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Effects of an Interactive School-Based Program for Preventing Adolescent Sexual Harassment: A Cluster-Randomized
Gaby P A de Lijster1,2, Hanneke Felten3, Gerjo Kok4
1Child Health, TNO, PO Box 3005, 2301 DA, Leiden, The Netherlands. gaby.delijster@tno.nl.
A school intervention combining a play and lessons reduced adolescents' intention to commit sexual harassment and improved their self-efficacy in rejecting it. This program shows promise for preventing sexual harassment behaviors and improving well-being.
Area of Science:
- Public Health
- Adolescent Health
- Behavioral Science
Background:
- Adolescent sexual harassment is prevalent, negatively impacting well-being and health behaviors.
- Victims face increased risks of suicidal ideation, suicidal thoughts, and feeling unsafe at school.
Purpose of the Study:
- To evaluate the effectiveness of a school-based intervention (play and lessons) in preventing sexual harassment among adolescents.
- To assess the intervention's impact on behavioral determinants and distal factors related to sexual harassment.
Main Methods:
- Cluster-randomized controlled trial assigning secondary schools to intervention or control groups.
- Multilevel analyses using a two-level random intercept model to assess outcomes at post-test and 6-month follow-up.
- Outcome measures included sexual harassment behaviors, intentions, self-efficacy, social norms, and sexual self-esteem.
Main Results:
- Intervention group showed reduced intention to commit sexual harassment and increased self-efficacy in rejecting it post-intervention.
- Significant positive effects on social norms for rejecting sexual harassment were observed at post-test and follow-up.
- Adolescents in the intervention group reported higher sexual self-esteem at follow-up.
Conclusions:
- The combined play and lessons intervention shows potential for preventing adolescent sexual harassment.
- Improvements in behavioral determinants like self-efficacy and social norms can positively influence future sexual behaviors.
- Continued sexual health education and social-emotional learning programs may enhance prevention efforts.
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