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Completed

NCT Number: NCT04198272

Impact Evaluation of CyberRwanda: A Digital Health Intervention for Adolescents

This protocol describes an evaluation of the CyberRwanda program, a digital health tool designed with and for adolescents in Rwanda, with a focus on successful futures, broadly, and family planning and reproductive health, more specifically. CyberRwanda is a tablet-based system that provides information on family planning and reproductive health through a set of vignettes. The program also allows users to order and purchase contraceptives, with pick up at nearby participating pharmacies. The program will be implemented in schools in eight districts in Rwanda. The investigators will conduct a 3-arm, cluster, randomized controlled trial to evaluate the impact of CyberRwanda on three primary outcomes: uptake of a contraceptive method, initiation of childbearing, and HIV testing. The investigators will compare two implementation models (facilitated and self-service) to a control arm at the school (cluster) level. The study will enroll 60 schools (20 per arm) and 100 students per school, and follow students for 24 months.

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Key information

Conditions

Pregnancy in Adolescence Adolescent Health Health Services Accessibility

Age range

12 year–19 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Society for Family Health, Kigali, Rwanda

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Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Attending a study school at baseline in secondary school levels S1 or S2;
  • Between 12 and 19 years of age;
  • If <18 years of age: Assent and parental consent to participate in the study;
  • If ≥ 18 years of age, informed consent to participate in the study;
  • Willingness to provide valid contact information for study follow-up purposes.

Exclusion criteria

-

Treatment and study plan

CyberRwanda

Behavioral

The CyberRwanda intervention consists of three primary components: 1. STORIES: The CyberRwanda curriculum empowers youth to learn about family planning and reproductive health and employment skills and to set goals for their futures through age-appropriate, interactive, digital and printed stories and activities. 2. LEARN: Q&As and videos related to family planning and reproductive health. 3. SHOP: Youth can directly purchase health products, including menstrual hygiene and contraceptive products (emergency contraception, condoms, and oral contraceptive pills) online. The online health facility finder tool links youth to health facilities for longer-acting methods. All participating pharmacies will be trained to give unbiased, nonjudgmental information and services.

Primary outcomes

  1. Uptake of a modern contraceptive method

    Time frame: 24 months

    The proportion of female youth who report currently using a modern method of contraception at endline (24 months). The primary outcome is expressed as a binary variable, defined as female youth who are currently using a modern method of contraception at endline versus female youth who are not using a modern method of contraception.

  2. Initiation of childbearing

    Time frame: 24 months

    The proportion of female youth who report having ever been pregnant at endline (24 months), regardless of the pregnancy outcome. This outcome is expressed as a binary variable, defined as female youth who report having ever been pregnant versus female youth who report never having been pregnant.

  3. HIV testing

    Time frame: 24 months

    The proportion of youth who have ever had an HIV test at endline (24 months). This outcome is expressed as a binary variable, defined as youth who report having ever been tested for HIV versus youth who report never having tested for HIV.

Secondary outcomes

  1. FPRH Knowledge: % of youth that understand the phases of a girl's menstrual cycle

    Time frame: 24 months

    The total number of youth who can correctly identify a woman's fertile period, divided by the total number of youth.

  2. Behavioral Intentions: % of youth who intend to use a modern contraceptive method in the next 12 months

    Time frame: 24 months

    The total number of youth, disaggregated by sex, who are very confident or confident that they will use contraception in the 12 months divided by the total number of youth who anticipate that they will have sexual intercourse in the next 12 months.

  3. Self-efficacy Contraceptive Use: % of adolescents who are confident that they could get their partner(s) to use contraceptives/condoms if they desired

    Time frame: 24 months

    The total number of youth who state that they agree or strongly agree that they feel confident that they can negotiate contraception and condom use with their partners, divided by the total number of youth.

Sponsors and collaborators

Lead sponsor

University of California, Berkeley

Other

Collaborators

  • Society for Family Health, Rwanda
  • Youth Development Labs, Inc dba YLabs

Registry information

Important dates

Study start
2021
Primary completion
2023
Study completion
2023
First posted
Dec 13, 2019
Registry last updated
Dec 5, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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