PDF(Pubmed)
Abstract：
BACKGROUND: School-based comprehensive sexuality education (CSE) is a powerful tool that provides young people with information on all aspects of sexuality and is aimed at protecting their sexual and reproductive health and well-being throughout their lives. Currently, CSE is not integrated within the schools\' curriculum in Italy. This study describes the co-construction, implementation, and evaluation of a CSE project piloted among students attending lower secondary schools, in four regions of Italy. Evidence-based evaluation will be helpful in promote the inclusion of CSE programs in the Italian schools\' curriculum.
METHODS: The pilot scheme was co-constructed by a multidisciplinary curriculum development group through a Delphi process, including educators who conducted the activities. The evaluation followed three directions: the program (based on a literature review of CSE principles and recommended characteristics), implementation (assessing the execution of the program through the analysis of the reflection tools used by the educators), and short-term outcomes (assessing critical thinking and conscious behavioural choices through pre-post and satisfaction surveys).
RESULTS: The main goal, learning modules and content were defined and structured in five interventions with the students, and two with families and teachers. A total of 638 students were involved in the activity, across 11 schools. Data analysis of pre/post surveys reported a significant increase in knowledge in 12 of the 15 items investigated (p < 0.05), and a high level of satisfaction with the topics addressed. Qualitative analysis added information on the pivotal role of educators in CSE.
CONCLUSIONS: The national piloting of this educational activity provided positive insights regarding the co-construction, implementation and short-outcome evaluation, suggesting potential for scalability and future inclusion of CSE in the curricula of Italian schools.
METHODS: The pilot scheme was co-constructed by a multidisciplinary curriculum development group through a Delphi process, including educators who conducted the activities. The evaluation followed three directions: the program (based on a literature review of CSE principles and recommended characteristics), implementation (assessing the execution of the program through the analysis of the reflection tools used by the educators), and short-term outcomes (assessing critical thinking and conscious behavioural choices through pre-post and satisfaction surveys).
RESULTS: The main goal, learning modules and content were defined and structured in five interventions with the students, and two with families and teachers. A total of 638 students were involved in the activity, across 11 schools. Data analysis of pre/post surveys reported a significant increase in knowledge in 12 of the 15 items investigated (p < 0.05), and a high level of satisfaction with the topics addressed. Qualitative analysis added information on the pivotal role of educators in CSE.
CONCLUSIONS: The national piloting of this educational activity provided positive insights regarding the co-construction, implementation and short-outcome evaluation, suggesting potential for scalability and future inclusion of CSE in the curricula of Italian schools.
摘要：
背景：以学校为基础的综合性教育（CSE）是一种强大的工具，可为年轻人提供有关性行为各个方面的信息，旨在保护他们的性健康和生殖健康以及一生的福祉。目前,CSE没有融入意大利的学校课程。这项研究描述了共建，实施，以及评估在初中学生中试行的CSE项目，在意大利的四个地区。基于证据的评估将有助于促进CSE课程纳入意大利学校的课程。
方法：试点计划是由多学科课程开发小组通过Delphi流程共同构建的，包括开展活动的教育工作者。评估遵循三个方向：程序（基于CSE原理和推荐特征的文献综述），实施（通过分析教育者使用的反思工具来评估程序的执行情况），和短期结果（通过事前和满意度调查评估批判性思维和有意识的行为选择）。
结果：主要目标，学习模块和内容被定义和组织在五个干预与学生，还有两个家庭和老师。共有638名学生参与活动,11所学校前/后调查的数据分析报告说，在调查的15个项目中，有12个项目的知识显着增加（p<0.05），以及对所讨论的主题的高度满意。定性分析增加了有关教育者在CSE中的关键作用的信息。
结论：这项教育活动的全国试点为共建提供了积极的见解，实施和短期结果评估，提出了可扩展性和未来将CSE纳入意大利学校课程的潜力。
方法：试点计划是由多学科课程开发小组通过Delphi流程共同构建的，包括开展活动的教育工作者。评估遵循三个方向：程序（基于CSE原理和推荐特征的文献综述），实施（通过分析教育者使用的反思工具来评估程序的执行情况），和短期结果（通过事前和满意度调查评估批判性思维和有意识的行为选择）。
结果：主要目标，学习模块和内容被定义和组织在五个干预与学生，还有两个家庭和老师。共有638名学生参与活动,11所学校前/后调查的数据分析报告说，在调查的15个项目中，有12个项目的知识显着增加（p<0.05），以及对所讨论的主题的高度满意。定性分析增加了有关教育者在CSE中的关键作用的信息。
结论：这项教育活动的全国试点为共建提供了积极的见解，实施和短期结果评估，提出了可扩展性和未来将CSE纳入意大利学校课程的潜力。
