Trial reportReproductive health2025
Effectiveness of an online sexual and reproductive health educational program on knowledge, attitudes, and behaviours among senior primary school students: a cluster randomized controlled trial.
Trial report in Reproductive health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- The impact of implementation of sex education in schools, and its applicability in Kazakhstan.Frontiers in global women's health · 2026Review
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSexual and reproductive health education is crucial for senior primary school students as they enter adolescence. Implementing such education in resource-limited settings faces challenges like untrained educators, cultural taboos, and lack of materials. An online sexual and reproductive health educational program may overcome these barriers, yet no research in China has assessed the effectiveness for senior primary school students. This study aims to evaluate the effectiveness of an online sexual and reproductive health education program for senior primary school students in China, focusing on their adherence to the program and comprehension of its content.
methodsThe efficacy of the program was evaluated through a cluster randomized controlled trial. Participants (mean age 11.21 ± 0.68 years) were recruited from two primary schools in Shangqiu, Henan, with eight classes randomly assigned to either the intervention (n = 4) or control group (n = 4). The intervention group completed a 9-week online sexual and reproductive health education program, while the control group did not receive the program. Data on knowledge, attitudes, and behaviors were collected at baseline, post-intervention, and at 16-week follow-up. The outcomes were analyzed using a generalized estimating equation model.
resultsAt baseline, no significant differences were found between groups in sociodemographic or physical development. In the intervention group, 71.4% completed the program with an average test accuracy of 86.6%, indicating good adherence and content comprehension. Compared to the control group, the intervention group had significantly higher sexual and reproductive health knowledge (T1: β = 2.18, T2: β = 1.21, p < 0.001, p = 0.001), attitudes (T1: β = 14.73, T2: β = 6.01, p < 0.001), and behaviours (T1: β = 4.49, T2: β = 5.90, p < 0.001) scores, with improvements sustained at 16 weeks.
conclusionsThe online sexual and reproductive health educational program significantly improved knowledge, attitudes, and behaviours among senior primary students, providing valuable guidance for school health nurses in designing and implementing sexual and reproductive health education programs.
trial registrationChiCTR2400083843. [ www.chictr.org.cn ]. 06/05/2024.
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