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Title Effect of a digital school-based intervention on adolescent family planning and reproductive health in Rwanda: a cluster-randomized trial | ||
Full text
https://escholarship.org/uc/item/8pd4f6pw; https://escholarship.org/content/qt8pd4f6pw/qt8pd4f6pw.pdf | ||
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Date 2024 | ||
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Author(s) Hémono, Rebecca; Gatare, Emmyson; Kayitesi, Laetitia; Hunter, Lauren A; Packel, Laura; Ippoliti, Nicole; Cerecero-García, Diego; Contreras-Loya, David; Gadsden, Paola; Bautista-Arredondo, Sergio; Sayinzoga, Felix; Mugisha, Michael; Bertozzi, Stefano M; Hope, Rebecca; McCoy, Sandra I | ||
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Abstract We conducted a cluster-randomized hybrid effectiveness-implementation study of CyberRwanda, a digital family planning and reproductive health intervention for Rwandan adolescents. Sixty schools were randomized 1:1:1 to control or to one of two implementation models-self-service (self-guided access on tablets) or facilitated (peer-led clubs plus tablet access) with no masking. Eligible participants were aged 12-19 years, in secondary school levels 1 or 2, and willing to provide consent or assent/parental consent and contact information for follow-up. In 2021, 6,078 randomly selected adolescents were enrolled. At 24 months, 91.3% of participants were retained and included in the primary intention-to-treat analyses (control, n = 1,845; self-service, n = 1,849 and facilitated, n = 1,858). There were no adverse events related to the study. CyberRwanda did not affect the primary outcomes of modern contraceptive use (prevalence ratio (PR) = 1.04; 95% confidence interval (CI) = 0.76, 1.42), childbearing (PR = 1.33; 95% CI = 0.71, 2.50) and HIV testing (PR = 1.00; 95% CI = 0.91, 1.11) in the full sample. Significantly higher modern contraceptive use observed in the CyberRwanda facilitated arm in a prespecified analysis of sexually active participants suggests that longer-term evaluation is needed to examine effects as more of the study population becomes sexually active and has increased demand for contraception. ClinicalTrials.gov registration: NCT04198272 . | ||
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Subject(s) Paediatrics; Biomedical and Clinical Sciences; Public Health; Health Sciences; Behavioral and Social Science; Dissemination and Implementation Research; Adolescent Sexual Activity; Prevention; Contraception/Reproduction; Clinical Trials and Supportive Activities; Pediatric; Clinical Research; Reproductive health and childbirth; Good Health and Well Being; Medical and Health Sciences; Immunology; Biomedical and clinical sciences; Health sciences | ||
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Publisher eScholarship, University of California | ||
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Type of publication article | ||
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Format application/pdf | ||
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Rights CC-BY-NC-ND | ||
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Identifier qt8pd4f6pw; info:doi/10.1038/s41591-024-03205-1 | ||
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Repository Berkeley - University of California 
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| Added to C-A: 2024-09-25;09:49:23 |
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