Mobile Application Intervention for Prevention of Multiple Risk Behaviors among Thai Female Adolescents: A Quasi-experimental Study

Background: Multiple risk behaviors (MRB) among adolescents are correlated with adverse health outcomes. We have devised and examined the effect of a mobile application, STOP Multiple Risk Behaviors (“STOPMRB”), on perceived behavioral control and intention to avoid multiple risk behaviors (MRB) amo...

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Main Authors: Pimrat Thammaraksa, Arpaporn Powwattana, Surapon Boonlue, Yutthana Meeklinhom
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2025-07-01
Series:International Journal of Community Based Nursing and Midwifery
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Online Access:https://ijcbnm.sums.ac.ir/article_50960_f7e9ec6dd0a135ea957f9bc0188b01ab.pdf
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author Pimrat Thammaraksa
Arpaporn Powwattana
Surapon Boonlue
Yutthana Meeklinhom
author_facet Pimrat Thammaraksa
Arpaporn Powwattana
Surapon Boonlue
Yutthana Meeklinhom
author_sort Pimrat Thammaraksa
collection DOAJ
description Background: Multiple risk behaviors (MRB) among adolescents are correlated with adverse health outcomes. We have devised and examined the effect of a mobile application, STOP Multiple Risk Behaviors (“STOPMRB”), on perceived behavioral control and intention to avoid multiple risk behaviors (MRB) among Thai female adolescents.Methods: We conducted a two-group pre-post-test, quasi-experimental study involving Thai female adolescents aged 13–15 (N=60) in Samut Prakarn province, Thailand, between March and May 2021. Participants selected for the intervention group (N=30) were provided with access to a mobile application in conjunction with text messages for 8 weeks, whereas the control group (N=30) received standard education curricula. The primary outcome was self-reported risk behaviors. Secondary outcomes encompassed perceived behavioral control and intention to avoid MRB. Outcomes were analyzed using repeated measures ANOVA, Bonferrini test, Fisher’s Exact test, and independent t-test through the software IBM SPSS version 28. A significance level was established at a P-value of less than 0.05.Results: Following a two-month intervention, no MRB was reported among the intervention group, whereas the control group showed 6.7% (P=0.492). The intervention group demonstrated significantly higher mean scores of perceived behavioral control (P<0.001) and the intention to avoid (P<0.001) in comparison to the control group at weeks 4 and 8.Conclusion: Mobile application, according to STOPMRB, could enhance perceived behavioral control and intention to evade MRB and less self-reported frequency of MRB.
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spelling doaj-art-5bb53152154f48fc81cfc0d40275749c2025-08-20T02:41:36ZengShiraz University of Medical SciencesInternational Journal of Community Based Nursing and Midwifery2322-24762322-48352025-07-0113318019010.30476/ijcbnm.2025.104901.266750960Mobile Application Intervention for Prevention of Multiple Risk Behaviors among Thai Female Adolescents: A Quasi-experimental StudyPimrat Thammaraksa0Arpaporn Powwattana1Surapon Boonlue2Yutthana Meeklinhom3Boromarajonani College of Nursing, Bangkok, Thailand;Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Thailand;Faculty of Education, Division of Educational Communications and Technology, King Mongkut’s University of Technology Thonburi, ThailandBangpleeratbamrung School, ThailandBackground: Multiple risk behaviors (MRB) among adolescents are correlated with adverse health outcomes. We have devised and examined the effect of a mobile application, STOP Multiple Risk Behaviors (“STOPMRB”), on perceived behavioral control and intention to avoid multiple risk behaviors (MRB) among Thai female adolescents.Methods: We conducted a two-group pre-post-test, quasi-experimental study involving Thai female adolescents aged 13–15 (N=60) in Samut Prakarn province, Thailand, between March and May 2021. Participants selected for the intervention group (N=30) were provided with access to a mobile application in conjunction with text messages for 8 weeks, whereas the control group (N=30) received standard education curricula. The primary outcome was self-reported risk behaviors. Secondary outcomes encompassed perceived behavioral control and intention to avoid MRB. Outcomes were analyzed using repeated measures ANOVA, Bonferrini test, Fisher’s Exact test, and independent t-test through the software IBM SPSS version 28. A significance level was established at a P-value of less than 0.05.Results: Following a two-month intervention, no MRB was reported among the intervention group, whereas the control group showed 6.7% (P=0.492). The intervention group demonstrated significantly higher mean scores of perceived behavioral control (P<0.001) and the intention to avoid (P<0.001) in comparison to the control group at weeks 4 and 8.Conclusion: Mobile application, according to STOPMRB, could enhance perceived behavioral control and intention to evade MRB and less self-reported frequency of MRB.https://ijcbnm.sums.ac.ir/article_50960_f7e9ec6dd0a135ea957f9bc0188b01ab.pdfadolescentshealth risk behaviorsmobile applicationtheory of planned behavior
spellingShingle Pimrat Thammaraksa
Arpaporn Powwattana
Surapon Boonlue
Yutthana Meeklinhom
Mobile Application Intervention for Prevention of Multiple Risk Behaviors among Thai Female Adolescents: A Quasi-experimental Study
International Journal of Community Based Nursing and Midwifery
adolescents
health risk behaviors
mobile application
theory of planned behavior
title Mobile Application Intervention for Prevention of Multiple Risk Behaviors among Thai Female Adolescents: A Quasi-experimental Study
title_full Mobile Application Intervention for Prevention of Multiple Risk Behaviors among Thai Female Adolescents: A Quasi-experimental Study
title_fullStr Mobile Application Intervention for Prevention of Multiple Risk Behaviors among Thai Female Adolescents: A Quasi-experimental Study
title_full_unstemmed Mobile Application Intervention for Prevention of Multiple Risk Behaviors among Thai Female Adolescents: A Quasi-experimental Study
title_short Mobile Application Intervention for Prevention of Multiple Risk Behaviors among Thai Female Adolescents: A Quasi-experimental Study
title_sort mobile application intervention for prevention of multiple risk behaviors among thai female adolescents a quasi experimental study
topic adolescents
health risk behaviors
mobile application
theory of planned behavior
url https://ijcbnm.sums.ac.ir/article_50960_f7e9ec6dd0a135ea957f9bc0188b01ab.pdf
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