A School-Based HIV/STD Prevention Program to Reduce Risky Sexual Behaviors Among Adolescents in Liberia
Pacific Institute for Research and Evaluation
National Institute of Mental Health (NIMH)
Information provided by (Responsible Party)
Stephen B. Kennedy, Pacific Institute for Research and Evaluation
First received: June 13, 2008
Last updated: May 17, 2013
Last Verified: May 2013
History of Changes
This study will evaluate the effectiveness of a school-based HIV/sexually transmitted disease prevention program in reducing sexual risk behaviors of youth attending school in Liberia.
Behavioral : HIV/STD prevention curriculum
Behavioral : General health promotion curriculum
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
|Official Title:||Liberia School-Based HIV/STD Prevention Program|
Further study details as provided by Stephen B. Kennedy, Pacific Institute for Research and Evaluation:
Primary Outcome Measures
- Frequency of unprotected sex [ Time Frame: Measured at Month 12 ]
|Study Start Date:||November 2008|
|Study Completion Date:||March 2011|
|Primary Completion Date:||March 2011 (Final data collection date for primary outcome measure)|
Participating schools will deliver HIV/STD prevention modules.
HIV/STD prevention curriculum
The curriculum will include eight 1-hour HIV prevention modules administered weekly for 8 weeks. The modules will educate youth about risky sexual behaviors and will provide them with knowledge and skills necessary to reduce their risk of STDs, HIV, and pregnancy by abstaining from sex or using condoms if they choose to have sex. The curriculum is based on cognitive behavioral theories, focus groups, and the researchers' experience working with youth.
Other Name: Making Proud Choices!
Participating schools will deliver general health promotion modules.
General health promotion curriculum
The curriculum will include eight 1-hour general health modules administered weekly for 8 weeks. The curriculum will focus on teaching students healthful behaviors, including eating habits, physical activity, dental hygiene, and avoidance of cigarette smoking and substance abuse.
Currently, more than 60 million people have been diagnosed with HIV/AIDS worldwide. It is
estimated that about two-thirds of all HIV infections are among people in Africa. The African
country of Liberia, in particular, is experiencing an increase in HIV/sexually transmitted
disease (STD) infections and is in need of improved HIV/STD-related prevention programs. With
the majority of the new infections occurring among people who are between 15 and 29 years
old, new HIV/STD prevention programs are needed to educate youth about proper condom use and
risks associated with sexual behaviors. Previous research has suggested that behavioral
interventions can reduce adolescents' sexual behaviors that are tied to risk of acquiring
STDs. The evidenced-based HIV prevention program, Making Proud Choices, is an intervention
originally designed for community settings in the United States, but is currently being
adapted in schools of certain sub-Saharan African countries. Adapting this community-based
curriculum to school-based settings and cultural contexts within Liberia may be effective in
reducing risky sexual behaviors in Liberian adolescents. This study will compare the
effectiveness of a school-based HIV/STD prevention program that draws on the curriculum of
Making Proud Choices versus a general health promotion program in reducing sexual risk
behaviors of youth attending school in Liberia.
Participation in this study will involve two phases. Phase 1 will last 8 months and will be used to adapt the community-based curriculum of Making Proud Choices to school-based settings and contexts within Liberia. Data to guide the integration and cultural adaptation of the curriculum will be collected from school administrators, students, health educators, and community-based organizations through focus groups, group discussions, and interviews.
Phase 2 will last about 12 months and will include junior high schools in Liberia. Participating schools will be assigned randomly to provide the adapted HIV prevention curriculum or a general health promotion curriculum. Before starting course modules, students receiving either curriculum will complete questionnaires about their risk-associated sexual behaviors and knowledge about condom use and abstinence. Both curriculums will include eight 1-hour modules delivered weekly over 8 weeks. The HIV prevention curriculum will focus on increasing knowledge about preventing HIV, STDs, and pregnancy; improving condom use skills; increasing confidence in the ability to negotiate safer sex and to use condoms correctly; and lowering the incidence of sexual-risk behavior. The general health promotion curriculum will focus on teaching students healthful behaviors, including eating habits, physical activity, dental hygiene, and avoidance of cigarette smoking and substance abuse. All participants will repeat the initial questionnaires immediately after completing the curriculum and 3, 6, and 9 months after the curriculum ends.
|Ages Eligible for Study:||13 Years to 15 Years|
|Sexes Eligible for Study:||All|
|Accepts Healthy Volunteers:||Yes|
- A 6th or 7th grader attending school in Liberia
- Not enrolled in the study schools
Contacts and LocationsChoosing to participate in a study is an important personal decision.Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below.For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00698321
Locations Show More
|University of Liberia|
|Monrovia, Montserrado County, Liberia|
Sponsors and CollaboratorsPacific Institute for Research and Evaluation
National Institute of Mental Health (NIMH)
|Principal Investigator:||Stephen B. Kennedy, MD, MPH||Pacific Institute for Research and Evaluation|
|Responsible Party:||Stephen B. Kennedy, Principal Investigator, Pacific Institute for Research and Evaluation|
|ClinicalTrials.gov Identifier:||NCT00698321 History of Changes|
|Other Study ID Numbers:||R21MH082666|
|Study First Received:||June 13, 2008|
|Last Updated:||May 17, 2013|
Keywords provided by Stephen B. Kennedy, Pacific Institute for Research and Evaluation:HIV/STD Prevention
Additional relevant MeSH terms:
ClinicalTrials.gov processed this data on May 20, 2019
This information is provided by ClinicalTrials.gov.