- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03858803
Improving the Reproductive Health of Families
September 18, 2020 updated by: Janet S. St. Lawrence, Portland State University
This research will assess the effectiveness of a parent- and an adolescent- intervention in lowering risk of STIs, HIV, and unintended pregnancies among Batswana youth.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
Youth in Botswana face extraordinary challenges as they transition through adolescence.
High rates of teen pregnancy force girls to drop out of school after which few resume their education.
Sexually transmitted infections (STIs) are prevalent and the country has the 3rd highest Human Immunodeficiency Virus (HIV) prevalence in the world, with incidence increasing rapidly among adolescents 15-19, peaking at 40.2% HIV seroprevalence at ages 30-34.
Traditional methods for sex education through village initiation schools are no longer available and parents are not comfortable with discussions addressing reproductive health within the family.
As a result, adolescents have no conduit to educate them about healthy sexual development.
This study will recruit 456 families, ½ with a male and ½ with a female adolescent.
Families will be randomized to one of three intervention arms.
Parents will participate in Families Matter 2! (FM2) and adolescents in Living as a Safer Teen (LAST), both evidence-based interventions that were adapted and pilot tested in Botswana during an earlier R34 award.
In Arm 1, the parent will participate in FM2 immediately and the youth will participate in LAST six months later.
In Arm 2, both the parent and youth will participant in their respective interventions simultaneously.
In Arm 3, the comparison condition, participants will be offered the interventions immediately after the final assessment.
Each adolescent and parent will complete assessments in English or Setswana at baseline, post-intervention, and 6- and 12-month follow-ups.
Results from a pilot trial of the adapted interventions suggest that these interventions may result in improved family communications, child management skills, knowledge of sexual development, more favorable attitudes toward contraception, less tolerance for intergenerational transactional sex, greater rejection of gender violence, and lower rates of sexual risk behavior by both parents and adolescents.
It is further anticipated that youths who are abstinent upon entering the intervention will delay sexual debut to a greater extent than youth in the comparison arm.
This proposed study addresses the highest priority in Botswana's current national strategic plan: preventing early pregnancy, STIs and HIV in adolescents.
If the proposed randomized controlled trial (RCT) provides strong evidence of effectiveness, the investigators will work with the Ministries of Education, Health, Youth & Culture and the Office of the President to disseminate the intervention throughout Botswana.
Study Type
Interventional
Enrollment (Anticipated)
1000
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Janet S St. Lawrence
- Phone Number: 5034447507
- Email: jstla2@pdx.edu
Study Locations
-
-
Oregon
-
Portland, Oregon, United States, 97206
- Recruiting
- Janet S. St. Lawrence
-
Contact:
- Janet S St. Lawrence, Ph.D.
- Phone Number: 503-444-7507
- Email: jstla2@pdx.edu
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
13 years to 80 years (Child, Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Adolescent 13-18 in or near Gaborone Botswana and parent/guardian
Exclusion Criteria:
- None
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Factorial Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: FM2 first, LAST delayed
Parent intervention, Families Matter 2 (FM2), immediate, adolescent intervention, Living as a Safer Teen (LAST), delayed six months
|
Parents training in communication, youth sexual development, parental monitoring, parental use of positive reinforcement, risks facing adolescents and their management.
Other Names:
Prevention intervention for adolescents 13-18 that provides information, motivation, and behavioral skills to prevent STIs, HIV, and unplanned pregnancy.
Other Names:
|
Active Comparator: FM2 and LAST simultaneous
Parents participate in Families Matter 2 (FM2) and adolescents in Living as a Safer Teen (LAST) intervention immediately following the baseline assessment.
|
Parents training in communication, youth sexual development, parental monitoring, parental use of positive reinforcement, risks facing adolescents and their management.
Other Names:
Prevention intervention for adolescents 13-18 that provides information, motivation, and behavioral skills to prevent STIs, HIV, and unplanned pregnancy.
Other Names:
|
Active Comparator: Comparison arm
Comparison arm in which both parents and adolescents will be offered their respective interventions following the final assessment.
Following the final assessment parents will be offered the Families Matter (FM2) intervention and youth the Living as a Safer Teen (LAST) intervention as an ethically justified service.
|
Parents training in communication, youth sexual development, parental monitoring, parental use of positive reinforcement, risks facing adolescents and their management.
Other Names:
Prevention intervention for adolescents 13-18 that provides information, motivation, and behavioral skills to prevent STIs, HIV, and unplanned pregnancy.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in frequency of unprotected intercourse (youth and parents)
Time Frame: one year
|
Self-reported frequency of unprotected intercourse occasions in past 3 months.
|
one year
|
Changes in Reproductive Health Knowledge Test scores (youth)
Time Frame: one year
|
Measure of knowledge about prevention of STIs, HIV, and pregnancy.
Total score range 0-26.
No subscales.
Higher scores reflect more accurate knowledge.
|
one year
|
Changes in Condom Barriers Scale(youth)
Time Frame: one year
|
Total score range 0 - 140; Higher scores reflect fewer perceived barriers to condom use.
No subscales
|
one year
|
Change in Attitudes toward Transactional Sex Scale (youth)
Time Frame: one year
|
Total score range 0 - 120, No subscales, Higher scores reflect less acceptance of transactional sex
|
one year
|
Change in number of sex partners (youth and parent)
Time Frame: one year
|
Change in self-reported numbers of sex partners in past three months
|
one year
|
Changes on Family Communication Scale (parents and youth)
Time Frame: One year
|
Total scale range 0-52, No subscales, Higher scores reflect more frequent communication between parent and child frequency
|
One year
|
Changes in scores on the Condom Attitudes Scale (youth)
Time Frame: One year
|
Total scale score range 0-144, No subscales, Higher scores reflect more positive attitudes toward condom use
|
One year
|
Changes in scores on Self Efficacy Beliefs Scale (youth)
Time Frame: One year
|
Total scale score range 0-160, No subscales, Higher scores reflect endorsement of greater self efficacy beliefs
|
One year
|
Changes on Parental Responsiveness Scale (parent and youth)
Time Frame: One year
|
Total scale score range 0-11, No subscales, Higher scores reflect reports of greater parental responsiveness
|
One year
|
Changes in Parent Use of Positive Reinforcement Scale (parent and youth)
Time Frame: One year
|
Total score range 0-12, No Subscales, Higher score reflect reports of more frequent use of positive reinforcement by parents
|
One year
|
Changes in Parental Monitoring Scale (parent and youth)
Time Frame: One year
|
Total scale score range 0-16, No subscales, Higher scores reflect report of greater parental monitoring
|
One year
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Janet S St. Lawrence, Ph.D., Portland State University
- Study Director: Esther S Seloilwe, Ph.D., University of Botswana
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
April 22, 2019
Primary Completion (Anticipated)
April 30, 2023
Study Completion (Anticipated)
April 30, 2023
Study Registration Dates
First Submitted
February 21, 2019
First Submitted That Met QC Criteria
February 27, 2019
First Posted (Actual)
March 1, 2019
Study Record Updates
Last Update Posted (Actual)
September 22, 2020
Last Update Submitted That Met QC Criteria
September 18, 2020
Last Verified
September 1, 2020
More Information
Terms related to this study
Other Study ID Numbers
- Botswana Study
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
Anonymized data will be made available upon study completion.
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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