Digital PrEP Micro-Intervention for PWUD in Kazakhstan
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Dgital micro-intervention.
- Who it may be relevant to
- Registry conditions: Drug Use, HIV. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Kazakhstan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Digital Micro-Interventions to Reduce Stigma-Driven Barriers and Improve PrEP Readiness Among People Who Use Drugs in Kazakhstan
Overview
This study is a mixed-methods pilot designed to evaluate the feasibility, acceptability, and appropriateness of a brief digital micro-intervention aimed at reducing stigma-related barriers to pre-exposure prophylaxis (PrEP) engagement among people who use drugs (PWUD) in Kazakhstan. Participants will complete baseline and post-intervention surveys and receive structured informational content via Telegram or WhatsApp over approximately 2-3 weeks. The intervention focuses on addressing anticipated stigma, confidentiality concerns, and misinformation that may prevent PWUD from seeking PrEP services. No clinical procedures, medication provision, or biological specimen collection are involved.
Detailed description
The proposed study has three aims:
1. To refine a brief, stigma-informed digital micro-intervention designed to address structural and anticipated barriers to PrEP uptake among people who use drugs (PWUD) in Kazakhstan. 2. To assess the feasibility, acceptability, and appropriateness of delivering this intervention through secure digital platforms (e.g., Telegram or WhatsApp). 3. To evaluate preliminary changes in PrEP-related knowledge, perceived stigma- related barriers, and readiness to seek PrEP services following exposure to the intervention.
Interventions
- Behavioral Dgital micro-intervention
Intervention will include 6-10 brief modules delivered asynchronously consisting of text-based content with optional simple visuals. There is no requirement for participant response. Messages will avoid explicit labeling referencing HIV or drug use in preview text and be written using neutral language. Participants are allowed to discontinue receipt at any time.
Primary outcome measures
- Mean Score Acceptability of Intervention Measure (AIM) [Time frame: Baseline and Post intervention (Week 4)]
- Mean Score Intervention Appropriateness Measure (IAM) [Time frame: Baseline and Post intervention (Week 4)]
- Mean Score Feasibility of Intervention Measure (FIM) [Time frame: Baseline and Post intervention (Week 4)]
Secondary outcome measures (5)
- Change in PrEP knowledge [Time frame: Baseline and Post intervention (Week 4)]
- Change in perceived stigma-related barriers [Time frame: Baseline and Post intervention (Week 4)]
- Change in readiness to seek PrEP [Time frame: Baseline and Post intervention (Week 4)]
- Mean number of clicks or links accessed [Time frame: Baseline and Post intervention (Week 4)]
- Mean number of messages delivered [Time frame: Baseline and Post intervention (Week 4)]
Eligibility criteria
Inclusion criteria
- Self-reported drug use within the past six months
- HIV-negative or unknown HIV status (self-reported)
- Not currently taking PrEP
- Able to provide informed consent
- Have access to a personal mobile phone capable of receiving Telegram or WhatsApp messages
Exclusion criteria
- Are unable to provide informed consent
- Do not have access to a mobile device for digital message delivery
- Are currently enrolled in another PrEP behavioral intervention study
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Supportive care
Study locations
Kazakhstan · 1 center
- Center for Scientific and Practical Initiatives — Almaty
Identifiers
NCT: NCT07508137 · 2000042287 · 2P30MH062294-21