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. 2022 Sep 15;10:916224. doi: 10.3389/fpubh.2022.916224

Table 1.

Description of the components that make up the SCAP intervention.

Component Structure Activities/objectives Theoretical targets
Intervention as a whole - Provide content with high acceptability and feasibility
- Provide an intervention distinct from existing programs to add interest and excitement
- Foster HIV-related goal formation
- Foster medication habit formation
- Circumvent cognitive biases and heuristics
- Motivate HIV viral suppression
Engagement, motivation (conscious and unconscious), habit formation, circumvent cognitive biases
Counseling session <60 min, delivered by an interventionist to participants individually; guided by a manual - Orient participants to the study
- Communicate study ethos to foster engagement
- Elicit participants' own HIV-related health goals and barriers to/facilitators of goals
- Discuss habit formation
- Introduce the TMQQ component and prize structure
Motivation (conscious) for HIV viral suppression
TMQQ 16 weeks in duration; an informational text message (TM) on HIV was sent once a week followed by a true/false quiz question (QQ) the next day - Support engagement in the study over time
- “Nudge” participants toward their HIV health goals, if any
- Add interest and novelty to the intervention process
- Participants earned 10 points for correct and 5 points for incorrect responses to the QQ (max. points 160)
Engagement; circumvent cognitive biases and heuristics; foster habit formation
Check-in contact <30 min; conducted 8-weeks post enrollment - Reinforce the main messages of the intervention
- Demonstrate the prize wheel in a concrete fashion (with a practice spin and compensation up to $50)
- Resolve any barriers to receiving TMs or responding to the QQs
Motivation; engagement
Lottery prize Prize between $5 and $275 was allocated - A prize wheel (similar to a roulette wheel) was spun to determine the prize amount
- Prizes depended on (1) points earned in the TMQQ component, (2) whether HIV viral suppression was achieved, and (3) chance
- Prize was intended to add interest and excitement to the process of achieving HIV-related goals
- All participants received some level of prize
Motivation (unconscious); circumvent cognitive biases and heuristics