Sustainability and Precision Prevention Project
National Implementation of an Evidence-Based HIV Prevention Program: Multilevel Scale-Up Strategies and Precision Prevention
University of Massachusetts, Worcester
3,705 participants
Oct 1, 2025
INTERVENTIONAL
Conditions
Summary
This is a five-year hybrid type 3 effectiveness-implementation study evaluating multilevel strategies to sustain a nationwide implementation of an evidence-based HIV prevention curriculum in schools. Advanced machine learning methods are being used to enhance implementation strategies. A Sequential, Multiple Assignment, Randomized Trial (SMART) design will be employed.
Eligibility
Inclusion Criteria4
- Grade 6 teachers who teach Health and Family Life Education (HFLE) and their classes in 65 government primary schools.
- Grade 7-9 HFLE teachers and their classes in 30 middle schools across 12 Bahamian islands.
- FOYC (Focus on Youth in the Caribbean) is delivered as part of the standard HFLE curriculum.
- Students who: 1) are enrolled in one of the participating schools as general education students in grade 6 (and followed through grades 7-9); and 2) speak and read English.
Exclusion Criteria2
- Students who chose to opt out of participating in the study
- Students who do not speak or read English sufficiently to participate in study activities.
Interventions
School coordinators will monitor teachers' implementation progress biweekly and provide feedback to teachers.
High-performing teachers will serve as team leaders and guide non-responding teachers on preparation and planning. The team leader will promote group activities and enhance interaction among teachers in these meetings.
A FOYC coach (with FOYC implementation and training experience) will provide tailored in-person support, facilitate goal-setting, opportunities to interact with consultants, supportive text messaging, continuing education, networking strategies, and monthly check-ins.
Focus on Youth in the Caribbean (FOYC) is an evidence-based, eight-session life skills curriculum designed to reduce risk-taking behaviors related to HIV/STI transmission and teen pregnancy. Woven throughout FOYC is a decision-making model that provides guidance and practice in problem solving with a focus on how to obtain factual information on sexual health. CImPACT is a single-session intervention including a 24-min educational video filmed in The Bahamas. The video focuses on effective parent-adolescent communication and listening strategies related to difficult topics including "safe-sex" followed by two role-plays for the parent and youth, a discussion, and a condom demonstration.
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT07153042