavioral: Stick To It
Publications * Mejia CM, Acland D, Buzdugan R, Grimball R, Natoli L, McGrath MR, Klausner JD, McCoy SI. An Intervention Using Gamification to Increase Human Immunodeficiency Virus and Sexually Transmitted Infection Screening Among Young Men Who Have Sex With Men in California: Rationale and Design of Stick To It. JMIR Res Protoc. 2017 Jul 17;6(7):e140. doi: 10.2196/resprot.8064.

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
Recruitment Information
Recruitment Status  ICMJE Completed
Actual Enrollment  ICMJE
 (submitted: February 20, 2018)
Original Estimated Enrollment  ICMJE
 (submitted: October 25, 2016)
Actual Study Completion Date  ICMJE December 31, 2017
Actual Primary Completion Date October 31, 2017   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • 18-26 years of age
  • male
  • self-identify as gay / bisexual / queer
  • willing and able to provide informed consent to join the Stick To It program
  • resident in one of several zip code areas surrounding the clinic

Exclusion Criteria:

  • Not a resident of one of included zip code areas
Sex/Gender  ICMJE
Sexes Eligible for Study: Male
Ages  ICMJE 18 Years to 26 Years   (Adult)
Accepts Healthy Volunteers  ICMJE Yes
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE United States
Removed Location Countries  
Administrative Information
NCT Number  ICMJE NCT02946164
Other Study ID Numbers  ICMJE R34MH106359( U.S. NIH Grant/Contract )
Has Data Monitoring Committee No
U.S. FDA-regulated Product Not Provided
IPD Sharing Statement  ICMJE
Plan to Share IPD: No
Responsible Party University of California, Berkeley
Study Sponsor  ICMJE University of California, Berkeley
Collaborators  ICMJE
  • AIDS Healthcare Foundation
  • University of California, Los Angeles
Investigators  ICMJE
Principal Investigator: Sandra I McCoy, PhD Assistant Adjunct Professor
PRS Account University of California, Berkeley
Verification Date February 2018

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP