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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Main Authors: Rahmat Dapari, Mohd Safrin Mohamad Bashaabidin, Mohd Rohaizat Hassan, Nazri Che Dom, Syed Sharizman Syed Abdul Rahim, Wan Rozita Wan Mahiyuddin
Format: Article
Language:en
en
Published: Multidisciplinary Digital Publishing Institute (MDPI) 2022
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Online Access:https://eprints.ums.edu.my/id/eprint/37962/2/ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/37962/1/FULLTEXT.pdf
https://eprints.ums.edu.my/id/eprint/37962/
https://doi.org/10.3390/ijerph192215362
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author Rahmat Dapari
Mohd Safrin Mohamad Bashaabidin
Mohd Rohaizat Hassan
Nazri Che Dom
Syed Sharizman Syed Abdul Rahim
Wan Rozita Wan Mahiyuddin
author_facet Rahmat Dapari
Mohd Safrin Mohamad Bashaabidin
Mohd Rohaizat Hassan
Nazri Che Dom
Syed Sharizman Syed Abdul Rahim
Wan Rozita Wan Mahiyuddin
author_sort Rahmat Dapari
building UMS Library
collection Institutional Repository
content_provider Universiti Malaysia Sabah
content_source UMS Institutional Repository
continent Asia
country Malaysia
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.
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spelling my.ums.eprints-379622024-01-12T01:57:26Z https://eprints.ums.edu.my/id/eprint/37962/ 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 Rahmat Dapari Mohd Safrin Mohamad Bashaabidin Mohd Rohaizat Hassan Nazri Che Dom Syed Sharizman Syed Abdul Rahim Wan Rozita Wan Mahiyuddin BF511-593 Affection. Feeling. Emotion 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 (MDPI) 2022-11-22 Article NonPeerReviewed text en https://eprints.ums.edu.my/id/eprint/37962/2/ABSTRACT.pdf text en https://eprints.ums.edu.my/id/eprint/37962/1/FULLTEXT.pdf Rahmat Dapari and Mohd Safrin Mohamad Bashaabidin and Mohd Rohaizat Hassan and Nazri Che Dom and Syed Sharizman Syed Abdul Rahim and Wan Rozita Wan Mahiyuddin (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 (15362). pp. 1-15. ISSN 1661-7827 https://doi.org/10.3390/ijerph192215362
spellingShingle BF511-593 Affection. Feeling. Emotion
Rahmat Dapari
Mohd Safrin Mohamad Bashaabidin
Mohd Rohaizat Hassan
Nazri Che Dom
Syed Sharizman Syed Abdul Rahim
Wan Rozita Wan Mahiyuddin
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
topic BF511-593 Affection. Feeling. Emotion
url https://eprints.ums.edu.my/id/eprint/37962/2/ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/37962/1/FULLTEXT.pdf
https://eprints.ums.edu.my/id/eprint/37962/
https://doi.org/10.3390/ijerph192215362
url_provider http://eprints.ums.edu.my/