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

Bibliographic Data

ID15480424
AuthorsRahmat Dapari (0000-0003-3915-0340, Universiti Putra Malaysia, corresponding author), Mohd Safrin Mohamad Bashaabidin (0000-0002-5631-1751, Universiti Putra Malaysia), Mohd Rohaizat Hassan (0000-0002-4658-6532, National University of Malaysia), Nazri Che Dom (0000-0002-9500-7453, Universiti Teknologi MARA), Syed Sharizman Syed Abdul Rahim (0000-0002-9090-2563, Universiti of Malaysia Sabah), Wan Rozita Wan Mahiyuddin (0000-0001-6302-6687, Institute for Medical Research)
Year2022
Volume19
Issue22
Pages15362-15362
Publication date2022-11-21
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph192215362
PMID36430081
OpenAlexW4309786499
LanguageEN
Citations received1
References cited28

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 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

Anxiety · Cluster randomised controlled trial · Depression (economics · Intervention (counseling · Mental health · Physical therapy · Psychiatry · Randomized controlled trial · Adolescent Health and Behaviors · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · COVID-19 and Mental Health · Medicine · Internal Medicine

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