Evaluation of the Effectiveness and Implementation of the Sexual Health Program Long Live Love iv

Abstract

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.