Cargando…
The Effect of Theory-Based HIV/AIDS Educational Program on Preventive Behaviors Among Female Adolescents in Tehran: A Randomized Controlled Trial
BACKGROUND: Adolescents are increasingly at risks of HIV infection through high-risk sexual behaviors. This paper aimed to assess the effectiveness of a HIV/AIDS educational intervention among female adolescents in Tehran. METHODS: A randomized controlled trial was conducted among high school girls...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Avicenna Research Institute
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7362097/ https://www.ncbi.nlm.nih.gov/pubmed/32685417 |
_version_ | 1783559442812370944 |
---|---|
author | Khalajabadi Farahani, Farideh Darabi, Fatemeh Yaseri, Mehdi |
author_facet | Khalajabadi Farahani, Farideh Darabi, Fatemeh Yaseri, Mehdi |
author_sort | Khalajabadi Farahani, Farideh |
collection | PubMed |
description | BACKGROUND: Adolescents are increasingly at risks of HIV infection through high-risk sexual behaviors. This paper aimed to assess the effectiveness of a HIV/AIDS educational intervention among female adolescents in Tehran. METHODS: A randomized controlled trial was conducted among high school girls aged 12–16 years studying in Tehran in 2016–17. The sample was selected using multistage random cluster sampling. Four schools per district were randomly selected using probability-proportional to size. Adolescents were randomly assigned to the experimental (n=289) and the control (n=289) groups. The theory of planned behavior (TPB) was the basis of both the intervention and the evaluation phase. Both experimental and control groups completed a questionnaire designed for HIV related behaviors for female adolescents (HBQFA) at baseline and after six months follow up. A theory-based educational program was implemented for the experimental group. RESULTS: The mean age of participants was 14.1 years (SD=0.96). In the experimental group, significant improvements were shown in adolescents’ HIV knowledge (31.9%, 95% CI: 28.8–35.0), attitudes towards HIV (16.6%, 95% CI=14.4–18.8), subjective norm (16.8%, 95% CI=12.9–20.6) and perceived behavioral control (19.1%, 95% CI=16.2–22.1), perceived parental support (17%, 95% CI=13.8–20.2), behavioral intention to prevent HIV (19%, 95% CI=16.3–21.6), and HIV preventive behavior (17.3%, 95% CI=13.9–20.6) (p<0.001). CONCLUSION: Theory-based educational intervention on HIV/AIDS prevention can significantly protect adolescents from misconceptions, wrong attitudes and risky behaviors and unsupportive social environment that expose them to greater HIV risk. Health policy -makers are advised to consider effective training programs related to HIV/AIDS prevention behaviors in the school system. |
format | Online Article Text |
id | pubmed-7362097 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Avicenna Research Institute |
record_format | MEDLINE/PubMed |
spelling | pubmed-73620972020-07-16 The Effect of Theory-Based HIV/AIDS Educational Program on Preventive Behaviors Among Female Adolescents in Tehran: A Randomized Controlled Trial Khalajabadi Farahani, Farideh Darabi, Fatemeh Yaseri, Mehdi J Reprod Infertil Original Article BACKGROUND: Adolescents are increasingly at risks of HIV infection through high-risk sexual behaviors. This paper aimed to assess the effectiveness of a HIV/AIDS educational intervention among female adolescents in Tehran. METHODS: A randomized controlled trial was conducted among high school girls aged 12–16 years studying in Tehran in 2016–17. The sample was selected using multistage random cluster sampling. Four schools per district were randomly selected using probability-proportional to size. Adolescents were randomly assigned to the experimental (n=289) and the control (n=289) groups. The theory of planned behavior (TPB) was the basis of both the intervention and the evaluation phase. Both experimental and control groups completed a questionnaire designed for HIV related behaviors for female adolescents (HBQFA) at baseline and after six months follow up. A theory-based educational program was implemented for the experimental group. RESULTS: The mean age of participants was 14.1 years (SD=0.96). In the experimental group, significant improvements were shown in adolescents’ HIV knowledge (31.9%, 95% CI: 28.8–35.0), attitudes towards HIV (16.6%, 95% CI=14.4–18.8), subjective norm (16.8%, 95% CI=12.9–20.6) and perceived behavioral control (19.1%, 95% CI=16.2–22.1), perceived parental support (17%, 95% CI=13.8–20.2), behavioral intention to prevent HIV (19%, 95% CI=16.3–21.6), and HIV preventive behavior (17.3%, 95% CI=13.9–20.6) (p<0.001). CONCLUSION: Theory-based educational intervention on HIV/AIDS prevention can significantly protect adolescents from misconceptions, wrong attitudes and risky behaviors and unsupportive social environment that expose them to greater HIV risk. Health policy -makers are advised to consider effective training programs related to HIV/AIDS prevention behaviors in the school system. Avicenna Research Institute 2020 /pmc/articles/PMC7362097/ /pubmed/32685417 Text en Copyright© 2020, Avicenna Research Institute. http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Khalajabadi Farahani, Farideh Darabi, Fatemeh Yaseri, Mehdi The Effect of Theory-Based HIV/AIDS Educational Program on Preventive Behaviors Among Female Adolescents in Tehran: A Randomized Controlled Trial |
title | The Effect of Theory-Based HIV/AIDS Educational Program on Preventive Behaviors Among Female Adolescents in Tehran: A Randomized Controlled Trial |
title_full | The Effect of Theory-Based HIV/AIDS Educational Program on Preventive Behaviors Among Female Adolescents in Tehran: A Randomized Controlled Trial |
title_fullStr | The Effect of Theory-Based HIV/AIDS Educational Program on Preventive Behaviors Among Female Adolescents in Tehran: A Randomized Controlled Trial |
title_full_unstemmed | The Effect of Theory-Based HIV/AIDS Educational Program on Preventive Behaviors Among Female Adolescents in Tehran: A Randomized Controlled Trial |
title_short | The Effect of Theory-Based HIV/AIDS Educational Program on Preventive Behaviors Among Female Adolescents in Tehran: A Randomized Controlled Trial |
title_sort | effect of theory-based hiv/aids educational program on preventive behaviors among female adolescents in tehran: a randomized controlled trial |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7362097/ https://www.ncbi.nlm.nih.gov/pubmed/32685417 |
work_keys_str_mv | AT khalajabadifarahanifarideh theeffectoftheorybasedhivaidseducationalprogramonpreventivebehaviorsamongfemaleadolescentsintehranarandomizedcontrolledtrial AT darabifatemeh theeffectoftheorybasedhivaidseducationalprogramonpreventivebehaviorsamongfemaleadolescentsintehranarandomizedcontrolledtrial AT yaserimehdi theeffectoftheorybasedhivaidseducationalprogramonpreventivebehaviorsamongfemaleadolescentsintehranarandomizedcontrolledtrial AT khalajabadifarahanifarideh effectoftheorybasedhivaidseducationalprogramonpreventivebehaviorsamongfemaleadolescentsintehranarandomizedcontrolledtrial AT darabifatemeh effectoftheorybasedhivaidseducationalprogramonpreventivebehaviorsamongfemaleadolescentsintehranarandomizedcontrolledtrial AT yaserimehdi effectoftheorybasedhivaidseducationalprogramonpreventivebehaviorsamongfemaleadolescentsintehranarandomizedcontrolledtrial |