Effect of a Mobile Application to Promote Sexual Health Literacy on Knowledge, Attitudes, Decision-Making, and Unwanted Pregnancy Prevention Behavior Among Female Adolescents

Authors

  • Jiranee Panyapin Instructor, School of Nursing, Mae Fah Luang University
  • Suphaphan Jansiri Instructor, School of Nursing, Mae Fah Luang University
  • Pimkanabhon Trakooltorwong Instructor, School of Nursing, Mae Fah Luang University
  • Nattapol Aunsri School of IT, Mae Fah Luang University

Keywords:

Female adolescent, Mobile application, Sexual health literacy, Unwanted pregnancy prevention

Abstract

          Promoting sexual health literacy is crucial for promoting appropriate sexual behavior and reducing the problem of unwanted adolescent pregnancy. This study was a randomized control trial aiming to examine the effect of a mobile application to promote sexual health literacy on knowledge, attitudes, decision-making, and unwanted pregnancy prevention behavior among female adolescents. Adolescent health literacy was applied as the framework for studying through the mobile application program. The sample consisted of eighty female secondary school students in the academic year 2022 in Chiang Rai Province, who were randomly assigned to an experimental (n = 40) or a control (n = 40) group. The experimental group received a mobile application to enhance sexual health literacy, whereas the control group received a pamphlet. A questionnaire was used to collect data on knowledge, attitudes, decision-making, and unwanted pregnancy prevention behavior. Data were analyzed using descriptive statistics, chi-square test, paired t-test, and independent t-test.
           The results showed that the mean scores for knowledge, decision-making, and unwanted pregnancy prevention behavior in the experimental group were statistically significantly higher than those before participating in the program (p < .001) and were statistically significantly higher than those of the control group (p < .001).
           The findings of this study indicate that employing the technology of a mobile application can boost understanding, good decision-making, and appropriate unwanted pregnancy prevention behavior among female adolescents.

References

Bureau of Reproductive Health. (2021). Statistics on adolescent births, Thailand 2021. https://rh.anamai.moph.go.th/th/adolescent-mothers-birth-statistics/4304# wow-book (in Thai)

Bureau of Reproductive Health. (2021). Teenage pregnancy surveillance report, Thailand 2021. https://rh.anamai.moph.go.th/th/surveillance-report (in Thai)

Chansiri, S., & Wongwatkit, C. (2019). An interactive story-based mobile application with personal recommendation and notification for sexual health education in ethnic adolescents. In proceedings of the 27th international conference on computers in education (pp. 252-257). Kenting, Taiwan. [SCOPUS]

Chiang Rai Provincial Health Office. (2022, February 23). Situation of adolescent pregnancy in Chiang Rai Province. The document of workshop preparation of an action plan, working group on the prevention and solution of adolescent pregnancy problems, the 1st/2022, Chiang Rai Province. (in Thai)

Cunningham, F., Leveno, K. J., Dashe, J. S., Hoffman, B. L., Spong, C. Y., & Casey, B. M. (2022). Overview of obstetrics. Williams obstetrics (26th ed.). McGraw-Hill.

Faul, F. (2014). G*Power version 3.1.9.2 [Internet]. https://www.poycho.uni-duessldorf.de/abteilungen/aap/gpower3/

Houwma, N. (2018). Health literacy on unwanted pregnancy prevention for female students in the Faculty of Education, Yala Rajabhat University. https://wb.yru.ac.th/xmlui/handle/yru/5051 (in Thai)

Intarakamhang, U., & Khumthong, T. (2017). Measurement development assessment of health literacy and unwanted pregnancy prevention behavior for Thai female adolescents. Journal of Public Health Nursing, 31(3), 1-18. (in Thai)

Kaewsarn, P., & Jantacumma, N. (2021). Teenage pregnancy prevention among primary school students. Songklanagarind Journal of Nursing, 41(2), 101-110. (in Thai)

Kanjanawetang, J., Choksuwattanasakul, M., & Sittivong, S. (2019). Development of application program on personal communication devices for promoting health of adolescent pregnant women: PREG-CAL 3.0. Suranaree University of Technology Intellectual Repository. http://sutir.sut.ac.th:8080/jspui/handle/123456789/8607 (in Thai)

Kingmala, C., Sookpool, A., Pangsuk, P., & Wangmun, W. (2019). Effect of information motivation behavioral skill to pregnancy prevention program in early adolescents, Surin Province. Udonthani Hospital Medical Journal, 27(2), 158-165. (in Thai)

Kittiboonthawal, P., Chernchum, J., & Cheutong, S. (2022). Health literacy and health behaviors of school-aged children. Journal of MCU Social Development, 7(2), 71-84. (in Thai)

Langputeh, P., Leartariyapongkul, N., Jeenarong, T., & Piroh, H. (2020). Using Islamic principle via social media in adolescent pregnancy prevention. UBRU Journal for Public Health Research, 9(1), 74-82. (in Thai)

Manganello, J. A. (2008). Health literacy and adolescents: A framework and agenda for future research. Health Education Research, 23(5), 840-847.

Martínez-García, G., Ewing, A. C., Olugbade, Y., DiClemente, R. J., & Kourtis, A. P. (2023). Crush: A randomized trial to evaluate the impact of a mobile health app on adolescent sexual health. Journal of Adolescent Health, 72(2), 287–294. https://doi-org.proxy.library.mfu.ac.th/10.1016/j.jadohealth.2022.09.019

Namprai, P. (2017). Knowledge and attitude of pregnancy prevention of high school students in Chantarubeksaanuson School Kaset Wisai Subdistrict, Kaset Wisai District, Roi Et Province. Mahasarakham Hospital Journal, 14(3), 67-75. (in Thai)

Narkbubpha, R., Deoisares, W., Pongjaturawit, Y., Graham, M., & Whitfield, C. (2020). Experiences of sexual health literacy in sexual relationship among adolescent students with unplanned pregnancy: A qualitative study. Thai Pharmaceutical and Health Science Journal, 15(2), 106-115. (in Thai)

Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259-267. https://doi.org/10.1093/heapro/15.3.259

Panyapin, J., Inpiban, K., Rattanabuapa, A., Jitjak, J., & Kunjina, S. (2022). Factors predicting unwanted pregnancy prevention behavior among female adolescent students. Thai Red Cross Nursing Journal, 15(3), 57-72. (in Thai)

Phuwasuwan, N., Kittipichai, W., Chamroonsawasdi, K., & Taechaboonsermsak, P. (2023). Sexual health literacy among mathayom suksa students in Chonburi Province. Public Health Policy & Law Journal, 9(1), 85-95. (in Thai)

Pissawongprakan, P., Piyabanditku, L., & Kongtaln, O. (2022). Safe sex health literacy among undergraduate students in Khon Kaen Province. Journal of Nursing and Education, 14(4), 1-17. (in Thai)

Puangniyom, S., & Kaewpan, W. (2018). Factors related to repeated pregnancy in adolescents, Phetchaburi Province. Journal of Health Science, 27(1), 30-41. (in Thai)

Rea, S., Zynda, A., Allison, B., & Tolleson-Rinehart, S. (2022). Adolescent perceptions of technology-based sexual and reproductive health services: A systematic review. Journal of Adolescent Health, 71(5), 533–544. https://doi-org.proxy.library.mfu.ac.th/10.1016/j.jadohealth.2022.05.012

Salachua, P., Srisuruyawat, R., & Homsin, P. (2022). Effects of media sexual health literacy program on premarital sex prevention among junior high school students. Thai Pharmaceutical and Health Science Journal, 17(3), 244-253.

Savisit, W. (2016). Sexual attitudes in first year undergraduate students at Maha Sarakham Rajabhat University. Mahasarakham Hospital Journal, 13(2), 47-56. (in Thai)

Sirited, P., Klinmalee, B., Suwanampa, T., & Srimongkol, T. (2019). Effect of an adolescent pregnancy prevention program to fulfill the prevention and solution of the adolescent pregnancy problem Act, B.E. 2559 (2016). Public Health & Health Laws Journal, 5(2), 165-177.

Srisongkraam, K. (2014). The relationship between knowledge and attitudes toward teenage sexual intercourse: A case study of the students of Eastern college of technology in Chon Buri Province of 2014 academic year. [Unpublished master’s thesis]. Burapha University. (in Thai)

Suwanampa, T., & Purksametanan, T. (2023). Effects of a mobile application-based health education program on health literacy in pregnant women. Journal of Thailand Nursing and Midwifery Council, 38(1), 98-111. (in Thai)

Tangnorakul, P., Sananreangsak, S., & Teerarungsikul, N. (2019). The relationship between sexual health literacy and sexual behavior among middle school female students. Royal Thai Navy Medical Journal, 46(3), 607-620. (in Thai)

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Published

2023-12-28

How to Cite

Panyapin, J., Jansiri, S., Trakooltorwong, P., & Aunsri, N. (2023). Effect of a Mobile Application to Promote Sexual Health Literacy on Knowledge, Attitudes, Decision-Making, and Unwanted Pregnancy Prevention Behavior Among Female Adolescents . Nursing Journal CMU, 50(4), 198–213. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/264168