Evidence map›Paper›PMID 33187485›Full record

ArticleBMC public health2020

Design and impact evaluation of a digital reproductive health program in Rwanda using a cluster randomized design: study protocol.

Cara Nolan, Laura Packel, Rebecca Hope, Jordan Levine, Laura Baringer, Emmyson Gatare, Aline Umubyeyi, Felix Sayinzoga, Michael Mugisha, Janepher Turatsinze and 4 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04198272 (Impact Evaluation of CyberRwanda), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04198272 nacompletednot on this mapstarted 2021, after this paper: background citation

Impact Evaluation of CyberRwanda: A Digital Health Intervention for Adolescents

TypeinterventionalSponsorUniversity of California, BerkeleyRan2021 to 2023Enrolled6,078ConditionsPregnancy in Adolescence, Adolescent Health, Health Services AccessibilityArmsCyberRwanda
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. In the Know: A Cluster Randomized Trial of an In-person Sexual Health Education Program Integrating Digital Technologies for Adolescents.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
    Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 3 countries.

Cara NolanSchool of Public Health, University of California, Berkeley, 2121 Berkeley Way West, MC 7360, Berkeley, CA, 94720, USA. cara_nolan@berkeley.edu.ORCID http://orcid.org/0000-0001-7177-0625
Laura PackelSchool of Public Health, University of California, Berkeley, 2121 Berkeley Way West, MC 7360, Berkeley, CA, 94720, USA.
Rebecca HopeYLabs, 2nd Floor, Golden Plaza, KG 546 St. Kacyiru, Kigali, Rwanda.
Jordan LevineYLabs, 2nd Floor, Golden Plaza, KG 546 St. Kacyiru, Kigali, Rwanda.
Laura BaringerYLabs, 2nd Floor, Golden Plaza, KG 546 St. Kacyiru, Kigali, Rwanda.
Emmyson GatareYLabs, 2nd Floor, Golden Plaza, KG 546 St. Kacyiru, Kigali, Rwanda.
Aline UmubyeyiDepartment of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, University of Rwanda, P.O. Box: 5229, Kigali, Rwanda.
Felix SayinzogaRwanda Biomedical Center, KG 17 Ave, towards Amahoro Stadium, Remera, Rukiri II, Remera, Gasabo, Kigali, Rwanda.
Michael MugishaDepartment of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, University of Rwanda, P.O. Box: 5229, Kigali, Rwanda.
Janepher TuratsinzeSociety for Family Health, Rwanda, Plot 99 KG543 St. Kacyiru, PO Box: 3040, Kigali, Rwanda.
Aimee NaganzaSociety for Family Health, Rwanda, Plot 99 KG543 St. Kacyiru, PO Box: 3040, Kigali, Rwanda.
Laiah IdelsonYTH Initiative, ETR, 1630 San Pablo Avenue, Suite 500, Oakland, CA, 94612, USA.
Stefano BertozziSchool of Public Health, University of California, Berkeley, 2121 Berkeley Way West, MC 7360, Berkeley, CA, 94720, USA.
Sandra McCoySchool of Public Health, University of California, Berkeley, 2121 Berkeley Way West, MC 7360, Berkeley, CA, 94720, USA.
University of California, Berkeley · USSociety for Family Health Nigeria · NGUniversity of Rwanda · RWBerkeley Public Health Division · USRwanda Biomedical Center · RWYouth+Tech+Health · US

Funding

David and Lucile Packard Foundation 2018-68175United States Agency for International Development 7200AA18CA00047
6 · The paper itself

Abstract

backgroundRwandan adolescents have limited access to high-quality family planning and reproductive health (FP/RH) information and care to prevent unplanned pregnancy and HIV/STIs. In addition to the immediate implications for health and well-being, teenage pregnancy is a significant cause of school drop-out, limiting girls' future potential and employment opportunities. This study introduces a direct-to-consumer digital education program that uses storytelling to deliver age-appropriate FP/RH information and economic empowerment training to adolescents. It also facilitates access to high-quality, youth-friendly FP/RH care and products. We evaluate two different school-based models of its implementation to understand how to optimize the uptake of contraception and HIV testing among adolescents.

methodsThe study consists of two distinct phases. The first formative intervention design phase, conducted from 2016 to 2019, used a human-centered design methodology to develop the intervention alongside over 600 Rwandan adolescents, their parents, teachers, and healthcare providers. Through this methodology, we sought to maximize the fit between evidence-based practices (uptake of modern contraception and HIV testing) and the implementation context of adolescents in Rwanda. The second phase is an impact evaluation, in which we will use a Hybrid Trial Type 2 Effectiveness-Implementation study design to determine the overall effectiveness of this digital intervention as well as the relative effectiveness of the two different school-based implementation models. This takes the form of a 3-arm cluster-randomized non-inferiority trial, with a sample of 6000 youth aged 12-19 in 60 schools across 8 districts in Rwanda. Primary outcome measures include use of modern contraception, delayed initiation of childbearing, and uptake of HIV testing. DISCUSSION: This study will yield insights into not only whether this digital intervention is successful in achieving the intended sexual and reproductive health outcomes, but also which mechanisms are likely to drive this effectiveness. The methodologies used are broadly applicable to the design, implementation, and evaluation of other behavior-based health programs in low and middle-income countries.

trial registrationClinicalTrials.gov Identifier: NCT04198272 . Prospectively registered 13 December 2019.

Indexed as

Pregnancy in AdolescenceReproductive HealthAdolescentAdultChildContraceptionEquivalence Trials as TopicFemaleHumansPregnancyProgram EvaluationRwandaSex EducationYoung AdultAdolescent sexual and reproductive healthCluster randomized controlled trialDigital healthFamily planning and reproductive healthHuman-centered designHybrid type 2 effectiveness-implementation studyRwandaUptake of modern contraceptive methods

Identifiers

PMID33187485
PMCPMC7662730
OpenAlexW3104192848

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.