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An Accessible Digital Intervention to Promote HIV Testing/Counseling and Prevention Among Adolescents

An Accessible Digital Intervention to Promote the Use of School-based Health Centers and to Empower Adolescents With Their Sexual Health

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03713034
Enrollment
296
Registered
2018-10-19
Start date
2018-11-01
Completion date
2020-10-01
Last updated
2024-02-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

HIV Prevention

Keywords

HIV testing and counseling (HTC)

Brief summary

This is Phase II of a study previously registered on ClinicalTrials.gov (NCT02812329). Phase II focuses on adapting and expanding the reach of a previously developed video game aimed at HIV prevention. The game will be adapted to include web access/distribution and be evaluated using a randomized controlled trial.

Detailed description

The specific aims for Phase II of this study are to: Further adapt and expand our culturally and socially-tailored videogame to have a greater focus on HIV testing and counseling (HTC) in addition to HIV prevention in an older age group of 14-18 year old boys and girls. This will be accomplished by refining the conceptual model of the theoretical mechanisms of behavior change to be applied specifically within the game. New content will be created with additional input from 4 focus groups of 5 adolescents each (n = 20, aged 14-18) and these participants will also play-test the game. In addition, this model will inform new intervention manuals (Game Playbooks) targeting these new outcomes. Building the new content from focus groups into the game are intended to adapt and expand its scope. A system will be established for the newly adapted game for web access/distribution and program integration. Work will continue with commercialization partners on widespread distribution of the adapted game. The final piece of the study will be to conduct a randomized controlled trial in 296 adolescents (aged 14-18) to evaluate the acceptability and efficacy of the adapted game on its new web-based platform compared with a set of control games.

Interventions

OTHERPlayTest!

Participants in the PlayTest! intervention arm played the game on their assigned iPads once per week for an hour over the course of 4-5 weeks.

Participants in the control arm played the games on their assigned iPads once per week for an hour over the course of 4-5 weeks.

Sponsors

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
CollaboratorNIH
Yale University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
14 Years to 18 Years
Healthy volunteers
Yes

Inclusion criteria

* Ability to participate in a web-based videogame (willing to sit for 60 minutes/session to play the game) * Have not been tested for HIV in the past year * Ability to provide assent/parental/guardian consent+ * Have a completed and signed enrollment form for their school's health clinic allowing them, if they choose, to access the clinic for testing and health care * Students can be older than 18 as long as they were 18 or younger at the time of signing consent

Exclusion criteria

* Failure to meet any of the eligibility criteria

Design outcomes

Primary

MeasureTime frameDescription
Attitudes Around HIV Testing and CounselingBaseline, 4 weeks, 3 months and 6 monthsHTC attitudes were assessed with 7 items (e.g., I feel it is important for me to get tested for HIV). The items were scored on a 5-point scale ranging from - 2 (strongly disagree) to +2 (strongly agree) with positive values indicating healthier attitudes towards HTC. Participants had the option to respond not sure which was given a neutral score of 0. A mean of the seven items was calculated for each participant. A few items were reverse coded, because the lower value was indicating healthier attitudes. Not sure was coded as a neutral option. Higher scores equal more positive attitudes toward HIV testing and counseling.

Secondary

MeasureTime frameDescription
Number of Students Tested for HIV at Month 1Month 1The number of participants tested for HIV was measured by tracking data reported by school-based health center staff. The school-based health center staff recorded (by study Id number) if participant came in for testing in the last month and the date of the test.
Number of Students Tested for HIV at Month 2Month 2The number of participants tested for HIV was measured by tracking data reported by school-based health center staff. The school-based health center staff recorded (by study Id number) if participant came in for testing in the last month and the date of the test.
Number of Students Tested for HIV at Month 3Month 3The number of participants tested for HIV was measured by tracking data reported by school-based health center staff. The school-based health center staff recorded (by study Id number) if participant came in for testing in the last month and the date of the test.
Number of Students Tested for HIV at Month 4month 4The number of participants tested for HIV was measured by tracking data reported by school-based health center staff. The school-based health center staff recorded (by study Id number) if participant came in for testing in the last month and the date of the test.
Number of Students Tested for HIV at Month 5Month 5The number of participants tested for HIV was measured by tracking data reported by school-based health center staff. The school-based health center staff recorded (by study Id number) if participant came in for testing in the last month and the date of the test.
Number of Students Tested for HIV at Month 6Month 6The number of participants tested for HIV was measured by tracking data reported by school-based health center staff. The school-based health center staff recorded (by study Id number) if participant came in for testing in the last month and the date of the test.
Intentions to Get Tested for HIVBaseline, 4 weeks, 3 months and 6 monthsIntentions were assessed with 7 items (e.g., I intend to get tested for HIV at some point in the next 3 months and I intend to use a school-based health center to get tested for HIV. The items were scored on a 5-point scale ranging from - 2 (strongly disagree) to +2 (strongly agree) with positive values indicating healthier intentions. Participants had the option to respond not sure which was given a neutral score of 0. Higher scores equal greater intentions to get tested for HIV. The total range for scores was -14 to 14.
Self-efficacy Around HIV Testing and CounselingBaseline, 4 weeks, 3 months, 6 monthsSelf-efficacy for HTC was assessed with 4 items, rated on a confidence scale (e.g., How confident are you that you could find information about how and where you can get STI and/or HIV testing?). The total range was from 0-100. A higher score indicates a higher level of self-efficacy around HTC. A mean of the 4 items was calculated for each participant with higher scores indicating higher self-efficacy for HTC.
Self-efficacy Around Overall HealthBaseline, 4 weeks, 3 months, 6 monthsSelf-efficacy for managing overall health was assessed with 4 items, rated on a 100% confidence scale (e.g., How confident are you that you could discuss your health concerns with a health provider?). The total range was from 0-100%.A mean of the 4 items was calculated for each participant with higher scores indicating higher self-efficacy for managing overall health.
HIV Testing and Counseling Behavior (Self-Report)Baseline, 4 Weeks, 3 Months, 6 MonthsAt each time point the participants indicated whether they had ever been tested for HIV with the response options: yes, no, not sure, and decline to answer.
Perceived Barriers to HIV TestingBaselinePerceived Barriers was measured with a one question instrument that asks participants what reasons would most likely keep them from getting tested if they thought they had HIV (examples of options were I don't know where to go, It costs too much). The instrument allowed participants to select all reasons that apply.
Perceived Barriers to STI TestingBaselinePerceived Barriers was measured with a one question instrument that asks participants what reasons would most likely keep them from getting tested if they thought they had an STI (examples of options were I don't know where to go, It costs too much). The instrument allowed participants to select all reasons that apply.
Knowledge About HTCBaseline, 4 weeks, 3 months, 6 monthsParticipants' knowledge about HTC was measured with 12 questions (e.g., If you are tested for HIV, you have to wait a long time to find out the results and The earlier HIV is caught, the better chance a person has of effectively managing the virus). Participants responded true, false, or not sure. Responses were recoded into 1 (correct) or 0 (incorrect; responses of not sure were coded as incorrect) and a sum of all 12 items was calculated to provide a HTC knowledge score for each participant (Total range was from 0 to 12.) Higher values represent higher knowledge around HTC.

Countries

United States

Participant flow

Participants by arm

ArmCount
PlayTest! Game
PlayTest! is an interactive world in which the player, using an avatar they have created, travels through life in high school. They face challenges that bring different risks and benefits, requiring them to practice decision-making skills. The player learns skills that aim to empower them to make safe choices in situations that may otherwise increase their risk for HIV/STI infection. The game also provides opportunities for the player to practice advocating for their health by modeling a conversation with a medical professional. PlayTest! incorporates evidence-based tools for behavior change including social learning theory and self-efficacy. message framing, motivational interviewing to identify the variables that must be targeted to increase HTC among adolescents. Participants who were randomized to the intervention arm of the project, played the PlayTest! game on their assigned iPad, once per week for an hour, over the course of 4-5 weeks.
145
Control Games
Participants who were randomized to the control arm were provided a menu of attention control games to choose from on their iPads that had no content related to HTC or HIV. Some examples of control games that participants could play are: The Sims, Harry Potter, Subway Surfer, Tetris. Participants played the choice of control games on their assigned iPad, once per week for and hour, over the course of 4-5 weeks.
142
Total287

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyWithdrawn by staff for incomplete consent forms54

Baseline characteristics

CharacteristicControl GamesTotalPlayTest! Game
Age, Continuous15.45 years
STANDARD_DEVIATION 1.25
15.42 years
STANDARD_DEVIATION 1.24
15.39 years
STANDARD_DEVIATION 1.24
Race/Ethnicity, Customized
American Indian or Native American
4 Participants8 Participants4 Participants
Race/Ethnicity, Customized
Asian or Pacific Islander
5 Participants13 Participants8 Participants
Race/Ethnicity, Customized
Black or African American
58 Participants115 Participants57 Participants
Race/Ethnicity, Customized
Multi-racial
17 Participants32 Participants15 Participants
Race/Ethnicity, Customized
Other
23 Participants50 Participants27 Participants
Race/Ethnicity, Customized
White
35 Participants69 Participants34 Participants
Region of Enrollment
United States
142 participants287 participants145 participants
Sex/Gender, Customized
Gender
Female
69 Participants137 Participants68 Participants
Sex/Gender, Customized
Gender
Male
68 Participants141 Participants73 Participants
Sex/Gender, Customized
Gender
Self-Described
5 Participants9 Participants4 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 1450 / 142
other
Total, other adverse events
0 / 1450 / 142
serious
Total, serious adverse events
0 / 1450 / 142

Outcome results

Primary

Attitudes Around HIV Testing and Counseling

HTC attitudes were assessed with 7 items (e.g., I feel it is important for me to get tested for HIV). The items were scored on a 5-point scale ranging from - 2 (strongly disagree) to +2 (strongly agree) with positive values indicating healthier attitudes towards HTC. Participants had the option to respond not sure which was given a neutral score of 0. A mean of the seven items was calculated for each participant. A few items were reverse coded, because the lower value was indicating healthier attitudes. Not sure was coded as a neutral option. Higher scores equal more positive attitudes toward HIV testing and counseling.

Time frame: Baseline, 4 weeks, 3 months and 6 months

Population: Only participants that completed the study were analyzed in the study

ArmMeasureGroupValue (MEAN)Dispersion
PlayTest! GameAttitudes Around HIV Testing and CounselingBaseline0.33 score on a scaleStandard Deviation 0.65
PlayTest! GameAttitudes Around HIV Testing and Counseling4 Weeks0.74 score on a scaleStandard Deviation 0.66
PlayTest! GameAttitudes Around HIV Testing and Counseling3 Months0.67 score on a scaleStandard Deviation 0.64
PlayTest! GameAttitudes Around HIV Testing and Counseling6 Months0.65 score on a scaleStandard Deviation 0.66
Control GamesAttitudes Around HIV Testing and Counseling6 Months0.27 score on a scaleStandard Deviation 0.62
Control GamesAttitudes Around HIV Testing and CounselingBaseline0.33 score on a scaleStandard Deviation 0.7
Control GamesAttitudes Around HIV Testing and Counseling3 Months0.24 score on a scaleStandard Deviation 0.63
Control GamesAttitudes Around HIV Testing and Counseling4 Weeks0.26 score on a scaleStandard Deviation 0.59
Secondary

HIV Testing and Counseling Behavior (Self-Report)

At each time point the participants indicated whether they had ever been tested for HIV with the response options: yes, no, not sure, and decline to answer.

Time frame: Baseline, 4 Weeks, 3 Months, 6 Months

Population: The number of overall analyzed at the different timepoints after baseline differ from the baseline numbers due to the fact that some participants missed the assessment time point window and did not complete the assessment; therefore those data points are missing.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
PlayTest! GameHIV Testing and Counseling Behavior (Self-Report)BaselineYes12 Participants
PlayTest! GameHIV Testing and Counseling Behavior (Self-Report)BaselineNo108 Participants
PlayTest! GameHIV Testing and Counseling Behavior (Self-Report)BaselineDecline to Answer5 Participants
PlayTest! GameHIV Testing and Counseling Behavior (Self-Report)BaselineNot sure20 Participants
PlayTest! GameHIV Testing and Counseling Behavior (Self-Report)4 WeeksYes12 Participants
PlayTest! GameHIV Testing and Counseling Behavior (Self-Report)4 WeeksNo106 Participants
PlayTest! GameHIV Testing and Counseling Behavior (Self-Report)4 WeeksDecline to Answer5 Participants
PlayTest! GameHIV Testing and Counseling Behavior (Self-Report)4 WeeksNot sure20 Participants
PlayTest! GameHIV Testing and Counseling Behavior (Self-Report)3 MonthsYes10 Participants
PlayTest! GameHIV Testing and Counseling Behavior (Self-Report)3 MonthsNo103 Participants
PlayTest! GameHIV Testing and Counseling Behavior (Self-Report)3 MonthsDecline to Answer5 Participants
PlayTest! GameHIV Testing and Counseling Behavior (Self-Report)3 MonthsNot sure19 Participants
PlayTest! GameHIV Testing and Counseling Behavior (Self-Report)6 MonthsYes11 Participants
PlayTest! GameHIV Testing and Counseling Behavior (Self-Report)6 MonthsNo104 Participants
PlayTest! GameHIV Testing and Counseling Behavior (Self-Report)6 MonthsDecline to Answer5 Participants
PlayTest! GameHIV Testing and Counseling Behavior (Self-Report)6 MonthsNot sure19 Participants
Control GamesHIV Testing and Counseling Behavior (Self-Report)6 MonthsNot sure16 Participants
Control GamesHIV Testing and Counseling Behavior (Self-Report)BaselineYes9 Participants
Control GamesHIV Testing and Counseling Behavior (Self-Report)3 MonthsYes7 Participants
Control GamesHIV Testing and Counseling Behavior (Self-Report)BaselineNo113 Participants
Control GamesHIV Testing and Counseling Behavior (Self-Report)6 MonthsYes7 Participants
Control GamesHIV Testing and Counseling Behavior (Self-Report)BaselineDecline to Answer3 Participants
Control GamesHIV Testing and Counseling Behavior (Self-Report)3 MonthsNo101 Participants
Control GamesHIV Testing and Counseling Behavior (Self-Report)BaselineNot sure17 Participants
Control GamesHIV Testing and Counseling Behavior (Self-Report)6 MonthsDecline to Answer3 Participants
Control GamesHIV Testing and Counseling Behavior (Self-Report)4 WeeksYes8 Participants
Control GamesHIV Testing and Counseling Behavior (Self-Report)3 MonthsDecline to Answer3 Participants
Control GamesHIV Testing and Counseling Behavior (Self-Report)4 WeeksNo107 Participants
Control GamesHIV Testing and Counseling Behavior (Self-Report)6 MonthsNo103 Participants
Control GamesHIV Testing and Counseling Behavior (Self-Report)4 WeeksDecline to Answer3 Participants
Control GamesHIV Testing and Counseling Behavior (Self-Report)3 MonthsNot sure17 Participants
Control GamesHIV Testing and Counseling Behavior (Self-Report)4 WeeksNot sure17 Participants
Secondary

Intentions to Get Tested for HIV

Intentions were assessed with 7 items (e.g., I intend to get tested for HIV at some point in the next 3 months and I intend to use a school-based health center to get tested for HIV. The items were scored on a 5-point scale ranging from - 2 (strongly disagree) to +2 (strongly agree) with positive values indicating healthier intentions. Participants had the option to respond not sure which was given a neutral score of 0. Higher scores equal greater intentions to get tested for HIV. The total range for scores was -14 to 14.

Time frame: Baseline, 4 weeks, 3 months and 6 months

Population: Only participants that completed the study were analyzed in the study

ArmMeasureGroupValue (MEAN)Dispersion
PlayTest! GameIntentions to Get Tested for HIVBaseline0.14 score on a scaleStandard Deviation 0.83
PlayTest! GameIntentions to Get Tested for HIV4 Weeks0.57 score on a scaleStandard Deviation 0.87
PlayTest! GameIntentions to Get Tested for HIV3 Months0.55 score on a scaleStandard Deviation 0.81
PlayTest! GameIntentions to Get Tested for HIV6 Months0.55 score on a scaleStandard Deviation 0.93
Control GamesIntentions to Get Tested for HIV6 Months0.11 score on a scaleStandard Deviation 0.88
Control GamesIntentions to Get Tested for HIVBaseline0.06 score on a scaleStandard Deviation 0.82
Control GamesIntentions to Get Tested for HIV3 Months0.07 score on a scaleStandard Deviation 0.85
Control GamesIntentions to Get Tested for HIV4 Weeks0.05 score on a scaleStandard Deviation 0.85
Secondary

Knowledge About HTC

Participants' knowledge about HTC was measured with 12 questions (e.g., If you are tested for HIV, you have to wait a long time to find out the results and The earlier HIV is caught, the better chance a person has of effectively managing the virus). Participants responded true, false, or not sure. Responses were recoded into 1 (correct) or 0 (incorrect; responses of not sure were coded as incorrect) and a sum of all 12 items was calculated to provide a HTC knowledge score for each participant (Total range was from 0 to 12.) Higher values represent higher knowledge around HTC.

Time frame: Baseline, 4 weeks, 3 months, 6 months

ArmMeasureGroupValue (MEAN)Dispersion
PlayTest! GameKnowledge About HTCBaseline8.18 score on a scaleStandard Deviation 2.68
PlayTest! GameKnowledge About HTC4 Weeks10.01 score on a scaleStandard Deviation 3.09
PlayTest! GameKnowledge About HTC3 Months9.91 score on a scaleStandard Deviation 3.06
PlayTest! GameKnowledge About HTC6 Months9.93 score on a scaleStandard Deviation 3.25
Control GamesKnowledge About HTC6 Months8.26 score on a scaleStandard Deviation 3.54
Control GamesKnowledge About HTCBaseline7.74 score on a scaleStandard Deviation 3.11
Control GamesKnowledge About HTC3 Months7.92 score on a scaleStandard Deviation 3.61
Control GamesKnowledge About HTC4 Weeks8.15 score on a scaleStandard Deviation 3.32
Secondary

Number of Students Tested for HIV at Month 1

The number of participants tested for HIV was measured by tracking data reported by school-based health center staff. The school-based health center staff recorded (by study Id number) if participant came in for testing in the last month and the date of the test.

Time frame: Month 1

Population: Only participants that completed the study were analyzed in the study

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlayTest! GameNumber of Students Tested for HIV at Month 11 Participants
Control GamesNumber of Students Tested for HIV at Month 10 Participants
Secondary

Number of Students Tested for HIV at Month 2

The number of participants tested for HIV was measured by tracking data reported by school-based health center staff. The school-based health center staff recorded (by study Id number) if participant came in for testing in the last month and the date of the test.

Time frame: Month 2

Population: Only participants that completed the study were analyzed in the study

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlayTest! GameNumber of Students Tested for HIV at Month 21 Participants
Control GamesNumber of Students Tested for HIV at Month 20 Participants
Secondary

Number of Students Tested for HIV at Month 3

The number of participants tested for HIV was measured by tracking data reported by school-based health center staff. The school-based health center staff recorded (by study Id number) if participant came in for testing in the last month and the date of the test.

Time frame: Month 3

Population: Only participants that completed the study were analyzed in the study

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlayTest! GameNumber of Students Tested for HIV at Month 30 Participants
Control GamesNumber of Students Tested for HIV at Month 30 Participants
Secondary

Number of Students Tested for HIV at Month 4

The number of participants tested for HIV was measured by tracking data reported by school-based health center staff. The school-based health center staff recorded (by study Id number) if participant came in for testing in the last month and the date of the test.

Time frame: month 4

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlayTest! GameNumber of Students Tested for HIV at Month 40 Participants
Control GamesNumber of Students Tested for HIV at Month 40 Participants
Secondary

Number of Students Tested for HIV at Month 5

The number of participants tested for HIV was measured by tracking data reported by school-based health center staff. The school-based health center staff recorded (by study Id number) if participant came in for testing in the last month and the date of the test.

Time frame: Month 5

Population: Only participants that completed the study were analyzed in the study

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlayTest! GameNumber of Students Tested for HIV at Month 50 Participants
Control GamesNumber of Students Tested for HIV at Month 50 Participants
Secondary

Number of Students Tested for HIV at Month 6

The number of participants tested for HIV was measured by tracking data reported by school-based health center staff. The school-based health center staff recorded (by study Id number) if participant came in for testing in the last month and the date of the test.

Time frame: Month 6

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlayTest! GameNumber of Students Tested for HIV at Month 61 Participants
Control GamesNumber of Students Tested for HIV at Month 60 Participants
Secondary

Perceived Barriers to HIV Testing

Perceived Barriers was measured with a one question instrument that asks participants what reasons would most likely keep them from getting tested if they thought they had HIV (examples of options were I don't know where to go, It costs too much). The instrument allowed participants to select all reasons that apply.

Time frame: 6 months

Population: Only participants that completed the study were analyzed in the study

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlayTest! GamePerceived Barriers to HIV TestingParents would find out74 Participants
PlayTest! GamePerceived Barriers to HIV TestingEmbarrasment81 Participants
PlayTest! GamePerceived Barriers to HIV TestingBoyfriend/girlfriend might find out26 Participants
PlayTest! GamePerceived Barriers to HIV TestingNo time to get tested31 Participants
PlayTest! GamePerceived Barriers to HIV TestingParents' permission (afraid to ask)40 Participants
PlayTest! GamePerceived Barriers to HIV TestingDon't want to know if I have HIV20 Participants
PlayTest! GamePerceived Barriers to HIV TestingOutpatient clinic too far away12 Participants
PlayTest! GamePerceived Barriers to HIV TestingFriends might find out20 Participants
PlayTest! GamePerceived Barriers to HIV TestingTest pain/uncomfortable22 Participants
PlayTest! GamePerceived Barriers to HIV TestingToo much trouble11 Participants
PlayTest! GamePerceived Barriers to HIV TestingI don't know where to go28 Participants
PlayTest! GamePerceived Barriers to HIV TestingLittle I can do if I have HIV21 Participants
PlayTest! GamePerceived Barriers to HIV TestingSomeone might recognize me55 Participants
PlayTest! GamePerceived Barriers to HIV TestingOther5 Participants
PlayTest! GamePerceived Barriers to HIV TestingCosts too much19 Participants
Control GamesPerceived Barriers to HIV TestingOther6 Participants
Control GamesPerceived Barriers to HIV TestingEmbarrasment69 Participants
Control GamesPerceived Barriers to HIV TestingI don't know where to go47 Participants
Control GamesPerceived Barriers to HIV TestingOutpatient clinic too far away20 Participants
Control GamesPerceived Barriers to HIV TestingCosts too much42 Participants
Control GamesPerceived Barriers to HIV TestingNo time to get tested25 Participants
Control GamesPerceived Barriers to HIV TestingTest pain/uncomfortable43 Participants
Control GamesPerceived Barriers to HIV TestingSomeone might recognize me59 Participants
Control GamesPerceived Barriers to HIV TestingParents would find out69 Participants
Control GamesPerceived Barriers to HIV TestingBoyfriend/girlfriend might find out33 Participants
Control GamesPerceived Barriers to HIV TestingDon't want to know if I have HIV19 Participants
Control GamesPerceived Barriers to HIV TestingFriends might find out19 Participants
Control GamesPerceived Barriers to HIV TestingToo much trouble11 Participants
Control GamesPerceived Barriers to HIV TestingLittle I can do if I have HIV25 Participants
Control GamesPerceived Barriers to HIV TestingParents' permission (afraid to ask)45 Participants
Secondary

Perceived Barriers to HIV Testing

Perceived Barriers was measured with a one question instrument that asks participants what reasons would most likely keep them from getting tested if they thought they had HIV (examples of options were I don't know where to go, It costs too much). The instrument allowed participants to select all reasons that apply.

Time frame: Baseline

Population: Only participants that completed the study were analyzed in the study

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlayTest! GamePerceived Barriers to HIV TestingLittle I can do if I have HIV31 Participants
PlayTest! GamePerceived Barriers to HIV TestingOther10 Participants
PlayTest! GamePerceived Barriers to HIV TestingI don't know where to go57 Participants
PlayTest! GamePerceived Barriers to HIV TestingOutpatient clinic too far away15 Participants
PlayTest! GamePerceived Barriers to HIV TestingCosts too much39 Participants
PlayTest! GamePerceived Barriers to HIV TestingNo time to get tested15 Participants
PlayTest! GamePerceived Barriers to HIV TestingTest pain/uncomfortable57 Participants
PlayTest! GamePerceived Barriers to HIV TestingEmbarrasment88 Participants
PlayTest! GamePerceived Barriers to HIV TestingSomeone might recognize me60 Participants
PlayTest! GamePerceived Barriers to HIV TestingParents would find out92 Participants
PlayTest! GamePerceived Barriers to HIV TestingBoyfriend/girlfriend might find out35 Participants
PlayTest! GamePerceived Barriers to HIV TestingParents' permission (afraid to ask)52 Participants
PlayTest! GamePerceived Barriers to HIV TestingDon't want to know if I have HIV30 Participants
PlayTest! GamePerceived Barriers to HIV TestingFriends might find out30 Participants
PlayTest! GamePerceived Barriers to HIV TestingToo much trouble11 Participants
Control GamesPerceived Barriers to HIV TestingLittle I can do if I have HIV29 Participants
Control GamesPerceived Barriers to HIV TestingSomeone might recognize me63 Participants
Control GamesPerceived Barriers to HIV TestingOther10 Participants
Control GamesPerceived Barriers to HIV TestingDon't want to know if I have HIV26 Participants
Control GamesPerceived Barriers to HIV TestingI don't know where to go67 Participants
Control GamesPerceived Barriers to HIV TestingParents would find out89 Participants
Control GamesPerceived Barriers to HIV TestingOutpatient clinic too far away13 Participants
Control GamesPerceived Barriers to HIV TestingToo much trouble16 Participants
Control GamesPerceived Barriers to HIV TestingCosts too much39 Participants
Control GamesPerceived Barriers to HIV TestingBoyfriend/girlfriend might find out39 Participants
Control GamesPerceived Barriers to HIV TestingNo time to get tested22 Participants
Control GamesPerceived Barriers to HIV TestingFriends might find out26 Participants
Control GamesPerceived Barriers to HIV TestingTest pain/uncomfortable54 Participants
Control GamesPerceived Barriers to HIV TestingParents' permission (afraid to ask)48 Participants
Control GamesPerceived Barriers to HIV TestingEmbarrasment82 Participants
Secondary

Perceived Barriers to HIV Testing

Perceived Barriers was measured with a one question instrument that asks participants what reasons would most likely keep them from getting tested if they thought they had HIV (examples of options were I don't know where to go, It costs too much). The instrument allowed participants to select all reasons that apply.

Time frame: 3 months

Population: Only participants that completed the study were analyzed in the study

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlayTest! GamePerceived Barriers to HIV TestingToo much trouble11 Participants
PlayTest! GamePerceived Barriers to HIV TestingI don't know where to go27 Participants
PlayTest! GamePerceived Barriers to HIV TestingOutpatient clinic too far away12 Participants
PlayTest! GamePerceived Barriers to HIV TestingCosts too much22 Participants
PlayTest! GamePerceived Barriers to HIV TestingNo time to get tested18 Participants
PlayTest! GamePerceived Barriers to HIV TestingTest pain/uncomfortable13 Participants
PlayTest! GamePerceived Barriers to HIV TestingEmbarrasment77 Participants
PlayTest! GamePerceived Barriers to HIV TestingSomeone might recognize me51 Participants
PlayTest! GamePerceived Barriers to HIV TestingParents would find out65 Participants
PlayTest! GamePerceived Barriers to HIV TestingBoyfriend/girlfriend might find out23 Participants
PlayTest! GamePerceived Barriers to HIV TestingParents' permission (afraid to ask)31 Participants
PlayTest! GamePerceived Barriers to HIV TestingDon't want to know if I have HIV18 Participants
PlayTest! GamePerceived Barriers to HIV TestingFriends might find out18 Participants
PlayTest! GamePerceived Barriers to HIV TestingLittle I can do if I have HIV23 Participants
PlayTest! GamePerceived Barriers to HIV TestingOther6 Participants
Control GamesPerceived Barriers to HIV TestingLittle I can do if I have HIV15 Participants
Control GamesPerceived Barriers to HIV TestingParents would find out71 Participants
Control GamesPerceived Barriers to HIV TestingI don't know where to go50 Participants
Control GamesPerceived Barriers to HIV TestingFriends might find out20 Participants
Control GamesPerceived Barriers to HIV TestingOutpatient clinic too far away14 Participants
Control GamesPerceived Barriers to HIV TestingBoyfriend/girlfriend might find out29 Participants
Control GamesPerceived Barriers to HIV TestingCosts too much43 Participants
Control GamesPerceived Barriers to HIV TestingToo much trouble14 Participants
Control GamesPerceived Barriers to HIV TestingNo time to get tested29 Participants
Control GamesPerceived Barriers to HIV TestingParents' permission (afraid to ask)44 Participants
Control GamesPerceived Barriers to HIV TestingTest pain/uncomfortable45 Participants
Control GamesPerceived Barriers to HIV TestingOther8 Participants
Control GamesPerceived Barriers to HIV TestingEmbarrasment74 Participants
Control GamesPerceived Barriers to HIV TestingDon't want to know if I have HIV20 Participants
Control GamesPerceived Barriers to HIV TestingSomeone might recognize me62 Participants
Secondary

Perceived Barriers to HIV Testing

Perceived Barriers was measured with a one question instrument that asks participants what reasons would most likely keep them from getting tested if they thought they had HIV (examples of options were I don't know where to go, It costs too much). The instrument allowed participants to select all reasons that apply.

Time frame: 4 weeks

Population: Only participants that completed the study were analyzed in the study

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlayTest! GamePerceived Barriers to HIV TestingNo time to get tested21 Participants
PlayTest! GamePerceived Barriers to HIV TestingParents would find out67 Participants
PlayTest! GamePerceived Barriers to HIV TestingI don't know where to go23 Participants
PlayTest! GamePerceived Barriers to HIV TestingParents' permission (afraid to ask)35 Participants
PlayTest! GamePerceived Barriers to HIV TestingTest pain/uncomfortable16 Participants
PlayTest! GamePerceived Barriers to HIV TestingDon't want to know if I have HIV21 Participants
PlayTest! GamePerceived Barriers to HIV TestingCosts too much17 Participants
PlayTest! GamePerceived Barriers to HIV TestingFriends might find out21 Participants
PlayTest! GamePerceived Barriers to HIV TestingEmbarrasment81 Participants
PlayTest! GamePerceived Barriers to HIV TestingToo much trouble7 Participants
PlayTest! GamePerceived Barriers to HIV TestingOutpatient clinic too far away9 Participants
PlayTest! GamePerceived Barriers to HIV TestingLittle I can do if I have HIV18 Participants
PlayTest! GamePerceived Barriers to HIV TestingSomeone might recognize me52 Participants
PlayTest! GamePerceived Barriers to HIV TestingOther7 Participants
PlayTest! GamePerceived Barriers to HIV TestingBoyfriend/girlfriend might find out24 Participants
Control GamesPerceived Barriers to HIV TestingOther4 Participants
Control GamesPerceived Barriers to HIV TestingBoyfriend/girlfriend might find out29 Participants
Control GamesPerceived Barriers to HIV TestingI don't know where to go53 Participants
Control GamesPerceived Barriers to HIV TestingOutpatient clinic too far away16 Participants
Control GamesPerceived Barriers to HIV TestingCosts too much41 Participants
Control GamesPerceived Barriers to HIV TestingNo time to get tested24 Participants
Control GamesPerceived Barriers to HIV TestingTest pain/uncomfortable47 Participants
Control GamesPerceived Barriers to HIV TestingEmbarrasment82 Participants
Control GamesPerceived Barriers to HIV TestingSomeone might recognize me58 Participants
Control GamesPerceived Barriers to HIV TestingParents would find out79 Participants
Control GamesPerceived Barriers to HIV TestingParents' permission (afraid to ask)46 Participants
Control GamesPerceived Barriers to HIV TestingDon't want to know if I have HIV20 Participants
Control GamesPerceived Barriers to HIV TestingFriends might find out20 Participants
Control GamesPerceived Barriers to HIV TestingToo much trouble13 Participants
Control GamesPerceived Barriers to HIV TestingLittle I can do if I have HIV21 Participants
Secondary

Perceived Barriers to STI Testing

Perceived Barriers was measured with a one question instrument that asks participants what reasons would most likely keep them from getting tested if they thought they had an STI (examples of options were I don't know where to go, It costs too much). The instrument allowed participants to select all reasons that apply.

Time frame: 6 months

Population: Only participants that completed the study were analyzed in the study

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlayTest! GamePerceived Barriers to STI TestingNo time to get tested36 Participants
PlayTest! GamePerceived Barriers to STI TestingBoyfriend/girlfriend might find out23 Participants
PlayTest! GamePerceived Barriers to STI TestingI don't know where to go28 Participants
PlayTest! GamePerceived Barriers to STI TestingParents' permission (afraid to ask)46 Participants
PlayTest! GamePerceived Barriers to STI TestingTest pain/uncomfortable19 Participants
PlayTest! GamePerceived Barriers to STI TestingDon't want to know if have STI19 Participants
PlayTest! GamePerceived Barriers to STI TestingCosts too much23 Participants
PlayTest! GamePerceived Barriers to STI TestingFriends might find out36 Participants
PlayTest! GamePerceived Barriers to STI TestingEmbarrasment75 Participants
PlayTest! GamePerceived Barriers to STI TestingToo much trouble11 Participants
PlayTest! GamePerceived Barriers to STI TestingSomeone might recognize me58 Participants
PlayTest! GamePerceived Barriers to STI TestingLittle I can do if I have a STI21 Participants
PlayTest! GamePerceived Barriers to STI TestingOutpatient clinic too far away17 Participants
PlayTest! GamePerceived Barriers to STI TestingOther5 Participants
PlayTest! GamePerceived Barriers to STI TestingParents would find out76 Participants
Control GamesPerceived Barriers to STI TestingOther6 Participants
Control GamesPerceived Barriers to STI TestingI don't know where to go48 Participants
Control GamesPerceived Barriers to STI TestingOutpatient clinic too far away20 Participants
Control GamesPerceived Barriers to STI TestingCosts too much46 Participants
Control GamesPerceived Barriers to STI TestingNo time to get tested30 Participants
Control GamesPerceived Barriers to STI TestingTest pain/uncomfortable41 Participants
Control GamesPerceived Barriers to STI TestingSomeone might recognize me59 Participants
Control GamesPerceived Barriers to STI TestingParents would find out72 Participants
Control GamesPerceived Barriers to STI TestingBoyfriend/girlfriend might find out31 Participants
Control GamesPerceived Barriers to STI TestingParents' permission (afraid to ask)48 Participants
Control GamesPerceived Barriers to STI TestingDon't want to know if have STI17 Participants
Control GamesPerceived Barriers to STI TestingFriends might find out37 Participants
Control GamesPerceived Barriers to STI TestingToo much trouble16 Participants
Control GamesPerceived Barriers to STI TestingLittle I can do if I have a STI19 Participants
Control GamesPerceived Barriers to STI TestingEmbarrasment72 Participants
Secondary

Perceived Barriers to STI Testing

Perceived Barriers was measured with a one question instrument that asks participants what reasons would most likely keep them from getting tested if they thought they had an STI (examples of options were I don't know where to go, It costs too much). The instrument allowed participants to select all reasons that apply.

Time frame: 4 weeks

Population: Only participants that completed the study were analyzed in the study

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlayTest! GamePerceived Barriers to STI TestingTest pain/uncomfortable18 Participants
PlayTest! GamePerceived Barriers to STI TestingBoyfriend/girlfriend might find out26 Participants
PlayTest! GamePerceived Barriers to STI TestingOutpatient clinic too far away11 Participants
PlayTest! GamePerceived Barriers to STI TestingParents' permission (afraid to ask)41 Participants
PlayTest! GamePerceived Barriers to STI TestingEmbarrasment78 Participants
PlayTest! GamePerceived Barriers to STI TestingDon't want to know if have STI23 Participants
PlayTest! GamePerceived Barriers to STI TestingNo time to get tested25 Participants
PlayTest! GamePerceived Barriers to STI TestingFriends might find out38 Participants
PlayTest! GamePerceived Barriers to STI TestingSomeone might recognize me52 Participants
PlayTest! GamePerceived Barriers to STI TestingToo much trouble13 Participants
PlayTest! GamePerceived Barriers to STI TestingCosts too much21 Participants
PlayTest! GamePerceived Barriers to STI TestingLittle I can do if I have a STI13 Participants
PlayTest! GamePerceived Barriers to STI TestingParents would find out71 Participants
PlayTest! GamePerceived Barriers to STI TestingOther8 Participants
PlayTest! GamePerceived Barriers to STI TestingI don't know where to go26 Participants
Control GamesPerceived Barriers to STI TestingOther4 Participants
Control GamesPerceived Barriers to STI TestingI don't know where to go53 Participants
Control GamesPerceived Barriers to STI TestingOutpatient clinic too far away13 Participants
Control GamesPerceived Barriers to STI TestingCosts too much42 Participants
Control GamesPerceived Barriers to STI TestingNo time to get tested21 Participants
Control GamesPerceived Barriers to STI TestingTest pain/uncomfortable46 Participants
Control GamesPerceived Barriers to STI TestingEmbarrasment81 Participants
Control GamesPerceived Barriers to STI TestingSomeone might recognize me58 Participants
Control GamesPerceived Barriers to STI TestingParents would find out75 Participants
Control GamesPerceived Barriers to STI TestingBoyfriend/girlfriend might find out32 Participants
Control GamesPerceived Barriers to STI TestingParents' permission (afraid to ask)53 Participants
Control GamesPerceived Barriers to STI TestingDon't want to know if have STI20 Participants
Control GamesPerceived Barriers to STI TestingFriends might find out47 Participants
Control GamesPerceived Barriers to STI TestingToo much trouble12 Participants
Control GamesPerceived Barriers to STI TestingLittle I can do if I have a STI22 Participants
Secondary

Perceived Barriers to STI Testing

Perceived Barriers was measured with a one question instrument that asks participants what reasons would most likely keep them from getting tested if they thought they had an STI (examples of options were I don't know where to go, It costs too much). The instrument allowed participants to select all reasons that apply.

Time frame: 3 months

Population: Only participants that completed the study were analyzed in the study

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlayTest! GamePerceived Barriers to STI TestingTest pain/uncomfortable13 Participants
PlayTest! GamePerceived Barriers to STI TestingBoyfriend/girlfriend might find out20 Participants
PlayTest! GamePerceived Barriers to STI TestingOutpatient clinic too far away11 Participants
PlayTest! GamePerceived Barriers to STI TestingParents' permission (afraid to ask)33 Participants
PlayTest! GamePerceived Barriers to STI TestingEmbarrasment71 Participants
PlayTest! GamePerceived Barriers to STI TestingDon't want to know if have STI14 Participants
PlayTest! GamePerceived Barriers to STI TestingNo time to get tested28 Participants
PlayTest! GamePerceived Barriers to STI TestingFriends might find out35 Participants
PlayTest! GamePerceived Barriers to STI TestingSomeone might recognize me50 Participants
PlayTest! GamePerceived Barriers to STI TestingToo much trouble11 Participants
PlayTest! GamePerceived Barriers to STI TestingCosts too much19 Participants
PlayTest! GamePerceived Barriers to STI TestingLittle I can do if I have a STI20 Participants
PlayTest! GamePerceived Barriers to STI TestingParents would find out63 Participants
PlayTest! GamePerceived Barriers to STI TestingOther4 Participants
PlayTest! GamePerceived Barriers to STI TestingI don't know where to go30 Participants
Control GamesPerceived Barriers to STI TestingOther8 Participants
Control GamesPerceived Barriers to STI TestingI don't know where to go40 Participants
Control GamesPerceived Barriers to STI TestingOutpatient clinic too far away14 Participants
Control GamesPerceived Barriers to STI TestingCosts too much42 Participants
Control GamesPerceived Barriers to STI TestingNo time to get tested29 Participants
Control GamesPerceived Barriers to STI TestingTest pain/uncomfortable38 Participants
Control GamesPerceived Barriers to STI TestingEmbarrasment74 Participants
Control GamesPerceived Barriers to STI TestingSomeone might recognize me60 Participants
Control GamesPerceived Barriers to STI TestingParents would find out72 Participants
Control GamesPerceived Barriers to STI TestingBoyfriend/girlfriend might find out26 Participants
Control GamesPerceived Barriers to STI TestingParents' permission (afraid to ask)49 Participants
Control GamesPerceived Barriers to STI TestingDon't want to know if have STI23 Participants
Control GamesPerceived Barriers to STI TestingFriends might find out40 Participants
Control GamesPerceived Barriers to STI TestingToo much trouble15 Participants
Control GamesPerceived Barriers to STI TestingLittle I can do if I have a STI17 Participants
Secondary

Perceived Barriers to STI Testing

Perceived Barriers was measured with a one question instrument that asks participants what reasons would most likely keep them from getting tested if they thought they had an STI (examples of options were I don't know where to go, It costs too much). The instrument allowed participants to select all reasons that apply.

Time frame: Baseline

Population: Only participants that completed the study were analyzed in the study

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlayTest! GamePerceived Barriers to STI TestingCosts too much42 Participants
PlayTest! GamePerceived Barriers to STI TestingBoyfriend/girlfriend might find out31 Participants
PlayTest! GamePerceived Barriers to STI TestingTest pain/uncomfortable50 Participants
PlayTest! GamePerceived Barriers to STI TestingParents' permission (afraid to ask)65 Participants
PlayTest! GamePerceived Barriers to STI TestingOutpatient clinic too far away13 Participants
PlayTest! GamePerceived Barriers to STI TestingDon't want to know if have STI33 Participants
PlayTest! GamePerceived Barriers to STI TestingEmbarrasment85 Participants
PlayTest! GamePerceived Barriers to STI TestingFriends might find out58 Participants
PlayTest! GamePerceived Barriers to STI TestingI don't know where to go58 Participants
PlayTest! GamePerceived Barriers to STI TestingToo much trouble12 Participants
PlayTest! GamePerceived Barriers to STI TestingSomeone might recognize me56 Participants
PlayTest! GamePerceived Barriers to STI TestingLittle I can do if I have a STI31 Participants
PlayTest! GamePerceived Barriers to STI TestingNo time to get tested12 Participants
PlayTest! GamePerceived Barriers to STI TestingOther11 Participants
PlayTest! GamePerceived Barriers to STI TestingParents would find out87 Participants
Control GamesPerceived Barriers to STI TestingOther11 Participants
Control GamesPerceived Barriers to STI TestingI don't know where to go62 Participants
Control GamesPerceived Barriers to STI TestingCosts too much46 Participants
Control GamesPerceived Barriers to STI TestingNo time to get tested22 Participants
Control GamesPerceived Barriers to STI TestingTest pain/uncomfortable51 Participants
Control GamesPerceived Barriers to STI TestingEmbarrasment90 Participants
Control GamesPerceived Barriers to STI TestingSomeone might recognize me63 Participants
Control GamesPerceived Barriers to STI TestingParents would find out92 Participants
Control GamesPerceived Barriers to STI TestingBoyfriend/girlfriend might find out34 Participants
Control GamesPerceived Barriers to STI TestingParents' permission (afraid to ask)60 Participants
Control GamesPerceived Barriers to STI TestingDon't want to know if have STI26 Participants
Control GamesPerceived Barriers to STI TestingFriends might find out46 Participants
Control GamesPerceived Barriers to STI TestingToo much trouble18 Participants
Control GamesPerceived Barriers to STI TestingLittle I can do if I have a STI26 Participants
Control GamesPerceived Barriers to STI TestingOutpatient clinic too far away17 Participants
Secondary

Self-efficacy Around HIV Testing and Counseling

Self-efficacy for HTC was assessed with 4 items, rated on a confidence scale (e.g., How confident are you that you could find information about how and where you can get STI and/or HIV testing?). The total range was from 0-100. A higher score indicates a higher level of self-efficacy around HTC. A mean of the 4 items was calculated for each participant with higher scores indicating higher self-efficacy for HTC.

Time frame: Baseline, 4 weeks, 3 months, 6 months

Population: Only participants that completed the study were analyzed in the study

ArmMeasureGroupValue (MEAN)Dispersion
PlayTest! GameSelf-efficacy Around HIV Testing and CounselingBaseline60.49 score on a scaleStandard Deviation 24.87
PlayTest! GameSelf-efficacy Around HIV Testing and Counseling4 Weeks70.91 score on a scaleStandard Deviation 24.8
PlayTest! GameSelf-efficacy Around HIV Testing and Counseling3 Months69.84 score on a scaleStandard Deviation 23.46
PlayTest! GameSelf-efficacy Around HIV Testing and Counseling6 Months69.93 score on a scaleStandard Deviation 26.54
Control GamesSelf-efficacy Around HIV Testing and Counseling6 Months58.93 score on a scaleStandard Deviation 29.34
Control GamesSelf-efficacy Around HIV Testing and CounselingBaseline57.80 score on a scaleStandard Deviation 24.38
Control GamesSelf-efficacy Around HIV Testing and Counseling3 Months58.11 score on a scaleStandard Deviation 27.95
Control GamesSelf-efficacy Around HIV Testing and Counseling4 Weeks59.24 score on a scaleStandard Deviation 25.87
Secondary

Self-efficacy Around Overall Health

Self-efficacy for managing overall health was assessed with 4 items, rated on a 100% confidence scale (e.g., How confident are you that you could discuss your health concerns with a health provider?). The total range was from 0-100%.A mean of the 4 items was calculated for each participant with higher scores indicating higher self-efficacy for managing overall health.

Time frame: Baseline, 4 weeks, 3 months, 6 months

Population: Only participants that completed the study were analyzed in the study

ArmMeasureGroupValue (MEAN)Dispersion
PlayTest! GameSelf-efficacy Around Overall HealthBaseline76.84 score on a scaleStandard Deviation 22.47
PlayTest! GameSelf-efficacy Around Overall Health3 Months75.53 score on a scaleStandard Deviation 25.29
PlayTest! GameSelf-efficacy Around Overall Health4 Weeks78.00 score on a scaleStandard Deviation 24.12
PlayTest! GameSelf-efficacy Around Overall Health6 Months76.53 score on a scaleStandard Deviation 24.45
Control GamesSelf-efficacy Around Overall Health6 Months69.36 score on a scaleStandard Deviation 29.77
Control GamesSelf-efficacy Around Overall HealthBaseline73.33 score on a scaleStandard Deviation 25.59
Control GamesSelf-efficacy Around Overall Health4 Weeks71.09 score on a scaleStandard Deviation 26.45
Control GamesSelf-efficacy Around Overall Health3 Months68.31 score on a scaleStandard Deviation 29.21

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026