Evaluation of the Effectiveness and Implementation of the Sexual Health Program Long Live Love iv
H. Hofstetter1, L.W.H. Peters1, S. Meijer2, H.M. Van Keulen1, L. Schutte2,3, P. van Empelen1
1TNO, Netherlands Organization for Applied Scientific Research
2Sti Aids Netherlands
3Maastricht University
Background. To evaluate the (short and long-term) effects and program use of the revised Long Live Love program (LLL), a comprehensive sex education program for secondary schools. Method. Two experimental versions of LLL (with and without teacher e-coaching) were tested against regular sexual health education. Evaluation focused on behavioral determinants related to condom use, contraceptive use, relational and sexual desires and boundaries, and attitudes towards homosexuality. A cluster-RCT was used with a 1-month and 8-month follow-up. A total of 53 schools (4623 students) participated. Multilevel analyses with multiple imputation were used. Findings: Compared to the control group, the combined LLL groups reported exposure to a larger variety of sexual health themes, and use of active modes of delivery: Short-term changes were found for sexual health knowledge, STD vulnerability, and various social-cognitive determinants of condom use and contraceptive use. The effect on intended condom use was maintained at 8-months. Discussion. LLL does change determinants of sexual health. The teacher e-coach seems to improve program experience and participation of students.