Time allocation



Teaching strategy


45 min

Introduction to training and sharing training objectives

Explanation of training background and sharing training objectives

Lecture with slides, presented by an author

Create a safe environment to talk about sensitive topics such as sexuality and individual perceptions of sex

Sharing the ground rules of the training: (1) Protection of participants’ personal information, (2) respect others, (3) do not criticize others.

Lecture with posters, presented by a pedagogist, and an ice-breaker activity

Create a positive learning environment


110 min

1. Obtain knowledge their own attitudes toward MSM

(1) Verbalizing attitudes (both positive and negative) toward MSM; (2) Classifying personal attitudes toward MSM and attitudes as a public health nurse

Individual work facilitated by a pedagogist

2. Share images with other participants, relativize attitudes, and encourage recognition of their own perceptions of MSM

Sharing ideas on attitudes toward MSM via small group discussion, understanding the differences in such attitudes, and relativization of own perceptions with those of others.

Group discussion facilitated by a pedagogist

3. Describing the daily lives of MSM

(1) Definitions of sexuality and sexual minorities, proportion of MSM in the general population (7.6% of the general population of Japan); (2) Health issues among homosexual people (e.g., mental health, alcohol and drug abuse, risky sexual behavior, suicide attempts); (3) life difficulties of MSM (e.g., friendless in school, existence of heterosexual role trouble, strong need for psychological counseling); (4) required attitudes of health care providers for dealing with MSM; and (5) required support for MSM. To improve understanding of MSM's daily lives, we introduced movies, comics, and YouTube videos about MSM.

Lecture with slides, presented by a psychologist, and a question and answer session

4. Imagine the difficulties relating to health and daily life of MSM

5. Describe public health nurses’ supportive role for MSM

6.Understand the existence of informational resources for supporting and understanding MSM

Local resources list of necessary information for dealing with MSM, such as the contact address and website of nonprofit organization supporting MSM (e.g. PLWHA) in each prefecture, as well as downloadable research reports on MSM and brochures for MSM from the PLWHA, and a list of the novels, movies, YouTube videos that offer information on the daily lives of MSM.

Distribution of resource list as well as documents and books in the lecture hall so that participants can read during the break.

7. Share own attitudes about MSM based on knowledge acquired from the training.

Based on their experiences of sharing the perceptions of MSM in small-group discussions, the knowledge gleaned from lectures on MSM, recapitulation of their own perceptions of towards MSM (especially negative attitudes) through the training, has anything changed?

Individual work facilitated by a pedagogist