Effects of the Information Motivation and Decision-making Skills Program on Preventive Behaviors towards Repeated Pregnancy among Adolescent Mothers

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Athitaya Mala
Punyarat Lapvongwatana
Nutkamol Chansatitporn
Korakot Sirimai


Purpose: To examine the effects of the Information, Motivation and Decision-making Skills Program on preventive behaviors towards repeated pregnancy among adolescent mothers.

Design: Two-group pretest-posttest quasi-experimental design.

Methods: Participants were adolescent mothers younger than 20 years of age who attended the delivery care unit at a university hospital. Two comparable adolescent mothers were selected to participate in the study, 27 subjects served as an intervention group, 25 of them served as a comparison group. The comparison group received usual care. The intervention group received the program consisted of 3 steps: 1) providing information on repeated pregnancy prevention and contraception, 2) building motivation and positive attitude towards repeated pregnancy prevention, and 3) building skills for repeated pregnancy prevention. Data were collected three times: before the experiment, immediately after, and 6-8 weeks follow-up. Self-administered questionnaires, including knowledge, attitudes, decision making, and preventive behaviors towards repeated pregnancy were used. Data were analyzed using descriptive statistics, independent t-test, and repeated measures ANOVA.

Main findings: The mean score of knowledge (F = 28.34, p < .001) and attitude (F = 6.19, p = .005), in the intervention group were significantly higher than the comparison group from baseline to immediately after intervention and 8-week follow-up. The mean score of decision-making skills in the intervention group became increasing but did not significantly differ from the comparison group (F = 1.74, p = .193), and the mean score of repeated pregnancy preventive behaviors became higher at 8-week follow-up but did not significantly differ from the comparison group (F = 3.07, p = .08).

Conclusion and recommendations: This program which brought the spouses to help motivate the adolescent mothers could assist the mothers to perform preventive behaviors towards repeated pregnancy. Therefore, nurses should apply this program to promote preventive behaviors among adolescent mothers towards repeated pregnancy.

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How to Cite
Mala, A., Lapvongwatana, P., Chansatitporn, N., & Sirimai, K. (2022). Effects of the Information Motivation and Decision-making Skills Program on Preventive Behaviors towards Repeated Pregnancy among Adolescent Mothers. Nursing Science Journal of Thailand, 40(3), 14–30. Retrieved from https://he02.tci-thaijo.org/index.php/ns/article/view/251454
Research Papers
Author Biography

Athitaya Mala, Faculty of Public Health, Mahidol University




ชื่อ-สกุล                                               นางสาวอาทิตยา  มาละ

วัน เดือน ปีเกิด                                  19  สิงหาคม  2533                                                                                      

สถานที่เกิด                                          จังหวัดน่าน ประเทศไทย

วุฒิการศึกษา                                       พยาบาลศาสตรบัณฑิต คณะพยาบาลศาสตร์ 

                                                                            มหาวิทยาลัยมหิดล (เกียรตินิยมอันดับ 1)

                                                                            พ.ศ. 2552- 2556    

                                                               พยาบาลศาสตรมหาบัณฑิต สาขาวิชาการพยาบาลเวชปฏิบัติชุมชน


                                                                            คณะสาธารณสุขศาสตร์ มหาวิทยาลัยมหิดล

                                                                            พ.ศ. 2560-2563

ประสบการณ์การทำงาน                   พยาบาลวิชาชีพ ภาควิชาสูติศาสตร์นรีเวชวิทยา          


                                                                            พ.ศ. 2556-ปัจจุบัน

ที่อยู่ปัจจุบัน                                        2 รพ.ศิริราช หน่วยวางแผนครอบครัวฯ

                                                                            แขวงศิริราช เขตบางกอกน้อย

                                                                            กรุงเทพมหานคร 10700

                                                                            โทร. 096-8486594

                                                                            E-mail address : athitaya.mal@mahidol.ac.th

งานวิจัย                                                พ.ศ. 2562 Prevalence and associated factors of breastfeeding in women with gestational                                                                               diabetes   in a University Hospital in Thailand

                                                               Medicine International Breastfeeding Journal

                                                               (Preeyaporn Jirakittidul, Nalinee Panichyawat, Benjaphorn Chotrungrote, Athitaya Mala )


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