Main Article Content
Purpose: To study the effects of an educational model through a mobile web application to enhance knowledge of sexual healthcare and prevention of sexually transmitted diseases and unwanted pregnancies among the Akha adolescents in Chiang Rai province, and to assess the satisfaction towards the proposed mobile web application.
Design: Quasi-experimental research, one group pre- and post-test design.
Methods: The sample consisted of 87 Akha adolescents who studied in formal education, non-formal and informal education. The sample experienced an educational model through a mobile web application. Data were collected using the demographic questionnaire, the knowledge of sexual healthcare for teens questionnaire, the knowledge of sexually transmitted diseases and unwanted pregnancies prevention questionnaire, the satisfaction towards application questionnaire. Data were analyzed using descriptive statistics and a paired t-test.
Main findings: After the experiment, it was found that male and female samples gained more knowledge on sexual healthcare with statistical significance (t = -6.43, p < .001 and t = -4.69, p < .001 respectively). The study samples gained more understanding of knowledge on prevention of sexually transmitted diseases and unwanted pregnancies with statistical significance (t = -15.06, p < .001). The satisfaction towards the mobile web application was rated as ‘very good’ ( = 3.81, SD = 1.01).
Conclusion and recommendations: The model of education through a mobile web application on sexual healthcare, prevention of sexually transmitted diseases and unwanted pregnancies could help increase knowledge and satisfaction among Ahka adolescents. Therefore, health personnel or teachers should apply this education model as a teaching resource for Akha adolescents and further develop the application for optimal benefits.
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World Health Organization. Report on global sexually transmitted infection surveillance, 2018 [Internet]. Geneva, Switzerland: WHO; 2018 [cited 2021 Jul 3]. Available from: https://www.who.int/reproductivehealth/publications/stis-surveillance-2018/en/.
Bureau of AIDS, TB and STIs. Thailand National Strategy on STIs prevention and control, 2017-2021. Nontaburi; Department of Disease Control, Ministry of Health; 2016. 92 p. (in Thai).
Dehne KL, Riedner G. Sexually transmitted infections among adolescents. The need for adequate health services. Geneva; Department of Child and Adolescent Health and Development (CAH), World Health Organization; 2005. 90 p.
World Health Organization. World health statistics overview 2019: monitoring health for the SDGs, sustainable development goals [Internet]. Geneva, Switzerland: WHO; 2019 [cited 2021 May 13]. Available from: https://apps.who.int/iris/handle/10665/311696.
Office of Reproductive Health, Ministry of Public Health. Annual report 2020 [internet]. Nonthaburi: Office of Reproductive Health, Ministry of Public Health; 2020 [cited 2021 Aug 4]. Available from: https://rh.anamai.moph.go.th/web-upload/7x027006c2abe84e89b5c85b44a692da94/202101/m_news/32053/200929/file_download/5499b750564075b590cc442f64caae41.pdf. (in Thai).
United Nations Population Fund [UNFPA], Thailand. The state of Thailand’s population 2013 motherhood in childhood facing the challenge of adolescent pregnancy. Bangkok: UNFPA; 2013. 88 p.
Bull SS, Levine DK, Black SR, Schmiege SJ, Santelli J. Social media–delivered sexual health intervention: a cluster randomized controlled trial. Am J Prev Med. 2012;43(5):467-74. doi: 10.1016/j.amepre.2012.07.022.
Chavez NR, Shearer LS, Rosenthal SL. Use of digital media technology for primary prevention of STIs/HIV in youth. J Pediatr Adolesc Gynecol. 2014;27(5):244-57. doi: 10.1016/j.jpag.2013.07.008.
Brayboy LM, Sepolen A, Mezoian T, Schultz L, Landgren-Mills BS, Spencer N, et al. Girl Talk: a smartphone application to teach sexual health education to adolescent girls. J Pediatr Adolesc Gynecol. 2017;30(1):23-8. doi: 10.1016/j.jpag.2016.06.011.
Mac Callum K, Jeffrey L, Kinshuk. Factors impacting teachers’ adoption of mobile learning. Journal of Information Technology Education: Research. 2014;13:142-62. doi: 10.28945/1970.
Morales R, Igler B, Bohm S, Chitchaipoka P. Context-aware mobile language learning. Procedia Comput Sci. 2015;56:82-7. doi: 10.1016/j.procs.2015.07.198.
Sychareun V, Faxelid E, Thomsen S, Somphet V, Popenoe R. Customary adolescent sexual practices among the Akha of northern Lao PDR: considerations for public health. Cult Health Sex. 2011;13 Suppl 2:S249-62. doi: 10.1080/13691058.2011.634924.
Apidechkul T. Sexual behaviors and seroprevalence of HIV, HBV, and HCV among hill tribe youths of Northern Thailand. BMC Public Health. 2019;19(1):1101. doi: 10.1186/s12889-019-7459-9.
Ministry of Education & United Nations International Children’s Emergency Fund. Review of comprehensive sexuality education in Thailand. Bangkok: UNICEF Thailand. 66 p.
Chansiri S, Wongwatkit C. Perceptions of unwanted pregnancies and preventing of unwanted pregnancies among the Akha adolescents. Nursing Science Journal of Thailand. 2021;40(2):17-33. (in Thai).
Chansiri S, Wongwatkit C. An interactive story-based mobile application with personal recommendation and notification for sexual health education in ethnic adolescents. Paper presented at: ICCCE 2009. Proceedings of the 27th International Conference on Computers in Education; 2019 Dec 2-6; Kenting, Taiwan.
Thato R. Nursing research: concepts to application. 4th ed. Bangkok: Chulalongkorn University; 2018. 590 p. (in Thai).
Gray JR, Grove SK, Sutherland S. Burns and Grove’s the practice of nursing research. Appraisal, synthesis and generation of evidence. 8th ed. St. Louis, Missouri: Elsevier; 2017. 736 p.
Li C, Cheng Z, Wu T, Liang X, Gaoshan J, Li L, et al. The relationships of school-based sexuality education, sexual knowledge and sexual behaviors-a study of 18,000 Chinese college students. Reprod Health. 2017;14(1):103. doi: 10.1186/s12978-017-0368-4.
Cleland J. Illustrative questionnaire for interviewsurveys with young people [internet]. Geneva, Switzerland: WHO; 2001. [cited 2021 Jul 15]. Available from: http://www.who.int/reproductivehealth/topics/adolescence/questionnaire.pdf.
Bloom BS. Handbook on formative and summative evaluation of student learning. New York: McGraw-Hill; 1971. 923 p.
Giannakos MN. Enjoy and learn with educational games: examining factors affecting learning performance. Comput Educ. 2013;68:429-39. doi: 10.1016/j.compedu.2013.06.005.
Mun YY, Hwang Y. Predicting the use of web-based information systems: self-efficacy, enjoyment, learning goal orientation, and the technology acceptance model. Int J Hum Comput Stud. 2003;59(4):431-49. doi: 10.1016/S1071-5819(03)00114-9.
Best JW, Kahn JV. Research in education. 10th ed. New Delhi: PHI Learning Private; 2006. 534 p.
Gannon B, Davis R, Kuhns LM, Rodriguez RG, Garofalo R, Schnall R. A mobile sexual health app on empowerment, education, and prevention for young adult men (MyPEEPS mobile): acceptability and usability evaluation. JMIR Form Res. 2020;4(4):e17901. doi: 10.2196/17901.