Effects of Computer Game Media-Based Sexuality Education Program on Attitude, Norms, Perceived Behavioral Control on sexual risk behavior and Sexual Abstinence Intention in Early Adolescents

Main Article Content

Lawan Singhasai
Monrudee Chokprajakchad
Rutja Phuphaibul
Jumpee Granger

Abstract

This quasi-experimental research aimed to investigate the effects of a computer game media-based sexuality education program on attitude,norms,and perceived behavioral control on sexual risk behavior and sexual abstinence intention in early adolescents. The sample consisted of 164 fifth-grade students. They were assigned to the experimental (n= 87) and control group (n = 77). The instruments used in this study were a computer game and questionnaires including general information, attitude, norms, and perceived
behavioral control on sexual risk behavior and sexual abstinence intention questionnaires.Data were analyzed using descriptive statistics, Chi-square Test, Wilcoxon Signed Rank Test,and Generalized Estimating Equations(GEE). The result of the study illustrated that after participation in the computer game media-based sexuality education program, the experimental group had a significantly higher score of perceived behavioral control on sexual risk behavior than did the control group. However, the scores of attitudes towards
sexual risk behavior,norms regarding sexual risk behavior,and sexual abstinence intention between the two groups were not significantly different. Therefore, the computer game media-based sexuality education program should be used with adolescents to promote their perceived behavioral control on sexual risk behavior.
Keywords : Early adolescents, Attitude, Norms, Perceived behavioral control, Sexual
abstinence intention

Article Details

How to Cite
1.
Singhasai L, Chokprajakchad M, Phuphaibul R, Granger J. Effects of Computer Game Media-Based Sexuality Education Program on Attitude, Norms, Perceived Behavioral Control on sexual risk behavior and Sexual Abstinence Intention in Early Adolescents. Nurs Res Inno J [Internet]. 2021 Aug. 29 [cited 2024 Dec. 22];27(2):282-98. Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/250899
Section
บทความวิจัย

References

Department of Health. Thailand 2015 global school based- student health survey[Internet]. 2019 [cited 2021

June 15]. Available from: https://www.who.int/ncds/surveillance/gshs/Thailand-GSHS-2015-Report.

pdf?ua=1

Panpetch O, Wongsawat P. Unwanted pregnancy in adolescents: guideline for prevention and surveillance.

Journal of Phrapokklao Nursing College. 2020;31(2):280-92. (in Thai)

Department of Health,Ministry of Public Health.Situation of pregnancy among Thai adolescents [Internet]. 2021[cited 2021 Jun 15]. Availablefrom:https://rh.anamai.moph.go.th/web-upload/7x027006c2abe84e89b5c8

b44a692da94/tinymce/kpi64/1_14/1_14_1-1.pdf

Lamchiek K. How to prevent unwanted teenage pregnancy?Journal of Boromarajonani College of Nursing.

;3:97-105. (in Thai)

Bureau of Reproductive Health. Reproductive health of adolescents and youths. Bureau of Reproductive Health.Department of Health: Ministry of Public Health; 2016.

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

Sawyer SM, Azzopardi PS, Wickremarathne D, Patton GC. The age of adolescence. Lancet Child Adoesc Health.2018. Available from: http://dx.doi.org/10.1016/S2352-4642(18)30022-1

ChaikoolvatanaC,MornsaengI,ChaibarnP.Effectiveness of teenage pregnancy prevention program in Phayao

province. Ramathibodi Nursing Journal. 2019;25(3):340-53. (in Thai)

Rungsang B, Saeneewong na Ayuthaya P. Promoting sexual abstinence behavior among youth. Journalof Man and Society Faculty of Humanities and Social Sciences.2020;5(2):149-58. (in Thai)

Pojanapotha P, Singhakant S, Kaewpornsawan T,Apinuntavech S. Attitudes and sex education associated

with sexual behavior in Thai male students in Bangkok.Journal of Public Health. 2017;47(1):18-30.(in Thai)

Chirawatkul S, Sawangchareon K, Jongudomkarn D,Rujiraprasert N, Kittipongpaisarn W, Rungreongkulkij S,

et al.Perceptions of male adolescents related to love and sexual relationships.Journal of Psychiatric Association of Thailand: 2013;58(1):75-88. (in Thai)

HanjangsitP,Sakulsri T. Risk factors affecting adolescent pregnancy: a qualitative study [Internet]. 2019 [cited 2021 June 15].Available from:http:/www.ipst.mahidol.ac.th/ipst/annual. Conference/Articles/Risk-factors -teenage pregnancy.pdf. (in Thai)

Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process 1991;50(2):179-211. doi:10.

/0749-5978(91)90020-T

Tangmunkongvorakul A,Srithanaviboonchai K,Guptarak M, Wichajarn M, Yungyuankul S, Khampan R, et al.

Attitude and behavior among rural Thai adolescents regarding sexual intercourse.Southeast AsianJ Trop Med

Public Health. 2014;45(6):1437-47.

Adultrakul A,Potjanamart C,SawangJaiThumK. Effects of problem based learning towards knowledge on sex

education and opinions on sex risk behaviors among Mutthayomsuksa students.Nursing Journal.2015;42:46-

(in Thai)

MankongL,PumprawaiA,MahuwonA,RiabroiW,YothaW. Effective of teaching program on integrated sex

education and life skills using digital media for primary,junior and high school students.Journal of Health Science.2021;30(2):223-31. (in Thai)

Sangchart E,Duangsong R. The effects of health education program with electronic media (facebook) on skill

development for adolescent pregnancy prevention among grade 7 students. Journal of the office of DPC 7 Khon

Kaen. 2016;23(1):96-104. (in Thai)

Neranon W, Phuphaibul R, Kongsaktrakul C. Effects of the activity package computer game media on attitudes,norms and perceived behavior control on sexual abstinence of 7th grade students. Kuakarun Journal of Nursing.2018;25(1):73-89. (in Thai)

Chaisamdaeng P, Phuphaibul R, Patoomwan A. Effects of the computer game“Kid…Think”program on attitudes,subjective norms, perceived behavioral control, and intention to not express sexual risk behaviors of deaf students in high schools. Ramathibodi Nursing Journal.2020;26(3):354-69. (in Thai)

Thampanichawat W, Olanratmanee B.Sex education for adolescents in school:a case study in Bangkok.Thai Journal of Nursing Council. 2018;33(3):82-98. (in Thai)

Phuphaibul R, Kerddonfag P, Ariyanuchitkun S,Jantharachot J. Comparison of the effects of life skills

training programs using cartoon books and animation movies on life skills of school-agers.Ramathibodi Nursing

Journal. 2014; 20(2):271-87. (in Thai)

FaulF, Erdfelder E, Lang AG, Buchner A. G*Power 3:a flexible statistical power analysis program for the social,behavioral,and biomedical sciences. Behav Res Methods 2007;39(2):175-91.

Bunnag R, Temsirikulchai L, Vatanasomboon P,Powwattana A. Effectiveness of life skills program for

preventive sexual risk behaviors of secondary school students, Nakhon Prathom Province. Journal of Public

Health. 2013;43(1):80-93. (in Thai)

Inpanao W, Phuphaibul R, Kongsaktrakul C. Effects of media computer games “KID…THINK” program on

attitude,norms,and perceived behavioral control on sexual risk behavior of the 6th grade students. Boromarajonani college of Nursing Utaradit Journal. 2020;12(1):107-21. (in Thai)

TaikanongK.The factors influencing the intention of sexual risk behavior among high school students [thesis].Bangkok. Christian University; 2012. (in Thai)

Olanratmanee B,Jungsomjatepaisal W,Pumpuang W.The effects of a safe sex behaviors and chatting program based on the theory of planned behavior among early adolescents:a quasi-experimental study. The Journal of Prapokklao Hospital Clinical Medical Education Center. 2021;38(2):161-9. (in Thai)

Kingmala C, Rawiworrakul T,Powwattana A. Effect of a pregnancy prevention program for female adolescence.Journal of Boromarajanani Collegeof Nursing, Bangkok.2015;31(3):25-34. (in Thai)

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.

;24(2):219-33.

ChareonsukJ,PhuphaibulR,SinsuksaiN,Viwatwongkasem C, Villarruel AM. Development of the causal model of young Thai female adolescents’sexual abstinence intention.Pacific rim Int J Nurs Res. 2013;17(4):329-41.

Phuphaibul R, Kongsaktrakul C, Chokprajakchad M,Chantrarachot J, Techushong A, Ariyanuchitkul A. The

effects of sexual risk behavior prevention program on sexual abstinence intention among 6th graders. Journal of

Nursing Science&Health. 2016;39(1):12-23.(in Thai)