| Autor: |
Chiranthika Vithana, null Lokubalasooriya, Ganeshamoorthy Pragasan, Kanchana Lanka Mahagamage, null Nanayakkara, Himali Prasangika Herath, Priyani Karunarathna, null Perera, Chithramalee de Silva, null Jayawardane, null Wickramasinghe |
| Rok vydání: |
2022 |
| DOI: |
10.21203/rs.3.rs-2093864/v1 |
| Popis: |
Background: One fifth of Sri Lankan population consists of adolescents with 71% of them are school going. Extreme need exists in the country for introducing of evidence-based intervention for psychosocial wellbeing of adolescents. Present study assessed the effectiveness of an educational intervention to promote psychosocial wellbeing of school-going adolescents in grade nine in Western Province, Sri Lanka Materials and methods: A quasi-experimental study was conducted among grade nine students in Western Province in 2019. Panadura Medical Officer of Health (MOH) area was selected as the interventional area (IA) and Kelaniya MOH area was identified as the control area (CA). Teachers at schools in the IA received training on psychosocial health promotion of adolescents and they delivered the activity-based, educational intervention package to the grade nine students as 20-minute sessions in the classrooms during a 3-month period. Pre- and post-intervention assessments of attitudes and practices related to psychosocial wellbeing of adolescents were conducted using an interviewer-administered questionnaire. Categorical data were compared using Chi-Square or Fisher’s Exact test. Mann-Whitney U test was applied to determine the difference between medians of the pre- and post-intervention scores on attitude and practices on psychosocial wellbeing. Results: A total of 1040 grade nine students were enrolled. There was a statistically significant increase in median score on attitudes [81.8 (IQR:75.5-85.5) to 82.3(IQR:78.6-87.2] and practices [81.7(IQR: 76.1-85.7) to 83.1(IQR: 79.1-86.9)] in the IA while there was no significant difference in the CA. The proportion of bullied adolescents in past 30 days reduced significantly from 14.8% (n=38) to 7.9% (n=20) in IA(p=.03) whereas there was a slight reduction from 17.1% (n=44) to 11.3% (n=26) in CA (p=.17). Conclusions: Present psycho-social intervention is effective in improving the psychosocial wellbeing of school adolescents though long-term effectiveness was not assessed. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
