AllyQuest (AQ) is a theory-informed smart phone application that supports HIV medication adherence for young men who have sex with men and young transgender women who have sex with men (YMSM/YTW) via behavior change, social support, and game-based mechanics. This study aims to evaluate the feasibility and acceptability of AQ and AQ plus medication adherence counseling in a Sequential Multiple Assignment Randomization Trial.
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Inclusion Criteria: * Living with HIV * Assigned male at birth * currently identify as male or transgender woman * anal sex with another male or transgender woman(lifetime) * access to a smart phone with data plan * English literacy * prescribed ART * At least one of the following: Having failed to show up for or missed 1 or more scheduled HIV care appointment in the past 12 months OR Last HIV care visit was more than 6 months ago OR Self-reporting less than 90% ART adherence in the past 4 weeks OR have a detectable viral load measure in the past 12 months OR recently diagnosed with HIV (past 3 months) Exclusion Criteria: * younger than 15, or older than 29 * assigned female at birth * HIV negative or status unknown