Effects of School-Based Participation Program to Prevent Multiple Risk Behaviors in Thai Male Adolescents

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Pimrat Thammaraksa Arpaporn Powwattana Sunee Lagampan Paranee Vatanasomboon Sarah Anne Stoddard

Abstract

                  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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1.
Thammaraksa P, Powwattana A, Lagampan S, Vatanasomboon P, Stoddard S. Effects of School-Based Participation Program to Prevent Multiple Risk Behaviors in Thai Male Adolescents. Pacific Rim International Journal of Nursing Research [Internet]. 19Jun.2019 [cited 15Nov.2019];23(3):228-42. Available from: https://www.tci-thaijo.org/index.php/PRIJNR/article/view/145791
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References

1. Thiraphattarapun V, Powwattana A, Auemaneekul N. Association Between Multiple Risk Behaviors and Life Assets of High School and Vocational Students. Journal of Public Health Nursing. 2017; 31(3): 1-17.[in Thai].

2. Duangkaew K, Powwattana A, Auemaneekul N. Factors Related To Multiple Risk Behaviors among Vocational Students in Bangkok. Journal of Public Health Nursing. 2017; 31(special edition): 75-95.[in Thai].

3. Tobacco Control Research and Knowledge Management Center. Report on Statistics on Smoking Consumption in Thailand 2018. C2018 [cited 2018 May 1]. Available from http://www.trc.or.th/th/images/upload/files/ data/tobaccoinfo/situation/2561/situation_2018.pdf.

4. National Statistical Office. Report on Statistics on Alcohol Consumption in Thailand 2017. C2018 [cited 2018 Febuary 14]. Available from http://www.nso.go.th/ sites/2014/Pages/News/2561/N30-08-61-2.aspx

5. Bureau of Reproductive health, Department of Health, Ministry of Public Health. Statistics on Adolescent Births, Thailand 2015. C2016 [cited 2018 December 21]. Available from http://rh.anamai.moph.go.th/ewt_dl_ link.php?nid=147

6. Phuhongtong M, Homchampa P, Sirithanawuttichai T. Sexual risk behaviors among early adolescents currently studying at primary schools in Thailand. Suranaree J. Sci. Technol. 2018; 25(1):115-24. [in Thai].

7. Caroline A, Jackson EA. An overview of prevention of multiple risk behaviors in adolescence and young adulthood. J Public Health. 2015;34(1):31-40.

8. Hale DR, Fitzgerald-Yau N, Viner RM. (2014). A systematic review of effective interventions for reducing multiple health risk Behaviors in adolescence. Am J Public Health. 2014; 104(5):19-41.

9. Busch V, De Leeuw JR, De Harder A, Schrijvers AJ. Changing multiple adolescent health behaviors through school-based interventions: a review of the literature. J Sch Health. 2013; 83(7):514-23. https://doi.org/ 10.1111/josh.12060.

10. Bronfenbrenner U. Ecology of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press; 1979.

11. Centers for Disease Control and Prevention. 2017 State and local youth risk behavior survey. 2017 [cited 2017 March 1]. Available from https://www.cdc.gov/ healthyyouth/data/yrbs/pdf/2017/2017_yrbs_ standard_hs_questionnaire.pdf

12. Wongtongkam N, Ward PR, Day A, Winefield AH. The influence of protective and risk factors in individual, peer and school domains on Thai adolescents› alcohol and illicit drug use: A survey. AddictBehav. 2014; 39(10):144751.https://doi.org/ 10.1016/j.addbeh.2014.05.026

13. WHO Regional Office for Europe. Community participation in local health and sustainable development: approaches and techniques, European sustainable development and health Series No. 4, EUR/ICP/POLC06 03 05D. Copenhagen: WHO Regional Office for Europe; 2002.

14. Bandura A. Self – efficacy: The exercise of control. New York: W.H. Freeman and company; 1997.

15. Connell CM, Gilreath TD, Hansen NB. A multiprocess latent class analysis of the co-occurrence of substance use and sexual risk behavior among adolescents. J Stud Alcohol. 2015; 70(6):943-51. https://doi.org/10. 15288/jsad.2009.70.943

16. Srivastava A. A study on risk taking behaviour among adolescents and their attachment with parents and peers. The international Journal of Indian Psychology. 2016; 3(4):2349-3429: 61-70.

17. Polit DF, Hungler BP. Nursing research principles and methods. (6th ed.). Philadelphia: J.B.Lippincott Company; 1999.

18. Health Education Division, Ministry of Public Health. Health literacy scale for unwanted pregnancy prevention of Thai female adolescent. C2016 [cited 2017 March 1]. Available fromhttp://www.hed.go.th/linkhed/file/24.

19. Health Sponsorship Council. Some possible survey questions. C2016 [cited 2016 March 10]. Available from http://www.smokefree schools.org.nz/sites/all/files.

20. Schwarzer R, Jerusalem M. Generalized self-efficacy scale. In J. Weinman S. Wright M. Johnston. Measures in health psychology: A user’s portfolio. Causal and control beliefs (pp. 35-37). Windsor, UK: NFER-NELSON; 1995.

21. Department of Mental Health, Ministry of Public Health. Emotional quotient (EQ) for adolescent who age between 12 to 17 years old. Nonthaburi: Department of Mental Health; 2000. [in Thai].

22. Bond MJ, Feather NT. Some correlates of structure and purpose in the use of time. J Pers Soc Psychol. 1988; 55:321-29.

23. Small SA, Kerns D. Unwanted sexual activity among peers during early and middle adolescence: incidence and risk factors. J Marriage Fam. 1993; 55(4):941-52.

24. Hayes L, Hudson A, Matthews J. A process model of parental monitoring. Presented at the 3rd International conference on child and adolescent mental health, Brisbane, Australia; 2002.

25. Mitchell CM, Kaufman CE, Whitesell NR, Beals J, Keane EM. Self-efficacy about sexual risk/protective behaviors: intervention impact trajectories among American Indian youth. J Res Adolesc. 2017; 27(3):697-704. https:// doi.org/10.1111/jora.12308

26. Wongtongkam N, Ward PR, Day A, Winefield AH. Exploring family and community involvement to protect Thai youths from alcohol and illegal drug abuse. J Addict Dis. 2015; 34(1):112-21. https://doi.org/10.1080/10550887 .2014.975616

27. Allen ML, Garcia-Huidobro D, Porta C, Curran D, Patel R, Miller J, et al. Effective parenting interventions to reduce youth substance use: a systematic review. Pediatrics. 2016; 138(2):1-19.

28. Meader N, King K, Wright K, Graham HM, Petticrew M, Power C, et al. Multiple risk behavior interventions: Metaanalyses of RCTs. Am J Prev Med. 2017; 53(1):19-30.

29. Hoekstra BA, Young VL, Eley CV, Hawking MK, McNulty CA. School nurses’ perspectives on the role of the school nurse in health education and health promotion in England: a qualitative study. BMC Nursing. 2016; 15(1):1-9. https://doi.org/10.1186/s12912-016-0194-y

30. Mirzazadeh A, Biggs MA, Viitanen A, Horvath H, Wang LY, Dunville R, et al. Do school-based programs prevent HIV and other sexually transmitted infections in adolescents? a systematic review and meta-analysis. Prev Sci. 2018; 19(4):490-506. https://doi.org/10.1007/s11121017-0830-0