The Effects of a Digital Enhanced-learning Program on Teenage Pregnancy Prevention Practices Among Middle School Girls in a Community

Authors

  • Charuwan Danpo Faculty of Nursing, Chiang Mai University
  • Sivaporn Aungwattana Faculty of Nursing, Chiang Mai University
  • Wilawan Tuanrat Faculty of Nursing, Chiang Mai University

Keywords:

Digital media, Learning enhancement, Middle school girls, Teenage pregnancy prevention

Abstract

Female students are at risk of teenage pregnancy because they are at an age characterized by physical and emotional changes, which makes them curious and inclined to explore new experience, particularly related to sexuality. In addition, adolescents frequently use social media and have greater access to online content. Therefore, promoting learning through digital media is crucial for improving knowledge and preventive behaviors regarding teenage pregnancy. This quasi-experimental study aims to examine the effects of a digital enhanced-learning program on teenage pregnancy prevention practices among middle school girls in a community. The participants consisted of 34 lower secondary school students aged 13-15, randomly assigned into an experimental or a control group, with 17 students in each group. The research tools included a digital media-based learning enhancement program on adolescent pregnancy prevention, which was designed using Bloom's concept. Digital media used in the program included video clips, simulated scenarios, and questionnaires assessing skills for refusing sexual advances and suitable pregnancy prevention practices. Data analysis was performed using descriptive statistics, paired sample t-test, and independent t-test.

The study findings revealed that the experimental group had a statistically significant higher mean score for pregnancy prevention practices after participating in the program (M = 28.82, SD = 1.46) compared to before the program (M = 20.11, SD = 3.75) (t = 9.126, p < .001). Additionally, after the program, the experimental group had a significantly higher mean score (M = 28.82, SD = 1.46) than the control group which received standard care (M = 14.64, SD = 2.97) (t = 5.084, p < 0.001).

This study demonstrates that a digital enhanced-learning program can effectively promote pregnancy prevention behaviors among adolescents by significantly improving participants’ knowledge, awareness, and critical thinking regarding sexuality education. Furthermore, it can be adapted for use in organizing educational activities or developing sexuality education curricula in schools and communities, in ways that are appropriate to the current adolescent context.

References

Ard-am, O. (2000). Urban poverty related to women and children. Journal of Population and Social Studies, 9(1), 1-29. (in Thai)

Bloom, H. S. (1995). Minimum detectable effects: A simple way to report the statistical power of experimental designs. Evaluation Review, 19(5), 547-556. https://doi.org/10.1177/0193841X9501900504

Bureau of Reproductive Health, Department of Health. (2020). Statistics on childbirth among teenage mothers in Thailand, 2020. https://rh.anamai.moph.go.th/th/adolescent-mothers-birth-statistics/3674#wow-book/

Cohen, J. (1977). Statistical power analysis for the behavioral sciences (Rev. ed.). Lawrence Erlbaum Associates.

Cohen, J. (1992). Statistical power analysis. Current Directions in Psychological Science, 1(3), 98-101. https://doi.org/10.1111/1467-8721.ep10768783

Duangchan, C., Wattanakorn, K., Teanchaithut, C., Sriyasak, A., & Oumpram, K. (2019). The factors predicting intention to prevent teenage pregnancy among female junior high school students. The Southern College Network Journal of Nursing and Public Health, 6(Special Issue), 15-28. (in Thai) https://he01.tci-thaijo.org/index.php/scnet/article/view/175676/153766

Kingmala, C., Rawiworrakul, T., & Powwattana, A. (2015). Effect of a pregnancy prevention program for female adolescents. Journal of Boromarajonani College of Nursing, Bangkok, 31(3), 25-34. https://he01.tci-thaijo.org/index.php/bcnbangkok/article/view/56407/52775 (in Thai)

Mekkamon, K., & Wichianprapa, A. (2018). The roles of nurses in teenage mother’s caring. Journal of Health Science Research, 12(2), 69–77. https://he01.tci-thaijo.org/index.php/JHR/article/view/164241

Phinla, W. (2016). Approaches to learning management in social studies following the philosophy of sufficiency economy to promote learners’ learning skills in the 21st century. Veridian E-Journal, Silpakorn University, 9(2), 1140-1157. https://he02.tci-thaijo.org/index.php/Veridian-E-Journal/article/view/67110/54757 (in Thai)

Polit, D. F., & Hungler B. P. (1995). Nursing research, principles and methods. JB Lippincott.

Punmeekij, N., Toonsiri, C., & Homsin, P. (2022). Factors affecting sexual risk behaviors among female lower secondary school students in Pattaya City. Journal of Public Health Nursing, 34(1), 13-29. (in Thai) https://he01.tci-thaijo.org/index.php/phn/article/view/244544

Sirisub, P., Sriduangchot, S., Khamhaeng, P., & Loonlawong, S. (2012). Knowledge, attitudes, and practice of contraception among junior high school students, northeast region of Thailand. Journal of Health Center 5, 6(13), 8-25. http://sutlib2.sut.ac.th/nakhonchaiburin/nm174470.pdf (in Thai)

World Health Organization [WHO]. (2024). Adolescent pregnancy. https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy

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Published

2025-12-09

How to Cite

Danpo, C., Aungwattana, S., & Tuanrat, W. (2025). The Effects of a Digital Enhanced-learning Program on Teenage Pregnancy Prevention Practices Among Middle School Girls in a Community. Nursing Journal CMU, 52(4), 125–137. retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/272661

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Section

RESEARCH  ARTICLES