Abstract
Purpose
Enrichment of school counselors' knowledge would be an effective way to promote sexual
and reproductive health (SRH) among adolescents. The present study aims to assess
the effect of educational intervention on knowledge and self-efficacy of high school
counselors on teenage SRH.
Methods
A randomized controlled trial was conducted between June 2016 and March 2017. One
hundred and twelve high school counselors from Tehran were recruited and randomized
into two groups. The intervention was comprised of training courses on adolescent
SRH as per two educational approaches: the team-based learning (TBL) and lecturing,
which consisted of four sessions of 2 hours in 2 weeks. The knowledge and feeling of self-efficacy in both groups were assessed
at the beginning of the study and 8 weeks after the intervention by researcher-made
questionnaires.
Results
After intervention, the mean and standard deviation of the knowledge and self-efficacy
scores increased significantly in both TBL and lecture groups (p < .001). However, the final mean (standard deviation) of counselors' knowledge and
self-efficacy scores in the TBL group were significantly higher than that of those
in the lecture group [20.06 (2.74) vs. 18.90 (2.95); p = .03 for knowledge and 43.01 (4.08) versus 41.15 (4.99); p = .03 for self-efficacy] with an almost moderate effect size d = .55 for both outcomes.
Conclusions
The better SRH knowledge and self-efficacy in TBL group can be indicative of the group's
effect on making challenges, especially in subjects that are socio-religious by nature.
It seems that applying learner-centered educational approaches such as TBL can facilitate
achieving pre-assigned SRH goals.
Keywords
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References
- Adolescent sexual and reproductive health toolkit for humanitarian settings.(Available at:) (Accessed at September)
- Comprehensive sexuality education as a means of promoting sexual health.Int J. Sex Health. 2008; 20: 50-62
- An exploration in health education of an integrated theoretical basis for sexuality education pedagogies for young people.Health Educ Res. 2011; 26: 526-541
- ‘Hu Hong’ (bad thing): Parental perceptions of teenagers’ sexuality in urban Vietnam.BMC Public Health. 2017; 17: 226-236
- Education on sexual and reproductive health, building partnerships with and for youth.(Available at:) (Accessed at)
- Being shy at school.Sex Roles. 2014; 70: 267-273
- The attitudes of students, parents and teachers towards the promotion and provision of condoms for adolescents in Addis Ababa.Ethiop J Health Dev. 2017; 11: 1-12
- ‘Sex education should be taught, fine… but we make sure they control themselves’: Teachers' beliefs and attitudes towards young people's sexual and reproductive health in a Ugandan secondary school.Sex Educ. 2013; 13: 40-53
- A study of the attitude of teachers, parents and adolescents towards sex education.MIER J Educ Stud Trends Pract. 2016; 2: 177-189
- How do school teachers perceive the topic of ‘sex education’ a cross sectional study?.Int J Clin Surg Adv. 2013; 1: 6-10
- Can any teacher teach sexuality and HIV/AIDS? Perspectives of South African Life Orientation teachers.Sex Educ. 2011; 11: 13-26
- Teachertraining in sexuality education in Australia: How well are teachers prepared for the job?.Sex Health. 2011; 8: 269-271
- Improving sexuality education: The development of teacher‐preparation standards.J Sch Health. 2014; 84: 396-415
- “Am I qualified? How do I Know?” A qualitative study of sexuality educators' training experiences.J Health Educ. 2010; 41: 337-344
- Enhancing adult motivation to learn: A comprehensive guide for teaching all adults.Jossey Bass, San Francisco2017
- Effects of intergroup dialogue: Public school teachers and sexual orientation prejudice.Small Group Res. 2010; 41: 556-592
- Instructional strategies for online courses.(Available at:) (Accessed at)
- Theoretical models of participation in adult education: The need for an integrated model.Int J Lifelong Educ. 2010; 29: 45-61
- Puberty, health and sexual education in Australian regional primary schools: Year 5 and 6 teacher perceptions.Sex Educ. 2013; 13: 186-203
- Team-based learning: A practical guide: AMEE guide no. 65.Med Teach. 2012; 34: 275-e287
- A process evaluation of the Youth Educating About Health (YEAH) program: A peer-designed and peer-led sexual health education program.Can J Hum Sex. 2005; 14: 129-141
- Team-based learning: Small group learning's next big step: New directions for teaching and learning.Willey, California2008
- Quantitative empirical studies on women's issues in Islamic cultures: Introduction to special issue.Sex Role. 2016; 75: 535-542
- Population and housing census.(Available at:) (Accessed at)
- Sexual risk-taking behaviors among boys aged 15–18 years in Tehran.J Adolesc Health. 2007; 41: 407-414
- Female adolescents’ experiences and perceptions regarding sexual health education in Iranian schools: A qualitative content analysis.Iran J Nurs Midwifery Res. 2012; 17: 539-546
- Assessing Iranian adolescent girls' needs for sexual and reproductive health information.J Adolesc Health. 2014; 55: 107-113
- Self-efficacy mechanism in human agency.Am Psycho. 1982; 37: 122
- Finding flow: The psychology of engagement with everyday life.Basic Book, New York1997
- Impact of health education on the knowledge, attitude and practices of teachers regarding reproductive health of adolescents of Amritsar, Punjab.J Clin Diagn Res. 2015; 9: 18
- Knowledge, attitude, and sensitivity about adolescent health among female teachers of senior secondary schools in Amritsar district—An interventional study.Asian J Dev Matters. 2012; 6: 13-22
- Classroom teachers’ efficacy in teaching healthy behaviour content.Teacher Dev. 2011; 15: 319-331
- Outcome of training intervention on teachers’ knowledge, perception and self-efficacy for preventing childhood Lead Poisoning in Ido Local Government area, Ibadan Nigeria.Afr J Biomed Res. 2015; 18: 147-160
- Increasing clinician self-efficacy for screening and counseling adolescents for risky health behaviors: Results of an intervention.J Adoles Health. 2008; 43: 198-200
- The effectiveness of team-based learning on learning outcomes in health professions education: BEME Guide No. 30.Med Teach. 2013; 35: e1608-e1624
- Active learning increases student performance in science, engineering, and mathematics.Proc Natl Acad Sci. 2014; 111: 8410-8415
Article info
Publication history
Published online: August 23, 2018
Accepted:
May 24,
2018
Received:
November 3,
2017
Footnotes
☆Conflict of Interest: The authors have no conflict of interest to disclose.
✰✰Registration: Registered by Iranian Registry of Clinical Trails (IRCT), Number: 201607039975N and approved by Ethics Committee of Tehran University of Medical Sciences, Number: IR.TUMS.VCR.REC.1395.112 dated June 2016
Identification
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