The effects of educating mothers and girls on the girls’ attitudes toward puberty health: a randomized controlled trial
-
Atousa Afsari
,
Sousan Valizadeh
Abstract
Introduction:
The attitude of a girl toward her menstruation and puberty has a considerable impact on her role during motherhood, social adjustment, and future marital life. This study was conducted in 2014 with the aim of comparing the effects of educating mothers and girls on the attitudes of adolescent girls of Tabriz City, Iran, towards puberty health.
Methods:
This randomized control clinical trial was conducted on 364 adolescent girls who experienced menstruation. Twelve schools were selected randomly among 107 secondary schools for girls. One-third of the students of each school were selected randomly using a table of random numbers and socio-demographic and each participant was asked to answer the attitude questionnaires. The schools were randomly allocated to the groups of mother’s education, girl’s education, and no-intervention. The attitude questionnaire was filled out by the participants again 2 months after intervention. The general linear model, in which the baseline values were controlled, was employed to compare the scores of the three groups after the intervention.
Results:
No significant differences were observed among the three groups in terms of the attitude score before intervention (p>0.05). Attitude score improvement after intervention in the girl’s education group was significantly higher than the one of both mother’s education (adjusted mean difference [AMD]: 1.8; [95% confidence interval (CI): 0.4–1.3]) and no-intervention groups (AMD: 1.3; [95% CI: 0.0–2.6]) by controlling the attitude score before intervention.
Conclusion:
Based on the findings, it is more effective to educate girls directly about puberty health to improve adolescent girls’ attitudes than educating mothers and asking them to transfer information to the girls. Nevertheless, studies with longer training period and follow-up are proposed to determine the effects of educating girls (through their mothers) on their attitudes about puberty health.
Acknowledgments
The present study is a research project funded and supported by the Deputy of Research, Tabriz University of Medical Sciences, registered by IRCT (Registration Number: 201502025168N13) and approved by the regional committee of ethics of Tabriz University of Medical Sciences (ethical code: 93157). Hereby, we appreciate the assistance of the students and their esteemed parents.
References
1. Marilyn J, Hockenberry, Wilson D. Textbook of Wong’s essentials of pediatric nursing, 9th ed. United States of America: Hayden M, 2013:984pp.Search in Google Scholar
2. Alavi M, Poushaneh K, Khosravi A. Puberty health: knowledge, attitude and practice of the adolescent girls in Tehran, Iran. Payesh 2009;8:59–65.Search in Google Scholar
3. Statistical Center of Iran. National Census of Population and Housing of Iran 2006. available at: http:amar.sci.org.ir. Accessed on January 12, 2015.Search in Google Scholar
4. Karimi E. Investigate the attitude of mothers towards education of puberty problems in secondary school children, girls age between 11–14 years old Iranian. Iran J Nurs Midwifery Res 1998;18:74–9.Search in Google Scholar
5. Hagikhani Golchin N, Hamzehgardeshi Z, Fakhri M, Hamzehgardeshi L. The experience of puberty in Iranian adolescent girls: aqualitative content analysis. BMC Public Health 2012;12:1–8.Search in Google Scholar
6. Mohammadi K. The survey of knwoledge and practice of final year high school girls about menateral cycle health in Tehran. Daneshvar Med 2001;8:67–72.Search in Google Scholar
7. Majlessi F, Mahmoudi M, Rahimi A, Hosseinzadeh P. The impact of lecture and educational package methods in knowledge and attitude of teenage girls on puberty health. J Med Hormozgan 2010;15:328–32.Search in Google Scholar
8. Delegation by a registered nurse or midwife to an unlicensed healthcare worker 2006. available at: www.nursesboard.sa.gov.au.pdf.Standards_Del_RN. Accessed on December 28, 2014.Search in Google Scholar
9. Mirghafourvand M, Mohammad-Alizadeh-Charandabi S, Tavananezhad N, Karkhaneh M. Health-promoting lifestyle and its predictors among Iranian adolescent girls, 2013. Int J Adolesc Med Health 2014;26:495\x96502.10.1515/ijamh-2013-0324Search in Google Scholar PubMed
10. Kazemi Z. The effect of family variables on information rate of guidance school female students about maturity health. J Fam Res 2012;8:319–35.Search in Google Scholar
11. Kaplan E, Laine B. Women’s perceptions of the adolescent experience. Adolescence. 1997;32:40–8.Search in Google Scholar
12. Bahadoran P, Oreizy H. The effect of different educational methods in changing girl students’ negative attitude towards menstruation, in intermediate schools of Isfahan. IJMS 2006;6:27–32.Search in Google Scholar
13. Mohammad Alizadeh Charandabi S, Mirghafourvand M, Rahmani A, Seidi S, Saffari E, et al. The effect of software on knowledge and performance of teenage girls toward puberty hygiene: a randomized controlled trial. IJMS 2014;2:110–21.Search in Google Scholar
14. Mohammad Alizadeh Charandabi S, Mirghafourvand M, Saghi S, Seidi S, Rahmani A, et al. Practice of Iranian adolescent girls regarding puberty and menstrual hygiene and its predictors. Int J Women’s Health Reproduction Sci 2014;2:196–204.Search in Google Scholar
15. Keramti M, Asfandeari M, Ashratabadi H. Effects of adolescent health education program on knowledge, attitude and general health of adolescents. Quarterly Journal of New Thoughts on Education 2009;5:35–50.Search in Google Scholar
16. Âbdollahy F, Shabankhani B, Khani S. Study of puberty Health educational needs of adolesecents in Mazandaran province in 2003. J Mazandaran Univ Med Sci 2004;14:56–63.Search in Google Scholar
17. Koff E, Rierdan J. Early adolescent girls’ understanding of menstruation. Women Health 2008;12:1–19.10.1300/J013v22n04_01Search in Google Scholar PubMed
18. Mohammadzadeh Z, Allame Z, Shahroki S, Oriezi H, Marasi M. Puberty health education in Iranian teenagers: Self-learning or lecture and discussion panel? IJME 2002;3:4–7.Search in Google Scholar
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- Health seeking behaviour and health awareness among rural and urban adolescents in Dehradun District, Uttarakhand, India
- Knowledge and perception of young adults in Nigeria on effectiveness of condom use in prevention of sexually transmitted infections
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