Sustainability and Precision Prevention Project

Summary

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.

Conditions

• Sustainability

Interventions

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.

Sponsors & Collaborators

• Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

  collaborator NIH

• Ministry of Health, Bahamas

  collaborator UNKNOWN

• University of Massachusetts, Worcester

  lead OTHER

Principal Investigators

• Bo Wang, PhD · UMass Chan Medical School

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Model

SEQUENTIAL

Eligibility

Min Age

10 Years

Max Age

60 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2025-10-01

Primary Completion

2029-08-31

Completion

2029-11-30

Countries

• The Bahamas

Study Locations