Abstract
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 < 0.005). However, the reduction of these scores was greater in the intervention group. The GLMM analysis revealed that the intervention was effective in reducing depression (ß = −2.400, t = −3.102, SE = 0.7735, 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.
Subject
Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health
Reference48 articles.
1. Global Prevalence of Depressive and Anxiety Symptoms in Children and Adolescents during COVID-19: A Meta-analysis;JAMA Pediatr.,2021
2. World Health Organization (WHO) (2022, June 20). Adolescent Mental Health. Key Facts [Internet]. Available online: www.who.int/news-room/fact-sheets/detail/adolescent-mental-health.
3. UNICEF (2022, June 20). Ensuring Mental Health and Well-Being in an Adolescent’s Formative Years Can Foster a Better Transition from Childhood to Adulthood [Internet]. Available online: www.data.unicef.org/topic/child-health/mental-health/#_edn1.
4. UNICEF (2021). State of the World’s Children 2021: On My Mind Promoting, Protecting and Caring for Children’s Mental Health, UNICEF.
5. Depression, anxiety, and post-traumatic stress disorder among youth in low and middle income countries: A review of prevalence and treatment interventions;Asian J. Psychiatry,2018