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RECRUITING Not applicable ClinicalTrials.gov

Sustainability and Precision Prevention Project

Sponsor: University of Massachusetts, Worcester • ClinicalTrials.gov ID: NCT07153042

Registry updated: 2026-09-24
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Description

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.

Interventions

  • Biweekly monitoring and feedback (BMF) (Behavioral)
    School coordinators will monitor teachers' implementation progress biweekly and provide feedback to teachers.
  • Site-based assistance and mentorship (SAM) (Behavioral)
    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.
  • Enhanced site-based assistance and mentorship (Enhanced SAM) (Behavioral)
    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.
  • FOYC+CImPACT (Behavioral)
    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.

Eligibility criteria

Inclusion Criteria: * 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 Criteria: * 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.

Conditions

Sustainability

Locations

  • HIV/AIDS Office, FOY program — Nassau, The Bahamas
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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

View Official Record