Effects of gender-transformative relationships and sexuality education to reduce adolescent pregnancy (the JACK trial): a cluster-randomised trial

Brennan-Wilson, Aoibheann; Hunter, Rachael; Gabrio, Andrea; McDaid, Lisa; Young, Honor; French, Rebecca; Aventin, Áine; Clarke, Mike; McDowell, Clíona; Logan, Danielle; Toase, Sorcha; O’Hare, Liam; Bonell, Chris; Gillespie, Katie; Gough, Aisling; Lagdon, Susan; Warren, Emily; Buckley, Kelly; Lewis, Ruth; Adara, Linda; McShane, Theresa; Bailey, Julia; White, James

doi:10.1016/s2468-2667(22)00117-7

Cited by 18 publications

(11 citation statements)

References 29 publications

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“…The sample size ranged from the lowest (n=107) to the largest (n=19,289). The outcomes in this study were behaviors: sexual activity ( 11-16 ,20,26,35-38,42, 43 ), and contraceptive use ( 11 , 13-16 ,24,35-39,42, 43 ), examining the impact on STI/HIV ( 11 , 13 ,15,20,35,36,38, 43 ), knowledge and preventive behavior ( 11 , 17-19 ,21,22,24,26-28,34,35,38-40,43, 44 ), and self-efficacy ( 24 , 29 , 39 ). Most of the study outcomes involved follow-up more than twice, the first follow-up was immediately after the intervention ( 26 , 39 ), 3 months ( 12 , 13 , 26 , 35 , 36 ), 6 months ( 11 , 13 ,29,35,39,42, 43 ), 9 months ( 24 , 41 ), 12 months ( 17 , 24 , 37-39 ), 18 months ( 44 ), 24 months ( 26 , 36 , 42 ), even 7 years ( 15 ) after the intervention ended.…”

Section: Resultsmentioning

confidence: 99%

Risk sexual behavior, sexually-transmitted infections and adolescent pregnancy prevention interventions

Gamelia,

Anies,

Widjanarko

et al. 2023

J Public Health Afr

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Numerous nations experience a significant prevalence of adolescent pregnancies, sexually transmitted infections (STIs), and risky sexual conduct. Consequently, there is a pressing requirement for intervention programs targeting adolescent health to modify behavior. This systematic review examines the efficacy of comprehensive interventions in diverse settings for the purpose of mitigating teenage pregnancy, sexually transmitted infections (STIs), and associated sexual risk behaviors. The objective of this study was to find interventions that can effectively reduce risky sexual activity, sexually transmitted diseases, and adolescent pregnancy. Conduct a literature search from January 2008 to December 2022 using electronic databases. Keywords "teenage pregnancy" OR "teen pregnancy" OR "adolescent pregnancy", AND "maternal education", AND "randomized clinical trial", AND "risk behavior". A total of 28 articles were found to adhere to the PRISMA standards. The majority of research examined several forms of care, including school-based, individual, community, clinic, and family-based care. The bulk of the studies conducted involved follow-up assessments conducted at various intervals ranging from one month to seven years after the intervention. The participants in these research were predominantly adolescents, with ages ranging from 13 to 18 years. Application of scientific investigation in urban, suburban, and rural regions. This program has demonstrated efficiency in preventing pregnancy, promoting contraceptive utilization, reducing the incidence of STIs and HIV, modifying sexual behavior, decreasing school dropout rates, enhancing knowledge about pregnancy and sexuality, influencing attitudes towards sexuality, fostering intention to modify hazardous sexual behavior, boosting self-efficacy, and improving parent-child relationships. This article outlines fundamental patterns in interventions aimed at preventing adolescent pregnancy in multiple countries, serving as a valuable resource for health programs. The unverified efficacy can be utilized in combination with other interventions that yield a significant positive outcome.

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Section: Resultsmentioning

confidence: 99%

Risk sexual behavior, sexually-transmitted infections and adolescent pregnancy prevention interventions

Gamelia,

Anies,

Widjanarko

et al. 2023

J Public Health Afr

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“…Involving men and boys in FP is increasingly recognised as essential to addressing unmet FP needs and in turn transforming maternal and child health outcomes (Croce-Galis et al, 2014;Hardee et al, 2017;Lohan et al, 2022;Phiri et al, 2015a;Sahay et al, 2021), with programmes that adopt a focus on transforming gender inequalities for women and girls showing particular promise (Barker et al, 2007;Phiri et al, 2015b;Ruane-McAteer et al, 2020).…”

Section: The Problemmentioning

confidence: 99%

“…Involving men and boys in FP is increasingly recognised as essential to addressing unmet FP needs and in turn transforming maternal and child health outcomes (Croce‐Galis et al, 2014; Hardee et al, 2017; Lohan et al, 2022; Phiri et al, 2015a; Sahay et al, 2021), with programmes that adopt a focus on transforming gender inequalities for women and girls showing particular promise (Barker et al, 2007; Phiri et al, 2015b; Ruane‐McAteer et al, 2020). The underpinning rationale for involving men in FP recognises that, in many countries, men are the primary decision‐makers on family size and may control or inhibit women's use of FP as well as acknowledging that men themselves may have unmet needs in relation to FP (Nzioka & Press, 2002).…”

Section: Introductionmentioning

confidence: 99%

Involving men and boys in family planning: A systematic review of the effective components and characteristics of complex interventions in low‐ and middle‐income countries

Aventin

Robinson

Hanratty

et al. 2023

Campbell Systematic Reviews

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“…Building on the systematic review evidence on acceptable and effective RSE ( Bailey et al , 2010 ; Bonell et al , 2013 ; Guse et al , 2012 ; Ketting et al , 2015 ; Kirby, 2002 ; Pound et al , 2016a ; UNESCO and UNAIDS, 2018 ; United Nations Population Fund, 2015 ; WHO, 2018b ) and our team’s prior research on developing male engagement RSE in schools ( Lohan et al ., 2022 , Aventin et al ., 2020 ; Templeton et al ., 2019b ; Lohan et al , 2018a , 2018b ) and sexual health promotion in prisons ( Kelly et al ., 2020 ; Templeton et al ., 2019a ), we report the co-production and feasibility testing of a relationship, sexuality and future fatherhood programme for young men (aged 16–21) in young offender centres called If I Were a Dad. The aim of the study was to co-produce and conduct a feasibility evaluation of this programme at two national young male offender institutes, one in Northern Ireland and one in Scotland.…”

Section: Introductionmentioning

confidence: 99%

Addressing sexual and reproductive health and rights with men in prisons: co-production and feasibility testing of a relationship, sexuality and future fatherhood education programme

Robinson

Templeton²,

Kelly³

et al. 2022

IJPH

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Purpose Young incarcerated male offenders are at risk of poorer sexual health, adolescent parenthood and lack opportunities for formative relationship and sexuality education (RSE) as well as positive male role models. The purpose of this paper is to report the process of co-production and feasibility testing of a novel, gender-transformative RSE programme with young male offenders to encourage positive healthy relationships, gender equality, and future positive fatherhood. Design/methodology/approach Using a rights-based participatory approach, the authors co-produced an RSE programme with young offenders and service providers at two UK prison sites using a sequential research design of: needs analysis, co-production and a feasibility pilot. Core components of the programme are grounded in evidence-based RSE, gender-transformative and behaviour change theory. Findings A needs analysis highlighted the men’s interest in RSE along with the appeal of film drama and peer-group-based activities. In the co-production stage, scripts were developed with the young men to generate tailored film dramas and associated activities. This co-production led to “If I Were a Dad”, an eight-week programme comprising short films and activities addressing masculinities, relationships, sexual health and future fatherhood. A feasibility pilot of the programme demonstrated acceptability and feasibility of delivery in two prison sites. The programme warrants further implementation and evaluation studies. Originality/value The contribution of this paper is the generation of an evidence-based, user-informed, gender-transformative programme designed to promote SRHR of young male offenders to foster positive sexual and reproductive health and well-being in their own lives and that of their partners and (future) children.

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Effects of gender-transformative relationships and sexuality education to reduce adolescent pregnancy (the JACK trial): a cluster-randomised trial

Cited by 18 publications

References 29 publications

Risk sexual behavior, sexually-transmitted infections and adolescent pregnancy prevention interventions

Risk sexual behavior, sexually-transmitted infections and adolescent pregnancy prevention interventions

Involving men and boys in family planning: A systematic review of the effective components and characteristics of complex interventions in low‐ and middle‐income countries

Addressing sexual and reproductive health and rights with men in prisons: co-production and feasibility testing of a relationship, sexuality and future fatherhood education programme

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