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The onset of multiple risk behaviors, such as smoking, alcohol consumption and unprotected sexual intercourse, cluster in adolescence. Previously, many studies on adolescent risk factors have highlighted only a single risk behavior without considering the importance of the mutual relationships among them. Adolescents who engage in any one risk behavior are likely to engage in others. This quasi-experimental study aimed to examine the effects of a School-based Participation Program to prevent multiple risk behaviors in male students. Two secondary schools in suburban areas of Bangkok were randomly selected for this study, one designated the experimental and the other the comparison school. The sample included 64 male students (32 from each school). Additionally, 17 parents participated in the study. Data were collected by a self-administered questionnaire that included the following instruments: Demographic data, Knowledge of Risk Behaviors Prevention, Attitude towards Multiple Risk Behaviors, Self-efficacy to Avoid Multiple Risk Behaviors, Emotional Intelligence, and Time Management, Parental Monitoring and Multiple Risk Behaviors. The independent t-test and repeated one-way analysis of variance were used to analyze the data.
Results revealed that most of the experimental and comparison groups smoked cigarettes. The experimental group had significantly higher mean scores of knowledge, attitude, self-efficacy, emotional intelligence, time management, and parental monitoring at baseline, immediately following, and nine weeks after intervention, all better than those in the comparison group across all time points of measurements. Compared to the comparison group, the experimental group did better regarding not having multiple risk behaviors across time. Nurses could apply this program to train adolescents to prevent multiple risk behaviors and the involvement of parents could strengthen the sustainability of risk behavior prevention in adolescents. However, the program requires further research with different populations.
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