Skip to main content

Advertisement

Log in

Efficacy of Sex Education Programs for People with Intellectual Disabilities: A Meta-Analysis

  • Original Paper
  • Published:
Sexuality and Disability Aims and scope Submit manuscript

Abstract

The aim of this meta-analysis was to examine the effectiveness of sex education programs for people with intellectual disabilities, exploring the effects of possible moderating variables. 31 independent studies were identified, from 8 research reports published between 1988 and 2017. The results revealed mean effect sizes in favor of the experimental group, being of large magnitude for the components inappropriate behaviors (d = − 1.26) and Decision making (d = − 1.03), and of moderate magnitude for the global effect (d = − .64). The analyses revealed that single-sex groups, publications between 2000 and 2009 and a high degree of training and experience to deliver the programs were moderating variables that had a great effect on the effectiveness of the programs for the global effect component. Similar results were obtained for the decision making dimension while no significant moderating variables were found for the inappropriate behaviors dimension. Understanding how effective sex educational programs work is essential to this social group. Practical implications are discussed from the results obtained.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

References marked with an asterisk indicate that are included in the meta-analysis

  1. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders (5ª ed.). Washington DC (2013)

  2. Phasha, T.N., Runo, M.: Sexuality education in schools for learners with intellectual disabilities in Kenya: empowerment or disempowerment? Sex. Disabil. 35(3), 353–370 (2017). https://doi.org/10.1007/s11195-017-9480-1

    Article  Google Scholar 

  3. Schaafsma, D., Kok, G., Stoffelen, J.M.T., Curfs, L.M.G.: People with intellectual disabilities talk about sexuality: implications for the development of sex education. Sex. Disabil. 35(1), 21–38 (2017). https://doi.org/10.1007/s11195-016-9466-4

    Article  PubMed  Google Scholar 

  4. Frawley, P., Wilson, N.J.: Young people with intellectual disability talking about sexuality education and information. Sex. Disabil. 34(4), 469–484 (2016). https://doi.org/10.1007/s11195-016-9460-x

    Article  Google Scholar 

  5. Barnard-Brak, L., Schmidt, M., Chesnut, S., Wei, T., Richman, D.: Predictors of access to sex education for children with intellectual disabilities in public schools. Intellect. Dev. Disabil. 52(2), 85–97 (2014). https://doi.org/10.1352/1934-9556-52.2.85

    Article  PubMed  Google Scholar 

  6. Maia, A.C.B., Reis-Yamauti, V.L.D., Schiavo, R.D.A., Capellini, V.L.M.F., Valle, T.G.M.D.: Teacher opinions on sexuality and sexual education of students with intellectual disability. Estud. Psicol. 32(3), 427–435 (2015). https://doi.org/10.1590/0103-166X2015000300008

    Article  Google Scholar 

  7. Löfgren-Mårtenson, L., Sorbring, E., Molin, M.: “T@ ngled up in blue”: views of parents and professionals on internet use for sexual purposes among young people with intellectual disabilities. Sex. Disabil. 33(4), 533–544 (2015). https://doi.org/10.1007/s11195-015-9415-7

    Article  Google Scholar 

  8. Gil-Llario, M.D., Díaz, I., Ceccato, R., Ballester, R., Giménez, C.: Conocimientos, actitudes hacia la orientación sexual, comportamientos de riesgo y abusos sexuales en mujeres con discapacidad intelectual [Knowledge, attitudes towards sexual orientation, risk behaviors and sexual abuse in women with intellectual disabilities]. Int. J. Dev. Educ. Psychol. 2(1), 397–405 (2014). https://doi.org/10.17060/ijodaep.2014.n1.v2.455

    Article  Google Scholar 

  9. Thom, R.P., Grudzinskas, A.J., Saleh, F.M.: Sexual behavior among persons with cognitive impairments. Curr. Psychiatry Rep. 19(5), 25 (2017). https://doi.org/10.1007/s11920-017-0777-7

    Article  PubMed  Google Scholar 

  10. McCarthy, M.: Women with intellectual disability: their sexual lives in the 21st century. J. Intellect. Dev. Disabil. 39(2), 124–131 (2014). https://doi.org/10.3109/13668250.2014.894963

    Article  Google Scholar 

  11. Aderemi, T.J., Pillay, B.J.: Sexual abstinence and HIV knowledge in school-going adolescents with intellectual disabilities and non-disabled adolescents in Nigeria. J. Child Adolesc. Ment. Health 25(2), 161–174 (2013). https://doi.org/10.2989/17280583.2013.823867

    Article  PubMed  Google Scholar 

  12. Aderemi, T.J., Pillay, B.J., Esterhuizen, T.M.: Differences in HIV knowledge and sexual practices of learners with intellectual disabilities and non-disabled learners in Nigeria. J. Int. AIDS Soc. 16(1), 17331 (2013). https://doi.org/10.7448/IAS.16.1.17331

    Article  PubMed  PubMed Central  Google Scholar 

  13. Martinet, M., Legry, C.: Sexual abuse and intellectual disability: awareness for a better intervention. Sexologies 23(4), e91–e97 (2014). https://doi.org/10.1016/j.sexol.2014.03.001

    Article  Google Scholar 

  14. Nyokangi, D., Phasha, N.: Factors contributing to sexual violence at selected schools for learners with mild intellectual disability in South Africa. J. Appl. Res. Intellect. Disabil. 29(3), 231–241 (2016). https://doi.org/10.1111/jar.12173

    Article  PubMed  Google Scholar 

  15. Gil-Llario, M.D., Morell-Mengual, V., Ballester-Arnal, R., Díaz-Rodríguez, I.: The experience of sexuality in adults with intelectual disability. J. Intellect. Disabil. Res. 62, 72–80 (2018). https://doi.org/10.1111/jir.12455

    Article  PubMed  Google Scholar 

  16. Schaafsma, D., Kok, G., Stoffelen, J.M.T., van Doorn, P., Curfs, L.M.G.: Identifying the important factors associated with teaching sex education to people with intellectual disability: a cross-sectional survey among paid care staff. J. Intellect. Dev. Disabil. 39(2), 157–166 (2014). https://doi.org/10.3109/13668250.2014.899566

    Article  PubMed Central  Google Scholar 

  17. Whitehouse, M.A., McCabe, M.P.: Sex education programs for people with intellectual disability: how effective are they? Educ. Train. Ment. Retard. Dev. Disabil. 32(3), 229–240 (1997)

    Google Scholar 

  18. Barger, E., Wacker, J., Macy, R., Parish, S.: Sexual assault prevention for women with intellectual disabilities: a critical review of the evidence. Intellect. Dev. Disabil. 47(4), 249–262 (2009). https://doi.org/10.1352/1934-9556-47.4.249

    Article  PubMed  Google Scholar 

  19. Doughty, A.H., Kane, L.M.: Teaching abuse-protection skills to people with intellectual, disabilities: a review of the literature. Res. Dev. Disabil. 31(2), 331–337 (2010). https://doi.org/10.1016/j.ridd.2009.12.007

    Article  PubMed  Google Scholar 

  20. Schaafsma, D., Stoffelen, J.M.T., Kok, G., Curfs, L.M.G.: Exploring the development of existing sex education programmes for people with intellectual disabilities: an intervention mapping approach. J. Appl. Res. Intellect. Disabil. 26(2), 157–166 (2013). https://doi.org/10.1111/jar.12017

    Article  PubMed  Google Scholar 

  21. Schaafsma, D., Kok, G., Stoffelen, J.M.T., Curfs, L.M.G.: Identifying effective methods for teaching sex education to individuals with intellectual disabilities: a systematic review. J. Sex Res. 52(4), 412–432 (2015). https://doi.org/10.1080/00224499.2014.919373

    Article  PubMed  Google Scholar 

  22. Bornmann, L.: Alternative metrics in scientometrics: a meta-analysis of research into three altmetrics. Scientometrics 103(3), 1123–1144 (2015). https://doi.org/10.1007/s11192-015-1565-y

    Article  Google Scholar 

  23. Lipsey, M.W.: Identifying interesting variables and analysis opportunities. In: Cooper, H.M., Hedges, L.V., Valentine, J.C. (eds.) The Handbook of Research Synthesis and Meta-Analysis, pp. 147–158. SAGE, New York (2009)

    Google Scholar 

  24. Glass, G.V., McGaw, B., Smith, M.L.: Meta-Analysis in Social Research. SAGE, Beverly Hills (1981)

    Google Scholar 

  25. Hedges, L., Olkin, I.: Statistical Methods for Meta-Analysis. Harcourt, Brace, & Jovanovich, New York (1985)

    Google Scholar 

  26. Higgins, J.P.T., Thompson, S.G.: Quantifying heterogeneity in a meta-analysis. Stat. Med. 21, 1539–1558 (2002). https://doi.org/10.1002/sim.1186

    Article  PubMed  Google Scholar 

  27. *Graff, H.J., Moyher, R.E., Bair, J., Foster, C., Gorden, M.E., Clem, J.: Relationships and sexuality: how is a young adult with an intellectual disability supposed to navigate? Sex. Disabil. (2017). https://doi.org/10.1007/s11195-017-9499-3

    Article  Google Scholar 

  28. *Hayashi, M., Arakida, M., Ohashi, K.: The effectiveness of a sex education program facilitating social skills for people with intellectual disability in Japan. J. Intellect. Dev. Disabil. 36(1), 11–19 (2011). https://doi.org/10.3109/13668250.2010.549463

    Article  PubMed  Google Scholar 

  29. *Khemka, I., Hickson, L., Reynolds, G.: Evaluation of a decision-making curriculum designed to empower women with mental retardation to resist abuse. Am. J. Ment. Retard. 110(3), 193–204 (2005)

    Article  Google Scholar 

  30. *Lee, Y.K.S., Tang, C.S.K.: Evaluation of a sexual abuse prevention program for female Chinese adolescents with mild mental retardation. Am. J. Ment. Retard. 103(2), 105–116 (1998)

    Article  Google Scholar 

  31. *Butler, S.F., Fontenelle III, S.F.: Cognitive-behavioral group therapy: application with adolescents who are cognitively impaired and sexually act out. J. Spec. Group Work 20(2), 121–127 (1995). https://doi.org/10.1080/01933929508411335

    Article  Google Scholar 

  32. Jahoda, A., Pownall, J.: Sexual understanding, sources of information and social networks; the reports of young people with intellectual disabilities and their non-disabled peers. J. Intellect. Disabil. Res. 58(5), 430–441 (2014). https://doi.org/10.1111/jir.12040

    Article  PubMed  Google Scholar 

  33. Garrote, D., Jiménez, S., Fernández, A.: Análisis de las dificultades de aprendizaje en estudiantes con discapacidad intelectual [Analysis of learning difficulties in students with intellectual disabilities]. Eur. Sci. J. 11(25), 1–16 (2015)

    Google Scholar 

  34. *Hickson, L., Khemka, I., Golden, H., Chatzistyli, A.: Randomized controlled trial to evaluate an abuse prevention curriculum for women and men with intellectual and developmental disabilities. Am. J. Intellect. Dev. Disabil. 120(6), 490–503 (2015). https://doi.org/10.1352/1944-7558-120.6.490

    Article  PubMed  Google Scholar 

  35. *Jupp, J.J., Looser, G.: The effectiveness of the “CATCH” social skills training program with adolescents who are mildly intellectually disabled. Aust. N. Z. J. Dev. Disabil. 14(2), 135–145 (1988). https://doi.org/10.1080/07263868800033291

    Article  Google Scholar 

  36. *Khemka, I.: Increasing independent decision-making skills of women with mental retardation in simulated interpersonal situations of abuse. Am. J. Ment. Retard. 105(5), 387–401 (2000)

    Article  Google Scholar 

  37. Khemka, I., Hickson, L.: ESCAPE-DD: An effective strategy-based curriculum for abuse prevention and empowerment for adults with developmental disabilities. Center for opportunities and outcomes for people with disabilities, Teachers College, Columbia University, New York (2008)

    Google Scholar 

  38. Sheppard, J.L., Pollock, J.M., Rayment, S.M.: Catch project social skills kit. Cumberland College of Health Sciences, Sydney (1983)

    Google Scholar 

  39. Wurtele, S.K., Gillispie, E.I., Currier, L.L., Franklin, C.F.: A comparison of teachers vs. parents as instructors of a personal safety program for pre-schoolers. Child Abuse Negl. 16, 127–137 (1992). https://doi.org/10.1016/0145-2134(92)90013-H

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ricardo Sanmartín.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gonzálvez, C., Fernández-Sogorb, A., Sanmartín, R. et al. Efficacy of Sex Education Programs for People with Intellectual Disabilities: A Meta-Analysis. Sex Disabil 36, 331–347 (2018). https://doi.org/10.1007/s11195-018-9545-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11195-018-9545-9

Keywords

Navigation