Mobile Enhanced Prevention Support for HIV Prevention and Substance Use Disorder

This trial aims to determine if the Mobile Enhanced Prevention Support (MEPS) program can effectively assist people with substance use disorders in various community settings. MEPS increases the use of HIV prevention methods and other health services through peer mentoring, a smartphone app, and incentives for attending medical appointments. Participants will receive either the MEPS program or standard care to evaluate which is more effective. This trial is ideal for individuals assigned male at birth, released from incarceration within the last year, who have a substance use disorder, and own or plan to obtain a smartphone. As an unphased trial, this study offers a unique opportunity to contribute to innovative research that could enhance community health support systems.

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your healthcare provider.

A previous study found the Mobile Enhanced Prevention Support (MEPS) program safe for individuals recently released from jail with substance use disorders. Research shows that participants received the program, which includes a mobile app, meetings with a peer mentor, and rewards for using services, positively. No major negative effects were reported.

The MEPS system has previously helped individuals increase their use of HIV prevention services and treatments for substance use disorders. Findings suggest that participants generally accepted the program, found it easy to use, and integrated it well into their daily lives.

Researchers are excited about the Mobile Enhanced Prevention Support (MEPS) because it offers a novel approach to managing HIV prevention and substance use disorder. Unlike traditional treatments that may rely mainly on medication or counseling alone, MEPS combines technology with personal support. Participants receive a smartphone app to track goals, manage incentive earnings, and find providers, plus 14 sessions with a peer mentor over six months. This tech-driven, personalized support system aims to enhance engagement and accessibility, potentially leading to better health outcomes.

Research has shown that the Mobile Enhanced Prevention Support (MEPS) program effectively helps prevent HIV. In this trial, participants in the MEPS arm will receive a client-centered goal planning session, 14 sessions with a peer mentor over six months, cash incentives for accessing services, and a smartphone app to track goals and appointments. Studies have found that MEPS increased the use of PrEP, a medication that prevents HIV, among people with substance use issues who recently left jail. This program uses peer support, a mobile app, and rewards to encourage people to use medical services. In Los Angeles County, MEPS improved HIV prevention and related health check-ups. Evidence suggests MEPS is a promising way to boost HIV testing and PrEP use in at-risk groups.¹³⁴⁶⁷