Sexual Abstinence Clinical Trial
Official title:
CyberSenga: Harnessing the Power of the Internet to Prevent HIV in Ugandan Youth
We propose to design and test an Internet-based HIV prevention program for adolescents in Uganda.
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 scalable interventions to HIV
transmission risk behaviors among adolescents in Uganda.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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