CClinicalTrials.gg
CompletedNCT02579135Updated Oct 16, 2018Results posted

Reducing HIV Risk Among Adolescents: Evaluating Project HEART

An interventional study of Safer Sex and Growth Mindsets in HIV and Sexually Transmitted Diseases, sponsored by North Carolina State University. Completed at 1 site in United States. Open to female participants aged 14 Years to 18 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-10-16.

Sponsored by North Carolina State University · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
222
Allocation
Randomized
Ages
14 Years to 18 Years
Sex
Female
01

Study summary

This study evaluates an educational web-based intervention designed to increase adolescent girls' motivation and skills to engage in safer sexual behavior (Project HEART: Health Education and Relationship Training). Half of participants will receive Project HEART and half of participants will receive Project Growing Minds, an attention-matched control website focused on growth mindsets of intelligence and self-regulation. The ultimate goal of this work is to help girls reduce their risk of HIV and other sexually transmitted diseases and to avoid unplanned pregnancies.

Read the detailed description

This study evaluates an educational web-based intervention designed to increase adolescent girls' motivation and skills to engage in safer sexual behavior (Project HEART: Health Education and Relationship Training). Half of participants will receive Project HEART and half of participants will receive Project Growing Minds, an attention-matched control website focused on growth mindsets of intelligence and self-regulation. The ultimate goal of this work is to help girls reduce their risk of HIV and other sexually transmitted diseases and to avoid unplanned pregnancies.

Primary outcomes for this study include 1) acceptability of the program, 2) communication self-efficacy, and 3) communication intentions.

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Conditions studied

  • HIV
  • Sexually Transmitted Diseases

Keywords

  • Condoms
  • Sexual Abstinence
  • Sexual Communication
03

In context

Sexually Transmitted Diseases

424 studies on the registry are indexed under Sexually Transmitted Diseases; 71 are open to participants now.

This study's enrollment of 222 is below the median of 470 across 346 interventional studies indexed under Sexually Transmitted Diseases.

Browse Sexually Transmitted Diseases studies →

Lead sponsor

North Carolina State University is the lead sponsor of 26 studies on the registry; 11 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
14 Years to 18 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • 10th grade girl
  • Able to read English

Exclusion criteria

Exclusion Criteria:

  • None
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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
222 participants (actual)

Study arms

  • Experimental
    Project HEART

    Interactive website with five modules to address safer sex motivation, knowledge, attitudes/norms, self-efficacy, and sexual communication skills. Program takes approximately 30-45 minutes to complete.

    Behavioral: Safer Sex

  • Other
    Control: Project Growing Minds

    Attention-matched control website with five modules to address an introduction to mindsets, growth mindsets of intelligence, growth mindsets of self-control, growth mindsets of people, and an integrative summary. Program takes approximately 30-45 minutes to complete.

    Behavioral: Growth Mindsets

Interventions

  • BehavioralSafer Sex

    Interactive web-based intervention with five modules: motivation, knowledge, attitudes/norms, self-efficacy, and sexual communication skills.

  • BehavioralGrowth Mindsets

    Interactive web-based intervention with five modules: mindsets introduction, growth mindsets of intelligence, growth mindsets of self-control, growth mindsets of people, and integrative summary.

06

What researchers measure

Primary outcomes

  1. 6-item Self-report of Program Acceptability

    Program acceptability was assessed through a questionnaire that was adapted from prior acceptability surveys. Specifically, six items were included to assess six aspects of acceptability: (i) an intent to return to the website, (ii) whether one would recommend the program to a friend, (iii) whether one would use information from the program in the future, (iv) how much one liked the program, (v) how much one learned from the program and (vi) how much one felt the program kept their attention. The first three questions were coded with dichotomous response options (yes/no-unsure), whereas the last three items used a four point Likert-type scale ranging from 1=not at all to 4=a lot. For analyses, these last 3 items were dichotomized into 1=a lot and 0=not a lot.

    Time frame: Immediate post-test at completion of intervention

  2. 7-item Self-report of Sexual Communication Self-efficacy

    We used the validated Self-Efficacy for HIV Prevention Scale to assess communication self-efficacy. Seven items assessed confidence communicating about sexual topics (e.g., "How sure are you that you could talk to your partner about safer sex?"). Participants responded from 1 for "couldn't do it" to 4 for "very sure." Scores were averaged with higher scores indicating greater confidence in communicating about sex (alpha = 0.82).

    Time frame: Immediate post-test at completion of intervention and 3-month follow-up

  3. 3-item Self-report of Sexual Communication Intentions Over Next 3 Months

    We assessed intentions to communicate about sex with items from the AIDS Risk Behavior Assessment. Three items captured the likelihood of communicating with a partner in the next 3 months about (1) sexual limits and boundaries, (2) STDs and pregnancy, and (3) condom use. Options ranged from 0% to 100% to indicate the likelihood of communicating with a partner. We averaged scores to create a composite (possible range 0-100); higher scores indicated greater likelihood of sexual communication (alpha = 0.84).

    Time frame: Immediate post-test at completion of intervention and 3-month follow-up

07

Results

Posted Oct 16, 2018

Participant flow

Participant flow — Overall Study
MilestoneProject HEARTControl: Project Growing Minds
Started107115
Completed105106
Not completed29

Outcome measures

Primary6-item Self-report of Program Acceptability

Program acceptability was assessed through a questionnaire that was adapted from prior acceptability surveys. Specifically, six items were included to assess six aspects of acceptability: (i) an intent to return to the website, (ii) whether one would recommend the program to a friend, (iii) whether one would use information from the program in the future, (iv) how much one liked the program, (v) how much one learned from the program and (vi) how much one felt the program kept their attention. The first three questions were coded with dichotomous response options (yes/no-unsure), whereas the last three items used a four point Likert-type scale ranging from 1=not at all to 4=a lot. For analyses, these last 3 items were dichotomized into 1=a lot and 0=not a lot.

Time frame:
Immediate post-test at completion of intervention
Reported as:
Count of participants · Participants
6-item Self-report of Program Acceptability
ParticipantsProject HEART
Would return to site84
Recommend to friend94
Use Information in Future101
Liked program a lot60
Learned a lot80
Program kept attention a lot69
Primary7-item Self-report of Sexual Communication Self-efficacy

We used the validated Self-Efficacy for HIV Prevention Scale to assess communication self-efficacy. Seven items assessed confidence communicating about sexual topics (e.g., "How sure are you that you could talk to your partner about safer sex?"). Participants responded from 1 for "couldn't do it" to 4 for "very sure." Scores were averaged with higher scores indicating greater confidence in communicating about sex (alpha = 0.82).

Time frame:
Immediate post-test at completion of intervention and 3-month follow-up
Reported as:
Mean · units on a scale
7-item Self-report of Sexual Communication Self-efficacy
units on a scaleProject HEARTControl: Project Growing Minds
7-item Self-report of Sexual Communication Self-efficacy3.62 ± .473.51 ± .46
Statistical analysis
  • Project HEART vs Control: Project Growing Minds · Regression, Linear · p = .32 · Beta: 0.05
Primary3-item Self-report of Sexual Communication Intentions Over Next 3 Months

We assessed intentions to communicate about sex with items from the AIDS Risk Behavior Assessment. Three items captured the likelihood of communicating with a partner in the next 3 months about (1) sexual limits and boundaries, (2) STDs and pregnancy, and (3) condom use. Options ranged from 0% to 100% to indicate the likelihood of communicating with a partner. We averaged scores to create a composite (possible range 0-100); higher scores indicated greater likelihood of sexual communication (alpha = 0.84).

Time frame:
Immediate post-test at completion of intervention and 3-month follow-up
Reported as:
Mean · units on a scale
3-item Self-report of Sexual Communication Intentions Over Next 3 Months
units on a scaleProject HEARTControl: Project Growing Minds
3-item Self-report of Sexual Communication Intentions Over Next 3 Months87.0 ± 22.578.5 ± 27.9
Statistical analysis
  • Project HEART vs Control: Project Growing Minds · Regression, Linear · p = <.001 · Beta: 8.31

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Project HEART0/107 (0%)0/107 (0%)0/107 (0%)
Control: Project Growing Minds0/115 (0%)0/115 (0%)0/115 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Project HEARTControl: Project Growing MindsTotal
Mean15.26 ± .4815.22 ± .4715.24 ± .48
Sex: Female, Male
Sex: Female, Male(Participants)Project HEARTControl: Project Growing MindsTotal
Female107115222
Male000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Project HEARTControl: Project Growing MindsTotal
White/Non-Hispanic384583
Black/Non-Hispanic292554
Hispanic313465
Other/Mixed Race-Ethnicity91120
Region of Enrollment
Region of Enrollment(Participants)Project HEARTControl: Project Growing MindsTotal
United States107115222
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Study locations

1 site
  • North Carolina State University
    Raleigh, North Carolina 27695, United States
09

References and documents

Publications

  • Widman L, Golin CE, Kamke K, Burnette JL, Prinstein MJ. Sexual Assertiveness Skills and Sexual Decision-Making in Adolescent Girls: Randomized Controlled Trial of an Online Program. Am J Public Health. 2018 Jan;108(1):96-102. doi: 10.2105/AJPH.2017.304106. Epub 2017 Nov 21. PubMed 29161072 ↗
  • Widman L, Golin CE, Noar SM, Massey J, Prinstein MJ. ProjectHeartforGirls.com: Development of a Web-Based HIV/STD Prevention Program for Adolescent Girls Emphasizing Sexual Communication Skills. AIDS Educ Prev. 2016 Oct;28(5):365-377. doi: 10.1521/aeap.2016.28.5.365. PubMed 27710087 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 16, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02579135
Lead sponsor
North Carolina State University
Collaborators
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Responsible party
Laura Widman (Assistant Professor, North Carolina State University) — Principal investigator
First posted
Oct 19, 2015
Start date
Sep 7, 2015
Primary completion
May 4, 2016
Completion
Apr 6, 2017
Results posted
Oct 16, 2018
Last update
Oct 16, 2018

Study contacts

Laura Widman, PhD
principal investigator · North Carolina State University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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