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Self-efficacy and attitudes as mediators between teacher knowledge and readiness to deliver sexuality education

A systematic literature review

Bibliographic Data

ID19515331
AuthorsMuhamad Zaiful Zainal Abidin (0009-0000-2043-8702, University Putra Malaysia, corresponding author), Shamsulariffin Samsudin (0000-0002-3599-6974, University Putra Malaysia)
Year2026
Pages1-15
Publication date2026-04-20
Open AccessNo
TypeARTICLE
VenueSex Education (JOURNAL)
Journal identifiersISSN: 1468-1811 • E-ISSN: 1472-0825
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/14681811.2026.2662610
OpenAlexW7155096867
LanguageEN
References cited34

Teacher readiness is recognised as a critical determinant of effective sexuality education; however, extensive evidence indicates that knowledge alone cannot guarantee pedagogical confidence, cultural competence or curriculum fidelity. This systematic review examines how self-efficacy and attitudes mediate the translation of teacher knowledge into instructional practice. Guided by PRISMA procedures, searches of Scopus, Web of Science and ERIC identified 19 empirical studies published between 2020 and 2025 that met inclusion and quality criteria. Three core themes were identified: (1) teacher competence, knowledge structures and professional readiness, highlighting persistent gaps in confidence, comfort, and cultural alignment that limit teachers’ capacity to address sensitive content; (2) training models, pedagogical approaches and implementation support, demonstrating that structured and context-responsive professional development enhances self-efficacy and attitudinal readiness; and (3) learner perceptions, inclusivity and sexual health outcomes, illustrating how students’ experiences of relevance and representation shape engagement and behavioural outcomes. Across the evidence, self-efficacy and attitudes emerged as decisive psychological pathways determining whether knowledge is translated into effective practice. The review concludes that strengthening sexuality education requires sustained investment in contextualised teacher training, inclusive curricula, and multi-level institutional support

Human sexuality · Knowledge level · Qualitative research · Sexual identity · Sexuality education · Systematic review · Adolescent Sexual and Reproductive Health · Marriage and Sexual Relationships · Sexual function and dysfunction studies

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Highly citedNo

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