Safe sex and relationships in FE (SaFE): mixed-method, multi-case study to develop a comprehensive sexual health intervention for FE settings

促进安全和健康的性行为，包括生殖选择，对年轻人的身体和社会福祉的发展起着重要作用。尽管英国现在有超过150万年轻人注册参加继续教育(FE)课程，但在FE学院和六年级的性健康改善活动上投资很少。然而，这是许多年轻人变得性生活活跃并从事危险的性行为的时候。研究发现，在16至19岁的人群中，性传播感染(STI)、意外怀孕和性暴力的发生率要高得多。这项研究项目旨在开发一种新的、系统的方法，通过FE环境(例如FE学院和六年级学院)在16至19岁的青少年中促进安全的性行为和关系。该项目将与来自英格兰和威尔士六所大学的学生和教职员工，以及Brook(一家专门研究年轻人性健康的慈善机构)的工作人员合作，开发这种新的性健康和人际关系干预。我们特别想了解他们对可用于FE的四种不同潜在方法的看法，这些方法可以减少冒险行为，改善性健康和性关系。这些是：学生领导的审查和修订大学政策的行动小组，现场提供的性健康服务，工作人员培训，以及性和关系教育。这项研究将涉及多个阶段。首先，我们将利用焦点小组探讨FE学生和教师的意见，并采访Brook的FE经理和工作人员。其次，六所学院的所有学生和教职员工将被要求完成一份在线问卷，以便就可以使用的四种不同的潜在方法以及如何提供这些方法获得更广泛的意见。这将有助于检查一些方法是否在不同类型的大学或不同人群中或多或少被接受。第三，调查结果和建议将反馈给FE经理、Brook员工和政策制定者，以帮助制定可持续的干预措施。这项研究不会告诉我们该计划是否可行，或者它是否会有效地减少性传播感染和意外怀孕，或者它是否会改善人际关系和年轻人的福祉，但它将支持开发一种新的方法来促进安全的性行为和关系。然后可以对其进行评估，以评估其可行性、有效性和成本效益，并在成功的情况下全面推广。

The promotion of safe and healthy sexual behaviour, including reproductive choice, plays an important role in the development of young people's physical and social well-being. Despite more than 1.5 million young people now being enrolled on further education (FE) courses in the UK, there is very little investment in sexual health improvement activities in FE colleges and sixth forms. However, this is the time when many young people become sexually active and engage in risky sexual practices. Research has identified much higher rates of sexually transmitted infections (STIs), unplanned pregnancies and sexual violence among those aged 16 to 19.This research project aims to develop a new, systematic approach to promoting safe sex and relationships among 16-19 year olds through FE settings (e.g. FE colleges and sixth-form colleges). The project will involve working with students and staff from six colleges in England and Wales, and staff from Brook (a charity specialising in young people's sexual health), to develop this new sexual health and relationships intervention. We particularly want to get their views on four different potential methods that could be used in FE to reduce risk-taking and improve sexual health and relationships. These are: student-led action groups to review and revise college policies, sexual health services delivered on site, staff training, and sex and relationships education. The research will involve multiple stages. First, we will explore the views of FE students and teachers using focus groups and also interview FE managers and staff from Brook. Second, all the students and staff in each of the six colleges will be asked to complete an online questionnaire in order to get a wider range of views on the four different potential methods that could be used and how these could be delivered. This will help to check if some methods are more or less acceptable in different types of colleges or among different groups of people. Third, the findings and recommendations will be fed back to FE managers, Brook staff and policy makers to help develop a sustainable intervention.This research will not tell us whether the programme is going to be feasible or if it will be effective in reducing STIs and unplanned conceptions, or if it improves relationships and young people's wellbeing, but it will support the development of a new approach to promoting safe sex and relationships. This could then be evaluated to assess its feasibility, effectiveness and cost-effectiveness, and rolled-out universally if successful.