Assessing an Educational Intervention Program on Knowledge, Attitude and Behaviour Towards Pregnancy Prevention Based on Health Belief Model Amongst Adolescent Girls in Northern Ghana
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|ClinicalTrials.gov Identifier: NCT03384251|
Recruitment Status : Recruiting
First Posted : December 27, 2017
Last Update Posted : September 11, 2018
|Condition or disease||Intervention/treatment||Phase|
|Adolescent Behavior||Behavioral: comprehensive sex education||Not Applicable|
Adolescent pregnancy is a global problem because of its health, social, economic and political repercussions on the globe. According to WHO about 16 million girls aged 15 to 19 and some 1 million girls under 15years give birth every year, mostly in low and middle-income countries. Babies born to adolescent mothers face a substantially higher risk of dying than those born to women aged 20 to 24. Pregnant adolescents also develop psychological problems from social stigma, suffering physical and domestic violence in her attempt to meeting the demands of pregnancy and childbearing. Children born to adolescents are at risk of malnutrition, low mental and physical development, inappropriate social connection with parents and poor education.
The factors associated with adolescent pregnancies include early marriages, poor social and economic support. Curiosity and peer pressure, lack of sexuality education, poor reproductive health services and poor attitude of health workers to providing contraceptive services for adolescents amongst others.
Ghana developed a number of policies to improve adolescent development through the provision of youth focus friendly health services in the country. However, adolescent pregnancy has not declined as expected.
The Health Belief Model is one of the appropriate health promotion models designed to predict preventive health behaviours, and it has enhanced preventive health behaviours in breast cancer screening and prevention of risky sexual behaviours in adolescents as well as prevention of iron deficiency anaemia. Schools are the best site for providing health education and promotion interventions because students spend most of the time in school and health promoters have the opportunity of reaching a large number of participants. Students of Senior High Schools in Ghana are adolescents and most of them are sexually active and has little knowledge about sex education and use of contraceptives. Therefore, providing comprehensive sex education to adolescents in schools will increase their knowledge; enhance their attitude and behavior towards pregnancy prevention.
This study, therefore, is intended to assess the impact of an educational intervention program on the knowledge, attitude and behavior towards pregnancy prevention based on Health Belief Model amongst adolescent girls in Northern Ghana.
The main objective is to assess the impact of an educational intervention program on knowledge, attitude and behavior towards pregnancy prevention based on Health Belief Model amongst adolescent girls in Northern Ghana.
Study design: The study shall be an interventional research using Clustered Randomized Controlled Trial to assess the impact of an educational program on the knowledge, attitude and behavior of adolescents towards teenage pregnancy using a researcher-structured questionnaire based on the Health Belief Model and a validated psychometric "Teen Attitude Pregnancy Scale" Intervention: A comprehensive sex education program shall be delivered in approximately six (6) sessions comprising of an introductory lesson on susceptibility and severity of teenage pregnancy, personal and community values, female reproductive system, contraceptives and decision-making. A qualified midwife shall conduct the health education program. Teaching and learning materials shall include flip charts, contraceptives, short videos, role-play scenarios among others. A practical demonstration, group discussion, lectures, role-play and interactive learning methods shall be employed. Attitudinal and behavioural intervention strategies shall be adopted for the study based on the Taxonomy of Behavior Change Techniques for interventions
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||330 participants|
|Intervention Model:||Parallel Assignment|
|Intervention Model Description:||A multi-stage sampling method shall be conducted. A random sampling of six (6) out 12 mixed Senior High Schools in Tamale Metropolis-Northern Ghana would be selected. We shall randomly allocate three (3) schools as the intervention and the other three (3) as control groups respectively. In each school, one class shall be selected at random from each grade in both intervention and control groups.|
|Masking:||None (Open Label)|
|Official Title:||Assessing an Educational Intervention Program on Knowledge, Attitude and Behaviour Towards Pregnancy Prevention Based on Health Belief Model Amongst Adolescent Girls in Northern Ghana: A Clustered Randomized Trial|
|Actual Study Start Date :||February 20, 2018|
|Actual Primary Completion Date :||August 30, 2018|
|Estimated Study Completion Date :||September 2018|
Experimental: Intervention group
This group shall be given a comprehensive sex education in approximately six sessions.
Behavioral: comprehensive sex education
A comprehensive sex education program to be delivered in approximately six (6) sessions comprising of an introductory lesson on susceptibility and severity of teenage pregnancy, personal and community values, female reproductive system, contraception and decision-making skills.
No Intervention: Control group
This group will not be given any form of education.
- Knowledge and attitude [ Time Frame: 3 months and 6 months ]
The name of the measuring scale is Teen Pregnancy Prevention Questionnaire. It is designed to measure the knowledge and attitude of adolescents towards pregnancy prevention. It has five constructs( Perceived susceptibility, Perceived severity, Perceived barriers, Perceived Benefits and Self-efficacy) on five Likert scales.
Minimum score and maximum scores for each construct/sub-scale are zero (0) and forty (40) respectively.
A score range of 0-23= inadequate knowledge and poor attitude towards pregnancy prevention, whiles a score range of 24-40 = adequate knowledge and positive attitude towards pregnancy prevention.
A total score shall be computed by summing the sub-scales. the minimum and maximum score for the total score shall be 0 and 200 respectively.
A total score range of 0-119 = inadequate knowledge and poor attitude towards pregnancy prevention A total score range of 120-200 = adequate knowledge and positive attitude towards pregnancy prevention.
- Abstinence from sexual intercourse or use of contraceptives [ Time Frame: 3 months and 6 months ]
The name of the measuring scale is Teen Pregnancy Prevention Questionnaire. It is designed to measure the knowledge and attitude of adolescents towards pregnancy prevention. Incorporated on this scale is a behaviour component, which, has one question on abstinence from sexual intercourse and one question on the use of contraceptives.
Participants self-reporting of abstaining from sexual intercourse or using contraceptives would be scored 10 whiles those self-reporting sexual intercourse and not use contraceptives would be scored 5.
The minimum score is 5 and the maximum score is 10.
A score of 5 = poor behaviour towards pregnancy prevention, whiles a score of 10 = practising positive behaviour towards pregnancy prevention.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03384251
|Contact: Ibrahim Yakubufirstname.lastname@example.org|
|Contact: Adadow Yidana, Ph.D||+233 email@example.com|
|Kalpohin Senior High School||Recruiting|
|Tamale, Northern Region, Ghana, 00233|
|Contact: Abraham Akolgo 00233207296557|
|Vittin Senoir High School||Recruiting|
|Tamale, Northern Region, Ghana|
|Contact: Abdul-Mumin Hudu +233208412575|
|Principal Investigator:||Ibrahim Yakubu||Tehran University of Medical Sciences|