Train the Trainer Course book - Cochrane Public Health Group

2 points out of the possible 4 points for quality); including high quality experimental evidence
(from non-RCTs) may be advisable.
3) The PICO question is not P- adolescents, I – primary prevention C- no intervention O- delay in
initiation of sexual intercourse, consistent use of birth control, avoidance of unintended pregnancy
The PICO questions is P- adolescents, I – primary prevention using theory based interventions C-
standard practice or care (only a few interventions are compared to no intervention in the review)
O- delay in initiation of sexual intercourse, consistent use of birth control, avoidance of unintended
pregnancy. Therefore, the first line of the discussion of the article is too strong and does not reflect
what the review was actually answering “..show that primary prevention strategies do not delay
the initiation of sexual intercourse or improve use of birth control among young men and women”.
Note: There are a number of rapid responses to this article in the BMJ. They can be found on-line
when printing out the article of the systematic review. Participants have found it useful to look at
these rapid responses (especially as many think the study is very high quality and useful for
decision-making).
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