Disseminating Effective Sexual Health Programs in Schools Using iCHAMPSS

The purpose of this study is to assess the efficacy of iCHAMPSS 2.0 in impacting Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) implementation outcomes, with implementation of a sexual health evidence-based program (EBP) assess iCHAMPSS 2.0's efficacy in impacting determinants of sexual health EBP implementation and to conduct a process evaluation to monitor iCHAMPSS 2.0 implementation, reach, dosage, and barriers and facilitators to implementing iCHAMPSS 2.0 during the study.

Study Overview

• Status: Recruiting
• Conditions: Sexual Health Education
• Intervention / Treatment: Behavioral: iCHAMPSS 2.0

• Study Type: Interventional
• Enrollment (Estimated): 75
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Belinda Hernandez, PhD, MPH; Phone Number: (210) 276-9009; Email: Belinda.Hernandez@uth.tmc.edu
• Study Contact Backup: Name: Laura Thormaehlen; Phone Number: (713) 500-9000; Email: Laura.C.Thormaehlen@uth.tmc.edu

Study Locations

• United States
  • Texas
    • Houston, Texas, United States, 77030
      • Recruiting
      • The University of Texas Health Science Center At Houston
      • Contact: Belinda Hernandez, PhD, MPH; Phone Number: (210) 276-9009; Email: Belinda.Hernandez@uth.tmc.edu
      • Contact: Laura Thormaehlen; Phone Number: (713) 500-9000; Email: Laura.C.Thormaehlen@uth.tmc.edu

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Licensed educator or administrator who holds one of the following positions: 1) district or school administrator (e.g., health coordinators, instructional specialists, and curriculum coordinators), 2) health and physical education teachers, and 3) social and health service staff (e.g., nurses and counselors) in a Texas school district participating in the iCHAMPSS 2.0 study

Exclusion Criteria:

• not holding a job in a Texas school district as a school stakeholder, OR holding a job in a Texas school district as a school stakeholder but not in a school district participating in the iCHAMPSS 2.0 study

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Crossover Assignment
• Masking: None (Open Label)

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Arm 1: 1 semester of implementation then 7 semesters of intervention	Behavioral: iCHAMPSS 2.0; iCHAMPSS 2.0 is designed for Program Champions, critical to EBP use, such as district and school administrators, SHAC members (which include parents), and health and physical education teachers, who are highly motivated to promote sexual health education. iCHAMPSS 2.0 has four features: the CHAMPSS Model tutorial, which familiarizes Champions with the iCHAMPSS 2.0 system; a Staging Tool, which helps Champions understand their school's level of readiness to adopt, implement, and maintain a sexual health EBP, and can tailor their experience; a tools library, which includes a suite of over 60 decision support tools; an interactive linkage system, which is an online platform to help Champions connect with others and to receive technical assistance (TA)
Experimental: Arm 2: 1 semester of control, 1 semester of implementation then 7 semesters of intervention	Behavioral: iCHAMPSS 2.0; iCHAMPSS 2.0 is designed for Program Champions, critical to EBP use, such as district and school administrators, SHAC members (which include parents), and health and physical education teachers, who are highly motivated to promote sexual health education. iCHAMPSS 2.0 has four features: the CHAMPSS Model tutorial, which familiarizes Champions with the iCHAMPSS 2.0 system; a Staging Tool, which helps Champions understand their school's level of readiness to adopt, implement, and maintain a sexual health EBP, and can tailor their experience; a tools library, which includes a suite of over 60 decision support tools; an interactive linkage system, which is an online platform to help Champions connect with others and to receive technical assistance (TA)
Experimental: Arm 3: 1 semesters of control, 1 semester of implementation then 6 semesters of intervention	Behavioral: iCHAMPSS 2.0; iCHAMPSS 2.0 is designed for Program Champions, critical to EBP use, such as district and school administrators, SHAC members (which include parents), and health and physical education teachers, who are highly motivated to promote sexual health education. iCHAMPSS 2.0 has four features: the CHAMPSS Model tutorial, which familiarizes Champions with the iCHAMPSS 2.0 system; a Staging Tool, which helps Champions understand their school's level of readiness to adopt, implement, and maintain a sexual health EBP, and can tailor their experience; a tools library, which includes a suite of over 60 decision support tools; an interactive linkage system, which is an online platform to help Champions connect with others and to receive technical assistance (TA)

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Change in percentage of schools within a district implementing an EBP	From baseline to end of intervention period (about 20 to 30 months from baseline)
Rate of implementation of the EBP	From baseline to end of intervention period (about 20 to 30 months from baseline)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Percentage of School Health Advisory Councils (SHACs) that have recommended a sexual health EBP to their school board		From baseline to end of intervention period (about 20 to 30 months from baseline)
Percentage of School Health Advisory Councils (SHACs) that have adopted a sexual health EBP to their school board		From baseline to end of intervention period (about 20 to 30 months from baseline)
Percentage of schools with the school board's approval of an Evidence Based Program (EBP)		From baseline to end of intervention period (about 20 to 30 months from baseline)
Percentage of schools with the principal's approval of an EBP		From baseline to end of intervention period (about 20 to 30 months from baseline)
Percentage of students receiving majority (over 50%) of a sexual health EBP		From baseline to end of intervention period (about 20 to 30 months from baseline)
Percentage of schools that have implemented the evidence-based program for more than one academic year as assessed by the implementation survey		From baseline to end of intervention period (about 20 to 30 months from baseline)
Change in perceived complexity as assessed by the staff survey	This is a 3 item questionnaire and each is scored form (1) Strongly disagree to (5) Strongly agree, maximum score of 15, higher score indicating worse outcome	From baseline to end of intervention period (about 20 to 30 months from baseline)
Change in compatibility as assessed by the staff survey	This is a 5 item questionnaire and each is scored from (1) Strongly disagree to (5) Strongly agree maximum score 25, higher score indicating better outcome	From baseline to end of intervention period (about 20 to 30 months from baseline)
Change in relative advantage as assessed by the staff survey	This is a 4 item questionnaire and each is scored from (1) Strongly disagree to (5) Strongly agree, maximum score of 20, higher score indicating better better outcome	From baseline to end of intervention period (about 20 to 30 months from baseline)
Change in perceived social systems support in parent community as assessed by the staff survey	This is a 8 item questionnaire and each is scored from (1) not at all supportive to (4) very supportive , maximum score of 32 , higher score indicating better outcome	From baseline to end of intervention period (about 20 to 30 months from baseline)
Change in presence of school policy as assessed by the staff survey	This is a 2 item questionnaire and each is scored from 1(strongly disagree) -5(strongly agree), maximum score 10, higher score indicating better outcome	From baseline to end of intervention period (about 20 to 30 months from baseline)
Change in adequate resources as assessed by the staff survey	This is a 5 item questionnaire and each is scored from 1(strongly disagree) -5(strongly agree), maximum score of 25, higher score indicating better outcome	From baseline to end of intervention period (about 20 to 30 months from baseline)
Change in presence of a program champion as assessed by the staff survey	This is a 4 item questionnaire and each is scored 1(strongly disagree) -5(strongly agree), maximum score 20, higher score indicating better outcome	From baseline to end of intervention period (about 20 to 30 months from baseline)
Change in implementation climate as assessed by the staff survey	This is a 6 item questionnaire and each is scored from 1(strongly disagree) -5(strongly agree), maximum score of 30, higher score indicating better outcome	From baseline to end of intervention period (about 20 to 30 months from baseline)
Change in inter organizational relationships as assessed by the staff survey	This is a 4 item questionnaire and each is scored from 1(strongly disagree) -5(strongly agree), maximum score 20, higher score indicating better outcome	From baseline to end of intervention period (about 20 to 30 months from baseline)
Change in intra organizational relationships as assessed by the staff survey	This is a 4 item questionnaire and each is scored from 1(strongly disagree) -5(strongly agree), maximum score 20, higher score indicating better outcome	From baseline to end of intervention period (about 20 to 30 months from baseline)
Change in perceived need as assessed by the staff survey	This is a 4 item questionnaire and each is scored from (1) Strongly disagree to (5) Strongly agree, maximum score range of 20, higher score indicating worse outcome	From baseline to end of intervention period (about 20 to 30 months from baseline)
Change in self-efficacy as assessed by the staff survey	This is a 19 item questionnaire and each is scored from 1(not at all confident)-4(very confident) , maximum score range of 76, higher score indicating better outcome	From baseline to end of intervention period (about 20 to 30 months from baseline)
Frequency of use of iCHAMPSS 2.0 as assessed by the website analytics		From baseline to end of school year (about 7 to 12 months from baseline)
Time spent using iCHAMPSS 2.0 as assessed by the district coordinator survey	This will be reported categorically as less than one hour, 1-2 hours, 3-4 hours, 5-6 hours and 7 hours or more	From baseline to end of school year (about 7 to 12 months from baseline)
Number of recurring users of iCHAMPSS 2.0 as assessed by the website analytics		From baseline to end of school year (about 7 to 12 months from baseline)
Number of unique users of iCHAMPSS 2.0 as assessed by the website analytics		From baseline to end of school year (about 7 to 12 months from baseline)
Mean number of users per school district of iCHAMPSS 2.0 as assessed by the website analytics		From baseline to end of school year (about 7 to 12 months from baseline)
Percentage of school districts/schools using iCHAMPSS 2.0 as assessed by the website analytics		From baseline to end of school year (about 7 to 12 months from baseline)
Percentage of iCHAMPSS 2.0 tools used in each step as assessed by the website analytics		From baseline to end of school year (about 7 to 12 months from baseline)
Perceived barriers to implementing iCHAMPSS 2.0 as assessed by the coordinator interviews and district coordinator surveys	This will be reported as a percentage	From baseline to end of school year (about 7 to 12 months from baseline)
Perceived facilitators to implementing iCHAMPSS 2.0 as assessed by the coordinator interviews and district coordinator surveys	This will be reported as a percentage	From baseline to end of school year (about 7 to 12 months from baseline)

Collaborators and Investigators

• Sponsor: The University of Texas Health Science Center, Houston
• Collaborators: Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
• Investigators: Principal Investigator: Belinda Hernandez, PhD, MPH, The University of Texas Health Science Center, Houston

Study record dates

Study Major Dates

• Study Start (Actual): April 2, 2026
• Primary Completion (Estimated): April 1, 2028
• Study Completion (Estimated): April 1, 2028

Study Registration Dates

• First Submitted: April 9, 2026
• First Submitted That Met QC Criteria: June 29, 2026
• First Posted (Actual): July 1, 2026

Study Record Updates

• Last Update Posted (Actual): July 1, 2026
• Last Update Submitted That Met QC Criteria: June 29, 2026
• Last Verified: April 1, 2026

More Information

Terms related to this study

• Keywords: iCHAMPSS
• Other Study ID Numbers: HSC-SPH-24-0672; R01HD111699 (U.S. NIH Grant/Contract)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No