Evaluation of the Long Live Love sex education program for students in special secondary education

A small-scale study to examine the feasibility and effectiveness of a school-based comprehensive sex education program for students in special secondary education

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN17429466

Enrollment

120

Registered

2023-03-10

Start date

2023-02-09

Completion date

Unknown

Last updated

2024-03-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Prevention of unintended pregnancy among students with psychiatric and/or severe behavioral problems in special secondary education (formerly known as cluster 4: VSOc4). Mental and Behavioural Disorders

Interventions

Schools willing to participate in the study will be randomly assigned to the experimental or control condition by means of a computer program (R). We will stratify schools on the number of participati

each module consists of 6 lessons about relations, the body and puberty, sexual wishes and boundaries, and safe sex. The approximate duration per lesson is 30 to 45 minutes. The modules can be subsequ

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Students in special secondary education (VSO) with psychiatric and/or severe behavioral problems (formerly known as cluster 4; VSOc4). 2. Teachers of students in VSOc4.

Exclusion criteria

Exclusion criteria: 1. Students who do not follow special secondary education (VSO) and/or have psychiatric and/or severe behavioral problems (formerly known as cluster 4; VSOc4). 2. Teachers who do not teach students in VSOc4.

Design outcomes

Primary

Measure	Time frame
To identify the contribution of the LLL program on the prevention of unintended pregnancy, we will evaluate program effects on key risk factors. Primary outcomes will be measured at pre- (approximately 2 weeks prior to the intervention) and post-test (approximately 2 weeks after the intervention) via an online survey. 1. Knowledge regarding safe sex will be measured with 10 items (untrue/true/don’t know; Van Fulpen et al., 2002). 2. Attitude towards safe sex will be measured with 2 items, and towards sexual preferences and boundaries with 4 items (Van Fulpen et al., 2002) on a 5-point likert scale (1 = very unimportant, to 5 = very important). 3. Self-efficacy expectations will be measured with 4 items for safe sex and 8 items for communication about sexual preferences and boundaries on a 5-point likert scale (1 = certainly not, to 5 = certainly yes; Van Fulpen et al., 2002). 4. Behavioral willingness will be measured with 4 items for safe sex on a 5-point likert scale (1= certainly not, to 5 = certainly yes; Van Empelen & Kok, 2006). 5. Intention towards safe sex will be measured with 2 items on a 5-point likert scale (1= certainly not, to 5 = certainly yes; Van Fulpen et al., 2002).	—

Measure

Time frame

To identify the contribution of the LLL program on the prevention of unintended pregnancy, we will evaluate program effects on key risk factors. Primary outcomes will be measured at pre- (approximately 2 weeks prior to the intervention) and post-test (approximately 2 weeks after the intervention) via an online survey. 1. Knowledge regarding safe sex will be measured with 10 items (untrue/true/don’t know; Van Fulpen et al., 2002). 2. Attitude towards safe sex will be measured with 2 items, and towards sexual preferences and boundaries with 4 items (Van Fulpen et al., 2002) on a 5-point likert scale (1 = very unimportant, to 5 = very important). 3. Self-efficacy expectations will be measured with 4 items for safe sex and 8 items for communication about sexual preferences and boundaries on a 5-point likert scale (1 = certainly not, to 5 = certainly yes; Van Fulpen et al., 2002). 4. Behavioral willingness will be measured with 4 items for safe sex on a 5-point likert scale (1= certainly not, to 5 = certainly yes; Van Empelen & Kok, 2006). 5. Intention towards safe sex will be measured with 2 items on a 5-point likert scale (1= certainly not, to 5 = certainly yes; Van Fulpen et al., 2002).

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Secondary

Measure	Time frame
1. Secondary outcome measures are attitude and perceived skills regarding safe sex and communication about sexual preferences and boundaries measured by means of individual interviews (open ended questions) with a subsample of students at the post-test (approximately 2 weeks after the intervention). These will be measured by 2 role model stories regarding safe sex and 2 role model stories regarding communication about sexual preferences and boundaries. For each of these stories, students are asked how they would feel, what their opinion is/with whom they agree (attitude) and what they would say or do (perceived skills). There is an additional scenario about teen pregnancy in which students are asked their attitude towards teen pregnancy and knowledge regarding options they have and what is needed to take care for a baby. 2. Secondary outcome measures among teachers are program use and acceptability of LLL VSOc4; they will be measured via an online survey at the same time the post-test among students is conducted (approximately 2 weeks after the intervention). Program use is measured by asking teachers if they have provided lessons about relations and sex in the past two months, and if so, the amount of lessons, which working methods were used, which topics discussed, and which educational program has been used (Van Fulpen et al., 2002). For teachers in the experimental condition, this also includes questions about which module was used and which lessons were provided, whether they used the student magazines, the digital environment and videos from LLL VSOc4. Acceptability of the LLL VSOc4 program in general, and specifically for the videos, student magazines and digital environment is measured with a report mark (10-point scale; 1 = very bad, to 10 = excellent), and for the program in general, the videos and students magazines with 5 items on a 5-point likert scale (1 = certainly not, to 5 = certainly yes) regarding importance, understandability, fun, instructivene	—

Measure

Time frame

1. Secondary outcome measures are attitude and perceived skills regarding safe sex and communication about sexual preferences and boundaries measured by means of individual interviews (open ended questions) with a subsample of students at the post-test (approximately 2 weeks after the intervention). These will be measured by 2 role model stories regarding safe sex and 2 role model stories regarding communication about sexual preferences and boundaries. For each of these stories, students are asked how they would feel, what their opinion is/with whom they agree (attitude) and what they would say or do (perceived skills). There is an additional scenario about teen pregnancy in which students are asked their attitude towards teen pregnancy and knowledge regarding options they have and what is needed to take care for a baby. 2. Secondary outcome measures among teachers are program use and acceptability of LLL VSOc4; they will be measured via an online survey at the same time the post-test among students is conducted (approximately 2 weeks after the intervention). Program use is measured by asking teachers if they have provided lessons about relations and sex in the past two months, and if so, the amount of lessons, which working methods were used, which topics discussed, and which educational program has been used (Van Fulpen et al., 2002). For teachers in the experimental condition, this also includes questions about which module was used and which lessons were provided, whether they used the student magazines, the digital environment and videos from LLL VSOc4. Acceptability of the LLL VSOc4 program in general, and specifically for the videos, student magazines and digital environment is measured with a report mark (10-point scale; 1 = very bad, to 10 = excellent), and for the program in general, the videos and students magazines with 5 items on a 5-point likert scale (1 = certainly not, to 5 = certainly yes) regarding importance, understandability, fun, instructivene

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Countries

Netherlands

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026