The effect of a sexual and reproductive health training package using A Problem-Based Learning Approach (SRHPBL) coupled with role play and lecture discussion on knowledge, attitude, and self-reported sexual behavior among secondary adolescents: a cluster-randomized control trial in Mwanza
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Date
2023
Authors
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Journal ISSN
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Publisher
The University of Dodoma
Abstract
Introduction: Lacks of sexual and reproductive health knowledge among secondary adolescents continue to increase vulnerability to STIs and HIV, unplanned pregnancy, and school dropouts in Tanzania. The contents and delivery methods developed by the MoH to deliver SRH information to adolescents are not adequate.
Objective: This study tested the effect of a sexual and reproductive health training package using a problem-based learning approach (SRHpbl) coupled with role play and lecture discussion on knowledge, attitude, and self-reported sexual behavior among secondary adolescents in Mwanza.
Method: A cluster randomized control trial was conducted from May to July 2023 among 560 school adolescents. 10 of 28 school adolescents each were randomized to receive the intervention for 3 days, whereas another ten clusters of 28 school adolescents each were randomized as usual as the care control group. Outcomes were measured at baseline (T0), immediately after intervention (T1), and at one-month follow-up (T2).
Results: The knowledge score at base in the intervention group was 22.37 (3.1), in the control group 22.68 (3.6), t = 1.061, P = 0.289. Attitude score in intervention group 32.26 (5.8), control group 33.51 (5.2), t =2.697, P = 0.007. Self-reported sexual behavior in intervention group 10.23 (14.7), control group 8.43 (14.1), t = 1.478, P = 0.140.The effects of the intervention on knowledge were 0.775 (95% CI 0.068–1.482), P = 0.026, and the control group was -0.850 (95% CI 1.694 - -0.006), P = 0.048. Group X time interaction effect (F =12.629, P = <0.001), effect size 0.301 at 95% CI = 0.1344 - 0.4676). Attitude was 1.135 (95% CI -0.044-2.314), P = 0.063 in the intervention group, and in the control group, it was -.559 (95% CI -1.706-0.588), P = 0.725. Group X time interaction effect (F =6.040, P = <0.014), effect size 0.2128 at 95% CI = 0.0446 - 0.3811 immediately post intervention. The effects of the SRH intervention were continued with a 2-month follow-up.
Discussion: The use of blended methods enhanced good understanding of SRH session.
Conclusion: The intervention aided change of adolescent’s knowledge, attitude and their sexual behavior.
Description
Dissertation ( MSc. Midwifery)
Keywords
Problem-based learning, Sexual reproductive health, Self-reported sexual behavior., Sexual behaviour, Secondary adolescents
Citation
Mzee, N. L. (2023). The effect of a sexual and reproductive health training package using A Problem-Based Learning Approach (SRHPBL) coupled with role play and lecture discussion on knowledge, attitude, and self-reported sexual behavior among secondary adolescents: a cluster-randomized control trial in Mwanza (Master's Dissertation) The University of Dodoma