RANDOMIZED CONTROLLED TRIAL OF PSYCHOEDUCATION INTERVENTION ON SEXUAL HEALTH LITERACY AMONG ADOLESCENTS AT RISK OF HIV IN AKWA IBOM STATE, NIGERIA / ESSAI CONTRÔLÉ RANDOMISÉ DE L'INTERVENTION DE PSYCHOEDUCATION SUR LA LITTÉRATION SEXUELLE DE LA SANTÉ PARMI LES ADOLESCENTS AU RISQUE DE VIH DANS L'ÉTAT IBOM AKWA, NIGERIA
Abstract
This study evaluated the effectiveness of psychoeducation intervention in enhancing sexual health literacy (SHL) among adolescents at risk of HIV. Sixty adolescents aged 12-19 years (x̄=15.2) who reported low in Dilorio et al. (1993) Safe Sex Behaviour Questionnaire (SSBQ) were recruited from two secondary schools in Akwa Ibom State, Nigeria, and randomly assigned to treatment and waiting-list group. The intervention group received seven sessions of group-based psychoeducation intervention aimed at improving their HIV/AIDS knowledge, attitude toward HIV Counselling and Testing (HCT), as well as the attitude toward contraceptive use. Participants in the waiting-list control group were not exposed to the intervention. Results show that psychoeducation was effective in improving the sexual health literacy of participants (F (1,59) = 7264.742, p<0.05). Further, there was no interaction effect of gender on the treatment outcome. This outcome suggests that psychoeducation is a viable intervention for enhancing sexual health literacy aimed at reducing HIV new infections among the adolescent cohort. Psychoeducation intervention is, therefore, recommended as an effective treatment to curb new HIV infection among adolescents.
Cette étude a évalué l'efficacité de l'intervention psychoéducative pour améliorer la littératie en santé sexuelle (SHL) chez les adolescents à risque de VIH. Soixante adolescents âgés de 12 à 19 ans (x ̄ = 15.2) qui ont déclaré un faible taux de Dilorio et al. (1993) Questionnaire sur le comportement sexuel sûr (SSBQ) ont été recrutés dans deux écoles secondaires de l'État d'Akwa Ibom, au Nigéria, et affectés au hasard à un groupe de traitement et de liste d'attente. Le groupe d'intervention a reçu sept séances d'intervention psychoéducative en groupe visant à améliorer leurs connaissances sur le VIH / SIDA, leur attitude envers le conseil et le dépistage du VIH (HCT) ainsi que leur attitude envers l'utilisation des contraceptifs. Les participants au groupe témoin de la liste d'attente n'ont pas été exposés à l'intervention. Les résultats montrent que la psychoéducation a été efficace pour améliorer la littératie en santé sexuelle des participants (F (1,59) = 7264,742, p < 0,05). De plus, il n'y a eu aucun effet d'interaction du sexe sur le résultat du traitement. Ce résultat suggère que la psychoéducation est une intervention viable pour améliorer la littératie en santé sexuelle visant à réduire les nouvelles infections à VIH parmi la cohorte des adolescents. L'intervention psychoéducative est donc recommandée comme traitement efficace pour limiter la nouvelle infection à VIH.
Article visualizations:
Keywords
Full Text:
PDFReferences
Badru, T., Mwaisaka, J., & Khamofu, H. (2020). HIV comprehensive knowledge and prevalence among young adolescents in Nigeria: evidence from Akwa Ibom AIDS indicator survey, BMC Public Health 20, 45. https://doi.org/10.1186/s12889-019-7890-y
Bevan Jones, R., Thapar, A., Rice, F., Beeching, H., Cichosz, R., Mars, B., Smith, D. J., Merry, S., Stallard, P., Jones, I., Thapar, A. K., & Simpson, S. A. (2018). A web-based psychoeducational intervention for adolescent depression: design and development of mood Hwb. JMIR mental health, 5(1), e13. https://doi.org/10.2196/mental.8894
Borawski, E. A., Trapl, E. S., Lovegreen, L. D., Colabianchi, N., & Block, T. (2005). Effectiveness of abstinence-only intervention in middle school teens. American journal of health behavior, 29(5), 423–434. https://doi.org/10.5555/ajhb.2005.29.5.423
Dabiri, F. Hajian, S, Ebadi, A. Zayeri, F. & Abedini, S. (2019). Sexual and reproductive health literacy of the youth in Bandar Abbas. AIMS Medical Science, 6(4), 318325. doi: 10.3934/medsci.4.318
DiIorio, C., Parsons, M., Lehr, S., Adame, D., & Carlone, J. (1992). Measurement of safe sex behavior in adolescents and young adults. Nursing Research, 41(4), 203-208
Fasoranti, A. J., Onwuama, M., & Toluwalase, A. (2018). Accessibility to health information and family influence on reproductive health literacy amongst adolescent girls. Journal of Physical Education, Health and Sport, 5(1), 21-25.
Jibunoh, O. & Ani, C. (2022). A controlled clinical trial of a brief psycho-educational intervention for anxiety among in-school adolescents in Nigeria. International Journal of Mental Health, 51:1, 24-31, DOI: 10.1080/00207411.2021.1891362
keto, T., Tilahun, A. & Mamo, A (2020). Knowledge, attitude and practice towards risky sexual behaviors among secondary and preparatory students of Metu town, south western Ethiopia. BMC Public Health 20, 1394. https://doi.org/10.1186/s12889-020-09371-4
Luque, B., Villaécija, J., Castillo-Mayén, R., Cuadrado, E., Rubio, S., & Tabernero, C. (2022). Psychoeducational interventions in children and adolescents with type-1 diabetes: A systematic review. Clínica y Salud, 33(1), 35-43. https://doi.org/10.5093/clysa2022a4
Morgado, T., Lopes, V., Carvalho, D.& Santos, E. (2022). The effectiveness of psychoeducational interventions in adolescents’ anxiety: a systematic review protocol. Nursing Reports., 12, 217-225. https://doi.org/10.3390/nursrep12010022
Nmadu, A. G., Mohammed S., & Usman, N. O. (2020). Barriers to adolescents’ access and utilization of reproductive health services in a community in north-western Nigeria: A qualitative exploratory study in primary care. African Journal of Primary Health Care & Family Medicine, 12(1), a2307. https://doi.org/10.4102/phcfm.v12i1.230
Nutbeam, D. (1998). Health Promotion Glossary. Health Promotion International. 1;13(4):349–64
Ofole, N. M. (2016). Condom self-efficacy among sexually active out-of-school male apprentices in Anambra, Nigeria: effectiveness of Motivational Enhancement Therapy (MET). Benin Journal of Educational Studies. 24. (1 & 2):148-164.
Ofole N. M and Ojo Y. A. (2016) The Influence of Self-efficacy, Locus of Control and Single-Parenting on Psychological Well-being of Adolescents in Senior Secondary School in Ibadan, Oyo State. African Journal of Educational Research. 20 (1 & 2):29-42
Ofole N. M. (2019). Adherence Self-efficacy, Interpersonal Forgiveness and Perceived Social Supports as Nexus of Subjective Well-being among People Living with HIV /AIDS in Akwa Ibom, Nigeria. Nigerian School Health Journal 31. 29-40
Ofole, N. M. (2021). Sexual self-efficacy, sexual risk cognition, and social intelligence as predictors of risky sexual behaviours among adolescents in Enugu State. The Nigerian journal of Guidance and Counselling, Vol. 27: 50-65
Pelikan J. M, & Ganahl, K. (2017). Measuring health literacy in general populations: primary findings from the HLS-EU Consortium' s health literacy assessment effort. Health Literacy; 34–59.
Reichhart, T., Pitschel-Walz, G., Kissling, W., Bäuml, J., Schuster, T., & Rummel-Kluge, C. (2010). Gender differences in patient and caregiver psychoeducation for schizophrenia. European psychiatry: the journal of the Association of European Psychiatrists, 25(1), 39–46. https://doi.org/10.1016/j.eurpsy.2009.08.001
Statista - The Statistics Portal for Market Data, Market (2020). https://www.statista.com
The Joint United Nations Programme on HIV/AIDS (UNAIDS) (2019). Global AIDS update 2019 — Communities at the Centre https://www.unaids.update
Vongxay, V., Albers, F., Thongmixay, S., Thongsombath, M., Broerse, J. E. & Sychareun, V. (2019). Sexual and reproductive health literacy of school adolescents in Lao PDR. PLoS ONE 14(1): e0209675 10.1371/journal.pone.0209675
Yaya, S. & Bishwajit, G. (2018). Age at first sexual intercourse and multiple sexual partnerships among women in Nigeria: a cross-sectional analysis. Front. Med.,
Sec. Population, Reproductive and Sexual Health https://doi.org/10.3389/fmed.2018.00171
DOI: http://dx.doi.org/10.46827/ejes.v9i12.4581
Refbacks
- There are currently no refbacks.
Copyright (c) 2022 Ndidi Mercy Ofole
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright © 2015-2023. European Journal of Education Studies (ISSN 2501 - 1111) is a registered trademark of Open Access Publishing Group. All rights reserved.
This journal is a serial publication uniquely identified by an International Standard Serial Number (ISSN) serial number certificate issued by Romanian National Library (Biblioteca Nationala a Romaniei). All the research works are uniquely identified by a CrossRef DOI digital object identifier supplied by indexing and repository platforms. All authors who send their manuscripts to this journal and whose articles are published on this journal retain full copyright of their articles. All the research works published on this journal are meeting the Open Access Publishing requirements and can be freely accessed, shared, modified, distributed and used in educational, commercial and non-commercial purposes under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
