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Mathieu-C., S12;*Newby, K1; Hubbard, S.3 Danahay, A.4 & Martin, E.4 
1. Background 
Warwickshire County Council’s Respect Yourself Campaign plans to 
gradually implement Spring Fever (SF) Relationships & Sex Education 
teaching programme across primary schools in Warwickshire. 
SF has been adapted from an existing Dutch version. The teaching 
programme is delivered within one week across all school years. 
In 2013, the programme was piloted within one school. SF was 
delivered from reception year to year 6 over one week, with pupils 
receiving one hour of teaching each day. 
Process Evaluation of the 
Pilot Spring Fever 
Relationships and Sex Education 
Teaching Programme for 
Primary Schools 
1 Coventry University, 2University of Montreal 
3The Revel School, Warwickshire 4 Warwickshire County Council 
4. Findings 
Globally, the first delivery of Spring Fever was quite successful. 
In terms of the fidelity of implementation, the level of delivered 
exercises and achieved learning objectives was relatively high, but 
varied substantially across school years (see table 1). 
Three major categories of factors modulated SF delivery: 
Organizational factors 
School characteristics 
• Ex. School’s ethos 
Communication with 
parents 
• Ex. SF Introduction meeting 
Pilot Evaluation 
context 
• Ex. Need for adjustments 
Factors related to the 
programme 
General characteristics 
• Ex. The one week 
formula 
Learning activities and 
teachning material 
• Ex. Step by step 
instruction 
5. Recommendations 
18 recommendations were made which address factors that have helped or 
challenged the first delivery of SF. Some are relevant to the school which 
participated in this evaluation, but others are relevant to future schools in 
terms of drawing on their best practice. 
Recommendations included: 
• Regarding teachers : Provide opportunities for teachers to express their 
level of (dis)comfort at the idea of delivering SF and provide support if 
needed, and an option to opt out of delivery. 
• Regarding pupils : Instruct teachers to adjust teaching strategies and 
learning activities to fit pupils’ characteristics and reactions toward 
different topics covered by SF, including making sure appropriate 
changes or support is provided to those with special needs. 
• Regarding parents : Preserve the meeting that introduced SF as one of 
the strategies to communicate with parents. 
• Regarding the school : Address incompatibilities between SF’s objectives 
and the school ethos and religious culture so that teachers and parents 
feel comfortable. If needed, adjust the programme in order to respect 
the school organizational culture without losing SF’s main objectives. 
• Regarding the programme : Ensure that all the teaching material is 
translated, culturally adapted and ready to be owned by teachers. 
*Contact Katie Newby: k.newby@coventry.ac.uk; 
www.healthinterventions.co.uk 
2. Aim 
Prior to wide-scale rollout, a pilot evaluation study was conducted in 
order to inform future implementation. The aim was to establish how 
successfully Spring Fever could be implemented within primary 
schools in its existing form. 
3. Methods 
The evaluation design included four methods: 
1. Teachers’ Checklist and Feedback form (n=10) 
2. Teachers’ Focus Group (n=9) 
3. Parents’ daily diary (n=7) 
4. Parents’ interviews (n=7) 
Quantitative analyses were conducted on data collected 
through the teachers’ checklist and feedback forms to assess 
the extent to which leaning objectives were achieved. 
Content analysis was conducted on data collected through 
focus groups with teachers, interviews with parents and on 
answers from feedback forms and parents’ daily diaries. 
Table 1. Percentage of Exercises delivered, Extra Exercises and 
Year 
Achieved Objectives by School Year 
Exercises delivered 
as specified1 
Learning objectives 
achieved2 
Recep. (n=2)3 87% (13/15) 88% (11,5/13) 
One (n=1) 94% (15/16) 100% (14/14) 
Two (n=1) 100% (13/13) 79% (11/14) 
Three (n=1) 73% (11/15) 94% (17/18) 
Four (n=1) 82% (9/11) 79% (15/19) 
Five (n=2) 55% (11/20) 77% (23/30) 
Six (n=2) 15% (2/13) 25% (5,5/22) 
Global 71.18% (74/103) 74.6% (97/130) 
1 Percentages represent the proportion of exercises delivered in full as specified in the lesson plans. 
2 Percentages represent the proportion of learning objectives achieved as assessed by the teacher(s). 
3 When Spring Fever was delivered by more than one teacher per year, percentages represent the mean between the two teachers. 
Personnal factors 
Teachers’ 
characteristics 
• Ex. Level of confort 
Pupils’ characteristics 
• Ex. Response to sensitive 
topics – « Red lessons » 
Parents’ 
characteristics 
• Ex. Apprehension about sex 
education 
L 
6. Next steps 
This project has helped to identify how best to secure the future successful adoption and implementation of the Spring Fever programme 
which is a crucial last step in intervention delivery. A phased roll-out of the programme in Warwickshire will now commence. A long-term 
longitudinal trial is now needed to establish the efficacy of Spring Fever.

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Mathieu-C., Newby, Hubbard, Danahay, Martin (2014). Evaluation of the Pilot Spring Fever Relationships and Sex Education Teaching Programme for Primary Schools. MHPN, Northampton, R.-U.

  • 1. Mathieu-C., S12;*Newby, K1; Hubbard, S.3 Danahay, A.4 & Martin, E.4 1. Background Warwickshire County Council’s Respect Yourself Campaign plans to gradually implement Spring Fever (SF) Relationships & Sex Education teaching programme across primary schools in Warwickshire. SF has been adapted from an existing Dutch version. The teaching programme is delivered within one week across all school years. In 2013, the programme was piloted within one school. SF was delivered from reception year to year 6 over one week, with pupils receiving one hour of teaching each day. Process Evaluation of the Pilot Spring Fever Relationships and Sex Education Teaching Programme for Primary Schools 1 Coventry University, 2University of Montreal 3The Revel School, Warwickshire 4 Warwickshire County Council 4. Findings Globally, the first delivery of Spring Fever was quite successful. In terms of the fidelity of implementation, the level of delivered exercises and achieved learning objectives was relatively high, but varied substantially across school years (see table 1). Three major categories of factors modulated SF delivery: Organizational factors School characteristics • Ex. School’s ethos Communication with parents • Ex. SF Introduction meeting Pilot Evaluation context • Ex. Need for adjustments Factors related to the programme General characteristics • Ex. The one week formula Learning activities and teachning material • Ex. Step by step instruction 5. Recommendations 18 recommendations were made which address factors that have helped or challenged the first delivery of SF. Some are relevant to the school which participated in this evaluation, but others are relevant to future schools in terms of drawing on their best practice. Recommendations included: • Regarding teachers : Provide opportunities for teachers to express their level of (dis)comfort at the idea of delivering SF and provide support if needed, and an option to opt out of delivery. • Regarding pupils : Instruct teachers to adjust teaching strategies and learning activities to fit pupils’ characteristics and reactions toward different topics covered by SF, including making sure appropriate changes or support is provided to those with special needs. • Regarding parents : Preserve the meeting that introduced SF as one of the strategies to communicate with parents. • Regarding the school : Address incompatibilities between SF’s objectives and the school ethos and religious culture so that teachers and parents feel comfortable. If needed, adjust the programme in order to respect the school organizational culture without losing SF’s main objectives. • Regarding the programme : Ensure that all the teaching material is translated, culturally adapted and ready to be owned by teachers. *Contact Katie Newby: k.newby@coventry.ac.uk; www.healthinterventions.co.uk 2. Aim Prior to wide-scale rollout, a pilot evaluation study was conducted in order to inform future implementation. The aim was to establish how successfully Spring Fever could be implemented within primary schools in its existing form. 3. Methods The evaluation design included four methods: 1. Teachers’ Checklist and Feedback form (n=10) 2. Teachers’ Focus Group (n=9) 3. Parents’ daily diary (n=7) 4. Parents’ interviews (n=7) Quantitative analyses were conducted on data collected through the teachers’ checklist and feedback forms to assess the extent to which leaning objectives were achieved. Content analysis was conducted on data collected through focus groups with teachers, interviews with parents and on answers from feedback forms and parents’ daily diaries. Table 1. Percentage of Exercises delivered, Extra Exercises and Year Achieved Objectives by School Year Exercises delivered as specified1 Learning objectives achieved2 Recep. (n=2)3 87% (13/15) 88% (11,5/13) One (n=1) 94% (15/16) 100% (14/14) Two (n=1) 100% (13/13) 79% (11/14) Three (n=1) 73% (11/15) 94% (17/18) Four (n=1) 82% (9/11) 79% (15/19) Five (n=2) 55% (11/20) 77% (23/30) Six (n=2) 15% (2/13) 25% (5,5/22) Global 71.18% (74/103) 74.6% (97/130) 1 Percentages represent the proportion of exercises delivered in full as specified in the lesson plans. 2 Percentages represent the proportion of learning objectives achieved as assessed by the teacher(s). 3 When Spring Fever was delivered by more than one teacher per year, percentages represent the mean between the two teachers. Personnal factors Teachers’ characteristics • Ex. Level of confort Pupils’ characteristics • Ex. Response to sensitive topics – « Red lessons » Parents’ characteristics • Ex. Apprehension about sex education L 6. Next steps This project has helped to identify how best to secure the future successful adoption and implementation of the Spring Fever programme which is a crucial last step in intervention delivery. A phased roll-out of the programme in Warwickshire will now commence. A long-term longitudinal trial is now needed to establish the efficacy of Spring Fever.