Impact Evaluation of CyberRwanda: a Digital Health Intervention for Adolescents

University of California (UC), Berkeley

Status: Completed

Conditions: Health Services Accessibility; Adolescent Health; Pregnancy in Adolescence

Treatments: Behavioral: CyberRwanda

Study type: Interventional

Funder types: Other

Identifiers

NCT04198272

2019-04-12145

Details and patient eligibility

About

This protocol describes an evaluation of the CyberRwanda program, a digital health tool designed with and for adolescents in Rwanda, with a focus on successful futures, broadly, and family planning and reproductive health, more specifically. CyberRwanda is a tablet-based system that provides information on family planning and reproductive health through a set of vignettes. The program also allows users to order and purchase contraceptives, with pick up at nearby participating pharmacies. The program will be implemented in schools in eight districts in Rwanda. The investigators will conduct a 3-arm, cluster, randomized controlled trial to evaluate the impact of CyberRwanda on three primary outcomes: uptake of a contraceptive method, initiation of childbearing, and HIV testing. The investigators will compare two implementation models (facilitated and self-service) to a control arm at the school (cluster) level. The study will enroll 60 schools (20 per arm) and 100 students per school, and follow students for 24 months.

Enrollment: 6,078 patients

Sex: All

Ages: 12 to 19 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Attending a study school at baseline in secondary school levels S1 or S2;
• Between 12 and 19 years of age;
• If <18 years of age: Assent and parental consent to participate in the study;
• If ≥ 18 years of age, informed consent to participate in the study;
• Willingness to provide valid contact information for study follow-up purposes.

Exclusion criteria

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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6,078 participants in 3 patient groups

Facilitated

Experimental group

Description:

Schools that are randomized to this arm will be exposed to all of the components in the self-service version in addition to peer facilitation of the CyberRwanda platform at CyberRwanda clubs.

Treatment:

Behavioral: CyberRwanda

Self-service

Active Comparator group

Description:

Schools that are randomized to this arm will be exposed to the following components of the intervention: * Self-guided access to the online CyberRwanda platform; and * Promotion of the CyberRwanda program through school launch events.

Treatment:

Behavioral: CyberRwanda

Control

No Intervention group

Description:

Schools in this arm will not receive any intervention.