Malapela Rakgadi G, Mboweni Sheillah H, Risenga Patrone R
Department of Health Studies, School of Social Sciences, University of South Africa, Pretoria, South Africa.
S Afr J Psychiatr. 2024 Jul 30;30:2217. doi: 10.4102/sajpsychiatry.v30i0.2217. eCollection 2024.
Adolescent pregnancy carries significant global ramifications. Community health workers (CHWs) play a role in empowering adolescents through counselling skills, thereby promoting informed decision-making for better outcomes.
The study aims to evaluate the counselling skills of CHWs in their efforts to support pregnant adolescents (PA) in Limpopo province.
The research was carried out with CHWs in the Mopani and Vhembe districts of the Limpopo province.
A quantitative descriptive approach was used to evaluate CHWs' counselling skills for PAs in Limpopo. A sample of 81 respondents was selected using simple random sampling. Ethical approval was obtained. Data were collected using a questionnaire guided by the Theory of Reasoned Action. Descriptive statistics were analysed using Statistical Package for Social Scientists version 24. The questionnaire's validity was assessed using Cronbach's alpha, resulting in a correlation coefficient of 0.710.
The study identified significant variations in counselling recommendations. : Using private space with fewer distractions showed considerable variability (standard deviation = 0.218). : High variability was observed in using the SOLER method (standard deviation = 0.316). : Suggesting rather than advising had notable variability (standard deviation = 0.396). : Avoiding abrupt endings and informing clients about the session's conclusion demonstrated variability (standard deviation = 0.283). Additionally, the majority (64%) of the participants found record-keeping unnecessary, which demonstrated the highest variability (standard deviation = 0.482).
The study revealed CHWs' proficiency in counselling techniques and emphasised the importance of following the counselling stages.
The research highlights the importance of evaluating the counselling skills of CHWs and identifying areas for improvement to develop targeted interventions and enhancing health outcomes for PAs.
青少年怀孕在全球具有重大影响。社区卫生工作者通过咨询技能在增强青少年权能方面发挥作用，从而促进做出明智决策以取得更好结果。
本研究旨在评估林波波省社区卫生工作者在支持怀孕青少年方面的咨询技能。
研究在林波波省莫帕尼和韦姆贝区的社区卫生工作者中开展。
采用定量描述性方法评估林波波省社区卫生工作者对怀孕青少年的咨询技能。使用简单随机抽样选取了81名受访者作为样本。获得了伦理批准。使用基于理性行动理论的问卷收集数据。使用社会科学统计软件包第24版分析描述性统计数据。使用克朗巴哈系数评估问卷的效度，相关系数为0.710。
研究发现咨询建议存在显著差异。：使用干扰较少的私密空间显示出相当大的变异性（标准差 = 0.218）。：在使用SOLER方法方面观察到高变异性（标准差 = 0.316）。：提出建议而非给予劝告存在显著变异性（标准差 = 0.396）。：避免突然结束并告知客户咨询 session 的结论存在变异性（标准差 = 0.283）。此外，大多数（64%）参与者认为记录保存没有必要，这显示出最高的变异性（标准差 = 0.482）。
该研究揭示了社区卫生工作者在咨询技巧方面的熟练程度，并强调了遵循咨询阶段的重要性。
该研究强调了评估社区卫生工作者咨询技能以及确定改进领域以制定有针对性的干预措施并改善怀孕青少年健康结果的重要性。
