RecruitingNot ApplicableNCT07153042

Sustainability and Precision Prevention Project

National Implementation of an Evidence-Based HIV Prevention Program: Multilevel Scale-Up Strategies and Precision Prevention

Sponsor

University of Massachusetts, Worcester

Enrollment

3,705 participants

Start Date

Oct 1, 2025

Study Type

INTERVENTIONAL

Conditions

Sustainability

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

Min Age: 10 YearsMax Age: 60 Years

Plain Language Summary

Simplified for easier understanding

This trial tests a health and life skills education program for students in the Bahamas to see if it improves long-term health outcomes and can be sustained in schools. You may be eligible if... - You are a Grade 6 Health and Family Life Education teacher in one of 65 participating government primary schools - You are a Grade 7-9 HFLE teacher in one of 30 participating middle schools - You are a student in one of the participating schools who speaks and reads English You may NOT be eligible if... - You are a student who chose to opt out of the study - You do not speak or read English well enough to take part in study activities Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALBiweekly monitoring and feedback (BMF)

School coordinators will monitor teachers' implementation progress biweekly and provide feedback to teachers.

BEHAVIORALSite-based assistance and mentorship (SAM)

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.

BEHAVIORALEnhanced site-based assistance and mentorship (Enhanced SAM)

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.

BEHAVIORALFOYC+CImPACT

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)

HIV/AIDS Office, FOY program

Nassau, The Bahamas

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NCT07153042

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