Effectiveness of Computer-Based Sexual Communication Program for Mothers and Pre-Adolescent Daughters: A Quasi-Experimental Study

Authors

  • Pawana Promneramit RN, PhD(Candidate), Faculty of Medicine Ramathibodi Hospital and Faculty of Nursing, Mahidol University, Thailand.
  • Rutja Phuphaibul DNS, FAAN, Professor, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand.
  • Srisamorn Phumonsakul RN, DNS. Associate Professor, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand.
  • Nittaya Sinsuksai RN, PhD, Associate Professor, Faculty of Nursing, Mahidol University, Thailand.

Keywords:

Computer-based program, daughters, mothers, pre-adolescence, sexual abstinence intention, sexual communication, sexual risks

Abstract

               Adolescent sexual risk behaviors are a problem that may have long-term health outcomes. Many strategies and interventions are needed around the world to reduce these risks. This quasi-experimental study examined the effects of the computer-based Mother-daughter Sexual Communication-Thailand Program developed to increase positive attitudes, subjective norms, perceived behavioral control, and intention focused on mothers’ sexual communication behaviors and daughters’ sexual abstinence intention in an attempt to reduce adolescent risk behavior. The participants were mothers and their pre-adolescent daughters in elementary schools in Bangkok, Thailand. The intervention group (n=37) received one session weekly for five consecutive weeks of the program, whereas the control group (n=40) did not receive the intervention. Eight instruments were used to collect data from the mothers and pre-adolescent daughters before the intervention and at Week 5 immediately after the intervention and at one month after the completion of the intervention. Data were analyzed by Generalized Estimating Equations

               The results indicated that the mothers in the intervention group had statistically significant higher positive attitudes, perceived behavioral control, and intention at one month after the intervention in addition to better sexual communication behaviors immediately after the intervention than those in the control group. However, the mothers’ subjective norms and the daughters’ sexual abstinence intentions were not significantly different between the two groups. This program will be undergoing further testing and possible modification for adolescents’ health promotion.

References

Ministry of Public Health, Department of Health, Bureau of Reproductive Health. Annual report in 2019 Bureau of Reproductive Health [Internet]. 2020 [cited 2020 Mar 18]. Avaiable from: http://rh.anamai.moph.go.th/download/all_file/index/reportRH/report_rh_62.pdf (in Thai)

Limruangrong P, Ketin V, Konggumnerd R, Sindhu S. Comparison of sexual risk behaviors, perception of sexual risk health problems, and protection of sexual health of young adult in educational institutions. J Nurs Sci [Internet]. 2017 Dec 15 [cited 2020 Jan 22];35(4):33-48. Available from: https://he02.tci-thaijo.org/index.php/ns/article/view/116177/89491

Suvarnakuta P, Congkhaow T. Nung-Alee S. The effect of promoting communication about sex program on feeling comfortable and practice in communication about sex between early female adolescents and mothers. J Nurs Educ [Internet]. 2017 [cited 2020 Feb 3];10(4):63-75. Available from:https://he01.tci-thaijo. org/index.php/JNAE/article/view/122686/ 93381(in Thai).

Rogers A. Parent–adolescent sexual communication and adolescents’ sexual behaviors: a conceptual model and systematic review. Adolescent Res Rev. 2017;2: 293-13. doi: 10.1007/s40894-016-0049-5.

Figueroa-Cosme WL, Miranda-Díaz1 C, Lopez-Cordova NM, Capriles JA, Velez CN, Santiago LE, Zorrilla C. The birds and the bees: do Puerto Rican Mothers and daughters talk about sex. Journal Fortune. 2018;2(6): 190-205.doi:10.26502/acmcr.96550043.

Guilamo-Ramos V, Lee JJ, LMSW, Jaccard J. Parentadolescent communication about contraception and condom use. JAMA Pediatr. 2016; 170(1): 14-16. doi:10.1001/jamapediatrics.2015.3109.

Masciola RL. Mothers’ perceptions regarding motherdaughter sexual communication. Women’s Healthcare [Internet]. 2018 May 21 [cited 2020 Mar 14];6(2): 26-31. Available from: https://www.npwomenshealth care.com/mother-daughter-sexual-communication/

Widman L, Choukas-Bradley S, Noar SM, Nesi J, Garrett K. Parent-adolescent sexual communication and adolescent safer sex behavior: a meta-analysis. JAMA Pediatr. 2016;170(1): 52-61. doi:10.1001/jamapediatrics. 2015.2731.

Chanphong J. Parent-child sexual communication. Nurs Sci J Thail [Internet]. 2019 May 29 [cited 2020 Feb 20]; 37(1): 4-16. Available from: https://he02.tci-thaijo.org/index.php/ns/article/view/180915/129537 (in Thai)

Chainok L, Kongvattananon P, Somprasert C. Motheradolescent daughter communication about sex: integrative review. The Bangkok Medical Journal. 2018; 14(2):121- 27. doi:10.31524/bkkmedj.2018.09.020.

Nurachmaha E, Afiyanti Y, Yonaa S, Ismailb R, Padangc JT, Suardanad IK, et al. Mother-daugther communication about sexual and reproductive health issues in Singkawang, West Kalimantan, Indonesia. Enferm Clin. 2018;28:172-75. doi: 10.1016/S1130-8621(18)30061-5.

Noe MTN, Daw YM, Soe PP, Khaing M, Saw TN, Hamajima N, et al. Barriers between mothers and their adolescent daughters with regards to sexual and reproductive health communication in Taunggyi Township, Myanmar: what factors play important roles. PLoS One. 2018; 13(12): 1-16. doi: 10.1371/journal.pone.0208849.

Seloilwe ES, Magowe MM, Dithole K, Lawrence JS. Parent and youth communication patterns on HIV and AIDS, STIs and sexual matters: opportunities and challenges. J Child Adolesc Behav. 2015; 3(3):1-6. doi:10.4172/2375-4494.1000203.

Pummanee T, Tedla YG, Riesch SK. Barriers to the quality of parent-adolescent communication in Thailand: an ecological system analysis. International Journal of Child Development and Mental Health [Internet]. 2018 May 1 [cited 2020 Feb 2]; 6(1):87-101. Available from:

https://he01.tci-thaijo.org/index.php/cdmh/article/view/122867/93541

Varas-Díaz N, Betancourt-Díaz E, Lozano AJ, Huang L, Dinapoli L, Hanlon A, et al. Testing the efficacy of a webbased parent-adolescent sexual communication intervention mong Puerto Ricans. Fam Community Health. 2019; 42(1):30-43. doi: 10.1097/FCH.0000000000000209.

Peskin MF, Shegog R, Markham CM, Thiel M, Baumler ER, Addy RC, et al. Efficacy of It’s Your Game-Tech: a computer-based sexual health education program for middle school youth. J Adolesc Health. 2015;56(5):515-21.doi: 10.1016/j.jadohealth.2015.01.001.

Widman L, Golin CE, Kamke K, Massey J, Prinstein MJ. Feasibility and acceptability of a web-based HIV/STD prevention program for adolescent girls targeting sexual communication skills. Health Education Research.2017;32(4):343-52. doi: 10.1093/her/cyx048.

Hattakitpanichakul K, Phuphaibul R, Phumonsakul S, Viwatwongkasem C. Effectiveness of the dual approach program to promote sexual abstinence in Thai early female adolescents and improve parent-daughter sexual communication. Journal of Health Research. 2019; 33(4): 280-92. doi: 10.1108/JHR-09-2018-0090.

Chokprajakchad M, Phuphaibul R, Sieving RE, Phumonsakul S. Effectiveness of parent participation in a technology-based adolescent sexuality education program:a randomized control trial. Pacific Rim Int J Nurs Res [Internet]. 2020 Mar 14 [cited 2020 Apr 2];24(2):219-33.Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/190660/163901

Ajzen I. The Theory of Planned Behavior. Organizational behavior and human decision process. 1991;50:172-211. doi: 10.1016/0749-5978(91)90020-T.

Powwattana A, Thammaraksa P, Manora S. Culturallygrounded mother-daughter communication-focused intervention for Thai female adolescents. Nurs Health Sci.2018; 20(2): 214-23. doi: 10.1111/nhs.12404.

Seif SA, Kohi TW, Moshiro CS. Sexual and reproductive health communication intervention for caretakers of adolescents: a quasi- experimental study in Unguja-Zanzibar. Reprod Health. 2019; 16(1): 1-13. doi: 10.1186/s12978-019-0756-z.

Sevilla TM, Sanabria JP, Oreasita LT, Palma DM. Consistencies and discrepancies in communication between parents and teenage children about sexuality. Paideia. 2016; 26(64): 139-47. doi: 10.1590/1982-43272664201601.

Villarruel AM, Loveland-Cherry CJ, Ronis DL. Testing the efficacy of a computer-based parent-adolescent sexual communication intervention for Latino parents. Fam Relat. 2010; 59(5): 533-43. doi: 10.1111/j.1741-3729. 2010.00621.x.

Powwattana A, Manora S. Sexual behavior model of young adult Thai women in overpopulated communities in Bangkok, Thailand. Faculty of Public Health, Mahidol University; 2007 (in Thai).

Klabtablang P, Phuphibul R, Kongsaktrakul C. Factors predicting sexual communication between parents and sixth grade students. Journal of Nursing Science Chulalongkorn University [Internet]. 2016[cited 2019 Dec 29];28(2): 108-21. Available from: https://he01.tci-thaijo.org/index.php/CUNS/article/view/80207/63918 (in Thai).

Niamkan S, Sornchai S. Factors related to communication regarding sex matter between parents and their puberty children. Journal of Phrapokklao Nursing College. 2013; 24(2):36-46 (in Thai).

Fongkaew W, Lertmulikaporn S, Thongvichian S, Chanprasit C, Baosoung C, Phuphaibul R. Development planning program in order to prevent and reduce risk behavior in adolescent: phase I instrument development and behavior survey. Bangkok: Mahidol University. 2006 (in Thai).

Chareonsuk J, Phuphaibul R, Sinsuksai N, Viwatwongkasem C, Villarrue AM. Development of the causal model of young Thai female adolescents’ sexual abstinence Intention. Pacific Rim Int J Nurs Res [Internet]. 2013 Oct 31 [cited 2020 Jan 11];17(4): 329-41. Available from: https://

he02.tci-thaijo.org/index.php/PRIJNR/article/view/12931/11610

Mobredi K., Hasanpoor-Azghady SB, Azin SA, Haghani H, Farahani LA. Effect of the sexual education program on the knowledge and attitude of preschooler’s mothers. J Clin Diagn Res. 2018; 12(6):6-9. doi: 10.7860/JCDR/2018/32702. 11616.

Goli F, Ahmad Abadi NM. The effect of sexual education on mothers’ knowledge, attitude and practice in responding to their daughters’ questions. J Child Ment Health [Internet]. 2019 [cited 2020 Mar 29];6(2):81-92. Available from http://childmentalhealth.ir/article-1-542-fa.pdf

Malikhao P. Culture and communication in Thailand. Singapore: Springer; 2017.

UNFPA. The State of Thailand’s Population 2013: motherhood in children facing the challenge of adolescent pregnancy. Bangkok: Success Publication; 2014.

Akers AY, Holland CL, Bost J. Intervention to improve parental communication about sex: a systematic review. Pediatrics. 2011;127(3):494-510. doi:10.1542/peds. 2010-2194.

Powwattana A, Thammaraksa P. The effect of learning medias to promote sexual communication among mothers with early adolescent daughters. Journal of Boromarajonani College of Nursing, Bangkok [Internet]. 2018 Jan 5 [cited 2020 Jan 10]; 34(1): 58-70. Available from https://he01.tcithaijo.org/index. php/bcnbangkok/article/view/ 136932/102023 (in Thai)

Ajzen I. The theory of planned behavior: reactions and reflections. Psychol Health. 2011;26(9):1113-27. doi:10.1080/08870446.2011.613995.

Suvarnakuta P, Congkhaow T, Nichachotesalid P. Effect of program to develop mother’s skills in communication about sex with early adolescent daughters. Journal of Phrapokklao Nursing College. 2015;26(1):1-16 (in Thai)

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Published

2021-03-25

How to Cite

1.
Promneramit P, Phuphaibul R, Phumonsakul S, Sinsuksai N. Effectiveness of Computer-Based Sexual Communication Program for Mothers and Pre-Adolescent Daughters: A Quasi-Experimental Study. PRIJNR [Internet]. 2021 Mar. 25 [cited 2024 Apr. 19];25(2):185-98. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/241590

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