NCT04227236

Interventions to Improve Reproductive Health Among Adolescents

Completed NA Results posted Last updated 7 August 2025

What this trial tests

NA trial testing E-based virtual facilitator training for Making Proud Choices in Teacher Training in 53 participants. Completed in 17 April 2019.

Timeline

7 January 2019

Primary endpoint
17 April 2019

17 April 2019

Quick facts

Lead sponsor	RAND
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	none
Primary purpose	other
Enrollment	53
Start date	7 January 2019
Primary completion	17 April 2019
Estimated completion	17 April 2019
Sites	1 location across United States

Drugs / interventions tested

• E-based virtual facilitator training for Making Proud Choices
• In-person facilitator training for Making Proud Choices

Conditions studied

• Teacher Training — all drugs for Teacher Training →

Sponsor

RAND — full company profile →

Who can join

21 and older, any sex, with Teacher Training. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Implementation Fidelity: Conducting Condom Line-up Primary · up to 1 hour post teacher training

Participants teach an activity that is video recorded and coded for fidelity to the Making Proud Choices curriculum. Participants are scored on the completion of multiple curriculum tasks by two coders as 2=done correctly, 1=done partially correct, or 0=not done correctly. This particular measure was a single item about the degree to which the teacher correctly conducted the condom line up activity.

Group	Value	95% CI
E-based Virtual Training	1.67	± 0.44
In-person Training	1.26	± 0.56

Training Knowledge of Condom Line-Up Activity Primary · 30 minutes before teacher training and 30 minutes after training

7-item survey measure of knowledge related to condom safety and objectives of the condom line-up module of Making Proud Choices. Responses were coded as correct (1) and incorrect (0). Averaging together the 0s and 1, we calculated a percentage correct for the whole 7 item survey, with 100% being all correct, and 0% being all incorrect.

Pre-training

Group	Value	95% CI
E-based Virtual Training	63.3	± 21.1
In-person Training	66.7	± 19.3

Post-training

Group	Value	95% CI
E-based Virtual Training	96.6	± 4.5
In-person Training	100.0	± 0.0

Change in Teaching Self-efficacy Primary · 30 minutes before teacher training and 30 minutes after training

4-item self-efficacy measure assessing confidence in teaching condom safety, rated from 1 (not at all) to 7(extremely). Scores were averaged to create a self-efficacy scale score. Change scores were calculated by subtracting scores Post-Pre Training.

Group	Value	95% CI
E-based Virtual Training	.59	± .99
In-person Training	.75	± .69

Implementation Fidelity: Discuss Steps in Condom Use Primary · 1 hour after training

Participants teach an activity that is video recorded and coded for fidelity to the Making Proud Choices curriculum. Participants are scored on the completion of multiple curriculum tasks by two coders as 2=done correctly, 1=done partially correct, or 0=not done correctly. This particular measure was a single item about the degree to which the teacher correctly discussed the steps in the activity on how to use a condom properly.

Group	Value	95% CI
E-based Virtual Training	1.15	± 0.88
In-person Training	0.79	± 0.93

Acceptability of Training Secondary · 30 minutes after teacher training

19-item measure of perceived acceptability of Making Proud Choices e-based facilitator training. The overall score, which is an average of all 19 items, uses a 7-point scale (strongly agree to strongly disagree). Higher scores equal greater acceptability. Thus, the high score is 7 (training perceived as most acceptable). The low score is 1 (training perceived as the least acceptable). Only the participants of the E-based Virtual Training group were asked these questions.

Group	Value	95% CI
E-based Virtual Training	5.80	± 1.12

Applicability of Training Secondary · 30 minutes after teacher training

10-item measure of perceived applicability of Making Proud Choices e-based facilitator training. Items were rated on a 7-point scale (strongly agree to strongly disagree). All items were averaged together to create a total score, with higher scores representing greater perceptions of applicability. Thus, the high score is 7 (training perceived as most applicable). The low score is 1 (training perceived as the least applicable). Only participants in the E-based Virtual Training group were asked these questions.

Group	Value	95% CI
E-based Virtual Training	5.55	± 1.18

Overall Impression Secondary · 30 minutes after teacher training

Participants overall impressions of the training were assessed using 4 item measure, rated on a 7-point Likert scale ("very difficult to use" to "very easy to use", "very boring" to "very interesting", "very amateurish" to "very professional", and "very basic" to "very informative"). Items were average to create an overall impression score, with higher scores reflecting greater overall impression. Thus, the high score is 7 (training perceived with the highest favorable impression). The low score is 1 (training perceived with the least favorable impression). Only participants of the E-based Vi

Group	Value	95% CI
E-based Virtual Training	5.46	± 1.15

Sponsor's own description

The proposed virtual training prototype will provide Making Proud Choices (MPC) facilitator trainees the opportunity to make decisions, build facilitator skills, practice core concepts and enhance self-efficacy with a virtual audience programmed to display a range of behaviors and emotions, simulating a true-to-life experience with immediate feedback. Seventy-two adults who have experience working with adolescents but not with MPC, STI, or pregnancy prevention education will receive MPC training. Participants will be randomly assigned to either: 1) virtual training in the MPC module on condom use n=36), or 2) dfusion/ETR's traditional in-person training in the same module (n=36). Using mixed methods (survey, focus groups, observations), the project will evaluate the virtual training's impact on STI/pregnancy prevention knowledge, teaching efficacy, and teaching skills and its usability, feasibility, and acceptability.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.