Testing a Real-time Electronic Antiretroviral Adherence Monitoring Intervention

Inclusion Criteria:

Participant inclusion criteria:

* AAMSM \>18 years with self-reported HIV infection;
* own a working cell phone;
* on ART for at least 6 months;
* have a case manager willing to participate in the study (for the clinical trial); and
* have suboptimal adherence - either have a detectable viral load in the past 6 months, self-reported \<90% adherence based on a 3-item measure or referral by their healthcare provider because of a recognized problem with ART adherence.

For social support persons, participants will:

* report that they have a self-described meaningful relationship with the participant;
* be \>18 years of age;
* own a working cell phone and;
* be willing to provide support.

For case managers, participants will have worked with clients with HIV at least 6 months prior to their participation in this study and own a working cell phone.

Exclusion Criteria:

* Not meeting the inclusion criteria
* Not agreeing to informed consent concerning interactions with research team, data collection, and access to medical records.
* Candidates must provide consent to obtain a copy of their viral load results during the 12 months before and following study onset to confirm eligibility and explore long-term follow-up of possible effect.