A Rights-Based Sexuality Education Curriculum for Adolescents: 1-Year Outcomes From a Cluster-Randomized Trial

Rohrbach, Louise Ann; Berglas, Nancy F.; Jerman, Petra; Angulo-Olaiz, Francisca; Chou, Chih-Ping; Constantine, Norman A.

doi:10.1016/j.jadohealth.2015.07.004

Cited by 53 publications

(35 citation statements)

References 29 publications

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“…These approaches are being evaluated for impact within high-income countries but rigorous evidence is lacking in L&MICs (Rohrbach et al 2015).…”

Section: Addressing Rights and Empowermentmentioning

confidence: 99%

Adolescent sexual and reproductive health: scoping the impact of programming in low- and middle-income countries

Rankin¹,

Heard²,

Diaz³

2017

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The International Initiative for Impact Evaluation (3ie) is an international grant-making nongovernmental organisation promoting evidence-informed development policies and programmes. We are the global leader in funding and producing high-quality evidence of what works, for whom, why and at what cost. We believe that better and policy-relevant evidence will help make development more effective and improve people's lives. 3ie scoping papers 3ie develops its thematic grant programmes in a particular development area or sector through an organised scoping process. This multifaceted exercise helps ensure that new windows address priorities for evidence production where evidence is limited and gaps have been identified. 3ie scopes the demand for evidence through consultation with potential users, including policymakers, programme managers, researchers and civil society. Scoping exercises usually include producing an evidence map of interventions and outcomes of included studies and reviews. This aids identification of where more or better evidence is needed and where evidence is sufficient for producing systematic reviews. Other scoping can include reviewing existing programming and funding. The results include priority questions for which there is demand for answers. Scoping papers consolidate this information into a justification for what a thematic grant programme will address. About this paper3ie conducted scoping work on adolescent sexual and reproductive health to assess evidence on the effectiveness of related programmes in low-and middle-income countries, and to identify priorities for funding new 3ie impact evaluations and systematic reviews in this area. An evidence gap map is reported in this paper, and is also available in the 3ie Evidence Gap Map Report series, Adolescent sexual and reproductive health: an evidence gap map. An interactive version of the map is available on the 3ie website. The William and Flora Hewlett Foundation provided funding for this scoping project.All of the content is the sole responsibility of the authors and does not represent the opinions of 3ie, its donors or its Board of Commissioners. Any errors and omissions are also the sole responsibility of the authors. Any comments or queries should be directed to the corresponding author, Kristen Rankin, at krankin@3ieimpact.org. AcknowledgementsWe are extremely grateful to James Jarvis-Thiébault, Nadine Pfeifer, Mark Englebert, Julie Perng and Ashley Holst for their research assistance. We could not have done this work without the support and leadership of Annette N Brown and further technical support and review comments from Beryl Leach. We appreciate Edoardo Masset's helpful review comments on the evidence gap map. 3ie developed the evidence gap map with guidance and input from an advisory group, who also reviewed this draft. We are very thankful to its members, listed below. Additionally, 3ie would like to thank the wide range of stakeholders who participated in consultative workshops and a roundtable. A complete list of particip...

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“…These approaches are being evaluated for impact within high-income countries but rigorous evidence is lacking in L&MICs (Rohrbach et al 2015).…”

Section: Addressing Rights and Empowermentmentioning

confidence: 99%

Adolescent sexual and reproductive health: scoping the impact of programming in low- and middle-income countries

Rankin¹,

Heard²,

Diaz³

2017

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“…An open, clustered, randomized controlled trial (RCT) involving a peer-led safer sex intervention and control (1:1 allocation) was conducted among college students between September 2018 and May 2019. Allocation concealment was achieved through the sealed envelope method [ 16 ], and class clusters were randomly assigned to the two groups by an independent researcher. The study protocol and its design were approved by the Institutional Review Board of Hong Kong West Cluster and HKU (UW 18-369).…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of a Peer-Led Web-Based Intervention to Improve General Self-Efficacy in Using Dating Apps Among Young Adults: Randomized Clustered Trial

Wong

Sun²,

Chia

et al. 2020

J Med Internet Res

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Background Online dating apps are popular platforms for seeking romance and sexual relationships among young adults. As mobile apps can easily gain access to a pool of strangers (“new friends”) at any time and place, it leads to heightened sexual health risks and privacy concerns. Objective This study aimed to evaluate the effectiveness of a peer-led web-based intervention for online dating apps to prepare Chinese college students so that they have better self-efficacy when using dating apps. Methods An open clustered randomized controlled trial was conducted among students from three colleges (The University of Hong Kong, Hang Seng University of Hong Kong, and Yijin Programme of Vocational Training College) in Hong Kong. Students aged 17 to 27 years who attended common core curriculum or general education were randomized into intervention and control groups. The intervention material, developed with high peer engagement, included four short videos, an interactive scenario game, and a risk assessment tool. An existing website promoting physical activities and healthy living was used as a control. Using the information, motivation, and behavioral skills (IMB) approach to design the evaluation, questionnaires covering participants’ sociodemographics and dating app characteristics, as well as the general self-efficacy scale (GSE) as the primary outcome and the risk propensity scale (RPS) as the secondary outcome were administered before, immediately after, and at 1 month after the intervention. Intention-to-treat analysis was adopted, and between-group differences were assessed using the Mann-Whitney U test. A post-hoc multiple linear regression model was used to examine the correlates of the GSE and RPS. Results A total of 578 eligible participants (290 in the intervention group and 288 in the control group) participated in the study with 36 lost to follow-up. There were more female participants (318/542, 58.7%) than male participants in the sample, reflecting the distribution of college students. Over half of the participants (286/542, 52.8%) reported the following reasons for using dating apps: being curious (170/498, 34.1%), trying to make new friends (158/498, 31.7%), and finding friends with similar interests (121/498, 24.3%). Overall, the participants in the intervention group reported favorable experiences when compared with the finding in the control group. There was significant improvement in the GSE score and reduction in the RPS score (P<.001) in the intervention group. University of Hong Kong students were more susceptible to risk reduction after the intervention when compared with students from the other two institutions. Conclusions The online intervention was effective in improving general self-efficacy and reducing risk tendency among young students. Future work is needed to determine if this approach is cost-effective and such behavioral change is sustainable. Trial Registration ClinicalTrials.gov NCT03685643; https://clinicaltrials.gov/ct2/show/NCT03685643. International Registered Report Identifier (IRRID) RR2-10.1186/s13063-018-3167-5

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“…The sample size calculation is calculated for the primary outcome of self-efficacy. A cluster RCT regarding a school-delivered rights-based sexuality education for adolescents revealed a standard deviation of 0.56 and effect size of 0.20 for the outcome of protective self-efficacy [27]. With a minimal cluster size of 10 students, a 0.05 level of significance, power of 0.8, and intracluster correlation coefficient of 0.007, 260 participants and, with a 30% attribution rate, 338 students were estimated [27].…”

Section: Methodsmentioning

confidence: 99%

Study protocol for a peer-led web-based intervention to promote safe usage of dating applications among young adults: a cluster randomized controlled trial

Lau

Choi

Chen

et al. 2019

Trials

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BackgroundDating applications are a popular platform to meet new people. At the same time, they have been associated with risks such as unsafe sexual behavior and privacy concerns in young adults. This paper presents a study protocol of a cluster randomized controlled trial (RCT) to evaluate the effectiveness of a peer-led web-based intervention to promote its safe usage in young adults.MethodsThe study design is an open-labeled cluster RCT with an intervention and a placebo control arm. The intervention group will receive a web-based intervention developed through focus group discussions, a crowdsourcing contest, and a Peer-Vetted Creative Production (PVCP) workshop. The control group will receive a web-based resource on health and exercise.We aim to recruit approximately 338 young adults aged 17–27 years from three tertiary educational institutions in Hong Kong with the class as the cluster unit. Based on the Information, Motivation, and Behavioral Skills (IMB) model, the primary outcome of this study is self-efficacy in using dating applications measured by the General Self Efficacy Scale. Secondary outcomes include change in risk perception measured by the Risk Propensity Scale and a Risk Assessment Tool. Questionnaires will be administered before the intervention, after the intervention, and at one-month follow-up. Intention-to-treat analysis and multilevel regression modeling will be used to evaluate differences in outcomes between groups and the factors affecting these outcomes, respectively.DiscussionDating application usage presents opportunities as well as challenges to young adults meeting new friends. Innovative and relatable interventions are needed to promote the safe usage of dating applications to this population. Practical knowledge gained from the development process may be helpful for future intervention utilizing the peer-led approach. If effective, the intervention will be disseminated to non-governmental organizations and educational institutions to be used as a teaching resource.Trial RegistrationClinicalTrials.gov, NCT03685643. Registered on 26 September 2018. University of Hong Kong Clinical Trials Registry, HKUCTR-2512.Electronic supplementary materialThe online version of this article (10.1186/s13063-018-3167-5) contains supplementary material, which is available to authorized users.

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A Rights-Based Sexuality Education Curriculum for Adolescents: 1-Year Outcomes From a Cluster-Randomized Trial

Cited by 53 publications

References 29 publications

Adolescent sexual and reproductive health: scoping the impact of programming in low- and middle-income countries

Adolescent sexual and reproductive health: scoping the impact of programming in low- and middle-income countries

Effectiveness of a Peer-Led Web-Based Intervention to Improve General Self-Efficacy in Using Dating Apps Among Young Adults: Randomized Clustered Trial

Study protocol for a peer-led web-based intervention to promote safe usage of dating applications among young adults: a cluster randomized controlled trial

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