Evidence map›Paper›PMID 25886554›Full record

Trial reportBMC public health2015

Short-term effects of a rights-based sexuality education curriculum for high-school students: a cluster-randomized trial.

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

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02009046 (Randomized Evaluation of a Multi-Component, Rights-Based Sexuality Education Initiative for High School Students), which is not on this map. Cited by 23 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 5 pooled it
9.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02009046 nacompletednot on this map

Randomized Evaluation of a Multi-Component, Rights-Based Sexuality Education Initiative for High School Students

TypeinterventionalSponsorPublic Health Institute, CaliforniaRan2011 to 2014Enrolled1,909ConditionsPregnancy, Sexually Transmitted DiseasesArmsSEI Classroom Curriculum, Control Classroom Curriculum, SEI Curriculum + 3 School Components, Control Curriculum + 1 School Component
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 5 syntheses or guidelines pooled it, 73 citations in OpenAlex.

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  5. School-based interventions for improving contraceptive use in adolescents.The Cochrane database of systematic reviews · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Norman A ConstantineCenter for Research on Adolescent Health and Development, Public Health Institute, 555 12th Street, 10th Floor, 94607, Oakland, CA, USA. nconstantine@berkeley.edu.
Petra JermanCenter for Research on Adolescent Health and Development, Public Health Institute, 555 12th Street, 10th Floor, 94607, Oakland, CA, USA. pjerman.phi@gmail.com.
Nancy F BerglasCenter for Research on Adolescent Health and Development, Public Health Institute, 555 12th Street, 10th Floor, 94607, Oakland, CA, USA. nberglas.phi@gmail.com.
Francisca Angulo-OlaizCenter for Research on Adolescent Health and Development, Public Health Institute, 555 12th Street, 10th Floor, 94607, Oakland, CA, USA. francisca.olaiz@gmail.com.
Chih-Ping ChouInstitute for Health Promotion and Disease Prevention Research, Keck School of Medicine, University of Southern California, 2001 N. Soto Street, 90032, Los Angeles, CA, USA. cchou@usc.edu.
Louise A RohrbachInstitute for Health Promotion and Disease Prevention Research, Keck School of Medicine, University of Southern California, 2001 N. Soto Street, 90032, Los Angeles, CA, USA. rohrbac@usc.edu.
Public Health Institute · USUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn emerging model for sexuality education is the rights-based approach, which unifies discussions of sexuality, gender norms, and sexual rights to promote the healthy sexual development of adolescents. A rigorous evaluation of a rights-based intervention for a broad population of adolescents in the U.S. has not previously been published. This paper evaluates the immediate effects of the Sexuality Education Initiative (SEI) on hypothesized psychosocial determinants of sexual behavior.

methodsA cluster-randomized trial was conducted with ninth-grade students at 10 high schools in Los Angeles. Classrooms at each school were randomized to receive either a rights-based curriculum or basic sex education (control) curriculum. Surveys were completed by 1,750 students (N = 934 intervention, N = 816 control) at pretest and immediate posttest. Multilevel regression models examined the short-term effects of the intervention on nine psychosocial outcomes, which were hypothesized to be mediators of students' sexual behaviors.

resultsCompared with students who received the control curriculum, students receiving the rights-based curriculum demonstrated significantly greater knowledge about sexual health and sexual health services, more positive attitudes about sexual relationship rights, greater communication about sex and relationships with parents, and greater self-efficacy to manage risky situations at immediate posttest. There were no significant differences between the two groups for two outcomes, communication with sexual partners and intentions to use condoms.

conclusionsParticipation in the rights-based classroom curriculum resulted in positive, statistically significant effects on seven of nine psychosocial outcomes, relative to a basic sex education curriculum. Longer-term effects on students' sexual behaviors will be tested in subsequent analyses.

trial registrationClinicalTrials.gov NCT02009046.

Indexed as

Human RightsSexualityAdolescentCommunicationCondomsCurriculumFemaleHealth Knowledge, Attitudes, PracticeHumansIntentionLos AngelesMaleSelf EfficacySex EducationSexual BehaviorUnited States

Identifiers

PMID25886554
PMCPMC4407845
OpenAlexW2048029746

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.