Impact Evaluation of CyberRwanda: a Digital Health Intervention for Adolescents
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 6,078
- 试验地点
- 2
- 主要终点
- HIV testing
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
盲法说明
Data analysts will be blind to intervention/control attribution
入排标准
- 年龄范围
- 12 Years 至 19 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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.
排除标准
- 未提供
研究组 & 干预措施
Facilitated
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.
干预措施: CyberRwanda (Behavioral)
Self-service
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.
干预措施: CyberRwanda (Behavioral)
Control
Schools in this arm will not receive any intervention.
结局指标
主要结局
HIV testing
时间窗: 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
时间窗: 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
时间窗: 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.
次要结局
- FPRH Knowledge: % of youth that understand the phases of a girl's menstrual cycle(24 months)
- 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)
- Behavioral Intentions: % of youth who intend to use a modern contraceptive method in the next 12 months(24 months)
研究者
Sandra McCoy
Associate Professor in Residence
University of California, Berkeley