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Addressing the gaps: a mixed-methods scoping review on comprehensive sexuality education training for school
Amani Isa1, Aisha Shalash2, Mallak Ghanem1
1Institute of Community and Public Health, Birzeit University, Birzeit, Palestine.
BMJ Open
|June 19, 2026
Summary
Effective comprehensive sexuality education requires trained educators. This review highlights preservice training and blended learning methods as most effective, identifying key areas for future research in specific global regions.
Area of Science:
- Public Health Education
- Teacher Training
- Curriculum Development
Background:
- Comprehensive sexuality education (CSE) addresses multiple aspects of sexuality, offering significant health and life benefits to young people.
- Effective CSE delivery hinges on educators receiving adequate and proper training.
- This review focuses on the crucial role of educator training in successful CSE implementation.
Purpose of the Study:
- To map existing research on educator training for comprehensive sexuality education.
- To identify facilitators and barriers related to CSE training and curriculum implementation.
- To pinpoint research gaps and areas for future investigation in CSE education.
Main Methods:
- A scoping review involving a comprehensive search of six academic databases.
- Mixed-methods analysis including narrative synthesis, data mapping, descriptive statistics, and thematic analysis.
- Inclusion of 74 studies (31 qualitative, 24 quantitative, 19 mixed-methods).
Main Results:
- Preservice educator training emerged as the most effective training approach for CSE.
- Optimal training duration is context-specific, benefiting from a blend of in-person and online methods.
- Follow-up technical support strategies are crucial for effective training and implementation.
Conclusions:
- Future research should prioritize the Eastern Mediterranean and Southeast Asia regions due to identified disparities.
- Findings offer evidence-based insights for developing efficient CSE training programs for educators.
- Addressing barriers and facilitators to both training and implementation is essential for program success.
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