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CyberSenga Dissemination
Meeting
SESSION 3:
CYBERSENGA –THE PROGRAM
*Thank you for your interest in this presentation. Ple...
A BRIEF OVERVIEW OFTHE
INTERNET PROGRAM
CyberSenga – The Program
MAIN RESULTS FROMTHE
CYBERSENGATRIAL
CyberSenga – The Program
Methods
 366 adolescents were recruited from 4
secondary schools
 183 were randomized to the CyberSenga
program, 183 to ...
Participant characteristics
Participant characteristics at
baseline
Intervention Control
Demographic characteristics M (SD...
Baseline sexual experience
63
22
15
1
% of study sample
Abstinent males
Sexually active males
Abstinent females
Sexually a...
Sexual activity at 3-months
68%
9%
13%
9%
Abstinent-Abstinent
Abstinent-had sex
Had sex-had sex
Had sex-abstinent
Interven...
Sexual activity at 6-months
61%17%
18%
4%
Abstinent-Abstinent
Abstinent-had sex
Had sex-abstinent
Had sex-had sex
60%18%
1...
3-month outcomes:Among youth
who were abstinent at baseline
88%
77%
12%
23%
CyberSenga program Control
No sex in the past ...
6-month outcomes:Among youth who were
abstinent at baseline who became sexually active
during the 6-months
84% 80%
72%
16%...
6-month outcomes:Among youth
who were sexually active at baseline
80%
57% 55%
20%
43% 45%
CyberSenga program +
Booster
Cyb...
Conclusions: Short term
The CyberSenga program is associated with
increased odds of continued abstinence
among those who a...
Conclusions: Longer term
There is suggestion that:
• The CyberSenga program + booster was
associated with secondary abstin...
Take away
The CyberSenga program is
associated with sustained
abstinence in the short-term among
youth abstinent at baseli...
DISCUSSION:
BRINGING IT ALLTOGETHER
CyberSenga – The Program
AFTER CYBERSENGA
– THE NEXT STEPS
CyberSenga – The Program
Short term plan
The CyberSenga program will be freely available
online at www.CyberSenga.com by
August, 2012
We will be se...
Long term plan / questions
How do we encourage young people to use the
website / complete the program?
Is there room / a r...
Acknowledgements
 We would like to thank the entire
CyberSenga Study team from Center for
Innovative Public Health Resear...
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CyberSenga Dissemination Meeting: Session 3. CyberSenga the program

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  • Had sex -abstinent
  • Had sex -abstinent
  • Had sex -abstinent
  • Had sex -abstinent
  • Had sex -abstinent
  • Transcript of "CyberSenga Dissemination Meeting: Session 3. CyberSenga the program"

    1. 1. CyberSenga Dissemination Meeting SESSION 3: CYBERSENGA –THE PROGRAM *Thank you for your interest in this presentation. Please note that analyses included herein are preliminary. More recent, finalized analyses may be available by contacting CiPHR for further information. Conducted at the Acacia Hotel, Mbarara, Uganda, May 29, 2012 MicheleYbarra MPH PhD Center for Innovative Public Health Research Julius Kiwanuka MD Mbarara University of Science & Technology
    2. 2. A BRIEF OVERVIEW OFTHE INTERNET PROGRAM CyberSenga – The Program
    3. 3. MAIN RESULTS FROMTHE CYBERSENGATRIAL CyberSenga – The Program
    4. 4. Methods  366 adolescents were recruited from 4 secondary schools  183 were randomized to the CyberSenga program, 183 to a control group ◦ Half of youth randomized to the CyberSenga program were randomly selected to receive a ‘booster’ lesson in July, 2011  Data were collected in: ◦ March, 2011 (baseline), ◦ June, 2011 (3-month follow-up), and ◦ September, 2011 (6-month follow-up)
    5. 5. Participant characteristics Participant characteristics at baseline Intervention Control Demographic characteristics M (SD) M (SD) Age (years; range: 13-19) 16.0 (1.4) 16.2(1.5) n (%) n (%) Male 152 (83%) 155 (85%) Current grade 58 (32%) 56 (31%) S.1 1 (1%) 0 (0%) S.2 47 (26%) 50 (27%) S.3 72 (39%) 58 (32%) S.4 63 (34%) 75 (41%) Father is university graduate 63 (34%) 71 (39%) Mother is university graduate 52 (28%) 59 (32%) Ever had sex vaginal or anal sex 58 (32%) 56 (31%) Had sex in the past two years 47 (26%) 45 (25%)
    6. 6. Baseline sexual experience 63 22 15 1 % of study sample Abstinent males Sexually active males Abstinent females Sexually active females
    7. 7. Sexual activity at 3-months 68% 9% 13% 9% Abstinent-Abstinent Abstinent-had sex Had sex-had sex Had sex-abstinent Intervention: 3-month sexual activity based upon activity at baseline 60%17% 14% 9% Control group: 3-month sexual activity based upon activity at baseline
    8. 8. Sexual activity at 6-months 61%17% 18% 4% Abstinent-Abstinent Abstinent-had sex Had sex-abstinent Had sex-had sex 60%18% 13% 10% Intervention: 3-month sexual activity based upon activity at baseline 62% 15% 13% 10% Control group: 3-month sexual activity based upon activity at baseline Intervention + Booster: 3-month sexual activity based upon activity at baseline
    9. 9. 3-month outcomes:Among youth who were abstinent at baseline 88% 77% 12% 23% CyberSenga program Control No sex in the past 3-months Sex in the past 3-months χ2(1)= 5.7, p=0.02
    10. 10. 6-month outcomes:Among youth who were abstinent at baseline who became sexually active during the 6-months 84% 80% 72% 16% 20% 28% CyberSenga program + Booster CyberSenga program Control Average # of unprotected sex acts Average # of protected sex acts χ2(2)= 0.23, p=.79
    11. 11. 6-month outcomes:Among youth who were sexually active at baseline 80% 57% 55% 20% 43% 45% CyberSenga program + Booster CyberSenga program Control No sex in the past 3-months Sex in the past 3-months F(2)= 3.9, p=0.15
    12. 12. Conclusions: Short term The CyberSenga program is associated with increased odds of continued abstinence among those who are abstinent
    13. 13. Conclusions: Longer term There is suggestion that: • The CyberSenga program + booster was associated with secondary abstinence among youth who were sexually active at the beginning of the program • The CyberSenga program was associated with increased condom use among youth who became sexually active during the program
    14. 14. Take away The CyberSenga program is associated with sustained abstinence in the short-term among youth abstinent at baseline; And is suggestive of affecting HIV preventive behavior among sexually active youth in the longer term.
    15. 15. DISCUSSION: BRINGING IT ALLTOGETHER CyberSenga – The Program
    16. 16. AFTER CYBERSENGA – THE NEXT STEPS CyberSenga – The Program
    17. 17. Short term plan The CyberSenga program will be freely available online at www.CyberSenga.com by August, 2012 We will be seeking funding to follow these youth over time to see if the influence of the program stays over time
    18. 18. Long term plan / questions How do we encourage young people to use the website / complete the program? Is there room / a role for an adult ‘support’ program that gives adults the skills to talk to youth about sex and HIV, and also how to use CyberSenga as a tool in this effort?
    19. 19. Acknowledgements  We would like to thank the entire CyberSenga Study team from Center for Innovative Public Health Research, Internet Solutions for Kids – Uganda, Mbarara University of Science andTechnology, the University of Colorado, and Harvard University, who contributed to the planning and implementation of the study. Finally, we thank the schools and the students their time and willingness to participate in this study.
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