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Digital Media and Relationships Sex and Health Education in The Classroom
Digital Media and Relationships Sex and Health Education in The Classroom
Emily Setty
To cite this article: Emily Setty (2022): Digital media and relationships, sex, and health
education in the classroom, Pastoral Care in Education, DOI: 10.1080/02643944.2022.2095418
Introduction
Young people’s use of digital media, including as pertains to their socio-sexual lives
and development, has, typically, been considered a risk or problem area that
requires addressing in Relationships, Sex, and Health Education (RSHE) (see,
Döring, 2021; Scott et al., 2020). In this paper, I discuss evidence pertaining to the
use of digital media as a pedagogical tool in the classroom. The evidence on good
practice in RSHE suggests it must be responsive to and meet learners where they
are and offer them the opportunity to actively participate in the learning process
(Limmer, 2010; Pound et al., 2016). Given the significance of digital media to young
people’s contemporary lives and experiences, incorporating it into pedagogy could
have value. This paper considers the potential value in terms of, first, how it could
recreate the typical ways in which young people connect and learn in digital media
environments and, in turn, enable educators to develop and strengthen young
people’s skills and competences within these environments for learning purposes.
Second, and relatedly, it considers the scope for self-directed and independent
learning enabled by digital media and that could be supported through classroom
teaching. For the process to be most effective and impactful on learners, the
evidence suggests it needs to address knowledge, skills, and norms and values in
an integrated, inclusive, and critical approach. In this sense, using digital media will
not be a panacea just because young people are oftentimes familiar with and
positive about it. Pedagogy must still be well designed and delivered. The paper
provides an important contribution to understanding the role of digital media in
RSHE, which is particularly valuable at the current time in England in which RSHE
has recently been made mandatory in most state-maintained schools (DfE, 2019).
‘ . . . that good sex educators enjoy teaching [RSHE], have experiential knowledge and
are comfortable with their own sexuality. They are professional, confident, unembar
rassed, straightforward, experienced at talking about sex and use everyday language.
They have expertise in sexual health, are specifically trained in [RSHE], are trustworthy,
approachable, non-judgmental and able to maintain confidentiality. They respect
young people and their autonomy, treat young people as equals and accept that
they may be sexually active.’
Teachers in schools may vary in their ability and willingness to deliver RSHE that
aligns with these principles for good practice. External specialists and organiza
tions may be more at ease with open and candid discussion and can build
rapport with young people while maintaining a sense of being apart from the
institutional structures and processes within the school. Young people say they
want to hear from outside experts and non-teachers (O’Higgins & Gabhainn,
2010; Pound et al., 2017). Good quality RSHE can, however, occur in a variety of
settings and with different types of young people and the style of the teacher
and the relationships between the educator and learner (and among learners)
are important (Buston & Wight, 2004). Studies have found that young people
want to feel at ease and safe in RSHE lessons and that confidentiality is impor
tant to them (O’Higgins & Gabhainn, 2010; Pound et al., 2017; Selwyn & Powell,
2007). Teachers themselves are aware that they need to be seen as credible and
experienced to be taken seriously by learners (Formby & Wolstenholme, 2012)
and that active participation in the classroom can help convey and engage
learners with the material (Buston & Wight, 2004). It has been argued that RSHE
teachers must be both open and comfortable and capable of controlling the
class and managing discussions safely (Allen, 2005; Buston & Wight, 2004;
Strange et al., 2003; Unis & Sällström, 2020). This can help to create a space
where learners feel able and willing to contribute and discuss the topics.
Careful consideration needs to be given, in particular, to ensuring that RSHE
is responsive to and engaging for boys. Boys have been found to sometimes
disengage from RSHE when they feel it is not addressing the issues that matter
to them, particularly those who are already disengaged from school (Allen,
4 E. SETTY
2005; Hilton, 2001; Limmer, 2010; Measor, 2004). Allen (2005, p. 395) suggests
that boys’ expressed desire for real and hands-on teaching and learning is an
expression of a ‘masculine identity as sexual actors with sexual desires that need
quenching’ as well as their need for education that connects to their lives.
Strange et al. (2003) outline how these issues can play out in the classroom.
Boys can behave disruptively and can sexualize and harass girls, who, in turn,
can feel inhibited from participating. Both boys and girls in the study said they
would value the opportunity to hear about one another’s perspectives but, in
reality, felt that this does not always occur effectively. Strange et al. (2003)
suggest that boys’ disruptive behaviour can mask fear and anxiety about
participating and speaking openly, and young people felt that it happens
because the content does not engage with what is important to them.
Scholars also identify the importance of ensuring that RSHE provision is
inclusive for LGBT and BAME youth (Formby, 2011; Hirst, 2004). Formby and
Donovan (2020) argue that the marginalization and stigma of LGBT perspectives
is reflected in the data on poor sexual and mental health and intimate and
relational wellbeing outcomes. Hirst (2004) recommends engaging with how
young people can challenge normative assumptions about sex and relation
ships and posits that talking about pleasure can help widen the discourse
around what constitutes identity, health, and wellbeing and can give recogni
tion to marginalized identities. She suggests this requires positioning young
people as legitimate experts, reflecting on the nature of and hoped-for impacts
of RSHE, and, as part of this, reflexivity on the part of educators.
type of RSHE is, perhaps, political and can help engender critical reflexivity
among both educators and learners, including about the value systems and
inequities that shape young people’s socio-sexual lives and development within
a wider social, cultural, and structural context (Hirst, 2004; Rogow & Haberland,
2005). It can, for example, help young people to explore and learn about culture,
media, peer pressure, the role of gender and sexuality, issues of discrimination
and diversity, and the emotional and relational aspects of socio-sexual life
(Macintyre et al., 2015). It can, however, be challenging to address the wider
issues that often transcend the classroom setting (Willis et al., 2013).
The impact metrics and methodologies that are used to evaluate the quality of
RSHE are, therefore, important. Kippax and Stephenson (2005) suggest that rather
than focusing on individual change within a short period, evaluations should
examine longer-term social and cultural change through knowledge and attitude
development. They advocate examining how learners engage with RSHE and how
it relates to the ‘thick’ conditions of their lives. Understanding these mechanisms
of engagement and learning requires person-centred methodologies. Impact thus
includes the process of learning and attitude and belief formation and change
whereby ‘ . . . “awareness” should be understood as more than a psychological
outcome intended to change individual attitudes, behaviours and knowledge;
instead, it aims to promote citizenship’ and involves a process of subjectification,
agency, and participation (Paiva, 2005, p. 348; also see, Morris, 2005).
Peer-delivered RSHE
It has been suggested that peers may be effective at generating the kind of
open and informal RSHE that young people say they want and may be more
influential over social norms than teachers (Dobson et al., 2017). The evidence
on the effectiveness of peer delivered RSHE is, however, mixed. It is important
they are perceived by learners as credible and knowledgeable (Selwyn & Powell,
2007). Forrest et al.’s (2004) evaluation of the Ripple Programme of peer-
delivered RSHE in English secondary schools found that sessions were most
effective when participatory and skills-based, but that peer educators were less
effective at engaging learners who were most at risk. Dobson et al. (2017)
discuss how peer education tended to involve more open and bi-directional
communication and was more youth centred in terms of language and style
compared to teacher-delivered education, but there were issues with discipline
and class control. They caution that it is unclear what underlies effective peer
education, and the approach can be variable, with authoritarian structures and
problematic attitudes potentially reproduced in such education. Mellanby et al.
(2001), furthermore, found that peer-delivered education may help to convey
norms but is seemingly less effective at imparting factual information. They
suggest that peer-delivered education may be most effective when part of an
integrated approach involving teachers and other adults as well. There can,
6 E. SETTY
using different forums and discussion spaces online, and ‘focus mainly on
sharing their own sexual experiences, skills, attitudes and complement these
with scientific knowledge on sexuality insofar as they are able to do so in respect
of background research’ (Döring, 2021, p. 5). Döring (2021) describes these
individuals as trying to inform, inspire, and act as role models. She found that
there is diversity among online educators, and they often talk about inclusivity,
stigma, and self-acceptance and advocate for their own and others’ rights. In an
analysis of two YouTube channels that provide RSHE to a large number of
followers, Johnston (2017) identifies that these ‘influencers’ have the scope to
convey relatability and a personal touch. She found that the content needs to be
enticing and trustworthy and can engender interactivity and community build
ing among and by followers. At the same time, however, it is important to
critically evaluate the extent to which different ‘influencers’ and their content
genuinely is ‘trustworthy’ and reliable (beyond being perceived as such) and to
equip young people with the skills they need to make these judgments.
There may be value, therefore, in incorporating digital media into RSHE
because it may feel familiar and relevant to learners. It may, furthermore, help
in developing and strengthening learners’ skills in using these sources, for
example, regarding how to assess the quality of the material they encounter
and consume and how to interpret and apply it to themselves and their lives.
This latter point is important, first, because online content varies in its form and
quality and, second, because some young people, including those experiencing
sexual problems or with low sexual self-esteem, may be more likely to consult
this type of content and so require support and guidance to do so safely (Sannes
et al., 2020). Döring (2021, p. 3) found that the content can include traditional
and conservative voices and internet sources can contribute to the spread of
‘sexual misinformation and disinformation’ and it can be difficult to assess the
accuracy of the content (also see, Doornwaard et al., 2017; Kanuga & Rosenfeld,
2004). While some young people are aware of variation in the quality of online
content and may, sometimes, be able to assess its accuracy, credibility, and
reliability, there is evidence that some may find it easier to do this than others
(Doornwaard et al., 2017; Döring, 2021; Simon & Daneback, 2013).
The diversity of online spaces, in terms of the nature and style of the
education, the level and type of interactivity, and the modalities of digital
media used, may not, furthermore, be an inherently negative aspect because
young people themselves are diverse in their knowledge, experiences, and
preferences (Guse et al., 2012). It can also offer young people opportunities to
encounter different opinions and experiences (Attwood et al., 2015; Kanuga &
Rosenfeld, 2004). The diversity of online content includes pornography (Kanuga
& Rosenfeld, 2004), which tends to raise concerns particularly among traditional
educators. Oosterhoff et al. (2017) discuss how the boundaries between porno
graphic and educational content blur and young people can encounter
PASTORAL CARE IN EDUCATION 9
educational resources may help with relatability and relevance. Young people’s
skills at identifying accurate, reliable, and trustworthy content and interpreting
and applying the content to their own lives can be supported with opportu
nities to explore and discuss the content in the classroom. It could offer an
opportunity to incorporate a contemporary form of peer education into the
classroom in a safe and sustainable way. It is important, however, to understand
how teachers use this kind of content and the skills and approach needed to do
so most effectively (see, Allen, 2005; Buston & Wight, 2004; Pound et al., 2017).
As part of this, it may be valuable to take a holistic approach to evaluating how
young people engage with RSHE resources, content, and teaching methods
beyond just short-term impacts, as discussed above. Metrics such as perceived
relatability and relevance of the content, as well as the perceived value and
effectiveness of classroom discussions and activities, are important.
Furthermore, as Arnab et al. (2013) found, the opportunity to consider the
complexities of different topics may have a more immediate effect of creating
uncertainty with negative implications for expressed knowledge and under
standing. There is thus a need to capture the processes of learning and devel
opment over time.
Given that young people are consulting and interacting with online sources
of education beyond the control and purview of teachers and other adults, it is
perhaps also important, as discussed above, to ensure that the education
supports and strengthens young people’s abilities to assess and apply online
content independently. Scholars have argued that learning may require oppor
tunities to engage with the resources on their own terms and in private settings
(Allen, 2005) or, perhaps, pedagogical methods that involve linking the content
to their own lives and sociocultural contexts, which may need to be done
privately (Paiva, 2005). Evidence suggests, furthermore, that young people can
be concerned about confidentiality and vary in how comfortable they feel
sharing their own perspectives in the classroom, with many wanting self-
directed and independent learning opportunities (O’Higgins & Gabhainn,
2010; Pound et al., 2017; Selwyn & Powell, 2007).
Barak and Fisher (2001) argue that a strength of the internet is how it can
facilitate interactivity and participation, in which learners can re-access and revisit
the learning. They describe it as offering control, flexibility, and privacy and,
therefore, as complementing formally delivered RSHE. Young people express
a desire to have control over accessing and sharing RSHE media content
(McKee et al., 2018). As such, it is perhaps unlikely to be possible for educators
in formal RSHE in the classroom to fully mediate or gatekeep young people’s
access to online education. Instead, these educators may want to aim to support
a strengths- and competency-based approach and acknowledge the role for
independent and self-directed learning. Borghuis et al. (2010) discuss an example
of independently accessed RSHE, which involved a digital storytelling method
intended for 15 to 25 year-old Turkish and Moroccan young people living in the
12 E. SETTY
‘ . . . make it possible for young Dutch Muslims to find ways to talk about and
experience sex in terms of respect and dignity, in ways that are respectful and sensitive
to how young people themselves experience their cultural and religious heritage in
a multicultural society’ (Borghuis et al., 2010, p. 236).
There was a website for young people to access the stories and to discuss and
develop their understanding and personal perspectives with other website visitors.
The stories were open-ended to facilitate reflection and discussion and dealt with
norms, values, and taboos. The project aimed to engage with the needs and
perspectives of the target audience and achieve ‘authenticity and credibility’ and,
on the whole, was well-received by young people (Borghuis et al., 2010, p. 242).
Despite the positive potentialities of self-directed learning and independent use of
digital media, McKee et al. (2018) describe how some adult stakeholders (involved
in sexual health education and promotion) can sometimes be concerned about
how young people may interpret the content (in their case, the comedy videos
described above) if able to access it privately and independently. The implications
of gatekeeper control over young people’s use of digital media for RSHE can vary
across country contexts and can be further impacted by internet service providers,
for example, due to censorship (Oosterhoff et al., 2017). It is important, therefore,
to understand how young people can be empowered to access and engage with
online content privately and independently, but also safely and with the required
critical thinking skills. As part of this, it is necessary to explore how educators feel
about digital learning for RSHE and how to align classroom-based and teacher-
directed education with self-directed and independent learning.
Conclusion
With young people’s socio-sexual lives and development being increasingly
digitally mediated, the potential value of incorporating digital media into
pedagogy for RSHE are numerous. First, it may help to ensure that the teaching
and learning is relatable and relevant for young people, with positive impacts
on their engagement with classroom based RSHE. Second, it may be a way of
incorporating valuable aspects of peer delivered RSHE (e.g. through the ‘influ
encer model’) while ensuring that the teacher or facilitator can provide the
structures and support necessary to ensure that the teaching and learning is
safe, inclusive, and helps young people to develop their skills and competences.
PASTORAL CARE IN EDUCATION 13
Third, it may help young people to develop skills and competences specifically
as pertain to their access to and interpretation of formal and informal sources of
online education about sex and relationships. While there may be some disquiet
about young people’s use of the internet for these purposes, there may be some
value for them in terms of being able to undertake independent and self-
directed learning aligned with their needs and wants at different stages of
their socio-sexual development.
Harnessing the potentialities and embedding digital media within an inte
grated approach to RSHE that focuses on knowledge, skills, norms, and values
may be helpful for both educators and learners within the contemporary digital
era. It may require critical reflexivity from both educators and learners about the
impacts of digital media on sex and relationships and the different sources of
information, education, and guidance that can be found online. An active and
participatory role for young people as learners is likely to be important to
navigating these new and ever-changing terrains, as has long been identified
as being the case for RSHE as a subject. There are examples of existing peda
gogy utilizing digital media that indicate the importance of relatable and
relevant content, and opportunity for critical discussion about the content. It
is thus likely to be important that digital media complements rather than usurps
or replaces RSHE. Further development and evaluation of pedagogical models
that include elements of digital media will help in identifying the aspects that
are associated with positive impact – short and long term – on learners.
Disclosure statement
No potential conflict of interest was reported by the author(s).
ORCID
Emily Setty http://orcid.org/0000-0002-2085-7963
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