Implementation of a teacher-delivered sex education programme: obstacles and facilitating factors

Buston, K., Wight, D., Hart, G. and Scott, S. (2002) Implementation of a teacher-delivered sex education programme: obstacles and facilitating factors. Health Education Research, 17(1), pp. 59-72. (doi: 10.1093/her/17.1.59)

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Interventions are unlikely to achieve their desired aims unless they are implemented as intended. This paper focuses on factors that impeded or facilitated the implementation of a specially designed sex education programme, SHARE, which 13 Scottish schools were allocated to deliver in a randomized trial. Drawing on qualitative and quantitative data provided by teachers, we describe how this intervention was not fully implemented by all teachers or in all schools. Fidelity to the programme was aided by intensive teacher training, compatibility with existing Personal and Social Education (PSE) provision, and senior management support. It was hindered by competition for curriculum time, brevity of lessons, low priority accorded to PSE by senior management, particularly in relation to timetabling, and teachers' limited experience and ability in use of role-play. The nature of the adoption process, staff absence and turnover, theoretical understanding of the package, and commitment to the research were also factors influencing the extent of implementation across and within schools. The lessons learned may be useful for those involved in designing and/or implementing other teacher-delivered school-based health promotion initiatives.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Wight, Professor Danny and Buston, Dr Katie
Authors: Buston, K., Wight, D., Hart, G., and Scott, S.
Subjects:R Medicine > RA Public aspects of medicine
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO SPHSU
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Centre for Population and Health Sciences
Journal Name:Health Education Research

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