Sexual health Other
Conditions
Interventions
Positive Choices is a whole-school intervention with the following components: school health promotion council comprising staff and students to plan, launch, coordinate and oversee delivery
a student needs survey of year-8 students which provides evidence to inform local tailoring
a classroom curriculum addressing social and emotional skills and relationships and sexual health knowledge and skills delivered by school staff
student-run social-marketing campaigns facilitated by trained teachers
parent information
and review of school and other local sexual and reproductive health services to inform improvements.
This trial will recruit 50 schools, half of whom will be randomly chosen to deliver the interventi
Sponsors
London School of Hygiene & Tropical Medicine
Eligibility
Sex/Gender
All
Age
12 Years to 16 Years
Inclusion criteria
Inclusion criteria: 1. Students aged 12-16 years 2. Deemed competent to consent by schools 3. Moving from year 8 into year 11 during the trial 4. In English secondary schools (including faith schools, free schools, academies and private schools) excluding pupil referral units, schools for those with special educational needs and disabilities, and schools with poor Ofsted (government school inspectorate) inspections
Exclusion criteria
Exclusion criteria: 1. Students not deemed competent to consent by schools or students in pupil referral units 2. Schools for those with special educational needs and disabilities 3. Schools with poor Ofsted inspections
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Non-competent first sex assessed among trial participants having sex for the first time between baseline and follow-up (33 months), using the established Natsal self-report measure defined in terms of the absence at first sex of: autonomy of decision; equal willingness of partners; it being the ‘right time’; and, for those reporting heterosexual intercourse, use of effective contraception. | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 06/11/2023: 1. Age at sexual debut measured using an adapted version of the RIPPLE measure of sexual debut at baseline and 33 months 2. Non-use of contraception at first and last sex among those reporting heterosexual intercourse measured using an adapted version of the RIPPLE measure of contraception use at 33 months 3. Number of sexual partners measured using an adapted RIPPLE measure of partner numbers at 33 months 4. Dating and relationship violence victimisation measured using an adapted version of the short Conflicts in Adolescent Dating Relationships Inventory at baseline and 33 months 5. Self-reported diagnoses of sexually transmitted infections measured using an adapted version of the RIPPLE measure of sexually transmitted infections at 33 months 6. Pregnancy and unintended pregnancy among girls measured using adapted versions of the RIPPLE measures of pregnancy at 33 months 7. Initiation of pregnancy among boys measured using an adapted version of the RIPPLE measures of pregnancy initiation at 33 months 8. Health-related quality of life measured using the Child Health Utility 9D measure at baseline and 33 months _____ Previous secondary outcome measures: 1. Non-competent last sex measured using the Natsal measure of sexual competence at 33 months 2. Age at sexual debut measured using an adapted version of the RIPPLE measure of sexual debut at baseline and 33 months 3. Non-use of contraception at first and last sex among those reporting heterosexual intercourse measured using an adapted version of the RIPPLE measure of contraception use at 33 months 4. Number of sexual partners measured using an adapted RIPPLE measure of partner numbers at 33 months 5. Dating and relationship violence victimisation measured using an adapted version of the short Conflicts in Adolescent Dating Relationships Inventory at baseline and 33 months 6. Self-reported diagnoses of sexually transmitted infections measured using an adapted | — |
Countries
England, United Kingdom
Contacts
Public ContactChris Bonell
Outcome results
None listed