Impact Evaluation of CyberRwanda: a Digital Health Intervention for Adolescents
- Conditions
- Pregnancy in AdolescenceAdolescent HealthHealth Services Accessibility
- Interventions
- Behavioral: CyberRwanda
- Registration Number
- NCT04198272
- Lead Sponsor
- University of California, Berkeley
- Brief Summary
This protocol describes an evaluation of the CyberRwanda program, a digital health tool designed with and for adolescents in Rwanda, with a focus on successful futures, broadly, and family planning and reproductive health, more specifically. CyberRwanda is a tablet-based system that provides information on family planning and reproductive health through a set of vignettes. The program also allows users to order and purchase contraceptives, with pick up at nearby participating pharmacies. The program will be implemented in schools in eight districts in Rwanda. The investigators will conduct a 3-arm, cluster, randomized controlled trial to evaluate the impact of CyberRwanda on three primary outcomes: uptake of a contraceptive method, initiation of childbearing, and HIV testing. The investigators will compare two implementation models (facilitated and self-service) to a control arm at the school (cluster) level. The study will enroll 60 schools (20 per arm) and 100 students per school, and follow students for 24 months.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 6078
- Attending a study school at baseline in secondary school levels S1 or S2;
- Between 12 and 19 years of age;
- If <18 years of age: Assent and parental consent to participate in the study;
- If ≥ 18 years of age, informed consent to participate in the study;
- Willingness to provide valid contact information for study follow-up purposes.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Self-service CyberRwanda Schools that are randomized to this arm will be exposed to the following components of the intervention: * Self-guided access to the online CyberRwanda platform; and * Promotion of the CyberRwanda program through school launch events. Facilitated CyberRwanda Schools that are randomized to this arm will be exposed to all of the components in the self-service version in addition to peer facilitation of the CyberRwanda platform at CyberRwanda clubs.
- Primary Outcome Measures
Name Time Method HIV testing 24 months The proportion of youth who have ever had an HIV test at endline (24 months). This outcome is expressed as a binary variable, defined as youth who report having ever been tested for HIV versus youth who report never having tested for HIV.
Uptake of a modern contraceptive method 24 months The proportion of female youth who report currently using a modern method of contraception at endline (24 months). The primary outcome is expressed as a binary variable, defined as female youth who are currently using a modern method of contraception at endline versus female youth who are not using a modern method of contraception.
Initiation of childbearing 24 months The proportion of female youth who report having ever been pregnant at endline (24 months), regardless of the pregnancy outcome. This outcome is expressed as a binary variable, defined as female youth who report having ever been pregnant versus female youth who report never having been pregnant.
- Secondary Outcome Measures
Name Time Method FPRH Knowledge: % of youth that understand the phases of a girl's menstrual cycle 24 months The total number of youth who can correctly identify a woman's fertile period, divided by the total number of youth.
Self-efficacy Contraceptive Use: % of adolescents who are confident that they could get their partner(s) to use contraceptives/condoms if they desired 24 months The total number of youth who state that they agree or strongly agree that they feel confident that they can negotiate contraception and condom use with their partners, divided by the total number of youth.
Behavioral Intentions: % of youth who intend to use a modern contraceptive method in the next 12 months 24 months The total number of youth, disaggregated by sex, who are very confident or confident that they will use contraception in the 12 months divided by the total number of youth who anticipate that they will have sexual intercourse in the next 12 months.
Trial Locations
- Locations (2)
Youth Development Labs
🇷🇼Kigali, Rwanda
Society for Family Health
🇷🇼Kigali, Rwanda