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...
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Multidisciplinary Digital Publishing Institute
2022
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author | Dapari, Rahmat Mohamad Bashaabidin, Mohd Safrin Hassan, Mohd Rohaizat Che Dom, Nazri Syed Abdul Rahim, Syed Sharizman Wan Mahiyuddin, Wan Rozita |
author_facet | Dapari, Rahmat Mohamad Bashaabidin, Mohd Safrin Hassan, Mohd Rohaizat Che Dom, Nazri Syed Abdul Rahim, Syed Sharizman Wan Mahiyuddin, Wan Rozita |
author_sort | Dapari, Rahmat |
collection | UPM |
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. |
first_indexed | 2024-09-25T03:36:40Z |
format | Article |
id | upm.eprints-101685 |
institution | Universiti Putra Malaysia |
last_indexed | 2024-09-25T03:36:40Z |
publishDate | 2022 |
publisher | Multidisciplinary Digital Publishing Institute |
record_format | dspace |
spelling | upm.eprints-1016852024-04-30T06:48:58Z http://psasir.upm.edu.my/id/eprint/101685/ 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 Mohamad Bashaabidin, Mohd Safrin Hassan, Mohd Rohaizat Che Dom, Nazri Syed Abdul Rahim, Syed Sharizman Wan Mahiyuddin, Wan Rozita 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. Multidisciplinary Digital Publishing Institute 2022 Article PeerReviewed Dapari, Rahmat and Mohamad Bashaabidin, Mohd Safrin and Hassan, Mohd Rohaizat and Che Dom, Nazri and Syed Abdul Rahim, Syed Sharizman and Wan Mahiyuddin, Wan Rozita (2022) 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. International Journal of Environmental Research and Public Health, 19 (22). art. no. 15362. pp. 1-15. ISSN 1661-7827 ESSN: 1660-4601 https://www.mdpi.com/1660-4601/19/22/15362 10.1080/10408398.2022.2053058 |
spellingShingle | Dapari, Rahmat Mohamad Bashaabidin, Mohd Safrin Hassan, Mohd Rohaizat Che Dom, Nazri Syed Abdul Rahim, Syed Sharizman 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 |
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