Text-message and remote e-navigator support to help Latino men with HIV stick to HIV medicine

Efficacy of mHealth + e-Navigator stepped care intervention for ART adherence among Latino men with HIV

NIH-funded research Florida International University · NIH-11411498

This project uses a stepwise program of text messages and remote e-navigator support to help Latino men with HIV take their antiretroviral medicines and reach viral suppression.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionFlorida International University NIH-funded
Lab location1 site (Miami, United States)
Project IDNIH-11411498 on NIH RePORTER

What this research studies

You would join a program that starts with text-message reminders (TXTXT) and adds remote e-navigator help if the messages alone do not improve your medication taking. Participants are randomly assigned to one of two stepwise strategies: one begins with TXTXT and steps up to e-navigation for non-responders, while the other starts with TXTXT plus e-navigation and steps up to EMA (real-time check-in)-supported e-navigation for those still struggling. The team uses a SMART (sequential, multiple assignment, randomized) design to decide who steps up and to compare outcomes. Researchers will track medication adherence and viral suppression over 6, 9, and 12 months, with most activities delivered by phone or text so you can participate remotely.

Who could benefit from this research

Good fit: Adult Latino men (21+) living with HIV who are taking antiretroviral therapy but have trouble staying adherent are the ideal candidates.

Not a fit: People who are not adult Latino men, are under 21, are already consistently adherent and virally suppressed, or are unwilling/unable to use phone/text-based support may not benefit from this program.

Why it matters

Potential benefit: If successful, this approach could help more Latino men stay on HIV medicine, achieve viral suppression, and reduce illness and transmission risk.

How similar studies have performed: Text-message reminders and e-navigation have shown benefits for ART adherence in prior research, though applying a SMART stepped-care approach specifically for Latino men is relatively new.

Where this research is happening

Miami, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Acquired Immune Deficiency Syndrome VirusAcquired Immunodeficiency Syndrome Virus
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.