Using process data to understand outcomes in sexual health promotion: an example from a review of school-based programmes to prevent sexually transmitted infections.
This article discusses how process indicators can complement outcomes as part of a comprehensive explanatory evaluation framework, using the example of skills-based behavioural interventions to prevent sexually transmitted infections and promote sexual health among young people in schools. A systema...
| Published in: | Health Education Research Vol. 29; no. 4; pp. 566 - 583 |
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| Main Authors: | , , , , , , , , |
| Format: | research systematic review tables/charts Journal Article |
| Published: |
Oxford University Press / USA
Aug2014
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107868662&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107868662 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02681153 FA0 jtl: Health Education Research issn: 02681153 maglogo: N pubinfo: dt: Aug2014 vid: 29 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 107868662 97257552 10.1093/her/cyt155 NLM24488650 107868662 ppf: 566 ppct: 17 formats: fmt: @attributes: type: P tig: atl: Using process data to understand outcomes in sexual health promotion: an example from a review of school-based programmes to prevent sexually transmitted infections. aug: au: Shepherd, J. Harden, A. Barnett-Page, E. Kavanagh, J. Picot, J. Frampton, G. K. Cooper, K. Hartwell, D. Clegg, A. affil: Southampton Health Technology Assessments Centre (SHTAC), University of Southampton, Southampton S016 7NS, UK sug: subj: Health Promotion Sexual Health Sexually Transmitted Diseases Prevention and Control School Health Adolescent Health Human Systematic Review Self-Efficacy Adolescence Young Adult Randomized Controlled Trials Funding Source Adolescent: 13-18 years ab: This article discusses how process indicators can complement outcomes as part of a comprehensive explanatory evaluation framework, using the example of skills-based behavioural interventions to prevent sexually transmitted infections and promote sexual health among young people in schools. A systematic review was conducted, yielding 12 eligible outcome evaluations, 9 of which included a process evaluation. There were few statistically significant effects in terms of changes in sexual behaviour outcomes, but statistically significant effects were more common for knowledge and self-efficacy. Synthesis of the findings of the process evaluations identified a range of factors that might explain outcomes, and these were organized into two overarching categories: the implementation of interventions, and student engagement and intervention acceptability. Factors which supported implementation and engagement and acceptability included good quality teacher training, involvement and motivation of key school stakeholders and relevance and appeal to young people. Factors which had a negative impact included teachers' failure to comprehend the theoretical basis for behaviour change, school logistical problems and omission of topics that young people considered important. It is recommended that process indicators such as these be assessed in future evaluations of schoolbased sexual health behavioural interventions, as part of a logic model. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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