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.
Study Type
OBSERVATIONAL
Enrollment
280
Toledo Community College
Punta Gorda, Toledo District, Belize
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.
Time frame: Single timepoint at post-assessment data collection (study months 1-2)
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.
Time frame: Single timepoint at post-assessment data collection (study months 1-2)
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.
Time frame: Single timepoint at post-assessment data collection (study months 1-2)
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.
Time frame: Single timepoint at post-assessment data collection (study months 1-2)
Recruitment and consent feasibility
Consent/assent rates (target: at least 60%), retention rates, and reasons for non-participation.
Time frame: Throughout the recruitment period (study months 1-2)
Measurement feasibility and respondent burden
Survey completion rates (target: at least 90%), item-level missingness, and participant-reported comprehension of instruments.
Time frame: Single timepoint at post-assessment data collection (study months 1-2)
Facilitator and delivery feasibility
Qualitative assessment of teacher capacity, willingness to deliver the curriculum (target: at least 60% willing), training needs, and scheduling constraints.
Time frame: Single timepoint at post-assessment data collection (study months 1-2)
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