About this trial
THRIVE-Belize is a school-based program being developed to support the health and well-being of adolescents in the Toledo District of southern Belize. The program covers seven topics: communication and emotional regulation, healthy expressions of masculinity, sexual and reproductive health, healthy relationships, mental and physical health, substance use prevention, and environmental health.
Before testing whether the program works, the research team needs to learn whether students, teachers, parents, school staff, and community members find it acceptable, appropriate, and practical to deliver at Toledo Community College. This study (Phase I) does not deliver the program to anyone. Instead, it gathers feedback through surveys, focus groups, and interviews with about 280 participants across these five groups.
The information collected will be used to refine the program and decide whether to move forward to a future pilot study. No medical or educational intervention is given to participants in this phase.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Students: enrolled at Toledo Community College in Forms 1-4; ages 12-18 years; able to read and comprehend English at grade level; provides written assent; has active written parental/guardian consent
Teachers: currently employed at TCC; teaches students in Forms 1-4; provides written informed consent
Parents/Guardians: parent or legal guardian of an eligible TCC student; age 18 years or older; able to communicate in English, Spanish, or Q'eqchi'-Mopan Maya; provides written informed consent
School Principal and Administrative Staff: currently serving as principal or administrative staff at TCC; provides written informed consent
Disqualifiers
Cognitive or developmental limitations preventing informed assent or participation (students)
Declines to participate (students or parents/guardians)
Trial population
Adolescents aged 12-18 (Forms 1-4) and adult stakeholders (teachers, parents/guardians, principal and administrative staff, and community stakeholders) at one secondary school in the Toledo District, Belize.
Trial design
Other
Cross-sectional
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Acceptability of the proposed intervention (AIM)
Mean score on the adapted 4-item Acceptability of Intervention Measure (AIM), 5-point Likert scale (1=Strongly Disagree to 5=Strongly Agree). A mean score of 4.0 or higher indicates acceptability.
Appropriateness of the proposed intervention (IAM)
Mean score on the adapted 4-item Intervention Appropriateness Measure (IAM), 5-point Likert scale. A mean score of 4.0 or higher indicates appropriateness.
Feasibility of the proposed intervention (FIM)
Mean score on the adapted 4-item Feasibility of Intervention Measure (FIM), 5-point Likert scale. A mean score of 4.0 or higher indicates feasibility.
Adoption and organizational readiness
Proportion of stakeholders expressing intent to support or participate in the proposed intervention, supplemented by qualitative themes related to readiness and barriers from focus groups and interviews.
Secondary outcomes
Recruitment and consent feasibility
Consent/assent rates (target: at least 60%), retention rates, and reasons for non-participation.
Measurement feasibility and respondent burden
Survey completion rates (target: at least 90%), item-level missingness, and participant-reported comprehension of instruments.
Facilitator and delivery feasibility
Qualitative assessment of teacher capacity, willingness to deliver the curriculum (target: at least 60% willing), training needs, and scheduling constraints.
Sponsors and contacts
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University of Arizona
Lead sponsor
Hillside Health Care
Collaborator
Toledo Community College
Collaborator
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