Promoting sexual and reproductive health among adolescents in southern and eastern Africa (PREPARE): project design and conceptual framework

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dc.contributor.authorAaro, Leif Edvarden_ZA
dc.contributor.authorMathews, Catherineen_ZA
dc.contributor.authorKaaya, Sylviaen_ZA
dc.contributor.authorKatahoire, Anne Ruhwezaen_ZA
dc.contributor.authorOnya, Hansen_ZA
dc.contributor.authorAbraham, Charlesen_ZA
dc.contributor.authorKlepp, Knut-Ingeen_ZA
dc.contributor.authorWubs, Annegreeten_ZA
dc.contributor.authorEggers, Sander Matthijsen_ZA
dc.contributor.authorde Vries, Heinen_ZA
dc.date.accessioned2015-10-28T06:55:41Z
dc.date.available2015-10-28T06:55:41Z
dc.date.issued2014en_ZA
dc.description.abstractBACKGROUND:Young people in sub-Saharan Africa are affected by the HIV pandemic to a greater extent than young people elsewhere and effective HIV-preventive intervention programmes are urgently needed. The present article presents the rationale behind an EU-funded research project (PREPARE) examining effects of community-based (school delivered) interventions conducted in four sites in sub-Saharan Africa. One intervention focuses on changing beliefs and cognitions related to sexual practices (Mankweng, Limpopo, South Africa). Another promotes improved parent-offspring communication on sexuality (Kampala, Uganda). Two further interventions are more comprehensive aiming to promote healthy sexual practices. One of these (Western Cape, South Africa) also aims to reduce intimate partner violence while the other (Dar es Salaam, Tanzania) utilises school-based peer education.METHODS/DESIGN:A modified Intervention Mapping approach is used to develop all programmes. Cluster randomised controlled trials of programmes delivered to school students aged 12-14 will be conducted in each study site. Schools will be randomly allocated (after matching or stratification) to intervention and delayed intervention arms. Baseline surveys at each site are followed by interventions and then by one (Kampala and Limpopo) or two (Western Cape and Dar es Salaam) post-intervention data collections. Questionnaires include questions common for all sites and are partly based on a set of social cognition models previously applied to the study of HIV-preventive behaviours. Data from all sites will be merged in order to compare prevalence and associations across sites on core variables. Power is set to .80 or higher and significance level to .05 or lower in order to detect intervention effects. Intraclass correlations will be estimated from previous surveys carried out at each site.DISCUSSION:We expect PREPARE interventions to have an impact on hypothesized determinants of risky sexual behaviour and in Western Cape and Dar es Salaam to change sexual practices. Results from PREPARE will (i) identify modifiable cognitions and social processes related to risky sexual behaviour and (ii) identify promising intervention approaches among young adolescents in sub-Saharan cultures and contexts.TRIAL REGISTRATIONS:Controlled Trials ISRCTN56270821 (Cape Town); Controlled Trials ISRCTN10386599 (Limpopo); Clinical Trials NCT01772628 (Kampala); Australian New Zealand Clinical Trials Registry ACTRN12613000900718 (Dar es Salaam).en_ZA
dc.identifier.apacitationAaro, L. E., Mathews, C., Kaaya, S., Katahoire, A. R., Onya, H., Abraham, C., ... de Vries, H. (2014). Promoting sexual and reproductive health among adolescents in southern and eastern Africa (PREPARE): project design and conceptual framework. <i>BMC Public Health</i>, http://hdl.handle.net/11427/14444en_ZA
dc.identifier.chicagocitationAaro, Leif Edvard, Catherine Mathews, Sylvia Kaaya, Anne Ruhweza Katahoire, Hans Onya, Charles Abraham, Knut-Inge Klepp, Annegreet Wubs, Sander Matthijs Eggers, and Hein de Vries "Promoting sexual and reproductive health among adolescents in southern and eastern Africa (PREPARE): project design and conceptual framework." <i>BMC Public Health</i> (2014) http://hdl.handle.net/11427/14444en_ZA
dc.identifier.citationAarø, L. E., Mathews, C., Kaaya, S., Katahoire, A. R., Onya, H., Abraham, C., ... & De Vries, H. (2014). Promoting sexual and reproductive health among adolescents in southern and eastern Africa (PREPARE): project design and conceptual framework. BMC public health, 14(1), 54.en_ZA
dc.identifier.ris TY - Journal Article AU - Aaro, Leif Edvard AU - Mathews, Catherine AU - Kaaya, Sylvia AU - Katahoire, Anne Ruhweza AU - Onya, Hans AU - Abraham, Charles AU - Klepp, Knut-Inge AU - Wubs, Annegreet AU - Eggers, Sander Matthijs AU - de Vries, Hein AB - BACKGROUND:Young people in sub-Saharan Africa are affected by the HIV pandemic to a greater extent than young people elsewhere and effective HIV-preventive intervention programmes are urgently needed. The present article presents the rationale behind an EU-funded research project (PREPARE) examining effects of community-based (school delivered) interventions conducted in four sites in sub-Saharan Africa. One intervention focuses on changing beliefs and cognitions related to sexual practices (Mankweng, Limpopo, South Africa). Another promotes improved parent-offspring communication on sexuality (Kampala, Uganda). Two further interventions are more comprehensive aiming to promote healthy sexual practices. One of these (Western Cape, South Africa) also aims to reduce intimate partner violence while the other (Dar es Salaam, Tanzania) utilises school-based peer education.METHODS/DESIGN:A modified Intervention Mapping approach is used to develop all programmes. Cluster randomised controlled trials of programmes delivered to school students aged 12-14 will be conducted in each study site. Schools will be randomly allocated (after matching or stratification) to intervention and delayed intervention arms. Baseline surveys at each site are followed by interventions and then by one (Kampala and Limpopo) or two (Western Cape and Dar es Salaam) post-intervention data collections. Questionnaires include questions common for all sites and are partly based on a set of social cognition models previously applied to the study of HIV-preventive behaviours. Data from all sites will be merged in order to compare prevalence and associations across sites on core variables. Power is set to .80 or higher and significance level to .05 or lower in order to detect intervention effects. Intraclass correlations will be estimated from previous surveys carried out at each site.DISCUSSION:We expect PREPARE interventions to have an impact on hypothesized determinants of risky sexual behaviour and in Western Cape and Dar es Salaam to change sexual practices. Results from PREPARE will (i) identify modifiable cognitions and social processes related to risky sexual behaviour and (ii) identify promising intervention approaches among young adolescents in sub-Saharan cultures and contexts.TRIAL REGISTRATIONS:Controlled Trials ISRCTN56270821 (Cape Town); Controlled Trials ISRCTN10386599 (Limpopo); Clinical Trials NCT01772628 (Kampala); Australian New Zealand Clinical Trials Registry ACTRN12613000900718 (Dar es Salaam). DA - 2014 DB - OpenUCT DO - 10.1186/1471-2458-14-54 DP - University of Cape Town J1 - BMC Public Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2014 T1 - Promoting sexual and reproductive health among adolescents in southern and eastern Africa (PREPARE): project design and conceptual framework TI - Promoting sexual and reproductive health among adolescents in southern and eastern Africa (PREPARE): project design and conceptual framework UR - http://hdl.handle.net/11427/14444 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/14444
dc.identifier.urihttp://dx.doi.org/10.1186/1471-2458-14-54
dc.identifier.vancouvercitationAaro LE, Mathews C, Kaaya S, Katahoire AR, Onya H, Abraham C, et al. Promoting sexual and reproductive health among adolescents in southern and eastern Africa (PREPARE): project design and conceptual framework. BMC Public Health. 2014; http://hdl.handle.net/11427/14444.en_ZA
dc.language.isoengen_ZA
dc.publisherBioMed Central Ltden_ZA
dc.publisher.departmentWomen's Health Research Uniten_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an open access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.holder2014 Aarø et al.; licensee BioMed Central Ltd.en_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en_ZA
dc.sourceBMC Public Healthen_ZA
dc.source.urihttp://www.biomedcentral.com/bmcpublichealth/en_ZA
dc.subject.otherAdolescent Healthen_ZA
dc.subject.otherReproductive Healthen_ZA
dc.subject.otherReproductive Rightsen_ZA
dc.subject.otherControlled Trialsen_ZA
dc.titlePromoting sexual and reproductive health among adolescents in southern and eastern Africa (PREPARE): project design and conceptual frameworken_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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