Seangpraw Katekaew, Somrongthong Rattana, Choowanthanapakorn Monchanok, Kumar Ramesh
School of Medicine, University of Phayao, Phayao Province, Thailand.
College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand.
J Ayub Med Coll Abbottabad. 2017 Oct-Dec;29(4):540-546.
Currently, the problem of sexual risk behaviour of adolescents has increased worldwide, including Thailand. This study compared the effectiveness of promoting life skills to prevent sexual risk behaviours among university students in the Phayao Province of Thailand.
A quasi-experimental design was employed with a pre- and post-test study for a sample of freshmen university students. The students were then split into an intervention group comprised of 300 students, with a second group of 250 students from the same faculty as the control group. The intervention group participated in the integrated life skills model for preventing sexual risk behaviours and participatory learning. The educational activities included; lectures, brainstorming, group discussion, roleplaying, game simulations and naming experiences through six weekly life skills training sessions of 90 minutes each. Data were collected by self-questionnaires and analysed using descriptive statistics and independent sample t-testing. Three different time periods were examined using ANOVA repeated measures analysis of variance.
Compared between the intervention and control groups determined that implementation of increased knowledge and improved life skills was statistically significant (p<0.001) in the intervention group. The intervention group also showed significantly improved communication skills and behavioural preventive measures towards sexual risk than the control group (p<0.001).
The life skills model also effectively reduced the sexual risk behaviours of students at the university. Therefore, this program was beneficial for the development of strategies to increase self-efficacy and it should be integrated into the universities' curriculum. In the long-term sexual risk behaviour changes must be monitored for programme sustainability.
目前,青少年性风险行为问题在全球范围内都有所增加,包括泰国。本研究比较了在泰国帕尧府大学生中推广生活技能以预防性风险行为的效果。
采用准实验设计,对大一新生样本进行前后测研究。然后将学生分为干预组,由300名学生组成,另一组250名来自同一学院的学生作为对照组。干预组参与了预防性风险行为的综合生活技能模型和参与式学习。教育活动包括:讲座、头脑风暴、小组讨论、角色扮演、游戏模拟以及通过六周每周90分钟的生活技能培训课程来分享经验。通过自填问卷收集数据,并使用描述性统计和独立样本t检验进行分析。使用方差分析重复测量方差分析来检验三个不同的时间段。
干预组和对照组之间的比较表明,干预组在增加知识和提高生活技能方面的实施具有统计学意义(p<0.001)。干预组在性风险沟通技巧和行为预防措施方面也比对照组有显著改善(p<0.001)。
生活技能模型也有效地降低了大学生的性风险行为。因此,该项目有利于制定提高自我效能的策略,应纳入大学课程。从长远来看,必须监测性风险行为的变化以确保项目的可持续性。