Adaptive Text Messaging and Non-Monetary Incentives to Sustain ART Adherence Among Adolescents Living With HIV in Ethiopia

Arba Minch University

Status: Begins enrollment this month

Conditions: Antiretroviral Therapy (ART) Adherence Among Adolescents Living With HIV

Treatments: Behavioral: Adaptive interventions; Behavioral: The control arm; Behavioral: Non-adaptive reminder text messaging

Study type: Interventional

Funder types: Other

Identifiers

NCT07377760

CIPHER Research Grant IAS_146

Details and patient eligibility

About

Many adolescents living with HIV have difficulty taking their medicine on time, which can make it less effective and affect their health. This study will test whether sending reminder text messages, combined with small rewards like school supplies, hygiene kits, or sports items, can help adolescents take their HIV medicine regularly and stay in care. Each adolescent will choose a daily habit or routine to link to their medication. We will compare two groups receiving messages and rewards to a group receiving standard care to see which approach works best. We will also ask participants about their experience with the messages and rewards. The aim is to find a simple and effective way to help adolescents living with HIV stay healthy and in care.

Enrollment: 327 estimated patients

Sex: All

Ages: 15 to 19 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Consenting adolescents aged 15 to 19 who have been on ART for at least a year and want to continue treatment at the selected facility during the trial period are eligible.

Exclusion criteria

• Participants outside of the specified age range.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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327 participants in 3 patient groups

Non-adaptive reminder text messaging combined with non-monetary incentives

Experimental group

Treatment:

Behavioral: The control arm

Behavioral: Adaptive interventions

Adaptive text messaging

Experimental group

Treatment:

Behavioral: Non-adaptive reminder text messaging

Behavioral: The control arm

Control (standard care)

No Intervention group