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The Effects of Contraceptive Education Program on Contraceptive Knowledge, Contraceptive Attitude and Contraceptive Self-efficacy among High School Students

피임교육 프로그램이 고등학생의 피임 지식, 피임 태도와 피임 자기효능감에 미치는 효과

  • Kim, Yu-Jin (College of Nursing, Pusan National University) ;
  • Kim, Dong-Hee (College of Nursing, Pusan National University) ;
  • Park, Jung-Ha (Department of Nursing, Dongseo University)
  • Received : 2017.07.10
  • Accepted : 2017.10.13
  • Published : 2017.10.31

Abstract

This study aimed to develop and evaluate the program of contraceptive education for high school students. A nonequivalent control group design was used. The contraceptive education program was developed and applied to the experimental group. The control group was provided with a handout and video educational instrument after the intervention. The population of the study comprised 146 high school students in the third grade at two high schools in U city. The collected data were analyzed by descriptive statistics, the ${\chi}^2$-test, t-test and repeated measure ANOVA using the PASW 18.0 program. The content and learning guidance validities of the contraceptive education program were 0.93 points and more than 4 points, respectively. There were statistically significant increases over time in contraceptive knowledge(F=56.71, p<.001), contraceptive attitude(F=4.31, p=.018) and contraceptive self-esteem (F=8.15, p<.001) in the experimental group. The results indicate that the contraceptive education program is effective in improving the contraceptive knowledge, contraceptive attitude and contraceptive self-esteem among high-school students. Further study is recommended to confirm the long-term effects of the contraceptive education program.

본 연구의 목적은 고등학교 학생들을 위한 피임교육 프로그램을 개발하고, 개발된 프로그램의 효과를 검증하는 것이다. 본 연구를 위해 비동동성대조군 전후설계를 적용한 유시실험 연구가 실시되었다. 실험군에게는 고등학교 학생들을 위해 개발된 피임교육 프로그램을 적용하였다. 실험중재가 완료된 후에는 대조군에게 유인물과 비디오 교육이 제공되었다. 본 연구를 위한 대상자는 U 시에 있는 두 개의 고등학교에 재학중인 3학년 학생으로 총 146명이었다. 수집되어진 자료는 PASW 18.0 프로그램을 이용하여 기술통계, ${\chi}^2$-검정, t-검정, 일변량 분산분석으로 분석되었다. 고등학생을 위한 피임교육 프로그램에 대한 내용 타당도는 0.93점이었고, 교육지도에 대한 타당도는 4점 이상이었다. 실험군에서 피임교육지식(F=56.71, p<.001), 피임 태도(F=4.31, p=.018)와 피임 자기효능감(F=8.15, p<.001)이 통계학적으로 유의하게 증가되었다. 이러한 결과는 고등학생을 위해 개발된 피임교육 프로그램이 학생들의 피임 지식, 피임 태도와 피임 자기효능감을 효과적으로 증가시켰음을 나타낸다. 향후 연구에서는 개발된 피임교육 프로그램의 장기적인 효과를 확인하는 연구가 수행되기를 제언한다.

Keywords

References

  1. Korea Centers for Disease Control and Prevention, The 10th Youth Health Behavior Online Survey Statistics [cited 2014 Dec 5], Available From: https://yhs.cdc.go.kr new/pages/pds2.asp(accessed Feb, 10, 2015)
  2. H. L. Jung. "High School Health Textbook", Chunjae, 2011.
  3. J. S. Santelli, B. Morrow, J. E. Anderson, L. D. Lindberg. Contraceptive Use and Pregnancy Risk Among U. S. High School Students: 1991-2003. Perspectives on Sexual and Reproductive Health, vol. 38, no. 2, pp. 106-111, 2006. DOI: https://doi.org/10.1363/3810606
  4. R. H. Wang, H. H. Wang, M. T. Hsu. Factor Associated with Adolescent Pregnancy: A Sample of Taiwanese Female Adolescents. Public Health Nursing, vol. 20, no. 1, pp. 33-41, 2003. DOI: http://dx.doi.org/10.1046/j.1525-1446.2003.20105.x
  5. R. H. Wang, C. P. Cheng, F. H. Chou, A Causal Model of Contraceptive Intention and Its Gender Comparison among Taiwanese Sexually Inexperienced Adolescents. Journal of Clinical Nursing, vol. 17, no. 7, pp. 930-939, 2008. DOI: http://dx.doi.org/10.1111/j.1365-2702.2007.02088.x
  6. S. W. Hwang, C. W. Chung. Nursing Practice : Contraception Behaviors in Unmarried Men and Women: A Descriptive Qualitative Approach. Perspectives in Nursing Science, vol. 9, no. 2, pp. 71-82, 2011.
  7. K. S. Koh, "Mediating effects of birth control knowledge in relation to effects of high schoolers' birth control self-efficacy on birth control attitude", Unpublished Master's thesis, Jeju National University, Jeju, 2014.
  8. Ministry of Health and Welfare, Sex Education Manual for High School Teachers [cited 2011 Oct 5] Available From: http://www.schoolhealth.kr/shnhome/bbs/bbs01002hv.php?LstNum1=1076&PageNum=74&purl=bbs01001l&GbnC ode=01(accessed Nov, 11, 2011)
  9. Ministry of Education, Science and Technology, Sexual Violence Prevention Education for Middle and High School Students. [cited 2012 Nov. 2] Av a i l a b l e From: http://www.schoolhealth.kr/shnhome/bbs/bbs01002v.php?LstNum1=1598&purl=bbs01001l& GbnCode=0108(accessed Jan, 11, 2015)
  10. S. W. Heo. A Comparative Study of Sexual Morality between Ordinary Juveniles and Delinquent Juveniles, Research Center for Korean Youth Culture, 24, pp. 190-228, 2010.
  11. H. J. Jeong. "Research on Sex Education and Needs from the view point of middle school students" Unpublished Master's thesis, Mokpo National University, Mokpo, 2012.
  12. S. J. Kim. "Effectiveness of video-based intervention on contraception for adolescents", Unpublished Master's thesis, Ewha Womans University, Seoul, 2003.
  13. Chung-Park M. S. Evaluation of a pregnancy prevention programme using the contraceptive behavior change model. Journal of Advanced Nursing, vol. 61, no. 1, pp. 81-91, 2007. DOI: http://dx.doi.org/10.1111/j.1365-2648.2007.04468.x
  14. Y. Kudo. Effectiveness of a Condom Use Educational Program developed on the basis of the information-motivation-behavioral skills model. Japan Journal of Nursing Science, vol. 10, no. 1, pp. 24-40, 2013. DOI: http://dx.doi.org/10.1111/j.1742-7924.2012.00207.x
  15. K. R. Shin, H. J. Park, K. E. Bae, C. Y. Cha, Sexual Behavior, Health Risk Behaviors Related to Reproductive Health, and Sexual Experiences among Korean College Students. Korean Academic Society of Adult Nursing, vol. 22, no. 6, pp. 624-633, 2010.
  16. H. S. Kang, "Explanatory model of condom use among Korean college students", Unpublished doctoral dissertation, Yonsei University, Seoul, 2001.
  17. C. Galavotti, R. J. Cabral, A. Lansky, D. M. Grimley, G. E. Riley, J. O. Prochaska, Validation of Measure of Condom and Other Contraceptive Use Among Women at High Risk for HIV Infection and Unintended Pregnancy. Health Psychology, vol. 14, no. 6, pp. 570-578. 1995. DOI: http://dx.doi.org/10.1037/0278-6133.14.6.570
  18. S. W. Hwang, C. W. Chung. Contraceptive Behavior and Related Factors in Unmarried Women and Men, Korean Journal of Women Health Nursing, vol. 17, no. 1, pp. 77-87, 2011. DOI: https://doi.org/10.4069/kjwhn.2011.17.1.77
  19. L. E. Raths, M. Harmin, S. B. Simon, Values and Teaching Working with Values in the Classroom, Merrill Pub Co, 1994.
  20. J. H. Bae, Development of Music Teaching-Learning Program for Secondary Students with Intellectual Disabilities based on Music Therapy Approach.. Journal of music and human behavior, vol. 10, no. 1, pp. 47-66, 2013.
  21. I. S. Lee, J. Y. Cho, Comparative Study on the Contraceptive Knowledge, Self-efficacy According to the Career Tract of High School Female Students, J. of Korean Soc. of School Health, vol. 21, no. 2, pp. 1-14, 2008.
  22. D. S. Kang, Study on the Development of Sexual Self-determination Program for High School Student through Reality Therapy and its Effects, Unpublished Master's thesis, Korea National University, Cheongju, 2005.
  23. J. F. McKenzie, B. L. Neiger, R. Thackeray, Planning, Implementing & Evaluation Health Promotion Programs(3rd). Boston: Allyn & Bacon, 2012.
  24. Ministry of Education, 2013 Basic Direction of Student Health Promotion [cited 2013 Feb 21], Available From: http://www.moe.go.kr/boardCnts/view.do?boardID=318&lev=0&statusYN=W&s=moe&m=030207&opType=N&boardSeq=42158(accessed Nov, 11, 2015)
  25. Ministry of Education, Sex Education Guideline for Teachers, Ministry of Education, 2001.
  26. I. K. Yoon, J. Y, Park, S. J. Lee, Study on the Efficiency of Sex Education & Prevention of Sexual Violence Program for Middle School Students, Korean Home Economics Education Association, vol. 21, no. 4, pp. 127-144, 2009.
  27. M. A. Hernandez, S. I. Garcia, H. M. Simon, A. R. Coy, F. A. Garcia, P. E. Liante, M. P. Floro, R. A. Mateos. Effectiveness of a Sexual Education Program in Teenagers in Knowledge Acquisition and Changes in Attitude to the Use of Contraceptive Methods. Enfermeria Clinical, vol. 19, no. 3, pp. 121-128, 2009. DOI: http://dx.doi.org/10.1016/j.enfcli.2008.10.012
  28. N. K. Kim, "Relationship among female adolescent's sexual knowledge value of sexuality and sexuality attitude Unpublished Master's thesis, Sahmyook University, Seoul. 2009.
  29. H. Y. Lee, Comparative Analysis of Sexual Knowledge, Sexual Attitude, Sexual Behavior and Sex Education of Korean, Chinese and Japanese Students in Adolescence, Unpublished doctoral thesis, Kangwon National University, Chuncheon, 2007.
  30. J. T. Lee, J. L. Tsai, T. S. Tsou, M. C. Chen, Effectiveness of a Theory-based Postpartum Sexual Health Education Program on Women's Contraceptive Use: A Randomized Controlled Trial. Contraception, vol. 84, no. 1, pp. 48-56, 2011. DOI: https://doi.org/10.1016/j.contraception.2010.11.008