RECRUITINGINTERVENTIONAL

Sustainability and Precision Prevention Project

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

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.

Who May Be Eligible (Plain English)

Who May Qualify: - 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. Who Should NOT Join This Trial: - 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. Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language

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.

Treatments Being Tested

BEHAVIORAL

Biweekly monitoring and feedback (BMF)

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

BEHAVIORAL

Site-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.

BEHAVIORAL

Enhanced 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.

BEHAVIORAL

FOYC+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