Document Type : Original Article

Authors

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

Abstract

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.

Keywords

1. Shirzad M, Taghdisi MH, Dehdari T, Abolghasemi J. Oral health
education program among pre‑school children: An application
of health‑promoting schools approach. Health Promot Perspect
2016; 6:164‑70.
2. Biro FM, Greenspan LC, Galvez MP. Puberty in girls of the
21st century. J Pediatr Adolesc Gynecol 2012; 25:289‑94.
3. McKenzie J, Pinger R, Kotecki J. An Introduction to Community
Health. America: Jones & Bartlett Publishers; 2011.
4. Darabi F, Yaseri M, Kaveh MH, Khalajabadi Farahani F, Majlessi F,
Shojaeizadeh D. The effect of a theory of planned behavior‑based
educational intervention on sexual and reproductive health in
Iranian adolescent girls: A randomized controlled trial. J Res
Health Sci 2017; 17:e00400.
5. Dehghani‑Tafti A, Mazloomy Mahmoodabad S S ,
Morowatisharifabad MA, Afkhami Ardakani M, Rezaeipandari H,Lotfi MH. Determinants of self‑care in diabetic patients based on
health belief model. Glob J Health Sci 2015; 7:33‑42.
6. Perlman D, Lockwood P. The Influence of the sport education
model on physical self‑efficacy. Inresearch quarterly for exercise
and sport 2010 mar 16 (vol. 81, no. 1, pp. 65‑66). 1900 association
drive, reston, va 22091 usa: Amer alliance health phys educ rec
& dance.
7. Habib‑Mourad C, Ghandour LA, Maliha C, Awada N, Dagher M,
Hwalla N. Impact of a one‑year school‑based teacher‑implemented
nutrition and physical activity intervention: Main findings and
future recommendations. BMC Public Health 2020; 20:256.
8. Askaryzadeh Mahani M, Soleimani L, Zafarnia N, Miri S.
Correlation of self‑efficacy and mental health with academic
achievement of students in Bam nursing school. J Res Dev Nurs
Midwifery 2015; 12:29‑37.
9. Caprara GV, Vecchione M, Alessandri G, Gerbino M,
Barbaranelli C. The contribution of personality traits and
self‑efficacy beliefs to academic achievement: A longitudinal
study. Br J Educ Psychol 2011; 81:78‑96.
10. Ahmadi Nejad FS, Golmakani N, Khajeh Poor M, Azizi Mayvan F.
The relationship between happiness and fear of childbirth in
nulliparous women. J Midwifery Reproduct Health 2017; 5:1082‑9.
11. Yahyavi SH, Pourrahimi M. Impact of dietary behaviors and
exercise activities education on the self‑efficacy of middle school
students. Med Sci J Islamic Azad Univ Tehran Med Branch 2012;
22:143‑51.
12. Yadav RN, Joshi S, Poudel R, Pandeya P. Knowledge, attitude,
and practice on menstrual hygiene management among school
adolescents. J Nepal Health Res Counc 2018; 15:212‑6.
13. Naidoo J, Wills J. Foundations for Health Promotion‑E‑Book.
England: Elsevier Health Sciences; 2016.
14. Emami H, Ghazinour M, Rezaeishiraz H, RichterJ. Mental health
of adolescents in Tehran, Iran. J Adolesc Health 2007; 41:571‑6.
15. Sistani N, Khoi M, Taghdisi MH. Promoting knowledge, attitude
and practices (KAP) of the mothers in their Girls’ pubertal health
based on peer education approach. J Babol Univ Med Sci 2010;
11:33‑9.
16. Ostovar R, Fararuie M, Mohamed F. Comparison of classic vs.
role plays teaching methods on the menstrual hygiene behavior
of secondary school girls in Iran.
17. Ayaz S, Açıl D. Comparison of peer education and the classic
training method for school aged children regarding smoking and
its dangers. J Pediatr Nurs 2015; 30:e3‑12.
18. Latifnejad Roudsari R, Nouri MJ, Hasanpour M, Hazaveyi SM,
Taghipour A. The necessity of sexual‑health education for Iranian
female adolescents: A qualitative study. Iran J Obstet Gynecol
Infertil 2012; 15:7‑17.
19. Nazarpour S, Arabi Z, Simbar M, Keshavarz Z, Baghestani AR.
A comparison between the skills‑based education with a
lecture‑based education on female adolescents’ knowledge,
attitude and practice about health in puberty: A randomized trail
study. Adv Nurs Midwifery 2020; 29:15‑23.
20. Parsa P, Mosavi Z, Fatemeh C, Farhadiyan M. Comparing the
effect of lecture and peer training on menstrual health knowledge
and practices among high school girls in Hamadan city, 2014.
Avicenna J Nurs Midwifery Care 2015; 23:26‑37.
21. Mason‑Jones AJ, Mathews C, Flisher AJ. Can peer education
make a difference? Evaluation of a South African adolescent peer
education program to promote sexual and reproductive health.
AIDS Behav 2011; 15:1605‑11.
22. Bagherinia M, Simbar M, Yazdani F, Safajou F, Mohamadkhani
Shahri L. Effectiveness school‑based educational interventions in
preventing smoking in Iranian adolescents: A systematic review.
Int J Pediatr 2020; 8:12421‑30.
23. Simons‑Morton BG, Farhat T. Recent findings on peer group
influences on adolescent smoking. J Prim Prev 2010; 31:191‑208.
24. Inguglia C, Costa S, Ingoglia S, Liga F. Associations between peer
pressure and adolescents’ binge behaviors: The role of basic needs
and coping. J Genet Psychol 2019; 180:144‑55.
25. Navidian A, Abedi M, Baghban I, Fatehizadeh M, Poorsharifi H.
The effects of motivational interviewing on lifestyle modifications
of clients suffering from hypertension. Razi J Med Sci 2010;
17:79‑94.
26. Ghahremani A, Hemmati MM, Alinejad V. Effect of
self‑efficacy‑based motivational interview on laboratory results
in type ii diabetes. journal of urmia nursing and midwifery faculty,
2017;9(98);688‑695
27. Schlösser M, Havermans G. A self‑efficacy scale for children and
adolescents with asthma: Construction and validation. J Asthma
1992; 29:99‑108.
28. Myles LA, Connolly J, Stanulewicz N. The mediating role of
perceived control and desire for control in the relationship
between personality and depressive symptomology. Mediterr J
Clin Psychol 2020;8(3);22‑31
29. Ghasemi V, Simbar M, Rashidi Fakari F, Saei Ghare Naz M,
Kiani Z. The effect of peer education on health promotion
of Iranian adolescents: A systematic review. Int J Pediatr
2019;7:9139‑57.
30. JacobsEE, SchimmelCJ, MassonRL, HarvillRL. GroupCounseling:
Strategies and Skills. America: Cengage Learning; 2015.
31. Mueser KT. Oxford Textbook of Community Mental Health.
America: Oxford University Press; 2011.
32. Simbar M, Nazarpour S, Arabi Z, Keshavarz Z, Baghestani AR.
Skills‑based education for promoting healthy diet among female
adolescents: A randomized controlled trial study. Child Adolesc
Social Work J 2020; 3(29):1‑9.
33. Naisi N, Aivazi AA, Hoseiny Rad M, Direkvand Moghadam A,
Pournajaf A. Knowledge, attitude and performance of K‑9 girl
students of Ilam City toward Puberty Health in 2013‑14. Sci J Ilam
Univ Med Sci 2016; 24:28‑34.
34. Ghaffari E, Azar FE, Azadi NA, Mansourian M. The effect of
educational intervention based on dramatic literature on parents
of elementary schoolchildren skills in sex education. J Educ Health
Promot 2020; 9:161.
35. Khademian Z, Kazemi Ara F, Gholamzadeh S. The effect
of self‑care education based on Orem’s nursing theory on
quality of life and self‑efficacy in patients with hypertension:
A quasi‑experimental study. Int J Community Based Nurs
Midwifery 2020; 8:140‑9.
36. Hassanian ZM, Dabestani A, Tapak L, Shamsizadeh M.
Correlation between demographic characteristics and quality of
life of patients with hypertension referred to Farshchian Hospital
of Hamadan. Avicenna J Nurs Midwifery Care 2019; 27:116‑24.
37. Salavera C, Usán P, Teruel P. The relationship of internalizing
problems with emotional intelligence and social skills in
secondary education students: Gender differences. Psicol Reflex
Crit 2019; 32:4.
38. Nazarpour S, Arabi Z, Simbar M, Keshavarz Z, Baghestani AR.
A comparison between the skills‑based education with a
lecture‑based education on female adolescents’ knowledge,
attitude and practice about health in puberty: A randomized trail
study. Adv Nurs Midwifery 2020; 29:15‑23.
39. Rad EF, Keshavarz Z, Simbar M, Nasiri M, Mehraliyan H. The
impact of a school‑based intervention using the PBSEIM model on
health promoting behaviors and self‑care in adolescent females.
Adv Nurs Midwifery 2017; 27:15‑9.
40. Haidari M, Mir Mohammad Ali M, Khakbazan Z, Mahmoodi M.
The study of comparison of two educational methods of lecture
and training package on self‑efficacy 9‑12 years old girls students
in relation with adolescent health. Iran J Nurs Res 2015; 10:1‑12.
41. Khatirpasha S, Farahani‑Nia M, Nikpour S, Haghani H. Puberty
health education and female students’ self‑efficacy. J Client Cent
Nurs Care 2019; 5:231‑8.
42. Ghahari S, Ismailzadeh J, Moghadam FE, Farrokhi N. Effectiveness of cognitive techniques on self‑efficacy and academic achievement
of high school girl’s students in Amol City‑IRAN. Turk Online J
Educ Technol 2017; 12:229‑34.
43. Bal‑Taştan S, Davoudi SM, Masalimova AR, Bersanov AS,
Kurbanov RA, Boiarchuk AV, et al. The impacts of teacher’s
efficacy and motivation on student’s academic achievement in
science education among secondary and high school students.
EURASIA J Math Sci Technol Educ 2018; 14:2353‑66.
44. Mohammadi N, Hooshian M, Omidi A, Soltanian A. The effect
of health belief model education on nutrition behavior of boys
in secondary schools in Hamadan. Avicenna J Nurs Midwifery
Care 2019;26:397‑406.