A school-based randomized controlled trial of peer-led sex education in England

This article discusses the design of an ongoing cluster-randomized trial comparing two forms of school-based sex education in terms of educational process and sexual health outcomes. Twenty-nine schools in southern England have been randomized to either peer-led sex education or to continue with the...

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Veröffentlicht in:Controlled clinical trials 2003-10, Vol.24 (5), p.643-657
Hauptverfasser: Stephenson, J.M, Oakley, A, Johnson, A.M, Forrest, S, Strange, V, Charleston, S, Black, S, Copas, A, Petruckevitch, A, Babiker, A
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container_end_page 657
container_issue 5
container_start_page 643
container_title Controlled clinical trials
container_volume 24
creator Stephenson, J.M
Oakley, A
Johnson, A.M
Forrest, S
Strange, V
Charleston, S
Black, S
Copas, A
Petruckevitch, A
Babiker, A
description This article discusses the design of an ongoing cluster-randomized trial comparing two forms of school-based sex education in terms of educational process and sexual health outcomes. Twenty-nine schools in southern England have been randomized to either peer-led sex education or to continue with their traditional teacher-led sex education. The primary objective is to determine which form of sex education is more effective in promoting young people's sexual health. The trial includes an unusually detailed evaluation of the process of sex education as well as the outcomes. The sex education programs were delivered in school to pupils ages 13–14 years who are being followed until ages 19–20. Major trial outcomes are unprotected sexual intercourse and regretted intercourse by age 16 and cumulative incidence of abortion by ages 19–20. We discuss the rationale behind various aspects of the design, including ethical issues and practical challenges of conducting a randomized trial in schools, data linkage for key outcomes to reduce bias, and integrating process and outcome measures to improve the interpretation of findings.
doi_str_mv 10.1016/S0197-2456(03)00070-9
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subjects Adolescent
Adult
Condom use
Contraception
England
Focus Groups
Humans
Informed Consent - ethics
Interviews as Topic
Peer Group
Peer-led intervention
Program Development
Random Allocation
Randomized controlled trial
Randomized Controlled Trials as Topic - methods
Research Design
School Sex Education
Schools
Sex Education - methods
Sexual intercourse
Surveys and Questionnaires
title A school-based randomized controlled trial of peer-led sex education in England
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