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Teaching Sexual Education: Effect of Using Videos and Learning Preferences in the Long-Term
Memory
PURA, Justine T.
NU-LAGUNA
TEACHING SEXUAL EDUCATION: EFFECT OF USING VIDEOS AND LEARNING
Abstract
Humans have the capability to remember things but the efficiency of it depends on how well an
information retains in their mind. Postle (2015) contested this by stating that information can easily
retain in the memory if it is accompanied by visual representations. With that being said, this study
utilized a factorial quasi-experimental method through an Interrupted Time Series (ITS) design to
know what is the effect of using videos as learning materials and different learning preferences of
secondary level students in the retention of information in their long-term memory. In line with
this, as pandemic is happening around the world, educators can adjust to the new system of blended
learning and can deliver lessons that are critical and controversial specially like sexual education
that is very important now-a-days because of the increasing number of sexual issues to the young
level students
TEACHING SEXUAL EDUCATION: EFFECT OF USING VIDEOS AND LEARNING
Educational institutions in the Philippines are now in a form of blended and modular
learning because of the deadly disease called Covid-19. This situation challenged the education
system across the world and behold that many educators and students are having a hard time
adjusting to the situation. In fact, because of the situation the country is in, different learning styles
should be acknowledged since it plays a vital role in the learning process that contributes to the
overall educational environment of one individual. Hence, these styles vary from each student; it
can be in the form of words, pictures, speech or in any kind of mental activity the student finds
most engaging (Pashler et al., 2008). Knowing the learning style is an important component for its
learning environment so students can really understand the topic and participate well. In due course
of Covid-19, everything was going online. Therefore, with the advancement of technology it gives
a new dimension to teaching and learning whereas audio-visual aids improve and encourage
students to read, watch, and hear to learn something new. As aforementioned, Ashaver and Igyuve
(2013); Gilakjani (2012), supports that with audio-visuals materials it improves the effectiveness
of teaching and learning to have higher comprehension, to retain information and to help
differentiate the information that requires higher thinking skills. Additionally, with audio-visual
materials it enables the abstract ideas and intangible objects to be demonstrated vividly to the
learners (Akram, et al., 2012) with the animation and information that is presented on screen,
different learning experiences are accumulated compared to the traditional printed text (Shah &
Khan, 2015) whereas students develop and learn how to think critically individually.
Audio-visual aids in teaching would convey complicated concepts and ideas such as sexual
education in an interesting and interactive manner (De Sousa, et al., 2017; Jarosievitz, 2011;
TEACHING SEXUAL EDUCATION: EFFECT OF USING VIDEOS AND LEARNING
Zheng, et al., 2016). In fact, Sexually Explicit Internet Movies (SEIM) are proven to facilitate
innovative online approaches to sexual health promotion of young adults would be aided in
Sexual health promotion and education are knowledge, skills, and environment that are
necessary to be achieved by individuals to enable them to increase control over sexual wellbeing
and to avoid negative health outcomes (PHAC, 2008). It would be beneficial for the young to help
them to understand and be open to every little important knowledge that could get them to apply
and spread awareness about sexual health. Connection with what is happening around the globe,
it is important to give attention to this kind of topic to avoid sexually transmitted infections (STIs),
unintended pregnancy, pleasure and intimacy (Byers et al. 2003; CFSH 2007) that is increasing
now-a-days since according to World Health Organization (WHO) there are more than 1 million
STIs acquired every day worldwide and on the other hand, as Philippine Star reported 1.4 million
of unintended pregnancies. However, one of the strongest challenges in pursuing this topic is the
Catholic Church, knowing that in the Philippines it is a very powerful force. Catholic Church
believes that sexual education will promote promiscuity and sex outside of marriage that is directly
against the commandments and beliefs of Catholics (Valera, 2014). Whence, highlights the
importance of this study for the youth in how they should consume sexual education for its purpose
are to control arousal, be curious, and learn (Boies 2002; Goodson et. al., 2001). Also, for its
potential to utilize in improving sexual health and address what the positive aspects of sexuality
can give when there are more open and less restrictive environments (Bogaert 2001; Russell 2005;
Shoveller & Johnson 2006). Furthermore, as education adjusts to what pandemic brought, the
internet is an invaluable platform that allows health promoters to re-conceptualize ideas on how
sexual health should approach to have effective discipline technique to the young (Davis et al.,
TEACHING SEXUAL EDUCATION: EFFECT OF USING VIDEOS AND LEARNING
2012). Addition with this, having sexual health promotion and education could benefit every
individual to normalize what is “sex” and what is the proper and right purpose of it to prevent
stigma and discrimination about what sexual and sexuality is. In this way, the researchers prompted
to know 1) what is the effect of using videos in the long-term memory, 2) how does different
learning preferences affect the retention of information in the long-term memory, 3) how well do
the respondents know about sexual education, 4) normalizing sexual education, and 5) to give
Learning and understanding of sexual education will be addressed with the help of
audiovisual aids, since it will enhance the imagination and visualization of the young that
contributes to the increased retention of the memory because of the positive impact that resulted
in good performing, learning, understanding and remembering (Tang & Intai, 2017). Whereas the
gap of the study occurs as Akram et al., (2012) stated that teachers found awkward to narrate and
deliver topics such as intimate body parts and sexual related, thus young students have difficulty
in understanding the contents which leads them in exposing themselves in to the vulnerable nature
of online resources (Hake, et. al., 2014). Similarly, people's recognition of an event or perceiving
information is depending on how it will entail to their memory and how they will remember it
(Morgan, 2013). Consequently, student’s express awkwardness in open discussion because they
cannot visualize the processes at cellular level, therefore they hate to participate hence Kang
(2011), supported that retention of memory can influence perceiving information through visuals,
which is then supported by Hunt, et. al., (2011). Moreover, in this study, the researchers wanted to
change the perception of sexuality that is formed through limiting and contradictor where the
discussion of this kind of topic falls into constant source of pleasure, how to attract partners and a
This research study limits secondary level students because as CFSH (2007) specified that
this age range is a critical period when it comes to sexual development since it is greatly
influencing their own sexual self-perceptions, relationships and behavior. Likewise, bestowing to
what Republic Act 10354: The Responsible Parenthood and Reproductive Health Act of 2012
stated, sexual education should be taught to students ranging from 10-19 which is both primary
and secondary level. Similarly, Kirby and Sharpe (2010) studied how the rapid development of
communication technology impacted teaching and learning, thus, secondary levels are more
completing a demanding program and inclined to school. Through this, the research questions are
as follows: 1) what is the effect of using videos as learning materials in the long-term memory, 2)
how does learning preference affect their retention of memory, and 3) what is their perception
Humans have the capability to remember things but the efficiency of it depends on how
well an information retains in the mind. People recall events in their life to which they have
experienced personally (Simons & Chabris, 2011) since emotions typically influences perception,
attention, learning and memory of individuals that can either facilitate efficiently the encoding and
retrieval of the brain or alter it in a way that resulted to having false memories (Tyng et al., 2017).
However, as Hunt et al., (2011) stated that with the presence of visual representations together
with auditory materials decreases the event of false memories to happen since words associated
with pictures are said to retain longer in the memory than those that were only heard. More so,
through visuals, top-down theories occur where it requires high-level cognitive processes that
undergo information to generate concrete representation of the objects that are being presented
(Gilbert & Li, 2013). For this instance, it increases the level of memory retention of an individual
which then be stored in the long-term memory that also proves the hypotheses of this study which
TEACHING SEXUAL EDUCATION: EFFECT OF USING VIDEOS AND LEARNING
is stated as follows 1) using videos in teaching sexual education is better to retain the information
in the students’ long-term memory, 2) retention of information depends on the learning preference
of the student and 3) using videos in teaching sexual education and preference in learning
storing in long-term memory can happens: sensory memory - short-term memory - working
memory - long-term memory (Norris, 2017). Recalling information through the process of
chunking allows the short-term memory to process the information and relate it to objects for it to
be easily remembered in the rehearsal stage, and once the brain registers words that are bind with
pictures it all comes down to storing in the long-term memory for a relatively long time and can
be triggered once a stimulus is presented. This in turn shows why short-term memory is seen
significant in this study since there would be no activation of long-term memory if there was no
Long-Term Memory. There are different strategies in how memory retention works. It
forms an umbrella as they root to distinctive processing (Dunlosky et al., 2016) – processing
different concepts in the form of an organizational framework. Oftentimes, they neglect the fact
that there may be lapses from what they remember simply because they were not exposed to
something that could distort that memory and emotions typically influences perception, attention,
learning and memory of individuals (Simons & Chabris, 2011). Whereas, Brady et al., (2008)
supports these statements as their study demonstrated how long-term memory can effectively store
information as long as it is paired with audio-visuals such as videos which serves as the
independent variable of the study. Moreover, learning preferences of the students were also
TEACHING SEXUAL EDUCATION: EFFECT OF USING VIDEOS AND LEARNING
assigned as an independent variable in this study as Davis (2007) elucidated that different learning
plays a vital role in the learning process that contributes to the overall educational environment of
one individual. Hence, these preferences vary from each student; it can be in the form of words
(auditory), pictures (visuals), speech or in any kind of mental activity (kinesthetics) the student
finds most engaging (O’Brien, 1989). Additionally, the presence of this independent variable
would strengthen the claim of this study since it will act as a grouping variable as the researchers
wanted to testify whether using videos can enhance the retention of information in the long-term
memory.
Videos. Visuals that are presented together with auditory materials decreases the chance
of false memories to happen (Hunt et al., 2011), since words associated with pictures are said to
retain longer in the memory than those that were only heard. This in turn makes critical items work
well with pictures plus word presentation, and reduces the possibilities of having false memories
because the presence of visual representations allows individuals to form a memory from it by
relating items to each other for easy recalling. In turn, the use of Sexually Explicit Internet Movies
(SEIM) which is a type of learning material that projects information through the use of hearing
and visual sensory (Ashaver & Igyuve, 2013) was seen relevant considering that the film to be
presented highlights the categories present in the measurement. Hare et al., (2014) disclosed how
information consumed from this type of material influenced the sexual perception and behavior of
secondary level students and concluded that with proper aid in how this information should be
utilized would successfully progress in the cognitive processes of the brain leading for the
TEACHING SEXUAL EDUCATION: EFFECT OF USING VIDEOS AND LEARNING
information to be stored in the long-term memory (Brady et al., 2008). However, through this
relational process, individuals often make mistakes and encode information that seems to be related
to the topic even if it was never mentioned. For instance, Gilbert and Li (2013) presented that
information with visuals, the level of retention in the memory of an individual increases, then
performs cognition processes from short-term memory down to storing in the long-term memory
for future events of recalling. Moreover, the current state of the world has subjected education to
adapt a blended learning system. Therefore, the use of audio-visual is seen as effective to help
differentiate the information that requires higher thinking skills (Gilakjani, 2012). More so,
animation and information that is presented on screen provides different learning experiences
compared to the printed text where it benefits the development of critical thinking of an individual
Sexual Education. Sexual health promotion and education is knowledge, skills, and
environments that are necessary to achieve by individuals to enable them to increase control over
sexual wellbeing and to avoid negative health outcomes (PHAC, 2008). It is important to give
attention to the topics such as avoidance of sexually transmitted infections (STIs), unintended
pregnancy, pleasure and intimacy (Byers et al. 2003; CFSH 2007). Teachers find it awkward
to narrate and deliver topics such as intimate body parts and sexually related words (Akram et al.,
2012), whereas young students have difficulty in understanding the contents. Parallel to this,
students also express awkwardness in open discussion because they cannot visualize the processes
at a cellular level, therefore they hate to participate. Hence, Tang and Intai (2017) suggests that it
is important to adequately understand the students in a specific topic such as sexual education.
Learning and understanding of sexual education will be addressed with the help of audiovisual
aids, since it will enhance the imagination and visualization (Akram et al., 2012) of the young.
TEACHING SEXUAL EDUCATION: EFFECT OF USING VIDEOS AND LEARNING
More so, with the use of sexually explicit internet movies on secondary level students are said to
be more capable in performing high-level cognitive process which contributes to the increased
retention of the memory and storing of information in the long-term memory (Hare, et. al., 2014).
In every study, nuance variables will always be present. In particular, this study
acknowledges the seasonality of data gathering, and presence of cultural values that can affect the
results of the study. These are seen as extraneous variables which can affect the results of the study
as factorial quasi-experimental research design would be use. It means that random assignment of
participants in controlled and experimental group is not necessary since it is grounded on natural
experimentation (Myers & Hansen, 2012). Likewise, the cyclic pattern in collecting data from the
respondents may occur concurrently during a major academic event in the secondary level students
which may lead them to not take the post-test seriously. Lastly, the study will partake in a country
where religion is seen as a powerful force. Catholic Church believes that sexual education will
promote promiscuity and sex outside of marriage that is directly against the commandments and
beliefs of Catholics (Valera, 2014). With that being said, there can be instances that some of the
respondents will not be willing to participate in the study as student’s express awkwardness in
open discussion of the considered taboo in the country (Morgan, et. al., 2010). This is why the
main variables of the study are elaborated in this section in order to delimitate the focus of the
study as the hypotheses states that 1) using videos in teaching sexual education is better to retain
the information in the students’ long-term memory, 2) retention of information depends on the
learning preference of the student and 3) using videos in teaching sexual education and preference
Method
In order to support the proposed hypotheses of study the following procedures will be done
Research design
since it is similar to experimental research but lack one or more of its essential elements such as
manipulation or random assignment to treatment conditions yet it has goals to compare different
groups looking for differences between them and the changes over time in the same group of
subjects (Myers & Hansen, 2012). This method allows the researchers to test the hypotheses and
oppose an established theory contesting the study as it will be supported by numbers and other
To strengthen this study knowing that there are 2 independent variables and 1 dependent
variable, factorial design will be used. This design will allow researchers to determine the severity
on how each independent variables affects the dependent variable of the study through the use of
auditory
visual
with video
Conditions
without video
Figure 1. 2 conditions for the participants (with video vs. without video) x 2 learning preference
(visual vs. auditory) between-subjects factorial design.
Furthermore, the researchers will be applying an Interrupted Time Series (ITS) design
which the effect of the intervention is assessed by comparing outcome measures obtained at
different time intervals before and after the intervention was implemented (Chiang, et al., 2015).
Participants
The researchers will utilize the O’Brien (1985) Learning Channel Preference Checklist as
the main sampling technique from a population of secondary level students whose limits to age
ranges from 12-19 years old residing in Calamba, Laguna, as CSFH (2007) identified this age
range as a critical period when it comes to sexual development since it is greatly influenced by
their own sexual self-perceptions, relationships and behavior. In addition, this probability sampling
will discern 50 participants whose scores only indicated high in visual and auditory learning
channel preference. This study will limit its participants to students who belong to this learning
style approach since the material that will be exposed to them which is Sexually Explicit Internet
Movies (SEIM), a type of learning material that projects information through exercising the
TEACHING SEXUAL EDUCATION: EFFECT OF USING VIDEOS AND LEARNING
hearing and visual sensory alone (Ashaver & Igyuve, 2013). Thus, having these criteria excludes
participants that does not belong in the age bracket indicated as well as those who acquired low
scores in visual and auditory and high scores in kinesthetic learning preference. Specifically, the
researchers of this study will only perform the experiment on schools residing in Calamba, Laguna
to ensure that the participants of the study are purely homogenous in terms of locale.
The sampling population will then be divided into two groups (25 controlled; 25
experimental) based from their accumulated score in the O’Brien Learning Channel Preference
research preparations were considered as well. For instance, in doing an experimental study an
even number is required in order to equally divide the groups in two and prevents the study to
commit type II error (Biau, et al., 2008). Also, in other approaches, Khan (2015) stated that the
Materials
use. Thirty items divided into 3 sections contains scenarios that represents specific learning style
(visual, auditory, kinesthetic). The respondents would score each item 1 as “never applies to me”,
2 as “sometimes applies to me” and 3 being “often applies to me”. The maximum scores per section
is 30, and the minimum should not be lower than 10. Scores will then be tallied and the section
with the highest score accumulated is interpreted as the preferred learning style of the student
(O’Brien, 1989). More so, this learning style checklist showed strong measures of efficiency
although not supported scientifically. This has been used by a lot of studies such as Isemonger
(2007) wherein in his study he aimed to measure how to address the preferred learning style of the
TEACHING SEXUAL EDUCATION: EFFECT OF USING VIDEOS AND LEARNING
students in Japan and Rajapakshe (2018) wherein this tool was used to determine the desirable
Along with this, the researchers will also make use of the Brief Sexual Attitudes Scale
(BSAS) a standardized, 23-item measurement tool created to assess the certain constructs with
regards to the attitude of an individual towards sex through a 5-point Likert scale type having “A”
as strongly agree to the statement and “E” which stands for strongly disagree to the statement.
(responsibility in using birth control), communion (attitude towards the importance of melting
together with sex partner), and instrumentality (attitude towards enjoying the physical sex) of sex
were represented in the item questions of this tool (Hendrick, et. al, 2006) which is why it was
seen reliable and valid by the researchers to use since the sexually explicit internet movie (SEIM)
presented to the experimental group covers such topics as well. Moreover, numerous studies
pertaining to sexual education and ethical decision making towards sexual attitudes such as Martin-
Donald (2010) Relationship Between Gender, Sexual Attitudes, Attitudes Toward Gender and
High School Counselors' Ethical Decision-making Regarding Adolescent Sexuality engaged in the
utilization of this instrument as it shows strong psychometric properties (α = .70 to .95) that is
valid and reliable both for research and clinical use (Hendrick, et. al, 2006).
In terms of scoring, the items are reversely-scored. “A” despite being strongly agree will
be scored 1 and “E” will be scored as 5. The scale which would obtain the lowest score is
interpreted as the attitude that is greatly shown respondent towards sexual education and the likes
Procedure
Pre-experimentation phase
To begin with, the researchers will create a letter of consent for the confirmation of each
participant’s involvement to be sent via electronic mail (e-mail). In line with this, the participants
will be given proper orientation regarding the nature and goals of the study beforehand. Thus,
require their full and genuine answer upon the research process. After the confirmation, the
researchers will set a schedule for the participants' test day, and it will be conducted virtually via
video and audio call. Moreover, participants are well-informed about the confidentiality of their
accumulated results as the entire video conference/interview (including video and audio records)
will be recorded for data analysis purpose only. Rest assured; ethical considerations were taken
Experimentation phase
In this study, the independent variables are sexually explicit internet movies (SEIM) and
different learning preferences of the students, while the dependent variable is long-term memory.
enable two groups based on the O’Brien Learning Channel Preference Checklist, controlled
(without video) and experimental (with video) groups. They will then be assessed using the Brief
Sexual Attitude Scale questionnaire as pre-test of the study to know how well are they informed
about sexual education before exposing them to the Sexually Explicit Internet Movies (SEIM).
Post-test of the study will also use the same assessment tool to elaborate further if there were
changes that happened after exposing the groups in their respective treatments.
TEACHING SEXUAL EDUCATION: EFFECT OF USING VIDEOS AND LEARNING
Post-experimentation phase
Consequently, since an Interrupted Time Series (ITS) design will be utilized, the data
collection will be multiple gatherings since the study aims to assess if the information is retained
in the long-term memory. First, is from the day the experiment was held then the following data
collection dates will follow a trimester period (every three months) since it is believed that in order
to measure the information stored in the long-term memory, it has to be done in a repetitive manner
considering that intervals are not shortly after exposing them to the treatment because the
information is only in their working memory (McDowall, 2014). Wherefore, if the weekly pattern
would be used instead of monthly, recalling the information would be easier for them since it is
still in the working memory by that time. However, in the trimester period, forgetting is a factor
already that can affect their score in answering the post-test (Chang, 2011). Thus, the hypotheses
Manipulation Check
Brief Sexual Attitude Scale (BSAS) is designed to measure the respondent’s attitudes
towards sex. On the other hand, O’Brien Learning Channel Preference Checklist is designed to
define the learning preference of the students. To check its manipulation to this study's dependent
variable, which is the long-term memory, testing effect takes place. It is a process of remembering
concepts and retrieving some memory (Brame & Biel, 2015). Therefore, to test if the video
enhances the retention of the information to the participants' long-term memory, verbal word
listing and picture lists would be done on the day of the experiment and every after three months.
Likewise, through this, it can identify which between visual or auditory is the preferred learning
Data Analysis
Findings will be analyzed using SPSS by running a Two-way Analysis of Variance (2-way
ANOVA) since two independent variables affect one dependent variable. Using this statistical test
will determine the effect or if there were changes that happened in the experimental group's
performance after receiving the treatment compared to the controlled group who only received
verbal discussion (Gerald, 2018). In line with this, the researchers will also run post hoc tests to
identify the individual significance level of the independent variables towards the dependent
Ethical Considerations
maleficence, and beneficence. Before delivering the treatment, participants were given the consent
form to ensure their knowledge about the purpose of this research, including the advantages and
risks. The study might trigger some traumatic gains because of the items in the Brief Sexual
Attitude Scale questionnaire. Therefore, withdrawal of treatment can be feasible, even before brief
periods, because of the severity of questions in their age range and experiences. Importantly,
therapeutic debriefing was undertaken at any stage of the experimentation procedure to avoid any
future psychological ramifications and appropriately address the hazards of participating in the
study.
TEACHING SEXUAL EDUCATION: EFFECT OF USING VIDEOS AND LEARNING
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