CyberRwanda is a digital health intervention designed to increase knowledge of family planning and reproductive health (FP/RH) and access to youth-friendly services in Rwanda. Sixty schools in eight districts were randomized 1:1:1 to one of two CyberRwanda implementation models—self-service (tablet-only) or facilitated (tablet, activity booklet, peer facilitators)—or to control. Students aged 12–19 years were randomly selected to participate. Baseline and 12-month midline surveys assessed intermediate (secondary) outcomes of FP/RH and HIV knowledge, attitudes/beliefs, self-efficacy, and behavior. Prevalence differences (PDs) were estimated using generalized linear mixed models. There were 5,767 midline participants (51% female, mean/median age: 16 years, 29.9% sexually active). Those in CyberRwanda schools had higher knowledge of emergency contraception (57.3% vs. 47.5%, PD: 0.09, 95% confidence interval [CI]: 0.05–0.13); greater confidence in providing consent (73.3% vs. 68.1%, PD: 0.05, 95% CI: 0.01–0.08), negotiating partner's contraceptive use (88.3% vs. 85.0%, PD: 0.03, 95% CI: 0.01–0.06), and accessing/using contraceptive services (95.6% vs. 91.8%, PD: 0.03, 95% CI: 0.02–0.05); and more favorable views on FP/RH services (54.5% vs. 48.5%, PD: 0.06, 95% CI: 0.02–0.11) and condoms (76.9% vs. 71.3%, PD: 0.06, 95% CI: 0.03–0.08) compared to control. No significant differences in HIV/fertility knowledge, confidence in accessing HIV testing, or condom use were observed. CyberRwanda increased FP/RH knowledge, supportive attitudes/beliefs, self-efficacy, and behavior at 12 months. The 24-month endline analysis will reveal whether CyberRwanda's benefits on intermediate outcomes result in changes to the primary outcomes, including contraception use and childbearing.

中文翻译：

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网络卢旺达的影响之路：青少年计划生育知识、信念、自我效能和行为的整群随机试验的结果

Cyber​​Rwanda 是一项数字健康干预措施，旨在增加卢旺达的计划生育和生殖健康 (FP/RH) 知识以及获得青年友好服务的机会。八个学区的 60 所学校按照 1:1:1 的比例随机分配到两种 Cyber​​Rwanda 实施模式之一：自助服务（仅平板电脑）或辅助（平板电脑、活动手册、同伴辅导员）或对照。 12-19岁的学生被随机选择参加。基线和 12 个月中线调查评估了 FP/RH 和 HIV 知识、态度/信念、自我效能和行为的中间（次要）结果。使用广义线性混合模型估计患病率差异（PD）。共有 5,767 名中线参与者（51% 为女性，平均/中位年龄：16 岁，29.9% 性活跃）。网络卢旺达学校的学生对紧急避孕知识较高（57.3% vs. 47.5%，PD：0.09，95% 置信区间 [CI]：0.05–0.13）；更有信心提供同意（73.3% vs. 68.1%，PD：0.05，95% CI：0.01–0.08），谈判伙伴使用避孕药具（88.3% vs. 85.0%，PD：0.03，95% CI：0.01–0.06） ，以及获得/使用避孕服务（95.6% vs. 91.8%，PD：0.03，95% CI：0.02–0.05）；对计划生育/生殖健康服务（54.5% vs. 48.5%，PD：0.06，95% CI：0.02–0.11）和安全套（76.9% vs. 71.3%，PD：0.06，95% CI：0.03–0.08）持更有利的看法）与对照相比。在艾滋病毒/生育知识、获得艾滋病毒检测的信心或安全套使用方面没有观察到显着差异。 Cyber​​Rwanda 在 12 个月时提高了 FP/RH 知识、支持态度/信念、自我效能和行为。 24 个月的期末分析将揭示 Cyber​​Rwanda 对中间结果的益处是否会导致主要结果的变化，包括避孕措施的使用和生育。