The effectiveness of an m-Health intervention on the sexual and reproductive health of in-school adolescents: a cluster randomized controlled trial in Nigeria.

Autor: Akande OW; Department of Epidemiology and Community Health, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria. akande.wuraola@gmail.com., Muzigaba M; Independent Scientist, Geneva, Switzerland., Igumbor EU; Centre for Infectious Disease Research, Nigerian Institute of Medical Research, Lagos, Nigeria.; School of Health Systems and Public Health, University of Pretoria, Pretoria, South Africa., Elimian K; Department of Microbiology, Faculty of Life Sciences, University of Benin, Benin City, Nigeria.; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden., Bolarinwa OA; Department of Epidemiology and Community Health, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria., Musa OI; Department of Epidemiology and Community Health, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria., Akande TM; Department of Epidemiology and Community Health, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria.
Jazyk: angličtina
Zdroj: Reproductive health [Reprod Health] 2024 Jan 13; Vol. 21 (1), pp. 6. Date of Electronic Publication: 2024 Jan 13.
DOI: 10.1186/s12978-023-01735-4
Abstrakt: Background: The implementation of the country-wide comprehensive sexuality education (CSE) curriculum among in-school adolescents remains abysmally low and mHealth-based interventions are promising. We assessed the effect of a mHealth-based CSE on the sexual and reproductive health (SRH) knowledge, attitude and behaviour of in-school adolescents in Ilorin, northcentral Nigeria.
Methods: Using schools as clusters, 1280 in-school adolescents were randomised into intervention and control groups. Data was collected at baseline (T 0 ), immediately after the intervention (T 1 ) and 3 months afterwards (T 2 ) on SRH knowledge, attitude and practice of risky sexual behaviour (RSB). Data analysis included test of associations using Chi-square, independent t-test and repeated measures ANOVA. Predictors were identified using binary logistic regression.
Results: In the intervention group, there was a statistically significant main effect on mean knowledge score (F = 2117.252, p =  < 0.001) and mean attitude score (F = 148.493, p =  < 0.001) from T 0 to T 2 compared to the control group which showed no statistically significant main effects in knowledge (p = 0.073), attitude (p = 0.142) and RSB (p = 0.142). Though the mean RSB score declined from T 0 to T 2 , this effect was not statistically significant (F = 0.558, p = 0.572). Post-intervention, being female was a positive predictor of good SRH knowledge; being male was a positive predictor of RSB while being in a higher-class level was a negative predictor of RSB.
Conclusion: The mHealth-based CSE was effective in improving SRH knowledge and attitude among in-school adolescents. This strategy should be strengthened to bridge the SRH knowledge and attitude gap among in-school adolescents. Trial registration Retrospectively registered on the Pan African Clinical Trial Registry (pactr.samrc.ac.za) on 19 October 2023. Identification number: PACTR202310485136014.
(© 2024. The Author(s).)
Databáze: MEDLINE
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