About this trial
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 criteria
Qualifiers
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.
Disqualifiers
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.
Trial design
Treatments tested in this trial
- Biweekly monitoring and feedback (BMF)
- Site-based assistance and mentorship (SAM)
- Enhanced site-based assistance and mentorship (Enhanced SAM)
- FOYC+CImPACT
Treatment groups
Sponsors and collaborators
University of Massachusetts, Worcester
Lead sponsor
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborator
Ministry of Health, Bahamas
Collaborator