Single and Multi-message Sexuality Education: Improving Implementation and Evaluation of Group-based Programs

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Authors:

Lisa A. Rue, PhD
Michael A. Floren, PhD
Kiley M. Floren, MPH
Galena K. Rhoades, PhD
Kayla Knopp, PhD
Elaine M. Walker, PhD
Jesse Owen, PhD

Objective:

In this study, we isolated primary messaging strategies of sexuality education curricula to improve tailored delivery of group-based interventions. Specifically, our aim was to define single-message programs (eg, messaging about avoiding sexual risk or messaging about reducing sexual risk) and multiple-message programs (eg, avoiding sexual risk and reducing sexual risk), and to investigate their comparative effectiveness.

Methods:

We used a descriptive approach with publicly available data from US Department of Health and Human Services-funded teen pregnancy prevention programs to categorize 16 different curricula as single-message or multiple-message. We coded primary messages using a curriculum mapping rubric and scoring that was evaluated by a panel of experts for content validity. Forest plots compared behavioral outcomes.

Results:

Scores for primary messages achieved inter-rater reliability of 91%-100%; curricula were scored on 20 items within each category to calculate mean scores. Spearman correlations for items ranged from .43 to .93.

Conclusions:

No outcome differences were observed between single- or multi-message programs. Effective delivery of primary messaging may rely more on identifying moderators of classroom climate typically underrepresented in evaluations of school-based programs.

Source: Health Behavior and Policy Review, Volume 8, Number 3, May 2021, pp. 223-235(13)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.8.3.4