Cargando…

Health Education Module Based on Information–Motivation–Behavioural Skills (IMB) for Reducing Depression, Anxiety, and Stress among Adolescents in Boarding Schools: A Clustered Randomised Controlled Trial

Depression, anxiety, and stress (DAS) among adolescents have become a public health concern. The aim of this study was to develop, implement, and measure an IMB-based health education intervention module for reducing DAS among adolescents in boarding schools in the state of Negeri Sembilan, Malaysia...

Descripción completa

Detalles Bibliográficos
Autores principales: Dapari, Rahmat, Bashaabidin, Mohd Safrin Mohamad, Hassan, Mohd Rohaizat, Dom, Nazri Che, Rahim, Syed Sharizman Syed Abdul, Wan Mahiyuddin, Wan Rozita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9692668/
https://www.ncbi.nlm.nih.gov/pubmed/36430081
http://dx.doi.org/10.3390/ijerph192215362
_version_ 1784837325420756992
author Dapari, Rahmat
Bashaabidin, Mohd Safrin Mohamad
Hassan, Mohd Rohaizat
Dom, Nazri Che
Rahim, Syed Sharizman Syed Abdul
Wan Mahiyuddin, Wan Rozita
author_facet Dapari, Rahmat
Bashaabidin, Mohd Safrin Mohamad
Hassan, Mohd Rohaizat
Dom, Nazri Che
Rahim, Syed Sharizman Syed Abdul
Wan Mahiyuddin, Wan Rozita
author_sort Dapari, Rahmat
collection PubMed
description Depression, anxiety, and stress (DAS) among adolescents have become a public health concern. The aim of this study was to develop, implement, and measure an IMB-based health education intervention module for reducing DAS among adolescents in boarding schools in the state of Negeri Sembilan, Malaysia. A single-blinded cluster randomised control trial (RCT) was conducted among students with abnormal DASS-21 scores. They were divided into an intervention group (three schools, 62 participants) and a control group (three schools, 57 participants). Participants in the intervention group received IMB-based health education, while participants in the control group underwent the standard care session. To determine the effectiveness of the intervention, the Generalised Linear Mixed Model (GLMM) analysis was conducted. A total of 119 students participated in this study, and no loss to follow-up was reported. Both intervention and control groups showed significantly reduced DAS scores (p < 0.005). However, the reduction of these scores was greater in the intervention group. The GLMM analysis revealed that the intervention was effective in reducing depression (ß = −2.400, t = −3.102, SE = 0.7735, p = 0.002, 95% CI = −3.921, −0.878), anxiety (ß = −2.129, t = −2.824, SE = 0.7541, p = 0.005, 95% CI = −3.612, −0.646), and stress (ß = −1.335, t = −2.457, SE = 0.536, p = 0.015, 95% CI = −2.045, −0.266) among adolescents. The IMB-based health education module was effective in reducing DAS among adolescents in boarding schools.
format Online
Article
Text
id pubmed-9692668
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-96926682022-11-26 Health Education Module Based on Information–Motivation–Behavioural Skills (IMB) for Reducing Depression, Anxiety, and Stress among Adolescents in Boarding Schools: A Clustered Randomised Controlled Trial Dapari, Rahmat Bashaabidin, Mohd Safrin Mohamad Hassan, Mohd Rohaizat Dom, Nazri Che Rahim, Syed Sharizman Syed Abdul Wan Mahiyuddin, Wan Rozita Int J Environ Res Public Health Article Depression, anxiety, and stress (DAS) among adolescents have become a public health concern. The aim of this study was to develop, implement, and measure an IMB-based health education intervention module for reducing DAS among adolescents in boarding schools in the state of Negeri Sembilan, Malaysia. A single-blinded cluster randomised control trial (RCT) was conducted among students with abnormal DASS-21 scores. They were divided into an intervention group (three schools, 62 participants) and a control group (three schools, 57 participants). Participants in the intervention group received IMB-based health education, while participants in the control group underwent the standard care session. To determine the effectiveness of the intervention, the Generalised Linear Mixed Model (GLMM) analysis was conducted. A total of 119 students participated in this study, and no loss to follow-up was reported. Both intervention and control groups showed significantly reduced DAS scores (p < 0.005). However, the reduction of these scores was greater in the intervention group. The GLMM analysis revealed that the intervention was effective in reducing depression (ß = −2.400, t = −3.102, SE = 0.7735, p = 0.002, 95% CI = −3.921, −0.878), anxiety (ß = −2.129, t = −2.824, SE = 0.7541, p = 0.005, 95% CI = −3.612, −0.646), and stress (ß = −1.335, t = −2.457, SE = 0.536, p = 0.015, 95% CI = −2.045, −0.266) among adolescents. The IMB-based health education module was effective in reducing DAS among adolescents in boarding schools. MDPI 2022-11-21 /pmc/articles/PMC9692668/ /pubmed/36430081 http://dx.doi.org/10.3390/ijerph192215362 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Dapari, Rahmat
Bashaabidin, Mohd Safrin Mohamad
Hassan, Mohd Rohaizat
Dom, Nazri Che
Rahim, Syed Sharizman Syed Abdul
Wan Mahiyuddin, Wan Rozita
Health Education Module Based on Information–Motivation–Behavioural Skills (IMB) for Reducing Depression, Anxiety, and Stress among Adolescents in Boarding Schools: A Clustered Randomised Controlled Trial
title Health Education Module Based on Information–Motivation–Behavioural Skills (IMB) for Reducing Depression, Anxiety, and Stress among Adolescents in Boarding Schools: A Clustered Randomised Controlled Trial
title_full Health Education Module Based on Information–Motivation–Behavioural Skills (IMB) for Reducing Depression, Anxiety, and Stress among Adolescents in Boarding Schools: A Clustered Randomised Controlled Trial
title_fullStr Health Education Module Based on Information–Motivation–Behavioural Skills (IMB) for Reducing Depression, Anxiety, and Stress among Adolescents in Boarding Schools: A Clustered Randomised Controlled Trial
title_full_unstemmed Health Education Module Based on Information–Motivation–Behavioural Skills (IMB) for Reducing Depression, Anxiety, and Stress among Adolescents in Boarding Schools: A Clustered Randomised Controlled Trial
title_short Health Education Module Based on Information–Motivation–Behavioural Skills (IMB) for Reducing Depression, Anxiety, and Stress among Adolescents in Boarding Schools: A Clustered Randomised Controlled Trial
title_sort health education module based on information–motivation–behavioural skills (imb) for reducing depression, anxiety, and stress among adolescents in boarding schools: a clustered randomised controlled trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9692668/
https://www.ncbi.nlm.nih.gov/pubmed/36430081
http://dx.doi.org/10.3390/ijerph192215362
work_keys_str_mv AT daparirahmat healtheducationmodulebasedoninformationmotivationbehaviouralskillsimbforreducingdepressionanxietyandstressamongadolescentsinboardingschoolsaclusteredrandomisedcontrolledtrial
AT bashaabidinmohdsafrinmohamad healtheducationmodulebasedoninformationmotivationbehaviouralskillsimbforreducingdepressionanxietyandstressamongadolescentsinboardingschoolsaclusteredrandomisedcontrolledtrial
AT hassanmohdrohaizat healtheducationmodulebasedoninformationmotivationbehaviouralskillsimbforreducingdepressionanxietyandstressamongadolescentsinboardingschoolsaclusteredrandomisedcontrolledtrial
AT domnazriche healtheducationmodulebasedoninformationmotivationbehaviouralskillsimbforreducingdepressionanxietyandstressamongadolescentsinboardingschoolsaclusteredrandomisedcontrolledtrial
AT rahimsyedsharizmansyedabdul healtheducationmodulebasedoninformationmotivationbehaviouralskillsimbforreducingdepressionanxietyandstressamongadolescentsinboardingschoolsaclusteredrandomisedcontrolledtrial
AT wanmahiyuddinwanrozita healtheducationmodulebasedoninformationmotivationbehaviouralskillsimbforreducingdepressionanxietyandstressamongadolescentsinboardingschoolsaclusteredrandomisedcontrolledtrial