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Table 2 Outcome measures and timepoints of data collection

From: Co-creation using crowdsourcing to promote PrEP adherence in China: study protocol for a stepped-wedge randomized controlled trial

Outcomes

Measure

Data collection timepoints

Primary outcomes

 Retention in PrEP care

Number of participants completed clinical follow-ups

3, 6, 9, 12 months

 PrEP adherence

1. Self-report in follow-up surveys: During the past 7 days and 30 days: (1) self-report taking once daily regimen: number of missed pills; perceptions of whether they had taken < 60%, 60–90%, or > 90% doses. (2) self-report taking on-demand regimen: number of sex events that are not covered by any PrEP (0 pills taken); correctly covered by PrEP (2 pills on the sex day (X) and X + 1, X + 2; or at least one pill taken on days X, X + 1, and X + 2 if the days between two sex events are less than one week); partially covered by PrEP (any other use).

2. Pill count at clinical visits: number of unused pills counted at each clinical follow-up (in-person or via phone)

3. Medical possession ratio: [(total days between first fill and end of follow-up) – (number of days without TDF-FTC in possession)] / total days of follow-up, based on medical refilling records

3, 6, 9, 12 months

 PrEP discontinuation

120 days without TDF-FTC in possession based on medical refilling records.

3, 6, 9, 12 months

 PrEP reinitiation

Number of participants who discontinued TDF-FTC according to the study definition and then successfully restart PrEP, based on self-report and medical refilling records.

3, 6, 9, 12 months

Secondary outcomes

 HIV testing

Frequency of participants, defined as the number of participants who reported being tested for HIV during the previous three months

3, 6, 9, 12 months

 Sexual and mental health mini-app use

Frequency of participants, defined as the number of participants who reported using the mini-app in the past three months to receive information about sexual and mental health comparing their pre-intervention and post-intervention engagement

3, 6, 9, 12 months

 PrEP self-efficacy

Frequency of participants, defined as number of participants who had an increase in PrEP self-efficacy when comparing their pre-intervention and post-intervention self-efficacy

3, 6, 9, 12 months

 HIV incidence

Frequency of participants, defined as number of participants who reported who have newly diagnosed with HIV in the previous three months

3, 6, 9, 12 months