Guo Ruru, Pan Wen, Zhao Wei, Zhao Mingli, Wang Jingjing
School of Nursing & Health, Zhengzhou University, No. 101 Kexue Avenue, High-tech District, Zhengzhou, 450007, China.
Nursing Department, The Fifth People's Hospital of Shanghai, Affiliated Fudan University, Shanghai, 200240, China.
Reprod Health. 2025 Jul 3;22(1):123. doi: 10.1186/s12978-025-02071-5.
BACKGROUND: Sexual and reproductive health education is crucial for senior primary school students as they enter adolescence. Implementing such education in resource-limited settings faces challenges like untrained educators, cultural taboos, and lack of materials. An online sexual and reproductive health educational program may overcome these barriers, yet no research in China has assessed the effectiveness for senior primary school students. This study aims to evaluate the effectiveness of an online sexual and reproductive health education program for senior primary school students in China, focusing on their adherence to the program and comprehension of its content. METHODS: The efficacy of the program was evaluated through a cluster randomized controlled trial. Participants (mean age 11.21 ± 0.68 years) were recruited from two primary schools in Shangqiu, Henan, with eight classes randomly assigned to either the intervention (n = 4) or control group (n = 4). The intervention group completed a 9-week online sexual and reproductive health education program, while the control group did not receive the program. Data on knowledge, attitudes, and behaviors were collected at baseline, post-intervention, and at 16-week follow-up. The outcomes were analyzed using a generalized estimating equation model. RESULTS: At baseline, no significant differences were found between groups in sociodemographic or physical development. In the intervention group, 71.4% completed the program with an average test accuracy of 86.6%, indicating good adherence and content comprehension. Compared to the control group, the intervention group had significantly higher sexual and reproductive health knowledge (T1: β = 2.18, T2: β = 1.21, p < 0.001, p = 0.001), attitudes (T1: β = 14.73, T2: β = 6.01, p < 0.001), and behaviours (T1: β = 4.49, T2: β = 5.90, p < 0.001) scores, with improvements sustained at 16 weeks. CONCLUSIONS: The online sexual and reproductive health educational program significantly improved knowledge, attitudes, and behaviours among senior primary students, providing valuable guidance for school health nurses in designing and implementing sexual and reproductive health education programs. TRIAL REGISTRATION: ChiCTR2400083843. [ www.chictr.org.cn ]. 06/05/2024.
背景：性与生殖健康教育对于进入青春期的小学高年级学生至关重要。在资源有限的环境中实施此类教育面临着诸多挑战，如教育工作者未受过培训、文化禁忌以及缺乏教学材料等。一项在线性与生殖健康教育项目或许可以克服这些障碍，但中国尚无研究评估其对小学高年级学生的有效性。本研究旨在评估一项针对中国小学高年级学生的在线性与生殖健康教育项目的有效性，重点关注学生对该项目的依从性及其对项目内容的理解。 方法：通过整群随机对照试验评估该项目的效果。参与者（平均年龄11.21±0.68岁）从河南商丘的两所小学招募，八个班级被随机分配至干预组（n = 4）或对照组（n = 4）。干预组完成了为期9周的在线性与生殖健康教育项目，而对照组未接受该项目。在基线、干预后以及16周随访时收集有关知识、态度和行为的数据。使用广义估计方程模型分析结果。 结果：在基线时，两组在社会人口统计学或身体发育方面未发现显著差异。在干预组中，71.4%的学生完成了该项目，平均测试准确率为86.6%，表明依从性良好且对内容理解较好。与对照组相比，干预组在性与生殖健康知识（T1：β = 2.18，T2：β = 1.21，p < 0.001，p = 0.001）、态度（T1：β = 14.73，T2：β = 6.01，p < 0.001）和行为（T1：β = 4.49，T2：β = 5.90，p < 0.001）得分方面显著更高，且在16周时仍保持改善。 结论：在线性与生殖健康教育项目显著改善了小学高年级学生的知识、态度和行为，为学校保健护士设计和实施性与生殖健康教育项目提供了有价值的指导。 试验注册：ChiCTR2400083843。[www.chictr.org.cn]。2024年5月6日。
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