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 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

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URL: https://www.mdpi.com/1660-4601/19/22/15362

Abstract

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.

Item Type:	Article
Keyword:	Depression, Anxiety, Stress, Intervention
Subjects:	B Philosophy. Psychology. Religion > BF Psychology > BF1-990 Psychology > BF511-593 Affection. Feeling. Emotion
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	DG MASNIAH AHMAD -
Date Deposited:	12 Jan 2024 09:57
Last Modified:	12 Jan 2024 09:57
URI:	https://eprints.ums.edu.my/id/eprint/37962

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