TY - JOUR AU - Jones, Jeb AU - Dominguez, Karen AU - Stephenson, Rob AU - Stekler, Joanne D AU - Castel, Amanda D AU - Mena, Leandro A AU - Jenness, Samuel M AU - Siegler, Aaron J AU - Sullivan, Patrick S PY - 2020 DA - 2020/2/21 TI - A Theoretically Based Mobile App to Increase Pre-Exposure Prophylaxis Uptake Among Men Who Have Sex With Men: Protocol for a Randomized Controlled Trial JO - JMIR Res Protoc SP - e16231 VL - 9 IS - 2 KW - men who have sex with men KW - pre-exposure prophylaxis KW - mobile health KW - electronic health KW - HIV AB - Background: HealthMindr is a mobile phone HIV prevention app for men who have sex with men (MSM). In a previous pilot study, HealthMindr was found to be acceptable among users and to demonstrate preliminary effectiveness for increasing pre-exposure prophylaxis (PrEP) uptake among MSM. PrEP is a highly effective HIV prevention intervention; however, uptake remains low. Objective: The aim of this study will be to assess the efficacy of a mobile app for increasing PrEP uptake among MSM in the southern United States. Methods: In this randomized controlled trial, we will assess the efficacy of HealthMindr for increasing PrEP uptake among MSM in the following three southern US cities: Atlanta, Georgia; Jackson, Mississippi; and Washington, DC. In total, 657 men will be recruited and randomized to intervention and control arms in a 2:1 ratio. Participants in the intervention arm will receive access to the full HealthMindr app, with information and resources about PrEP (eg, frequently asked questions, risk assessment tool, and PrEP provider locator), other HIV prevention information, ability to order free HIV/sexually transmitted infection test kits, and additional resources related to substance use and mental health. Participants in the control arm will use the HealthMindr app but will only have access to the study timeline and a message center to communicate with study staff. Participants will complete quarterly surveys to assess self-reported PrEP uptake over 12 months of follow-up. Self-reported PrEP uptake will be verified by dried blood spot testing and/or uploading a photograph of a PrEP prescription. Results: Participant recruitment began in January 2020. Conclusions: This trial will determine whether the HealthMindr app can increase PrEP uptake among MSM in the southern United States. Trial Registration: ClinicalTrials.gov NCT03763942; https://clinicaltrials.gov/ct2/show/NCT03763942 International Registered Report Identifier (IRRID): PRR1-10.2196/16231 SN - 1929-0748 UR - http://www.researchprotocols.org/2020/2/e16231/ UR - https://doi.org/10.2196/16231 UR - http://www.ncbi.nlm.nih.gov/pubmed/32130178 DO - 10.2196/16231 ID - info:doi/10.2196/16231 ER -