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

Abstract

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
Section
Research Papers
Author Biography

Athitaya Mala, Faculty of Public Health, Mahidol University

ประวัติผู้วิจัย

 

 

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

                                                                            ภาควิชาการพยาบาลสาธารณสุข

                                                                            คณะสาธารณสุขศาสตร์ มหาวิทยาลัยมหิดล

                                                                            พ.ศ. 2560-2563

ประสบการณ์การทำงาน                   พยาบาลวิชาชีพ ภาควิชาสูติศาสตร์นรีเวชวิทยา          

                                                                            โรงพยาบาลศิริราช

                                                                            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 )

References

Bureau of Reproductive Health, Ministry of Public Health. Percentage of recurrent pregnancies in women younger than 20 years, health zone level. Nonthaburi: Bureau of Reproductive Health, Ministry of Public Health; 2019 [cited 2020 Nov 15]. Available from: http://dashboard.anamai.moph.go.th/dashboard/repregnancy?year=2020. (in Thai).

Talungchit P, Lertbunnaphong T, Russameecharoen K. Prevalence of repeat pregnancy including pregnancy outcome of teenage women. Siriraj Med J. 2017;69(6):363-9.

Rawajai N. Factors affecting the sexual risk preventive behaviors of students in vocational education commission Bangkok Metropolis. Sripatum Chonburi Journal. 2010;9(1):113-20. (in Thai).

Jumklang S, Srisuriyawet R, Homsin P. Correlated factors with decision making of birth control implant used based on the Information-Motivation Behavioral Skill Model (IMB Model) among teen mothers. The Journal of Faculty of Nursing Burapha University. 2017;25(2):31-42. (in Thai).

Arayajaru P, Pataiprakaiphet K, Aumkeau A. Repeat pregnancy among adolescent mothers: the risk factors and the impacts on maternal and child’s health. Journal of The Royal Thai Army Nurses. 2019;20(3):86-92. (in Thai).

Wongniyom K, Apinuntavech S. The prevalence and associated factors of depression in teenage pregnancy at Siriraj hospital. Journal of The Psychiatric Association of Thailand. 2014;59(3):195-205. (in Thai).

Lertvutivivat S, Talungjit P. Anemia and pregnancy outcomes in teenage prenatal care clinic at Siriraj hospital. Thai Journal of Obstetrics and Gynaecology. 2016;24(3):153-60. doi: 10.14456/tjog.2016.26.

Lahfahroengron P, Rathinthorn A, Pungbankadee R, Talungchit P. Factors predicting low birth weight newborn in pregnant women attending teenage pregnancy clinic. Nursing Science Journal of Thailand. 2018;36(2):30-41. (in Thai).

Pungbangkadee R, Ratinthorn A. Factors and consequences of repeat Pregnancy among teenagers: a case study in Bangkok Metropolis. Nursing Science Journal of Thailand. 2014;32(2):23-31. (in Thai).

Marangsee S. Risk factors and guidelines for prevention of repeated teenage pregnancy. The Journal of Faculty of Nursing Burapha University. 2018;26(2):84-9. (in Thai).

Konchail N, Niratharadorn M, Buabun N, Sangeun N. Effects of a self-efficacy promotion program and husband participation on the repeated pregnancy prevention behaviors among adolescent mothers. Journal of The Royal Thai Army Nurses. 2019;19 Suppl:326-35. (in Thai).

Boonnow S. Knowledge, attitudes and satisfaction about contraception to prevent pregnancy repeat of teenage mothers at Postpartum department Chaiyaphum hospital. Chaiyaphum Medical Journal. 2016;36(2):35-43. (in Thai).

Pritt NM, Norris AH, Berlan ED. Barriers and facilitators to adolescents' use of long-acting reversible contraceptives. J Pediatr Adolesc Gynecol. 2017;30(1):18-22. doi: 10.1016/j.jpag.2016.07.002.

Jaturongkachock K, Atthamaethakul W. Effect of family planning self-efficacy promotion program on pregnancy repeated prevention behavior among adolescent mothers in Banpong hospital, Ratchaburi province. Journal of Nursing and Education. 2018;11(4):94-106. (in Thai).

Prata N, Bell S, Fraser A, Carvalho A, Neves I, Nieto-Andrade B. Partner support for family planning and modern contraceptive use in Luanda, Angola. Afr J Reprod Health. 2017;21(2):35-48. doi: 10.29063/ajrh2017/v21i2.5.

Kruangkaew P, Phahuwatanakorn W, Pungbangkadee R. Predictability of knowledge, attitude, subjective norm and perceived behavioral control on intention to the use of long-acting reversible contraception among primipara pregnant adolescents. Nursing Science Journal of Thailand. 2021;39(1):64-76. (in Thai).

World Health Organization. Adolescent pregnancy: fact sheet N 364 [Internet]. Geneva: WHO; 2012 [cited 2021 May 4]. Available from: https://www.who.int/en/news-room/fact-sheets/detail/adolescent-pregnancy.

Seajeng K, Chairat P. From the policy of contraception to promoting quality birth. Thailand Journal of Health Promotion and Environmental Health. 2016;39(1):11-20. (in Thai).

Fisher JD, Fisher WA. Changing AIDS-risk behavior. Psychol Bull. 1992;111(3):455-74. doi: 10.1037/0033-2909.111.3.455.

Twisk JWR. Applied longitudinal data analysis for epidemiology: a practical guide. Cambridge, Cambridge University Press. 2003. 318 p.

Kingmala C, Rawiworakul T, Paowattana. Effect of a pregnancy prevention program for female adolescents. Journal of Health and Nursing Research. 2015;31(3):25-34. (in Thai).

Wilson EK, Fowler CI, Koo HP. Postpartum contraceptive use among adolescent mothers in seven states. J Adolesc Health. 2013;52(3):278-83. doi: 10.1016/j.jadohealth.2012.05.004.

Thongmee N, Rathinthorn A, Limruangrong P. Factors predicting contraception in first-time adolescent mothers during post partum period. Nursing Science Journal of Thailand. 2015;33(1):51-9. (in Thai).

DeMaria AL, Sundstrom B, Faria AA, Saxon GM, Ramos-Ortiz J. Using the theory of planned behavior and self-identity to explore women's decision-making and intention to switch from Combined Oral Contraceptive pill (COC) to Long Acting Reversible Contraceptive (LARC). BMC Womens Health. 2019;19(1):82. doi: 10.1186/s12905-019-0772-8.

Somroop A, Deoisres W, Suppaseemanont W. Factors influences the use of postpartum contraception implants among primiparous adolescents. The Journal of Faculty of Nursing Burapha University. 2019;27(3):79-87. (in Thai).

Jandaeng B, Kosolkittiamporn S, Kenaphoom S. Factors that affecting behavior change. Dhammathas Academic Journal. 2019;19(4):235-44. (in Thai).

Kensee K, Sontirat S. Behavioral imitation, family relationship, life skill and risk sexual behavior of primary grade 6 student at Nong Chok District in Bangkok Metropolitan. Journal of Social Sciences & Humanities. 2020;46(1):113-45. (in Thai).