A School-Based HIV/STD Prevention Program to Reduce Risky Sexual Behaviors Among Adolescents in Liberia
Recruitment status was Recruiting
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This study will evaluate the effectiveness of a school-based HIV/sexually transmitted disease prevention program in reducing sexual risk behaviors of youth attending school in Liberia.
Condition | Intervention |
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HIV Infections |
Behavioral: HIV/STD prevention curriculum Behavioral: General health promotion curriculum Behavioral: Pilot-testing activities |
Study Type: | Interventional |
Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention |
Official Title: | Liberia School-Based HIV/STD Prevention Program |
- Frequency of unprotected sex [ Time Frame: Measured at Month 12 ] [ Designated as safety issue: No ]
Estimated Enrollment: | 866 |
Study Start Date: | November 2008 |
Estimated Study Completion Date: | March 2010 |
Estimated Primary Completion Date: | March 2010 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
---|---|
Experimental: 1
Participating schools will deliver HIV/STD prevention modules.
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Behavioral: HIV/STD prevention curriculum
The curriculum will include eight 1-hour HIV prevention modules administered weekly for 8 weeks. The modules will educate youth about risky sexual behaviors and will provide them with knowledge and skills necessary to reduce their risk of STDs, HIV, and pregnancy by abstaining from sex or using condoms if they choose to have sex. The curriculum is based on cognitive behavioral theories, focus groups, and the researchers' experience working with youth.
Other Name: Making Proud Choices!
|
Active Comparator: 2
Participating schools will deliver general health promotion modules.
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Behavioral: General health promotion curriculum
The curriculum will include eight 1-hour general health modules administered weekly for 8 weeks. The curriculum will focus on teaching students healthful behaviors, including eating habits, physical activity, dental hygiene, and avoidance of cigarette smoking and substance abuse.
|
No Intervention: 3
Participants will take part in the pilot-testing activities to help guide the integration and cultural adaptation of the HIV prevention curriculum to Liberian schools.
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Behavioral: Pilot-testing activities
Activities will include 90- to 120-minute focus groups, group discussions, or informant interviews to adapt the HIV prevention curriculum to school-based settings and contexts within Liberia.
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Detailed Description:
Currently, more than 60 million people have been diagnosed with HIV/AIDS worldwide. It is estimated that about two-thirds of all HIV infections are among people in Africa. The African country of Liberia, in particular, is experiencing an increase in HIV/sexually transmitted disease (STD) infections and is in need of improved HIV/STD-related prevention programs. With the majority of the new infections occurring among people who are between 15 and 29 years old, new HIV/STD prevention programs are needed to educate youth about proper condom use and risks associated with sexual behaviors. Previous research has suggested that behavioral interventions can reduce adolescents' sexual behaviors that are tied to risk of acquiring STDs. The evidenced-based HIV prevention program, Making Proud Choices, is an intervention originally designed for community settings in the United States, but is currently being adapted in schools of certain sub-Saharan African countries. Adapting this community-based curriculum to school-based settings and cultural contexts within Liberia may be effective in reducing risky sexual behaviors in Liberian adolescents. This study will compare the effectiveness of a school-based HIV/STD prevention program that draws on the curriculum of Making Proud Choices versus a general health promotion program in reducing sexual risk behaviors of youth attending school in Liberia.
Participation in this study will involve two phases. Phase 1 will last 8 months and will be used to adapt the community-based curriculum of Making Proud Choices to school-based settings and contexts within Liberia. Data to guide the integration and cultural adaptation of the curriculum will be collected from school administrators, students, health educators, and community-based organizations through focus groups, group discussions, and interviews.
Phase 2 will last about 12 months and will include junior high schools in Liberia. Participating schools will be assigned randomly to provide the adapted HIV prevention curriculum or a general health promotion curriculum. Before starting course modules, students receiving either curriculum will complete questionnaires about their risk-associated sexual behaviors and knowledge about condom use and abstinence. Both curriculums will include eight 1-hour modules delivered weekly over 8 weeks. The HIV prevention curriculum will focus on increasing knowledge about preventing HIV, STDs, and pregnancy; improving condom use skills; increasing confidence in the ability to negotiate safer sex and to use condoms correctly; and lowering the incidence of sexual-risk behavior. The general health promotion curriculum will focus on teaching students healthful behaviors, including eating habits, physical activity, dental hygiene, and avoidance of cigarette smoking and substance abuse. All participants will repeat the initial questionnaires immediately after completing the curriculum and 3, 6, and 9 months after the curriculum ends.
Ages Eligible for Study: | 13 Years to 15 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- A 6th or 7th grader attending school in Liberia
Exclusion Criteria:
- Not enrolled in the study schools
Contact: Stephen B. Kennedy, MD, MPH | 502-634-3694 | kennedy@pire.org |
Liberia | |
University of Liberia | Recruiting |
Monrovia, Montserrado County, Liberia | |
Principal Investigator: Albert O. Harris, MSc |
Principal Investigator: | Stephen B. Kennedy, MD, MPH | Pacific Institute for Research and Evaluation |
No publications provided
Responsible Party: | Stephen B. Kennedy, MD, MPH, Pacific Institute for Research & Evaluation |
ClinicalTrials.gov Identifier: | NCT00698321 History of Changes |
Other Study ID Numbers: | R21 MH082666, DAHBR 9A-ASPA |
Study First Received: | June 13, 2008 |
Last Updated: | March 9, 2009 |
Health Authority: | United States: Federal Government |
Keywords provided by National Institute of Mental Health (NIMH):
HIV/STD Prevention HIV Seronegativity |
Additional relevant MeSH terms:
HIV Infections Acquired Immunodeficiency Syndrome Lentivirus Infections Retroviridae Infections RNA Virus Infections Virus Diseases |
Sexually Transmitted Diseases, Viral Sexually Transmitted Diseases Immunologic Deficiency Syndromes Immune System Diseases Slow Virus Diseases |
ClinicalTrials.gov processed this record on March 14, 2013