Document Type : Original Article


1 Department of Surgery, Faculty of Medicine, Qom University of Medical Sciences, Qom

2 Reproductive Studies and Women’s Health Research Center, Shahroud University of Medical Sciences, Shahroud, Iran

3 Master of Pediatric Nursing, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran

4 Department of Epidemiology, School of Health, Shahroud University of Medical Sciences, Shahroud, Iran


BACKGROUND: Adolescents experience many physical and psychological changes during
adolescence. Not paying attention to the issue of girls’ puberty may have a negative impact on their
mental health and self‑efficacy in future. The aim of this study was to compare the two methods of
motivational interviews and peers on puberty health of female high school students.
MATERIALS AND METHODS: This study was performed semi‑experimental intervention on 334
high school students in 2019 through multi‑stage randomization. Data using two demographic
questionnaires and Scherrer self‑efficacy questionnaire in three stages (pre‑test, immediately after
the test and one month after the test). It was collected that in the motivational interview group, 5
training sessions were presented, and in the peer group, only one training session was taught to the
peers and the control group was not trained in any intervention.
RESULTS: Immediately after, and 1 month after the intervention, the two intervention groups had
significantly better scores in self‑efficacy compared to the control group (P = 0.001). The mean score
of self‑efficacy in the control group in the three time periods before, immediately, and one month
after the intervention, respectively (50.75 ± 5.322, 50.45 ± 5.34, 50.45 ± 5.37), in the motivational
interview group (50.56 ± 5.95, 53.63 ± 5.83, 56.03 ± 6.49) and in the peer group (50.10 ± 5.62,
54.40 ± 4.28, 59.19 ± 4.43) was. Moreover, there were significant differences in self‑efficacy scores
within and between the groups by time (P < 0.001) in intervention groups.
CONCLUSION: This study showed that puberty health education increases students’ self‑efficacy,
that correct information should be conveyed by peers and motivational interview, and motivational
interview is more effective.


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