ClinicalTrials.gg
Not yet recruitingNCT07208045IYGUpdated Oct 8, 2025

Cultural Adaptation, Validation, and Evaluation of the Programme for Promotion of Healthy Affective-Sexual Behaviours in Adolescents (IYG)

An interventional study of Es tu juego: decide bien (IYG) in Sexual Behavior, Sexually Transmitted Disease (STD) and Condom Use, sponsored by University of Seville. Not yet recruiting at 1 site in Spain. Open to participants aged 11 Years to 14 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-10-08.

Sponsored by University of Seville · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
1,200
Allocation
Randomized
Ages
11 Years to 14 Years
Sex
All
01

Study summary

The investigators are writing to inform participants about a study being carried out by a research group from the University of Granada and the University of Seville, in which the participant's son/daughter is invited to participate. The study has been approved by the Provincial Research Ethics Committee of Granada under code 202499906944441.

The sole intention of the investigators is to ensure that participants receive correct and sufficient information to assess and decide whether or not to give consent for the child's participation in this study. The information sheet should be read carefully, and any questions may be addressed to the investigators.

The objective of the study is to culturally adapt the program It's Your Game: Keep it Real (IYG), which aims to prevent risky sexual and affective behaviors in adolescents. The IYG program consists of 12 lessons, each lasting 45 minutes. These lessons aim to help the child identify personal norms and boundaries regarding sexuality, recognize situations that might challenge these boundaries, and develop refusal skills to maintain them. The program also covers topics such as the characteristics of healthy and unhealthy relationships, friendships, anatomy and reproduction, the social, emotional, and physical consequences of sexual activity, the consequences of teenage pregnancy and STIs, condom and contraceptive use, and communication skills.

This adaptation will involve the child completing all 12 lessons (two lessons per week over a period of six weeks) that make up the IYG program, as well as filling out a series of questionnaires. These questionnaires will allow the investigators to assess the usability of the program in Spain (including ease of use, comprehension, acceptability, as well as aspects most liked and suggestions for improvement).

Participation is entirely VOLUNTARY AND ANONYMOUS, and consent may be withdrawn at any time, without providing any explanation and without this affecting the care the child will receive in any way.

In all cases, the CONFIDENTIALITY of the data collected will be maintained in accordance with the European Union General Data Protection Regulation (GDPR) 2016/679 and the Spanish Organic Law on the Protection of Personal Data and Guarantee of Digital Rights (LOPD-GDD) 3/2018, of December 5.

Regarding the study results, these may be shared with the scientific community through presentations, conferences, and/or publications.

The investigators express appreciation in advance for cooperation in this study.

02

Conditions studied

  • Sexual Behavior
  • Sexually Transmitted Disease (STD)
  • Condom Use
  • Adolescent Health
  • Cultural Adaptation

Keywords

  • sexually behaviour
  • sex education
  • adolescents
  • health education
  • cultural adaptation
  • evidence-based prevention
  • school health
03

In context

Sexual Behavior

224 studies on the registry are indexed under Sexual Behavior; 30 are open to participants now.

This study's planned enrollment of 1,200 is above the median of 264 across 179 interventional studies indexed under Sexual Behavior.

Browse Sexual Behavior studies →

Lead sponsor

University of Seville is the lead sponsor of 130 studies on the registry; 39 are open to participants now.

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

04

Who can participate

Ages eligible
11 Years to 14 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adolescents aged between 11 and 14 years enrolled in compulsory secondary education (E.S.O).
  • Access to a computer and internet at their educational centre.

Exclusion criteria

Exclusion Criteria:

  • Presence of linguistic, cognitive, or sensory barriers that prevent completion of the questionnaire
  • Participation in another programme aimed at preventing affective-sexual risk behaviours.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,200 participants (estimated)

Study arms

  • Experimental
    Intervention group IYG

    The intervention group will receive the culturally adapted version of It's Your Game (IYG) educational program, which is designed to promote healthy sexual behaviors and prevent risks among adolescents.

    Behavioral: Es tu juego: decide bien (IYG)

  • No intervention
    Waiting list control group

    The control group will participate in the standard sexuality and emotional education training, corresponding to the regular curriculum implemented in the educational setting. The participants in the control group will remain on a waiting list to receive the intervention, which will be implemented once the project has been completed.

Interventions

  • BehavioralEs tu juego: decide bien (IYG)

    Affective-sexual education for adolescents through an gamified online and school-based program.

06

What researchers measure

Primary outcomes

  1. Proportion of participants maintaining abstinence from oral, vaginal, and anal sex, assessed using a self-administered questionnaire adapted from It's Your Game: Keep It Real.

    The primary outcome will be assessed only in participants who have not initiated sexual activity at baseline. Three self-report items will be used to determine whether, since the initial assessment, the participant has initiated: Oral sex, Vaginal sex, Anal sex. Each question will have a dichotomous categorical response (Yes / No). The outcome will be calculated as the number and percentage of participants who respond "No" for each type of sexual activity at the end of follow-up. Data will be presented separately by study group (intervention and control) and by type of sexual activity. Measurement Details: Instrument: Structured self-administered questionnaire, culturally adapted and validated in Spanish adolescent populations during the pilot phase. Response format: Yes / No. Interpretation: A higher proportion of "No" responses indicates a better outcome (greater delay in the initiation of sexual activity). Data aggregation method: Calculation of percentages and absolute and r

    Time frame: Baseline (Month 0), at the end of the first and second school year of implementation and the end of the following school year and end of follow-up (Month 24)

07

Study locations

1 site
  • IES Numancia
    Barcelona, Santa Coloma de Gramenet 08921, Spain
    • Alba Sierra Yagüe · ContactAlbbii.sy@gmail.com · 652260353
    • Alba Sierra Yagüe · Principal investigator
08

References and documents

Publications

  • Wiltsey Stirman S, Baumann AA, Miller CJ. The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions. Implement Sci. 2019 Jun 6;14(1):58. doi: 10.1186/s13012-019-0898-y. PubMed 31171014 ↗
  • Lucassen MF, Samra R, Brown KE, Rimes KA, Nunez-Garcia A, Wallace LM. A web-based intervention to support the mental well-being of sexual and gender minoritised adolescents: Formative evaluation of Oneself. Digit Health. 2025 Mar 13;11:20552076251321057. doi: 10.1177/20552076251321057. eCollection 2025 Jan-Dec. PubMed 40093712 ↗
  • Escobar-Chaves SL, Shegog R, Moscoso-Alvarez MR, Markham C, Tortolero-Luna G, Peskin M, Tortolero S. Cultural tailoring and feasibility assessment of a sexual health middle school curriculum: a pilot test in Puerto Rico. J Sch Health. 2011 Aug;81(8):477-84. doi: 10.1111/j.1746-1561.2011.00617.x. PubMed 21740433 ↗
  • Virzi RA. Refining the Test Phase of Usability Evaluation: How Many Subjects Is Enough? Human Factors: The Journal of the Human Factors and Ergonomics Society. 1992; 1; 34(4): 457-68. https://2024.sci-hub.box/3857/2afb54700f6961ae637e388c3f96891c/virzi1992.pdf
  • Vargas-Martinez AM, Guillen-Martinez D, Domingo Perez T, Soilan Enriquez A, Zafra-Agea JA, Hoyos Cillero I, Lima-Serrano M, Tarrino-Concejero L. Analysis of the management function of the school nurse in Spain: use of records and interaction with primary care, the educational community and other institutions. Enferm Clin (Engl Ed). 2025 Sep-Oct;35(5):502200. doi: 10.1016/j.enfcle.2025.502200. Epub 2025 May 22. PubMed 40412717 ↗
  • Agyei FB, Kaura DK, Bell JD. Parent-adolescent sexual and reproductive health information communication in Ghana. Reprod Health. 2025 Feb 19;22(1):25. doi: 10.1186/s12978-025-01961-y. PubMed 39972503 ↗
  • Mukanga B, Dlamini SB, Taylor M. Cultural appropriateness of a comprehensive sexuality education programme. Implications for programme adaptation and implementation in Zambia. Sex Educ. 2025; 3;25(5): 631-46. https://doi.org/10.1080/14681811.2024.2367761
  • Kitzinger J. Qualitative research. Introducing focus groups. BMJ. 1995 Jul 29;311(7000):299-302. doi: 10.1136/bmj.311.7000.299. PubMed 7633241 ↗
  • Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007 Dec;19(6):349-57. doi: 10.1093/intqhc/mzm042. Epub 2007 Sep 14. PubMed 17872937 ↗
  • Lee SD, Iott B, Banaszak-Holl J, Shih SF, Raj M, Johnson KE, Kiessling K, Moore-Petinak N. Application of Mixed Methods in Health Services Management Research: A Systematic Review. Med Care Res Rev. 2022 Jun;79(3):331-344. doi: 10.1177/10775587211030393. Epub 2021 Jul 12. PubMed 34253078 ↗
  • Leech N, Onwuegbuzie A. Guidelines for conducting and reporting mixed research in the field of counseling and beyond. Journal of Counseling and Development. 2010; 88(1): 61-9. doi: 10.1002/j.1556-6678.2010.tb00151.x
  • Muheriwa-Matemba S, Crooks N, Hall H et al. 156. Fostering Young Adolescent Engagement in Sexual Health Research: A Youth-Led Community-Based Participatory Research in Western NY. Journal of Adolescent Health. 2025; 76(3): S81. doi: 10.1016/j.jadohealth.2024.11.172
  • Meherali S, Munro S, Puinean G, Salami B, Wong JP, Vandermorris A, Benoit JRA, Flicker S, Okeke-Ihejirika P, Stroulia E, Norman WV, Scott SD. Co-designing a Sexual Health App With Immigrant Adolescents: Protocol for a Qualitative Community-Based Participatory Action Research Study. JMIR Res Protoc. 2023 Mar 22;12:e45389. doi: 10.2196/45389. PubMed 36947124 ↗
  • Kachingwe ON, Lewis Q, Offiong A, Smith BD, LoVette A, Powell TW. Using the intervention mapping for adaption framework to adapt an evidence-based sexual health intervention for youth affected by trauma. BMC Public Health. 2023 Jun 1;23(1):1052. doi: 10.1186/s12889-023-15984-2. PubMed 37264451 ↗
  • Resnicow K, Baranowski T, Ahluwalia JS, Braithwaite RL. Cultural sensitivity in public health: defined and demystified. Ethn Dis. 1999 Winter;9(1):10-21. PubMed 10355471 ↗
  • Bernal G, Bonilla J, Bellido C. Ecological validity and cultural sensitivity for outcome research: issues for the cultural adaptation and development of psychosocial treatments with Hispanics. J Abnorm Child Psychol. 1995 Feb;23(1):67-82. doi: 10.1007/BF01447045. PubMed 7759675 ↗
  • Corpus-Espinosa C, Mac Fadden I, Del Carmen Torrejon-Guirado M, Lima-Serrano M. Exploring Cultural Adaptations: A Scoping Review on Adolescent Mental Health and Substance Use Prevention Programs. Prev Sci. 2025 Feb;26(2):204-221. doi: 10.1007/s11121-025-01779-x. Epub 2025 Jan 31. PubMed 39888521 ↗
  • Flay BR, Petraitis J. The Theory of Triadic Influence: A New Theory of Health Behavior With Implications for Preventive Interventions. Advances in Medical Sociology 1994. https://www.researchgate.net/publication/224942196_The_Theory_of_Triadic_Influence_A_New_Theory_of_Health_Behavior_With_Implications_for_Preventive_Interventions
  • Perry CL. Creating health behavior change: How to develop community-wide programs for youth. Sage Publications, editor. Thousand Oaks, California, USA; 1999.
  • Komro KA, Perry CL, Williams CL, Stigler MH, Farbakhsh K, Veblen-Mortenson S. How did Project Northland reduce alcohol use among young adolescents? Analysis of mediating variables. Health Educ Res. 2001 Feb;16(1):59-70. doi: 10.1093/her/16.1.59. PubMed 11252284 ↗
  • Bandura A. Social foundations of thought and action: a social cognitive theory. Englewood Cliffs: Prentice Hall; 1986.
  • Lima-Serrano M, Barrera-Villalba C, Mac-Fadden I, Mesters I, de Vries H. Alerta Cannabis: A Tailored-Computer Web-Based Program for the Prevention of Cannabis Use in Adolescents: A Cluster-Randomized Controlled Trial Protocol. BMC Nurs. 2024 Apr 10;23(1):239. doi: 10.1186/s12912-024-01889-x. PubMed 38600496 ↗
  • Shegog R, Craig Rushing S, Gorman G, Jessen C, Torres J, Lane TL, Gaston A, Revels TK, Williamson J, Peskin MF, D'Cruz J, Tortolero S, Markham CM. NATIVE-It's Your Game: Adapting a Technology-Based Sexual Health Curriculum for American Indian and Alaska Native youth. J Prim Prev. 2017 Apr;38(1-2):27-48. doi: 10.1007/s10935-016-0440-9. PubMed 27520459 ↗
  • Shegog R, Peskin MF, Markham C, Thiel M, Karny E, Addy RC, Johnson KA, Tortolero S. It's Your Game-Tech: Toward Sexual Health in the Digital Age. Creat Educ. 2014 Aug;5(15):1428-1447. doi: 10.4236/ce.2014.515161. PubMed 25705561 ↗
  • Peskin MF, Shegog R, Markham CM, Thiel M, Baumler ER, Addy RC, Gabay EK, Emery ST. Efficacy of It's Your Game-Tech: A Computer-Based Sexual Health Education Program for Middle School Youth. J Adolesc Health. 2015 May;56(5):515-21. doi: 10.1016/j.jadohealth.2015.01.001. Epub 2015 Mar 1. PubMed 25739520 ↗
  • Markham CM, Tortolero SR, Peskin MF, Shegog R, Thiel M, Baumler ER, Addy RC, Escobar-Chaves SL, Reininger B, Robin L. Sexual risk avoidance and sexual risk reduction interventions for middle school youth: a randomized controlled trial. J Adolesc Health. 2012 Mar;50(3):279-88. doi: 10.1016/j.jadohealth.2011.07.010. Epub 2011 Oct 7. PubMed 22325134 ↗
  • Tortolero SR, Markham CM, Peskin MF, Shegog R, Addy RC, Escobar-Chaves SL, Baumler ER. It's Your Game: Keep It Real: delaying sexual behavior with an effective middle school program. J Adolesc Health. 2010 Feb;46(2):169-79. doi: 10.1016/j.jadohealth.2009.06.008. Epub 2009 Aug 18. PubMed 20113923 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — The project will generate qualitative data (focus groups with adolescents, parents, associations, public agencies, NGOs for the cultural adaptation of the IYG program) and quantitative data (usability and pilot tests with adolescents in Andalusia and Catalonia). Data, in text and table formats, will be stored in the DIGIBUG repository (Qualified Dublin Core metadata, unique identifier, version control). They will be accessible after processing, except those protected by personal data regulations, which will be embargoed. No raw or sociodemographic data will be published. Materials will have a Creative Commons license and may be reused after project completion, with up to 3 years embargo for doctoral theses. DIGIBUG will perform backups and ensure security. Data will be pseudonymized or anonymized (AMNESIA tool) and owned by the PI, who will ensure legal and ethical compliance.

Supporting information: Statistical analysis plan

Time frame: Materials will have a Creative Commons license and may be reused after project completion, with up to 3 years embargo for doctoral theses.

Access criteria: Raw data will only be available to the research team. Ownership of the data will rest with the project's Principal Investigator, who will ensure that no variables are transferred.

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Oct 2025; primary completion for Jun 2027, 20 months later.

Of 106 non-industry interventional studies with no phase under Sexual Behavior, half reached primary completion within 27 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 47. This study's planned 20 months is below that.

Counting every sponsor, half of 107 studies reached it within 23 months; a quarter within 11 and three quarters within 47.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 2, 2025
First posted
Oct 8, 2025
StartEst.
Oct 1, 2025
Primary completionEst.
Jun 30, 2027
CompletionEst.
Jun 30, 2027
Last update
Oct 8, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 8, 2025, 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
NCT07208045
Responsible party
Marta Lima-Serrano, PhD (Full professor, University of Seville) — Principal investigator
First posted
Oct 8, 2025
Start date
Oct 1, 2025 (estimated)
Primary completion
Jun 30, 2027 (estimated)
Completion
Jun 30, 2027 (estimated)
Last update
Oct 8, 2025

Study contacts

Alba Sierra Yagüe, PhD student. Nurse
Contact
Albbii.sy@gmail.com
652260353
Marta Lima Serrano, Full professor
Contact
mlima@us.es
Alba Sierra Yagüe, Phd Student
principal investigator · Catalan Institute of Health
Marta Lima Serrano, Full professor
study director · University of Seville
José Antonio Zafra Agea, PhD
principal investigator · Catalan Institute of Health
Ana Aguilar Quesada, PhD Student
principal investigator · San Cecilio University Hospital, Granada
María González Cano Caballero, PhD
principal investigator · department of Nursing, Faculty of Health Sciences, University of Granada.

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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