Involving teenage men in preventing unplanned pregnancy: A feasibility cluster randomised controlled trial in schools

Research output: Contribution to conferenceAbstract

Abstract

Background
World health organisations advocate a direct focus on adolescent men in reducing adolescent pregnancy, however no trials have been conducted. This trial (ISRCTN11632300; NCT02092480) determines whether a novel Relationship and Sexuality Educational intervention, If I Were Jack, which emphasises positive male responsibility in preventing unintended pregnancies and involves an interactive video drama, was acceptable and feasible to implement in mixed-sex UK classrooms.
Methods
The trial was an unblinded parallel-group cluster randomised controlled feasibility trial with embedded process and cost evaluation in eight secondary schools (unit of randomisation) among 831 pupils (mean age 14) in Northern Ireland, alongside a qualitative evaluation of transferability in ten schools in Scotland, Wales and England. Study duration was twelve months (from November 2014), with nine month follow-up.
Results
The results of the study demonstrated that the intervention was acceptable to schools, pupils and teachers, and could be feasibly implemented, cost-effectively, with minor enhancements. The between-group difference in incidence of unprotected sex (primary outcome at pupil level) of 1.3% (95% CI 0.5-2.2) by nine months demonstrated a potential effect size consistent with those reported to have had meaningful impact on teenage pregnancy.
Conclusions
The study responds to global health policy for a paradigm shift towards inclusion of men in the achievement of sexual and reproductive health goals in a practical way by demonstrating that a gender-sensitive intervention targeting males to prevent teenage pregnancy is acceptable to adolescent men and women and implementable in formal education structures. Feasibility results indicated that If I Were Jack merits further effectiveness testing. Recruitment is currently underway for a UK wide cluster randomised controlled trial.
Original languageEnglish
Publication statusPublished - 22 Jun 2018
EventBritish Psychological Society - Male Psychology Conference - University College London, London, United Kingdom
Duration: 22 Jun 201823 Jun 2018

Conference

ConferenceBritish Psychological Society - Male Psychology Conference
Abbreviated titleBPS Male Psychology Conference
CountryUnited Kingdom
CityLondon
Period22/06/201823/06/2018

Fingerprint

Unplanned Pregnancy
Pregnancy in Adolescence
Pupil
Randomized Controlled Trials
Reproductive Health
Drama
Unsafe Sex
Costs and Cost Analysis
Northern Ireland
Wales
Sexuality
Scotland
Random Allocation
Health Policy
England
Organizations
Education
Pregnancy
Incidence
Health

Cite this

Ruane-McAteer, E., Aventin, A., Clarke, M., McDaid, L., & Lohan, M. (2018). Involving teenage men in preventing unplanned pregnancy: A feasibility cluster randomised controlled trial in schools. Abstract from British Psychological Society - Male Psychology Conference, London, United Kingdom.
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title = "Involving teenage men in preventing unplanned pregnancy: A feasibility cluster randomised controlled trial in schools",
abstract = "BackgroundWorld health organisations advocate a direct focus on adolescent men in reducing adolescent pregnancy, however no trials have been conducted. This trial (ISRCTN11632300; NCT02092480) determines whether a novel Relationship and Sexuality Educational intervention, If I Were Jack, which emphasises positive male responsibility in preventing unintended pregnancies and involves an interactive video drama, was acceptable and feasible to implement in mixed-sex UK classrooms. MethodsThe trial was an unblinded parallel-group cluster randomised controlled feasibility trial with embedded process and cost evaluation in eight secondary schools (unit of randomisation) among 831 pupils (mean age 14) in Northern Ireland, alongside a qualitative evaluation of transferability in ten schools in Scotland, Wales and England. Study duration was twelve months (from November 2014), with nine month follow-up. ResultsThe results of the study demonstrated that the intervention was acceptable to schools, pupils and teachers, and could be feasibly implemented, cost-effectively, with minor enhancements. The between-group difference in incidence of unprotected sex (primary outcome at pupil level) of 1.3{\%} (95{\%} CI 0.5-2.2) by nine months demonstrated a potential effect size consistent with those reported to have had meaningful impact on teenage pregnancy. ConclusionsThe study responds to global health policy for a paradigm shift towards inclusion of men in the achievement of sexual and reproductive health goals in a practical way by demonstrating that a gender-sensitive intervention targeting males to prevent teenage pregnancy is acceptable to adolescent men and women and implementable in formal education structures. Feasibility results indicated that If I Were Jack merits further effectiveness testing. Recruitment is currently underway for a UK wide cluster randomised controlled trial.",
author = "Eimear Ruane-McAteer and Aine Aventin and Michael Clarke and Lisa McDaid and Maria Lohan",
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day = "22",
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note = "British Psychological Society - Male Psychology Conference, BPS Male Psychology Conference ; Conference date: 22-06-2018 Through 23-06-2018",

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Ruane-McAteer, E, Aventin, A, Clarke, M, McDaid, L & Lohan, M 2018, 'Involving teenage men in preventing unplanned pregnancy: A feasibility cluster randomised controlled trial in schools', British Psychological Society - Male Psychology Conference, London, United Kingdom, 22/06/2018 - 23/06/2018.

Involving teenage men in preventing unplanned pregnancy: A feasibility cluster randomised controlled trial in schools. / Ruane-McAteer, Eimear; Aventin, Aine; Clarke, Michael; McDaid, Lisa; Lohan, Maria.

2018. Abstract from British Psychological Society - Male Psychology Conference, London, United Kingdom.

Research output: Contribution to conferenceAbstract

TY - CONF

T1 - Involving teenage men in preventing unplanned pregnancy: A feasibility cluster randomised controlled trial in schools

AU - Ruane-McAteer, Eimear

AU - Aventin, Aine

AU - Clarke, Michael

AU - McDaid, Lisa

AU - Lohan, Maria

PY - 2018/6/22

Y1 - 2018/6/22

N2 - BackgroundWorld health organisations advocate a direct focus on adolescent men in reducing adolescent pregnancy, however no trials have been conducted. This trial (ISRCTN11632300; NCT02092480) determines whether a novel Relationship and Sexuality Educational intervention, If I Were Jack, which emphasises positive male responsibility in preventing unintended pregnancies and involves an interactive video drama, was acceptable and feasible to implement in mixed-sex UK classrooms. MethodsThe trial was an unblinded parallel-group cluster randomised controlled feasibility trial with embedded process and cost evaluation in eight secondary schools (unit of randomisation) among 831 pupils (mean age 14) in Northern Ireland, alongside a qualitative evaluation of transferability in ten schools in Scotland, Wales and England. Study duration was twelve months (from November 2014), with nine month follow-up. ResultsThe results of the study demonstrated that the intervention was acceptable to schools, pupils and teachers, and could be feasibly implemented, cost-effectively, with minor enhancements. The between-group difference in incidence of unprotected sex (primary outcome at pupil level) of 1.3% (95% CI 0.5-2.2) by nine months demonstrated a potential effect size consistent with those reported to have had meaningful impact on teenage pregnancy. ConclusionsThe study responds to global health policy for a paradigm shift towards inclusion of men in the achievement of sexual and reproductive health goals in a practical way by demonstrating that a gender-sensitive intervention targeting males to prevent teenage pregnancy is acceptable to adolescent men and women and implementable in formal education structures. Feasibility results indicated that If I Were Jack merits further effectiveness testing. Recruitment is currently underway for a UK wide cluster randomised controlled trial.

AB - BackgroundWorld health organisations advocate a direct focus on adolescent men in reducing adolescent pregnancy, however no trials have been conducted. This trial (ISRCTN11632300; NCT02092480) determines whether a novel Relationship and Sexuality Educational intervention, If I Were Jack, which emphasises positive male responsibility in preventing unintended pregnancies and involves an interactive video drama, was acceptable and feasible to implement in mixed-sex UK classrooms. MethodsThe trial was an unblinded parallel-group cluster randomised controlled feasibility trial with embedded process and cost evaluation in eight secondary schools (unit of randomisation) among 831 pupils (mean age 14) in Northern Ireland, alongside a qualitative evaluation of transferability in ten schools in Scotland, Wales and England. Study duration was twelve months (from November 2014), with nine month follow-up. ResultsThe results of the study demonstrated that the intervention was acceptable to schools, pupils and teachers, and could be feasibly implemented, cost-effectively, with minor enhancements. The between-group difference in incidence of unprotected sex (primary outcome at pupil level) of 1.3% (95% CI 0.5-2.2) by nine months demonstrated a potential effect size consistent with those reported to have had meaningful impact on teenage pregnancy. ConclusionsThe study responds to global health policy for a paradigm shift towards inclusion of men in the achievement of sexual and reproductive health goals in a practical way by demonstrating that a gender-sensitive intervention targeting males to prevent teenage pregnancy is acceptable to adolescent men and women and implementable in formal education structures. Feasibility results indicated that If I Were Jack merits further effectiveness testing. Recruitment is currently underway for a UK wide cluster randomised controlled trial.

UR - http://www.malepsychology.org.uk/the-conference-2018/

M3 - Abstract

ER -

Ruane-McAteer E, Aventin A, Clarke M, McDaid L, Lohan M. Involving teenage men in preventing unplanned pregnancy: A feasibility cluster randomised controlled trial in schools. 2018. Abstract from British Psychological Society - Male Psychology Conference, London, United Kingdom.