The Effect of Sexual and Reproductive Health Education on Knowledge and Self-Efficacy of School Counselors

Purpose: Enrichment of school counselors� knowledge would be an effective way to promote sexual and reproductive health (SRH) among adolescents. The present study aims to assess the effect of educational intervention on knowledge and self-efficacy of high school counselors on teenage SRH. Methods: A randomized controlled trial was conducted between June 2016 and March 2017. One hundred and twelve high school counselors from Tehran were recruited and randomized into two groups. The intervention was comprised of training courses on adolescent SRH as per two educational approaches: the team-based learning (TBL) and lecturing, which consisted of four sessions of 2 hours in 2 weeks. The knowledge and feeling of self-efficacy in both groups were assessed at the beginning of the study and 8 weeks after the intervention by researcher-made questionnaires. Results: After intervention, the mean and standard deviation of the knowledge and self-efficacy scores increased significantly in both TBL and lecture groups (p <.001). However, the final mean (standard deviation) of counselors� knowledge and self-efficacy scores in the TBL group were significantly higher than that of those in the lecture group 20.06 (2.74) vs. 18.90 (2.95); p =.03 for knowledge and 43.01 (4.08) versus 41.15 (4.99); p =.03 for self-efficacy with an almost moderate effect size d =.55 for both outcomes. Conclusions: The better SRH knowledge and self-efficacy in TBL group can be indicative of the group's effect on making challenges, especially in subjects that are socio-religious by nature. It seems that applying learner-centered educational approaches such as TBL can facilitate achieving pre-assigned SRH goals. © 2018 Society for Adolescent Health and Medicin