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Sex Transm Infect. Dec 1998; 74(6): 405–408.
PMCID: PMC1758164

Behavioural intervention trials for HIV/STD prevention in schools: are they feasible?

Abstract

OBJECTIVE: To assess the feasibility of conducting a large randomised controlled trial (RCT) of peer led intervention in schools to reduce the risk of HIV/STD and promote sexual health. METHODS: Four secondary schools in Greater London were randomly assigned to receive peer led intervention (two experimental schools) or to act as control schools. In the experimental schools, trained volunteers aged 16-17 years (year 12) delivered the peer led intervention to 13-14 year old pupils (year 9). In the control schools, year 9 pupils received the usual teacher led sex education. Questionnaire data collected from year 9 pupils at baseline included views on the quality of sex education/intervention received, and knowledge and attitudes about HIV/AIDS and other sexual matters. Focus groups were also conducted with peer educators and year 9 pupils. Data on the process of delivering sex education/intervention and on attitudes to the RCT were collected for each of the schools. Analysis focused on the acceptability of a randomised trial to schools, parents, and pupils. RESULTS: Nearly 500 parents were informed about the research and invited to examine the study questionnaire; only nine raised questions and only one pupil was withdrawn from the study. Questionnaire completion rates were around 90% in all schools. At baseline, the majority of year 9 pupils wanted more information about a wide range of sexual matters. Focus group work indicated considerable enthusiasm for peer led education, among peer educators and year 9 pupils. Class discipline was the most frequently noted problem with the delivery of the peer led intervention. CONCLUSION: Evaluation of a peer led behavioural intervention through an RCT can be acceptable to schools, pupils, and parents and is feasible in practice. In general, pupils who received the peer led intervention responded more positively than those in control schools. A large RCT of the long term (5-7 year) effects of this novel intervention on sexual health outcomes is now under way.


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Selected References

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  • Genuis SJ, Genuis SK. Adolescent sexual involvement: time for primary prevention. Lancet. 1995 Jan 28;345(8944):240–241. [PubMed]
  • Adler MW. Sexual health--a Health of the Nation failure. BMJ. 1997 Jun 14;314(7096):1743–1747. [PMC free article] [PubMed]
  • Oakley A, Fullerton D, Holland J, Arnold S, France-Dawson M, Kelley P, McGrellis S. Sexual health education interventions for young people: a methodological review. BMJ. 1995 Jan 21;310(6973):158–162. [PMC free article] [PubMed]
  • Kirby D, Short L, Collins J, Rugg D, Kolbe L, Howard M, Miller B, Sonenstein F, Zabin LS. School-based programs to reduce sexual risk behaviors: a review of effectiveness. Public Health Rep. 1994 May-Jun;109(3):339–360. [PMC free article] [PubMed]
  • Abraham C, Sheeran P, Abrams D, Spears R, Marks D. Young people learning about AIDS: a study of beliefs and information sources. Health Educ Res. 1991 Mar;6(1):19–29. [PubMed]
  • Dean M. Muddle over sex education. Lancet. 1994 May 7;343(8906):1149–1149. [PubMed]
  • Ellickson Phyllis L, Hawes Jennifer A. An assessment of active versus passive methods for obtaining parental consent. Eval Rev. 1989 Feb;13(1):45–55. [PubMed]
  • Esbensen FA, Deschenes EP, Vogel RE, West J, Arboit K, Harris L. Active parental consent in school-based research. An examination of ethical and methodological issues. Eval Rev. 1996 Dec;20(6):737–753. [PubMed]

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