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Ratnawati D, Huda MH, Mukminin MA, Widyatuti W, Setiawan A. Meta-analysis of the effectiveness of educational programs about HIV prevention on knowledge, attitude, and behavior among adolescents. NARRA J 2024; 4:e870. [PMID: 39280293 PMCID: PMC11391990 DOI: 10.52225/narra.v4i2.870] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/15/2024] [Accepted: 07/19/2024] [Indexed: 09/18/2024]
Abstract
The prevalence of human immunodeficiency virus (HIV) among adolescents is on the rise due to a lack of comprehensive knowledge, leading to suboptimal attitudes and behaviors, which emphasizes the critical need for targeted interventions. The aim of this review study was to evaluate the effectiveness of educational interventions for HIV prevention among adolescents by assessing their impact on knowledge, attitude, and behavior. A systematic review of seven databases: PubMed, Science Direct, Cochrane, JSTOR, Embase, Scopus, and EBSCO were identified, and 14 eligible randomized controlled trials published until June 2023 were included. Two independent authors assessed quality appraisal using the Risk of Bias 2.0. Outcomes were measured using the standard mean difference (SMD) with random effects model and a 95% confidence interval. Subgroup analyses and meta-regression were performed to explore heterogeneity. The results showed significant improvements in participants' knowledge (SMD: 1.13, 95%CI: 0.78-1.49), behavior intentions (SMD: 1.22, 95%CI: 0.37-2.07), and attitude (SMD: 0.48, 95%CI: 0.02-0.95) after receiving HIV prevention education programs. Interventions grounded in theoretical principles and incorporating technology, group settings, and audio-visual aids were found to be effective in enhancing knowledge of HIV prevention and promoting behavioral intentions. Peer-led education positively impacted both knowledge and attitude. Moreover, excluding parents from these programs was identified as a crucial factor in improving adolescents' knowledge of HIV prevention. In conclusion, educational programs focused on HIV effectively enhance adolescents' knowledge, attitudes, and behavioral intentions among adolescents. Professionals planning interventions should consider these impactful components in designing comprehensive strategies.
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Affiliation(s)
- Diah Ratnawati
- Faculty of Nursing, Universitas Indonesia, Depok, Indonesia
- Faculy of Health Sciences, Universitas Pembangunan Nasional Veteran Jakarta, Jakarta Selatan, Indonesia
| | - Mega H. Huda
- Faculty of Nursing, Universitas Indonesia, Depok, Indonesia
- Research Center for Preclinical and Clinical Medicine, National Research and Innovation Agency, Jawa Barat, Indonesia
| | - Muhammad A. Mukminin
- School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
| | | | - Agus Setiawan
- Faculty of Nursing, Universitas Indonesia, Depok, Indonesia
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Tahlil KM, Rachal L, Gbajabiamila T, Nwaozuru U, Obiezu-Umeh C, Hlatshwako T, Tembo M, Willis N, Nyagog CO, Vorkoper S, Sturke R, Rosenberg NE, Ojo V, Moses I, Ahmed N, Beima-Sofie K, Roberts ST, Kateera B, Namisoke-Magongo E, Mbizvo MT, Iwelunmor J, Ezechi O, Tucker JD. Assessing Engagement of Adolescents and Young Adults (AYA) in HIV Research: A Multi-method Analysis of a Crowdsourcing Open Call and Typology of AYA Engagement in Sub-Saharan Africa. AIDS Behav 2022; 27:116-127. [PMID: 35829970 PMCID: PMC9277597 DOI: 10.1007/s10461-022-03786-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/03/2022] [Indexed: 11/26/2022]
Abstract
Engagement of adolescents and young adults (AYA) in HIV research is increasing in many settings. We organized a crowdsourcing open call to solicit examples of how AYA have been engaged in HIV research in Africa and to develop an engagement typology. We formed a steering committee, promoted the open call, organized judging and recognized finalists. We used a multi-methods approach to identify emerging themes and measure engagement. We received 95 entries from individuals in 15 countries; 74 met the eligibility criteria. More than three-quarters of entries were from AYA (55/74, 74%). Four themes characterized AYA engagement: (1) AYA were co-creators in the HIV research process. (2) AYA were involved in community-level capacity building. (3) AYA were co-leaders in minor risk research. (4) AYA used digital methods to enhance engagement. Our open call identified diverse methods of AYA engagement, which can enhance strategies used to reach AYA in African HIV studies.
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Affiliation(s)
- Kadija M Tahlil
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Laura Rachal
- School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Titi Gbajabiamila
- Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Ucheoma Nwaozuru
- Department of Behavioral Science and Health Education, Saint Louis University, Saint Louis, MO, USA
| | - Chisom Obiezu-Umeh
- Department of Behavioral Science and Health Education, Saint Louis University, Saint Louis, MO, USA
| | - Takhona Hlatshwako
- Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Mandikudza Tembo
- MRC Tropical Epidemiology Group, London School of Hygiene and Tropical Medicine, London, UK
| | | | | | - Susan Vorkoper
- Fogarty International Center, National Institutes of Health, Bethesda, MD, USA
| | - Rachel Sturke
- Fogarty International Center, National Institutes of Health, Bethesda, MD, USA
| | - Nora E Rosenberg
- Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Victor Ojo
- Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Isaac Moses
- Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Nadia Ahmed
- Mortimer Market Centre, Central North West London NHS Trust, London, UK
| | | | - Sarah T Roberts
- Women's Global Health Imperative, RTI International, Berkeley, CA, USA
| | | | - Eleanor Namisoke-Magongo
- Pediatric and Adolescent HIV Care and Treatment, AIDS Control Program, Ministry of Health, Kampala, Uganda
| | | | - Juliet Iwelunmor
- Department of Behavioral Science and Health Education, Saint Louis University, Saint Louis, MO, USA
| | - Oliver Ezechi
- Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Joseph D Tucker
- Institute of Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
- Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
- University of North Carolina School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.
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Ugwoke RO, Onyeanu EO, Ugwoke OV, Ajayi TA. Evaluating Coaching Intervention for Financial Risk Perception and Credit Risk Management in a Nigerian Sample. Front Psychol 2022; 13:962855. [PMID: 35865685 PMCID: PMC9294733 DOI: 10.3389/fpsyg.2022.962855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Accepted: 06/20/2022] [Indexed: 11/13/2022] Open
Abstract
There is no doubt that a negative perception of financial risk and a lack of credit risk management adversely impact business growth and business owners’ wellbeing. Past studies suggest that most Nigerian traders have poor risk perceptions and manage risk poorly. A business coaching program within rational-emotive behavior therapy framework (REBT-based business coaching) was evaluated in order to determine its effects on financial risk perception and credit risk management among Nigerian traders. This study used an open-label parallel randomized control design. This 8-weeks coaching program had 60 traders in the REBT-based business coaching group and 59 traders in the control group. The mixed-model repeated measures ANOVA was utilized for analysis of the study data. Results show that relative to a control group, traders’ financial risk perception [F(1.09,127.15) = 637.29, p < 0.001, ω2 = 0.69] and credit risk management [F(1.55,181.22) = 795.51, p < 0.001, ω2 = 0.80] significantly improved after participating in REBT-based business coaching program. This study shows that REBT-based business coaching program is integral to increasing financial risk perception and credit risk management among Nigerian traders. This study contributes to the advancement of business coaching program within the rational-emotive behavior therapy framework for market traders, and its application in similar situations. The study considered the benefits of business coaching program for market traders from a developing country, which is a rarely studied group. It is highly recommended that professionals study the relationship between REBT-based business coaching and economic decision-making within various organizational contexts.
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Ofoegbu TO, Asogwa UD, Ogbonna CS, Aloh HE, Eseadi C, Eskay M, Nji GC, Ngwoke OR, Agboti CI, Nnachi RA, Nnachi OC, Otu MS. Effect of digital storytelling intervention on burnout thoughts of adolescent: Athletes with disabilities. Medicine (Baltimore) 2020; 99:e21164. [PMID: 32791690 PMCID: PMC7386998 DOI: 10.1097/md.0000000000021164] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND/OBJECTIVE Both athletes with and without disabilities can develop burnout symptoms. However, athletes with disabilities may face different or more challenges compared to their counterparts without disabilities. The present study aimed at ascertaining the effect of digital storytelling intervention on burnout thoughts of adolescent-athletes with disabilities. METHOD This study is a randomized controlled trial involving a total of 171 adolescent-athletes with disabilities who showed a high degree of burnout symptoms. These adolescent-athletes were randomly assigned to either an intervention group (n = 85) or a waitlisted control group (n = 86). The treatment intervention for the adolescent-athletes was digital stories which were created based on the framework of rational emotive behaviour therapy (REBT). The Athlete Burnout Questionnaire was used for gathering of data at three different times (baseline, post-test and follow up). Data were analyzed using repeated measure analysis of variance at a significant level of 0.05. RESULTS Results showed that the digital storytelling intervention based on REBT significantly reduced burnout thoughts among disabled adolescent-athletes in the intervention group compared to athletes in the waitlisted control group as measured by the Athlete Burnout Questionnaire. Additionally, at follow-up evaluation, it was observed that the decrease in burnout scores was maintained by those athletes in the digital storytelling intervention. CONCLUSION Digital storytelling intervention based on rational emotive behaviour therapy shows great potentials in addressing burnout among adolescent-athletes with disabilities.
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Affiliation(s)
- Theresa Onyema Ofoegbu
- Department of Arts Education, University of Nigeria, Nsukka, P.M.B. 410001, Enugu State, Nigeria
| | - Uche D. Asogwa
- Department of Arts Education, University of Nigeria, Nsukka, P.M.B. 410001, Enugu State, Nigeria
| | - Chimaobi Samuel Ogbonna
- Department of Arts Education, University of Nigeria, Nsukka, P.M.B. 410001, Enugu State, Nigeria
| | - Henry E. Aloh
- Health Economics, Management and Policy Research Unit, Department of Health Sciences, Alex-Ekwueme Federal University Ndufu-Alike Ikwo, Ebonyi State, Nigeria
| | - Chiedu Eseadi
- Department of Educational Foundations, University of Nigeria, Nsukka, P.M.B. 410001, Enugu State, Nigeria
| | - Michael Eskay
- Department of Educational Foundations, University of Nigeria, Nsukka, P.M.B. 410001, Enugu State, Nigeria
| | - Godfrey C. Nji
- Department Human Kinetics and Health Education, University of Nigeria, Nsukka, P.M.B. 410001, Enugu State, Nigeria
| | - Oliver Rotachukwu Ngwoke
- Department Human Kinetics and Health Education, University of Nigeria, Nsukka, P.M.B. 410001, Enugu State, Nigeria
| | - Christian Iheanacho Agboti
- Department of Sociology/Criminology & Security Studies, Alex-Ekwueme Federal University Ndufu Alike Ikwo, Ebonyi State, Nigeria
| | - Robert Azu Nnachi
- Department of Accountancy/Business Administration/Banking and Finance, Alex-Ekwueme Federal University Ndufu-Alike Ikwo, Ebonyi State, Nigeria
| | - Oluomachi Charity Nnachi
- Department of Haematology and Blood Transfusion, Alex-Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi State, Nigeria
| | - Mkpoikanke S. Otu
- Department of Educational Foundations, University of Nigeria, Nsukka, P.M.B. 410001, Enugu State, Nigeria
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