Peer support could boost HIV med adherence and curb substance use

NCT ID NCT05933226

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study tests a program called Khanya, where trained peers (people with lived substance use experience) help HIV patients stick to their medication and reduce drug or alcohol use. The program is offered in steps: a basic version first, then a more intensive one if needed. Researchers will compare it to usual care over 12 months in South African primary care clinics. About 160 adults with HIV who have trouble taking their medication and have moderate-to-high substance use risk are taking part.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Khanya (peer-delivered behavioral intervention)

What this could lead to

If it works, this could provide a low-cost, scalable way to improve HIV medication adherence and reduce substance use in primary care settings.

What could go wrong

This is a relatively small trial (160 participants) testing a behavioral intervention, so results may not apply broadly. The intervention relies on peer counselors, which may vary in effectiveness.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

AIDS Alcohol Drinking alcohol-related disorders Behavioral Symptoms HIV infectious disease immune system disorder inborn error of immunity Psychological Well-Being RNA Virus Infections substance abuse substance-related disorder Treatment Adherence and Compliance

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • University of Cape Town

    Cape Town, Western Cape, South Africa