Effect of mHealth tool on knowledge regarding reproductive health of school going adolescent girls: a before-after quasi-experimental study

ObjectiveThis study was executed to (1) assess the effect of mHealth (mobile health) tool on knowledge regarding reproductive health (RH) of adolescent girls and (2) determine the utilisation of mHealth tool among school girls.DesignBefore-after type of quasi-experimental study.SettingDhaka North City Corporation in Bangladesh.Participants400 adolescent girls aged 14–19 years were selected based on defined criteria.InterventionsShort message service (SMS) intervention on RH was delivered through a mobile phone.Primary and secondary outcome measures8 schools out of 61 were randomly selected in the study area. A total of 400 girls were selected randomly on permission from those schools and parents. SMS interventions were delivered for 8 weeks. The data were collected using a self-administered questionnaire before and after SMS intervention to evaluate the effect. The number of responses to weekly SMS determined mHealth usage or practice.ResultsPostintervention knowledge score (mean 70.8%±9.7%) on RH was significantly higher (paired t=69.721, p<0.001) than preintervention knowledge score (mean 44.71%±9.13%) with a large effect size (cohen’s d=3.6). The knowledge score on RH was (p<0.001) correlated (+0.636) with SMS response. Multiple linear regression indicated that increase response to one SMS intervention there was an increase of knowledge score by 2.661% (linear slope 2.66, at 95% CI, p<0.001) after controlling the confounder. The mean knowledge score in all five knowledge segments of RH increased significantly (p<0.001) after SMS intervention.ConclusionThe result indicated that the SMS tool of the mHealth approach is an easy and effective way to improve RH knowledge for adolescent girls. SMS intervention was well accepted by the girls. Thereby this mHealth tool can be chosen to provide health information for a mass approach.

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Efektivitas Minuman Kacang Hijau terhadap Peningkatan Kadar Hemoglobin Remaja Putri di Panti Asuhan di Kota Pekanbaru

Jurnal Ilmu Kedokteran ◽

10.26891/jik.v12i2.2018.95-100 ◽

2019 ◽

Vol 12 (2) ◽

pp. 95

Author(s):

Fachriani Putri ◽

Riza Iriani Nasution

Keyword(s):

Experimental Study ◽

Reproductive Health ◽

Oral Administration ◽

Adolescent Girls ◽

Mung Bean ◽

Sampling Method ◽

Quasi Experimental ◽

The Subject ◽

Paired T Test ◽

Average Hemoglobin

The complete mung bean’s phytochemicals composition help the hematopoiesis process increasing hemoglobin levels.Hemoglobin level is important as anemia sign. Anemia in adolescent girls might affect reproductive health. The aim ofthis study was to determine the effectiveness of mung beans compote to increase hemoglobin levels for adolescentgirls at the Pekanbaru City Orphanage. This study was quasi-experimental study with one group pre test-post testdesign method. This study included 28 adolescent girls who had experienced menses and were not under any othermedications. We used purposive sampling method to chose the subject. Hemoglobin levels were assessed pre andpost oral administration of a cup mung bean compote 2 times a day for a week, each volume of 250 ml. The results wereanalyzed by paired t-test. We found that the average hemoglobin levels of adolescent girls are 13.13 g% and 13.14 g%respectively for pre and post treatment. Statistically, there was unsignificant effect of mung beans compote in increasinghemoglobin level (p = 0.97.

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A quasi-experimental text messaging trial to improve adolescent sexual and reproductive health and smoking knowledge in Indonesia

Sexual Health ◽

10.1071/sh18199 ◽

2020 ◽

Vol 17 (2) ◽

pp. 167

Author(s):

Alisa E. Pedrana ◽

Jamie Pina ◽

Retna S. Padmawati ◽

Ririh Zuhrina ◽

Lutfan Lazuardi ◽

...

Keyword(s):

Young People ◽

Reproductive Health ◽

Text Messaging ◽

Healthy Lifestyle ◽

Text Message ◽

Knowledge Score ◽

Baseline Survey ◽

Sms Intervention ◽

Quasi Experimental

Background To evaluate the feasibility and acceptability of a text message intervention to improve young people’s knowledge of sexual reproductive health (SRH) and harms related to smoking in Indonesia. Methods: A quasi-experimental short message service (SMS) trial of young people aged 16–24 years receiving twice weekly SMS over a 10-week intervention period. Pre- and post-online demographic and risk behaviour surveys were used to assess changes in knowledge. Among respondents who completed both surveys, we assessed changes in knowledge before and after SMS intervention using paired McNemar’s test and differences in mean knowledge score using a paired t-test. Results: In total, 555 eligible young people were enrolled into the SMS intervention; 235 (42%) completed a follow-up survey, of which 198 (84%) were matched to a baseline survey. Median age of participants was 19 years and the majority were female (63%). The mean knowledge score significantly increased between baseline and follow-up surveys for SRH questions [2.7, (95% CI 2.47, 2.94) vs 3.4 (95% CI 2.99, 3.81) (P = <0.01)] and smoking-related questions [3.8 (95% CI 3.66, 3.99) vs 4.1 (95% CI 3.99, 4.28) (P = 0.03)]. A majority of participants reported that the SMS intervention increased their knowledge (95%) and were a useful reminder (95%). Conclusions: An SMS intervention was feasible, acceptable and improved adolescents’ SRH knowledge and smoking knowledge in a low- to middle-income setting. SMS interventions targeting young people need to be scaled up, with the potential to explore additional topics around healthy lifestyle, nutrition and physical activity.

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A Quasi-Experimental Study to Assess the Effectiveness of Jacobson’s Progressive Muscle Relaxation Technique on Social Anxiety among Adolescent Girls of Selected Schools of Kashipur, Uttarakhand

International Journal of Nursing & Midwifery Research ◽

10.24321/2455.9318.201914 ◽

2019 ◽

Vol 06 (2&3) ◽

pp. 12-16

Author(s):

Harshita Gloria Didacus ◽

Keyword(s):

Experimental Study ◽

Social Anxiety ◽

Adolescent Girls ◽

Muscle Relaxation ◽

Progressive Muscle Relaxation ◽

Relaxation Technique ◽

Quasi Experimental

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Perbedaan Pengetahuan Remaja Putri Sebelum Dan Sesudah Diberikan Penyuluhan Tentang Fluor Albus Di SMP Negeri 3 Penebel

JURNAL MEDIKA USADA ◽

10.54107/medikausada.v2i1.32 ◽

2019 ◽

Vol 2 (1) ◽

pp. 18-23

Author(s):

Kadek Sri Ariyanti ◽

Rini Winangsih ◽

Desak Made Firsia Sastra Putri

Keyword(s):

Reproductive Health ◽

Adolescent Girls ◽

Young Women ◽

Random Sampling ◽

Statistical Test ◽

Wilcoxon Test ◽

Average Score ◽

Average Increase ◽

Before And After ◽

Test Result

Background and purpose: Adolescence is a period of transition from childhood to adulthood. The problems facing adolescents are often related to reproductive health, one of which is fluorine albus. Many teenagers do not care about the fluoride of albus despite the enormous impact on women's reproductive health. One reason is the lack of knowledge about fluorine albus. Based on KISARA data there are 90.91% of girls in Denpasar City do not know the cause of fluorine albus. The purpose of this study was to determine differences in knowledge of young women before and after being given counseling about fluor albus. Method: The research design used was pre-experimental with one group pretest posttest design using 70 respondents taken by stratified random sampling. The results showed that the average score of adolescent girls' knowledge about fluor albus before being given counseling was 11.56 and after counseling was 14.23. There was an average increase in knowledge of 2.67. Results: Statistical test result using wilcoxon test get value p = 0.000 so that hypothesis accepted. Conculusion: It can be concluded that there is difference of adolescent knowledge about fluorine albus before and after given counseling.

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Promotion of Early and Exclusive Breastfeeding in Neonatal Care Units in Rural Rwanda: a Quasi-experimental Study

10.21203/rs.3.rs-119415/v1 ◽

2020 ◽

Author(s):

Saidath Gato ◽

Francois Biziyaremye ◽

Catherine M. Kirk ◽

Chiquita Palha De Sousa ◽

Alain Mukuralinda ◽

...

Keyword(s):

Experimental Study ◽

Exclusive Breastfeeding ◽

Child Survival ◽

Neonatal Care ◽

Post Intervention ◽

Factors Associated ◽

Before And After ◽

Quasi Experimental ◽

Evidenced Based ◽

Additional Support

Abstract Background: Early initiation of breastfeeding after birth and ongoing exclusive breastfeeding for the first 6 months improves child survival, nutrition and health outcomes. However, only 42% of newborns worldwide are breastfed within the first hour of life. Small and sick newborns are at greater risk of not receiving breastmilk and often require additional support for feeding. This study compares breastfeeding practices in Rwandan neonatal care units (NCUs) before and after the implementation of a package of interventions aimed to improve breastfeeding, aligned with the Baby Friendly Hospital Initiative for small and sick newborns.Methods: A pre-post quasi experimental study was conducted at two District hospital NCUs in rural Rwanda from October 2017–December 2017 (pre-intervention) and September 2018–March 2019 (post-intervention). Only newborns admitted before their second day of life (DOL) were included. Data was extracted from patient charts for clinical and demographic characteristics, feeding throughout admission, and patient outcomes. Bivariate analyses were conducted using Fisher’s exact and Wilcoxon rank sum tests. Logistic regression was used to evaluate factors associated with exclusive breastfeeding at discharge following a backwards stepwise procedure.Results: Pre-intervention, 255 newborns were admitted in the NCUs and 793 were admitted in the post-intervention period. The percentage of infants who were exclusively breastfed on their day of birth, or day-of-life zero (DOL0) increased from 5.4% to 35.9% (p<0.001). For newborns discharged alive, the proportion exclusively breastfeeding increased from 69.6% to 87.0% (p<0.001). The mortality rate for all admitted newborns decreased from 16.1% to 10.5% (p<0.019). Factors associated with greater odds of exclusive breastfeeding at discharge included post-intervention time point (Odds Ratio (OR): 4.91, 95% Confidence Interval (CI) 1.99-12.11, p<0.001), and admission for infection (OR 2.99, 95%CI 1.13-7.93, p=0.027). Home deliveries (OR 0.15, 95%CI 0.05-0.47, p=0.001), preterm delivery (OR 0.36, 95%CI 0.15-0.87, p=0.0260 and delayed first breastmilk feed (OR=0.04 for DOL3 vs. DOL0, 95%CI 0.01, 0.35, p=0.004) reduced odds of exclusive breastfeeding at discharge. Conclusion: Expansion and adoption of evidenced-based guidelines, using innovative approaches, aimed at the unique needs of small and sick newborns should be expanded and adapted in similar settings to improve outcomes for these infants.

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Immunization competence retention in medical students: a comparation between conventional lectures and lectures with simulations method

Paediatrica Indonesiana ◽

10.14238/pi55.6.2015.339-44 ◽

2016 ◽

Vol 55 (6) ◽

pp. 339 ◽

Cited By ~ 1

Author(s):

Hartono Gunadi ◽

Rini Sekartini ◽

Retno Asti Werdhani ◽

Ardi Findyartini ◽

Muhammad Arvianda Kevin Kurnia

Keyword(s):

Experimental Study ◽

Medical Students ◽

Medical School ◽

Intervention Group ◽

Control Group ◽

Vaccine Preventable Diseases ◽

Before And After ◽

Quasi Experimental

Background Immunization is recognized as one of the strategiesto reduce vaccine preventable diseases. Competency related toimmunization are consequently important for medical students andthe medical school needs to assure the competence acquisition.Objective To assess competence related to immunization andits retention following lectures with simulations compared tolectures only.Methods A quasi-experimental study was conducted to the 5th yearstudents of University of Indonesia Medical School during the ChildAdolescent Health Module in 2012-2013. The intervention grouphad lectures with simulations and the control group had lecturesonly. Immunization knowledge was assessed with a 30 multiplechoice question (MCA) items performed before and after themodule. Competence retention was assessed by MCQ (knowledge)and OSCE (skills) 2-6 months afterwards.Results Sixty eight subjects for each group with similarcharacteristics were analyzed. There was significant differenceafter module MCQ score between two groups. Competenceretention in 2-6 months after module completion was betterin intervention group, both for the knowledge (median MCQscore of 70.00 (range 37-93) vs. mean score of 58.01 (SD 12.22),respectively; P<0.001) and skill (OSCE mean scores of 75.21 (SD10.74) vs. 62.62 (SD 11.89), respectively; P < 0.001). Proportionof subjects in the intervention group who passed both the MCQand OSCE were also significantly greater.Conclusion Lectures with simulations are proved to bemore effective in improving medical students’ immunizationcompetence as well as its retention compared to lectures onlyapproach.

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Depressão e ideação suicida na adolescência: implementação e avaliação de um programa de intervenção

Enfermería Global ◽

10.6018/eglobal.402951 ◽

2020 ◽

Vol 19 (3) ◽

pp. 1-35

Author(s):

Ana Paula Amaral ◽

Josiane Uchoa Sampaio ◽

Fátima Regina Ney Matos ◽

Margarida Tenente Santos Pocinho ◽

Rafael Fernandes de Mesquita ◽

...

Keyword(s):

Experimental Study ◽

Depressive Symptoms ◽

Suicidal Ideation ◽

Suicide Prevention ◽

Prevention Program ◽

Intervention Program ◽

Educational Institution ◽

Assessment Instruments ◽

Before And After ◽

Quasi Experimental

Objetivo: Desarrollar, implementar y evaluar un programa de prevención del suicidio dirigido a adolescentes.Materiales y Métodos: Estudio cuasi experimental, del tipo antes y después, con adolescentes de una institución educativa en São Luís, Maranhão, Brasil. El estudio siguió las etapas de desarrollo, implementación y evaluación de un programa de intervención para la prevención del suicidio. Se administraron tres instrumentos de evaluación antes y después de la intervención: la escala de ideación suicida de Beck; el Inventario de Depresión de Beck y la Escala de Desesperanza de Beck.Resultados: Antes de la intervención, participaron 102 adolescentes, 30 (29.4%) tenían ideación suicida y síntomas depresivos. Después de la intervención, los instrumentos se aplicaron a los 30 adolescentes seleccionados, 12 (40.0%) continuaron con la ideación. Antes de la intervención, el Inventario de depresión promedio fue de 23.83 y luego de 7.17 (p <0.0001). En cuanto a la desesperanza, el promedio obtenido antes fue 7.23 y luego 2.17 (p <0.0001); Con respecto a la ideación suicida, el promedio obtenido antes fue de 10.50 y luego de 2.57 (p <0.0001).Conclusión: Hubo una disminución en los síntomas depresivos, la desesperanza y la ideación suicida después de la implementación del elaborado programa de intervención. Objective: To develop, implement and evaluate a suicide prevention program aimed at adolescents.Material and Methods: A quasi-experimental study, before and after, with adolescents from an educational institution in São Luís, Maranhão, Brazil. The study followed the stages of development, implementation and evaluation of a suicide prevention intervention program. Three assessment instruments were administered before and after the intervention: Beck's Suicidal Ideation Scale; Beck's Depression Inventory and Beck's Hopelessness Scale. Results: Before the intervention, 102 adolescents participated, 30 (29.4%) had suicidal ideation and depressive symptoms. After the intervention the instruments were applied to the 30 selected adolescents, 12 (40.0%) continued with ideation. Prior to intervention, the average Depression Inventory was 23.83 and then 7.17 (p <0.0001). As for hopelessness, the average obtained before was 7.23 and then 2.17 (p <0.0001); Regarding suicidal ideation, the average obtained before was 10.50 and then 2.57 (p <0.0001). Conclusion: There was a decrease in depressive symptoms, hopelessness and suicidal ideation after the implementation of the elaborated intervention program.

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Telephone interventions for adherence to colpocytological examination

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.1683.2844 ◽

2017 ◽

Vol 25 (0) ◽

Author(s):

Thais Marques Lima ◽

◽

Ana Izabel Oliveira Nicolau ◽

Francisco Herlânio Costa Carvalho ◽

Camila Teixeira Moreira Vasconcelos ◽

...

Keyword(s):

Cervical Cancer ◽

Experimental Study ◽

Educational Intervention ◽

Educational Interventions ◽

Inclusion Criteria ◽

Examination Method ◽

Before And After ◽

Quasi Experimental ◽

Behavioral Group ◽

Health Education And Promotion

ABSTRACT Objective: to test the effects of behavioral and educational intervention by telephone on adherence of women with inappropriate periodicity to colpocytological examination. Method: quasi-experimental study with a sample of 524 women, selected with the following inclusion criteria: be aged between 25 and 64 years, have initiated sexual activity, have inappropriate periodicity of examination and have mobile or landline phone. The women were divided into two groups for application of behavioral and educational intervention by telephone. It was used an intervention script according to the principles of Motivational Interviewing. Results: on comparing the results before and after the behavioral and educational interventions, it was found that there was a statistically significant change (p = 0.0283) with increase of knowledge of women who participated in the educational intervention. There was no change in the attitude of women of any of the groups and there was an increase of adherence to colpocytological examination in both groups (p < 0.0001), with greater adherence of women participating in the behavioral group (66.8%). Conclusion: the behavioral and educational interventions by phone were effective in the adherence of women to colpocytological examination, representing important strategies for permanent health education and promotion of care for the prevention of cervical cancer.

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