Can a phone app boost HIV prevention in thai youth?
NCT ID NCT05262426
First seen Jun 26, 2026 · Last updated Sep 09, 2026 · Updated 3 times
Summary
This study is testing a computer-based program called MES-PrEP to help young transgender women in Thailand start and stick with HIV pre-exposure prophylaxis (PrEP). The program provides personalized feedback and information based on each person's confidence and motivation. Researchers will measure how acceptable and easy to use the program is, and whether it improves PrEP adherence over six months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Motivational Enhancement System for PrEP Uptake and Adherence (MES-PrEP) – a computer-delivered behavioral intervention
- What this could lead to
- If successful, this could provide an effective, scalable way to boost PrEP use among at-risk youth, helping prevent HIV infections.
- What could go wrong
- This is an early feasibility study with only 145 participants, so results may not apply broadly. The intervention relies on self-reported adherence, which can be inaccurate.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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145 people
The number who actually took part.
- Started
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Dec 2021
- Finished
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Jul 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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16 to 29 years
- Sex
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Male participants only
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Aim 1: Transgender women participants Inclusion Criteria: * Age 16-29 years old * Male sex at birth * Self-identifies as woman or transgender women or culturally identifies with the female spectrum * Confirmed HIV-negative status * Self-reported recent history of condomless sex in the past 6 months * Able to understand, read and speak Thai * Either having not started PrEP (Group 1: PrEP naive), currently on PrEP but not adherent to PrEP (taking ≤3 pills/week) in the past month (Group 2: PrEP users) or currently on PrEP with good adherence (Group 3: PrEP users with good adherence). Exclusion Criteria: * Have a serious cognitive or psychiatric problem that would compromise ability to provide informed consent * Have active suicidal ideation or major mental illness (e.g., untreated psychosis or mania) at the time of interview (patients will be referred for treatment) * Laboratory or clinical findings that would preclude PrEP initiation (e.g., decreased creatinine clearance) Healthcare providers Inclusion Criteria: * Have at least 1-year experience working with HIV-negative transgender women, including providing PrEP prescription and counseling Exclusion Criteria: * None Aim 2: Inclusion Criteria: * Age 16-29 years old * Male sex at birth * Self-identifies as woman or transgender women or culturally identifies with the female spectrum * Confirmed HIV-negative status * Self-reported recent history of condomless sex in the past 6 months * Able to understand, read and speak Thai * Either having not started PrEP (Group 1: PrEP naive), currently on PrEP but not adherent to PrEP (taking ≤3 pills/week) in the past month (Group 2: PrEP users). Exclusion Criteria: * Have a serious cognitive or psychiatric problem that would compromise ability to provide informed consent * Have active suicidal ideation or major mental illness (e.g., untreated psychosis or mania) at the time of interview (patients will be referred for treatment) * Laboratory or clinical findings that would preclude PrEP initiation (e.g., decreased creatinine clearance) * Currently enrolled in another HIV intervention study
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Institute of HIV Research and Innovation
Bangkok, Bangkok, 10330, Thailand
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Rainbow Sky Association of Thailand
Bangkok, Bangkok, 10240, Thailand
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SWING Foundation
Bangkok, Bangkok, 10500, Thailand
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