Evidence map›Paper›PMID 42512149›Full record

ArticleInternational journal of environmental research and public health2026

Development and Pilot Evaluation of a Training-of-Trainers Model for School-Based Sexuality Education Within the ESPRIT Project.

Alessandra Casuccio, Nicolò Piazza, Giada Cordova, Patrizia Ferro, Nazareno Inzerillo, Alessio Castiglione, Manola Comar, Barbara Suligoi, Maria Cristina Salfa, Daniele Gianfrilli and 6 more

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Alessandra CasuccioDepartment of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialities, University of Palermo, 90127 Palermo, Italy.ORCID 0000-0002-5676-9535
Nicolò PiazzaDepartment of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialities, University of Palermo, 90127 Palermo, Italy.
Giada CordovaDepartment of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialities, University of Palermo, 90127 Palermo, Italy.
Patrizia FerroDepartment of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialities, University of Palermo, 90127 Palermo, Italy.ORCID 0009-0004-4435-6997
Nazareno InzerilloDepartment of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialities, University of Palermo, 90127 Palermo, Italy.
Alessio CastiglioneDepartment of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialities, University of Palermo, 90127 Palermo, Italy.ORCID 0000-0002-8225-1123
Manola ComarDepartment of Advanced Translational Microbiology, Institute for Maternal and Child Health, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) "Burlo Garofolo", 34137 Trieste, Italy.
Barbara SuligoiNational AIDS Unit, Department of Infectious Diseases, Italian National Institute of Health, 00161 Rome, Italy.ORCID 0000-0001-9623-7659
Maria Cristina SalfaNational AIDS Unit, Department of Infectious Diseases, Italian National Institute of Health, 00161 Rome, Italy.
Daniele GianfrilliDepartment of Experimental Medicine, Sapienza University of Rome, 00185 Rome, Italy.ORCID 0000-0002-2682-8266
Franz SestiDepartment of Experimental Medicine, Sapienza University of Rome, 00185 Rome, Italy.ORCID 0000-0003-3850-627X
Silvia GazzettaComplex Operational Unit Accreditation, Quality, and Clinical Risk, Friuli Centrale Healthcare University, 33100 Udine, Italy.
Laura BrunelliComplex Operational Unit Accreditation, Quality, and Clinical Risk, Friuli Centrale Healthcare University, 33100 Udine, Italy.ORCID 0000-0002-5475-0021
Palmira ImmordinoDepartment of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialities, University of Palermo, 90127 Palermo, Italy.ORCID 0000-0002-1051-6874
Vincenzo RestivoDepartment of Medicine, Kore University of Enna, 94100 Enna, Italy.ORCID 0000-0002-5406-884X
Esprit Study Collaboration GroupDepartment of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialities, University of Palermo, 90127 Palermo, Italy.

Funding

The project was carried out with the technical and financial support of the Italian Ministry of Health-CCM (study project ESPRIT-Education in lower and upper secondary school and sup-port of the network of adolescent reference persons for the prevention o PRJ-1644
6 · The paper itself

Abstract

backgroundSexuality education is essential for adolescent health and well-being, yet in Italy it is not included in a mandatory national curriculum, resulting in heterogeneous implementation across regions. Within the ESPRIT project, a multidisciplinary training-of-trainers (ToT) model was developed to prepare professionals to support school-based peer-education pathways. This study aimed to describe the training model and perform a pilot evaluation of short-term knowledge outcomes among trained participants.

methodsA pilot non-randomized controlled comparative study was conducted within the ESPRIT project framework. A multidisciplinary Training Team developed a structured ToT pathway based on WHO guidance, national recommendations, and peer-education models. Ten advanced public health residents in Hygiene and Preventive Medicine attended a three-day residential training course. One month later, a 10-item knowledge questionnaire was administered to trained participants (

resultsTrained participants achieved higher questionnaire scores than the comparator group (median score 8 [IQR 2] vs. 3.5 [IQR 2];

conclusionsStructured ToT programmes may represent a promising approach for strengthening professional preparation in sexuality education. Larger studies with longer follow-up are needed to evaluate sustainability and real-world implementation.

Indexed as

Sex EducationCurriculumFemaleHumansItalyMaleModels, EducationalPilot ProjectsProgram EvaluationPublic HealthSchoolsSurveys and Questionnairescapacity buildinghealth educationpublic health trainingsexuality educationtraining of trainers

Identifiers

PMID42512149
PMCPMC13410090

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.