Assessing an Educational Intervention Program on Knowledge, Attitude and Behaviour Towards Pregnancy Prevention Based on Health Belief Model Amongst Adolescent Girls in Northern Ghana

NCT03384251 | Completed DMC

• 2 other identifiers: IR.TUMS.SPH.REC.1396.4089GHS-ERC:020-03-18
• Study Type: interventional
• Target: 363
• Locations: 1 country
• Sites: 2

Brief Summary

The study is designed to assess the impact of an educational intervention program on the knowledge, attitude and behaviour towards pregnancy prevention based on Health Belief Model amongst adolescent girls in Northern Ghana. It is a randomised clustered controlled trial to be conducted on Senior High School students in Northern Ghana The study hypothesises that knowledge, attitude and behaviour of adolescents towards pregnancy prevention will differ between the groups.

Conditions

Adolescent Behavior

Keywords

Adolescent pregnancy; Teenage pregnancy; Prevention; Ghana

Outcome Measures

Primary Outcomes (1)

• Health Belief Model constructs

  A questionnaire designed by the researchers based on the HBM six constructs shall be used to assess adolescents perception towards pregnancy prevention. A total of 58 items were used. The items specifically assess adolescents' opinion on their chances of getting pregnant; adolescents' opinion on the seriousness of adolescent pregnancy and the consequences of getting pregnant; adolescents' opinion on the importance delaying pregnancy, adolescents' opinion on the barriers of delaying pregnancy; and adolescents' confidence on their ability to delay pregnancy. The degree with which participants perceived each of these items were recorded using a five-point Likert's scale ranging from "strongly disagree for a lower score to strongly agree for a higher score". Each domain has the same minimum score of zero (0) and a maximum score of 40. All the scores for the HBM domain variables shall be expressed in percentages for analysis.

  3 months and 6 months

Secondary Outcomes (1)

• Abstinence from sexual intercourse

  3 months and 6 months

Study Arms (2)

Intervention group

EXPERIMENTAL

This group shall be given a comprehensive sex education in approximately six sessions.

Behavioral: comprehensive sex education

Control group

NO INTERVENTION

This group will not be given any form of education.

Interventions

comprehensive sex education BEHAVIORAL

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.

Intervention group

Eligibility Criteria

• Age: 13 Years - 19 Years
• Gender Eligibility Details: Only female adolescents are to participate in this study
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Only unmarried adolescent female high school students shall be included in the study.

You may not qualify if:

• Girls who do not want to participate and those who do not fall within the adolescent age group as well as married adolescents shall be excluded

Sponsors & Collaborators

• Tehran University of Medical Sciences: lead

Study Sites (2)

Kalpohin Senior High School

Tamale, Northern Region, 00233, Ghana

Location

Vittin Senoir High School

Tamale, Northern Region, Ghana

Location

Related Publications (11)

• Ganchimeg T, Ota E, Morisaki N, Laopaiboon M, Lumbiganon P, Zhang J, Yamdamsuren B, Temmerman M, Say L, Tuncalp O, Vogel JP, Souza JP, Mori R; WHO Multicountry Survey on Maternal Newborn Health Research Network. Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study. BJOG. 2014 Mar;121(Suppl 1):40-8. doi: 10.1111/1471-0528.12630.

  PMID: 24641534 BACKGROUND

• Aransiola JO, Asa S, Obinjuwa P, Olarewaju O, Ojo OO, Fatusi AO. Teachers' perspectives on sexual and reproductive health interventions for in-school adolescents in Nigeria. Afr J Reprod Health. 2013 Dec;17(4):84-92.

  PMID: 24558785 BACKGROUND

• Atuyambe L, Mirembe F, Johansson A, Kirumira EK, Faxelid E. Experiences of pregnant adolescents--voices from Wakiso district, Uganda. Afr Health Sci. 2005 Dec;5(4):304-9. doi: 10.5555/afhs.2005.5.4.304.

  PMID: 16615840 BACKGROUND

• Ahorlu CK, Pfeiffer C, Obrist B. Socio-cultural and economic factors influencing adolescents' resilience against the threat of teenage pregnancy: a cross-sectional survey in Accra, Ghana. Reprod Health. 2015 Dec 23;12:117. doi: 10.1186/s12978-015-0113-9.

  PMID: 26700638 BACKGROUND

• Krugu JK, Mevissen FE, Prinsen A, Ruiter RA. Who's that girl? A qualitative analysis of adolescent girls' views on factors associated with teenage pregnancies in Bolgatanga, Ghana. Reprod Health. 2016 Apr 14;13:39. doi: 10.1186/s12978-016-0161-9.

  PMID: 27080996 BACKGROUND

• Abdul-Rahman L, Marrone G, Johansson A. Trends in contraceptive use among female adolescents in Ghana. Afr J Reprod Health. 2011 Jun;15(2):45-55.

  PMID: 22590892 BACKGROUND

• Adinma JI, Agbai AO, Okeke AO, Okaro JM. Contraception in teenage Nigerian school girls. Adv Contracept. 1999;15(4):283-91. doi: 10.1023/a:1006732222373.

  PMID: 11145370 BACKGROUND

• Somers CL, Johnson SA, Sawilowsky SS. A measure for evaluating the effectiveness of teen pregnancy prevention programs. Psychology in the Schools. 2002;39(3):337-42.

  BACKGROUND

• Yidana A, Ziblim S-D, Azongo TB, Abass YI. Socio-Cultural Determinants of Contraceptives Use Among Adolescents in Northern Ghana. Public Health Research. 2015;5(4):83-9.

  BACKGROUND

• World Health Organization: Adolescent pregnancy Fact sheet [Internet]. World Health Organization. 2014 [cited September 2014]. Available from: http://www.who.int/mediacentre/factsheets/fs364/en/.

  RESULT

• Yakubu I, Garmaroudi G, Sadeghi R, Tol A, Yekaninejad MS, Yidana A. Assessing the impact of an educational intervention program on sexual abstinence based on the health belief model amongst adolescent girls in Northern Ghana, a cluster randomised control trial. Reprod Health. 2019 Aug 15;16(1):124. doi: 10.1186/s12978-019-0784-8.

  PMID: 31416450 DERIVED

MeSH Terms

Conditions

Adolescent Behavior

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Ibrahim Yakubu

  Tehran University of Medical Sciences

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Participants are not required to write their names on the questionnaires. therefore responses provided are anonymous
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: 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.

Study Record Dates

• First Submitted: December 16, 2017
• First Posted: December 27, 2017
• Study Start: February 20, 2018
• Primary Completion: August 30, 2018
• Study Completion: August 30, 2018
• Last Updated: November 6, 2018

Record last verified: 2018-09

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
• Time Frame: 6 months after the study
• Access Criteria: If data is requested especially by journals it would be sent by email.

Locations

GH (2)