The long-term effects of a peer-led sex education programme (RIPPLE): a cluster randomised trial in schools in England.

<h4>Background</h4>Peer-led sex education is widely believed to be an effective approach to reducing unsafe sex among young people, but reliable evidence from long-term studies is lacking. To assess the effectiveness of one form of school-based peer-led sex education in reducing unintend...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Judith Stephenson, Vicki Strange, Elizabeth Allen, Andrew Copas, Anne Johnson, Chris Bonell, Abdel Babiker, Ann Oakley, RIPPLE Study Team
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2008
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/f3e92d3386c84f84acf1d0b7f9c7c5aa
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:f3e92d3386c84f84acf1d0b7f9c7c5aa
record_format	dspace
spelling	oai:doaj.org-article:f3e92d3386c84f84acf1d0b7f9c7c5aa2021-12-02T19:55:55ZThe long-term effects of a peer-led sex education programme (RIPPLE): a cluster randomised trial in schools in England.1549-12771549-167610.1371/journal.pmed.0050224https://doaj.org/article/f3e92d3386c84f84acf1d0b7f9c7c5aa2008-11-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/19067478/?tool=EBIhttps://doaj.org/toc/1549-1277https://doaj.org/toc/1549-1676<h4>Background</h4>Peer-led sex education is widely believed to be an effective approach to reducing unsafe sex among young people, but reliable evidence from long-term studies is lacking. To assess the effectiveness of one form of school-based peer-led sex education in reducing unintended teenage pregnancy, we did a cluster (school) randomised trial with 7 y of follow-up.<h4>Methods and findings</h4>Twenty-seven representative schools in England, with over 9,000 pupils aged 13-14 y at baseline, took part in the trial. Schools were randomised to either peer-led sex education (intervention) or to continue their usual teacher-led sex education (control). Peer educators, aged 16-17 y, were trained to deliver three 1-h classroom sessions of sex education to 13- to 14-y-old pupils from the same schools. The sessions used participatory learning methods designed to improve the younger pupils' skills in sexual communication and condom use and their knowledge about pregnancy, sexually transmitted infections (STIs), contraception, and local sexual health services. Main outcome measures were abortion and live births by age 20 y, determined by anonymised linkage of girls to routine (statutory) data. Assessment of these outcomes was blind to sex education allocation. The proportion of girls who had one or more abortions before age 20 y was the same in each arm (intervention, 5.0% [95% confidence interval (CI) 4.0%-6.3%]; control, 5.0% [95% CI 4.0%-6.4%]). The odds ratio (OR) adjusted for randomisation strata was 1.07 (95% CI 0.80-1.42, p = 0.64, intervention versus control). The proportion of girls with one or more live births by 20.5 y was 7.5% (95% CI 5.9%-9.6%) in the intervention arm and 10.6% (95% CI 6.8%-16.1%) in the control arm, adjusted OR 0.77 (0.51-1.15). Fewer girls in the peer-led arm self-reported a pregnancy by age 18 y (7.2% intervention versus 11.2% control, adjusted OR 0.62 [95% CI 0.42-0.91], weighted for non-response; response rate 61% intervention, 45% control). There were no significant differences for girls or boys in self-reported unprotected first sex, regretted or pressured sex, quality of current sexual relationship, diagnosed sexually transmitted diseases, or ability to identify local sexual health services.<h4>Conclusion</h4>Compared with conventional school sex education at age 13-14 y, this form of peer-led sex education was not associated with change in teenage abortions, but may have led to fewer teenage births and was popular with pupils. It merits consideration within broader teenage pregnancy prevention strategies.Judith StephensonVicki StrangeElizabeth AllenAndrew CopasAnne JohnsonChris BonellAbdel BabikerAnn OakleyRIPPLE Study TeamPublic Library of Science (PLoS)articleMedicineRENPLoS Medicine, Vol 5, Iss 11, p e224; discussion e224 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Judith Stephenson Vicki Strange Elizabeth Allen Andrew Copas Anne Johnson Chris Bonell Abdel Babiker Ann Oakley RIPPLE Study Team The long-term effects of a peer-led sex education programme (RIPPLE): a cluster randomised trial in schools in England.
description	<h4>Background</h4>Peer-led sex education is widely believed to be an effective approach to reducing unsafe sex among young people, but reliable evidence from long-term studies is lacking. To assess the effectiveness of one form of school-based peer-led sex education in reducing unintended teenage pregnancy, we did a cluster (school) randomised trial with 7 y of follow-up.<h4>Methods and findings</h4>Twenty-seven representative schools in England, with over 9,000 pupils aged 13-14 y at baseline, took part in the trial. Schools were randomised to either peer-led sex education (intervention) or to continue their usual teacher-led sex education (control). Peer educators, aged 16-17 y, were trained to deliver three 1-h classroom sessions of sex education to 13- to 14-y-old pupils from the same schools. The sessions used participatory learning methods designed to improve the younger pupils' skills in sexual communication and condom use and their knowledge about pregnancy, sexually transmitted infections (STIs), contraception, and local sexual health services. Main outcome measures were abortion and live births by age 20 y, determined by anonymised linkage of girls to routine (statutory) data. Assessment of these outcomes was blind to sex education allocation. The proportion of girls who had one or more abortions before age 20 y was the same in each arm (intervention, 5.0% [95% confidence interval (CI) 4.0%-6.3%]; control, 5.0% [95% CI 4.0%-6.4%]). The odds ratio (OR) adjusted for randomisation strata was 1.07 (95% CI 0.80-1.42, p = 0.64, intervention versus control). The proportion of girls with one or more live births by 20.5 y was 7.5% (95% CI 5.9%-9.6%) in the intervention arm and 10.6% (95% CI 6.8%-16.1%) in the control arm, adjusted OR 0.77 (0.51-1.15). Fewer girls in the peer-led arm self-reported a pregnancy by age 18 y (7.2% intervention versus 11.2% control, adjusted OR 0.62 [95% CI 0.42-0.91], weighted for non-response; response rate 61% intervention, 45% control). There were no significant differences for girls or boys in self-reported unprotected first sex, regretted or pressured sex, quality of current sexual relationship, diagnosed sexually transmitted diseases, or ability to identify local sexual health services.<h4>Conclusion</h4>Compared with conventional school sex education at age 13-14 y, this form of peer-led sex education was not associated with change in teenage abortions, but may have led to fewer teenage births and was popular with pupils. It merits consideration within broader teenage pregnancy prevention strategies.
format	article
author	Judith Stephenson Vicki Strange Elizabeth Allen Andrew Copas Anne Johnson Chris Bonell Abdel Babiker Ann Oakley RIPPLE Study Team
author_facet	Judith Stephenson Vicki Strange Elizabeth Allen Andrew Copas Anne Johnson Chris Bonell Abdel Babiker Ann Oakley RIPPLE Study Team
author_sort	Judith Stephenson
title	The long-term effects of a peer-led sex education programme (RIPPLE): a cluster randomised trial in schools in England.
title_short	The long-term effects of a peer-led sex education programme (RIPPLE): a cluster randomised trial in schools in England.
title_full	The long-term effects of a peer-led sex education programme (RIPPLE): a cluster randomised trial in schools in England.
title_fullStr	The long-term effects of a peer-led sex education programme (RIPPLE): a cluster randomised trial in schools in England.
title_full_unstemmed	The long-term effects of a peer-led sex education programme (RIPPLE): a cluster randomised trial in schools in England.
title_sort	long-term effects of a peer-led sex education programme (ripple): a cluster randomised trial in schools in england.
publisher	Public Library of Science (PLoS)
publishDate	2008
url	https://doaj.org/article/f3e92d3386c84f84acf1d0b7f9c7c5aa
work_keys_str_mv	AT judithstephenson thelongtermeffectsofapeerledsexeducationprogrammerippleaclusterrandomisedtrialinschoolsinengland AT vickistrange thelongtermeffectsofapeerledsexeducationprogrammerippleaclusterrandomisedtrialinschoolsinengland AT elizabethallen thelongtermeffectsofapeerledsexeducationprogrammerippleaclusterrandomisedtrialinschoolsinengland AT andrewcopas thelongtermeffectsofapeerledsexeducationprogrammerippleaclusterrandomisedtrialinschoolsinengland AT annejohnson thelongtermeffectsofapeerledsexeducationprogrammerippleaclusterrandomisedtrialinschoolsinengland AT chrisbonell thelongtermeffectsofapeerledsexeducationprogrammerippleaclusterrandomisedtrialinschoolsinengland AT abdelbabiker thelongtermeffectsofapeerledsexeducationprogrammerippleaclusterrandomisedtrialinschoolsinengland AT annoakley thelongtermeffectsofapeerledsexeducationprogrammerippleaclusterrandomisedtrialinschoolsinengland AT ripplestudyteam thelongtermeffectsofapeerledsexeducationprogrammerippleaclusterrandomisedtrialinschoolsinengland AT judithstephenson longtermeffectsofapeerledsexeducationprogrammerippleaclusterrandomisedtrialinschoolsinengland AT vickistrange longtermeffectsofapeerledsexeducationprogrammerippleaclusterrandomisedtrialinschoolsinengland AT elizabethallen longtermeffectsofapeerledsexeducationprogrammerippleaclusterrandomisedtrialinschoolsinengland AT andrewcopas longtermeffectsofapeerledsexeducationprogrammerippleaclusterrandomisedtrialinschoolsinengland AT annejohnson longtermeffectsofapeerledsexeducationprogrammerippleaclusterrandomisedtrialinschoolsinengland AT chrisbonell longtermeffectsofapeerledsexeducationprogrammerippleaclusterrandomisedtrialinschoolsinengland AT abdelbabiker longtermeffectsofapeerledsexeducationprogrammerippleaclusterrandomisedtrialinschoolsinengland AT annoakley longtermeffectsofapeerledsexeducationprogrammerippleaclusterrandomisedtrialinschoolsinengland AT ripplestudyteam longtermeffectsofapeerledsexeducationprogrammerippleaclusterrandomisedtrialinschoolsinengland
_version_	1718375877777031168

The long-term effects of a peer-led sex education programme (RIPPLE): a cluster randomised trial in schools in England.

Ejemplares similares