Child Health and Development Centre, School of Medicine, Makerere University College of Health Sciences, P. O. Box 6717, Kampala, Uganda.
Department of Psychiatry, Makerere University College of Health Sciences, Kampala, Uganda.
AIDS Behav. 2019 Jan;23(1):91-104. doi: 10.1007/s10461-018-2249-4.
In a cluster-randomized trial conducted in 22 government secondary schools in Uganda, effects of a school-based intervention aimed at improving aspects of parent/caregiver-adolescent communication on sexuality were examined. The intervention comprised classroom-based education sessions, take home assignments for students to discuss with parents/caregivers and parenting workshops. Baseline and post intervention questionnaires were completed by students and by parents/caregivers. Effect estimates were significant for both students and parents/caregivers on sexuality communication frequency and quality, and for positive and negative attitudes towards sex-related communication, all in the desired direction with effect sizes ranging from 0.17 to 0.38. Effects on four sum scores related to general parenting proved significant only for parents'/caregivers' legitimacy with regard to rule setting (parents'/caregivers' reports only). These results suggest that in Uganda, using schools as gateways, parent/caregiver-adolescent communication can be improved through modification of existing school curricula, training teachers in learner-centred approaches and through mobilization and training of parents/caregivers.
在乌干达 22 所政府中学进行的一项整群随机试验中，研究了一项以改善父母/照顾者与青少年沟通的各个方面为目标的基于学校的干预措施对性教育的影响。该干预措施包括课堂教育课程、学生带回家与父母/照顾者讨论的作业以及育儿研讨会。学生和父母/照顾者都填写了基线和干预后问卷。在性沟通频率和质量方面，以及对与性相关的沟通的积极和消极态度方面，学生和父母/照顾者的效果估计均具有统计学意义，所有这些都朝着预期的方向发展，效果大小范围从 0.17 到 0.38。四项与一般育儿相关的总和评分的效果仅在与规则制定有关的父母/照顾者的合法性方面具有统计学意义（仅父母/照顾者报告）。这些结果表明，在乌干达，利用学校作为门户，可以通过修改现有的学校课程、在以学习者为中心的方法方面培训教师以及动员和培训父母/照顾者来改善父母/照顾者与青少年的沟通。
