CyberSenga: Internet-based HIV Prevention in Uganda
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
|Official Title:||CyberSenga: Harnessing the Power of the Internet to Prevent HIV in Ugandan Youth|
- Sex Without a Condom as Assessed by Self-report [ Time Frame: 6-months post-intervention ] [ Designated as safety issue: No ]Unprotected sex (i.e., vaginal or anal sex without a condom) in the past three months
- Sexual Abstinence [ Time Frame: 6-months post-intervention ] [ Designated as safety issue: No ]Not having had vaginal or anal sex in the past three months
- Abstinence at Three-month Follow-up [ Time Frame: 3 months post-intervention ] [ Designated as safety issue: No ]Sexual abstinence (i.e., not having vaginal or anal sex) in the past 90 days
- Unprotected Sex at Three-month Follow-up [ Time Frame: 3 months post-intervention ] [ Designated as safety issue: No ]Ever had vaginal or anal sex without a condom in the past 90 days
|Study Start Date:||August 2007|
|Study Completion Date:||October 2011|
|Primary Completion Date:||October 2011 (Final data collection date for primary outcome measure)|
6-module HIV prevention program tailored for adolescents in Uganda
Internet-based HIV prevention program
No Intervention: Control
"treatment as usual" - the sexual health education adolescents currently receive in secondary school
HIV/AIDS is a major contributor to morbidity and mortality in Uganda. Despite aggressive advances in HIV prevention efforts, recent data suggest that HIV prevalence is increasing generally, and HIV knowledge, a direct contributor to behavior, is on the decline among young people specifically as compared to a decade ago.
The Internet is a promising mode of intervention delivery in resource poor-settings because the costs associated with scaling up are minimal; dissemination online is the same if one person or 100,000 people use the program. Just as important, it provides access to important health information in a stigma-free, anonymous atmosphere. Our recent data indicate that 45% of adolescents in Mbarara, Uganda have used the Internet, 78% of whom went online at least once in the previous week. Eighty-one percent of respondents in the same survey indicated they would go to an HIV prevention web site if it existed. Based upon these data, we propose to develop a culturally appropriate, Internet-based HIV prevention program designed specifically for Ugandan adolescents between the ages of 12 and 18 years. Our specific aims are as follows:
Specific Aim 1: Design a 6-hour, Internet-based HIV prevention program for adolescents. Content will be culturally tailored to the HIV preventive information, motivation, and behavioral skills needs of Ugandan adolescents.
Specific Aim 2: Test the intervention in a randomized controlled trial (n=500) among adolescents attending grades Secondary 1-4 (similar to US high school grades 8th - 11th) at day schools in Mbarara.
This project has the potential to develop low-cost and salable interventions to HIV transmission risk behaviors among adolescents in Uganda.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00906178
|Internet Solutions for Kids Uganda, Limited|
|Principal Investigator:||Michele Ybarra, MPH PhD||Center for Innovative Public Health|