ผลของโปรแกรมการให้ข้อมูลข่าวสาร สร้างแรงจูงใจ และพัฒนาทักษะพฤติกรรม เพื่อป้องกันการกลับเป็นซ้ำโรคติดต่อทางเพศสัมพันธ์ของวัยรุ่นหญิง

Kesarin Pakikane; Pornnapa Homsin; Rungrat Srisuriyawet

Authors

Kesarin Pakikane Faculty of Nursing, Burapha University
Pornnapa Homsin Faculty of Nursing, Burapha University
Rungrat Srisuriyawet Faculty of Nursing, Burapha University

Keywords:

IMB Model, recurrent sexually transmitted infections, female adolescent

Abstract

Introduction: The recurrence of sexually transmitted infections (STIs) among female adolescents is steadily increasing, resulting in significant physical, psychological, and social consequences.

Research objectives: To examine the effects of an Information–Motivation–Behavioral Skills (IMB) Model-based program on the prevention of recurrent STIs among female adolescents.

Research methodology: This study employed a quasi-experimental, two-group design with three measurement periods: pre-intervention, post-intervention, and a 4-week follow-up. The sample consisted of female adolescents (aged 18 – 24) diagnosed with and receiving treatment for STIs. They were divided into an experimental group and a comparison group (n = 31 each). The experimental group received the IMB Model-based program, consisting of four sessions delivered at one-week intervals. Data were collected using self-administered questionnaires with content validity and reliability verified by experts. Statistical analyses included frequency, percentage, mean, standard deviation, t-test, and repeated measures ANOVA.

Results: The experimental group demonstrated significantly higher mean scores in STI prevention knowledge, attitudes, perceived self-efficacy, and preventive behaviors compared to the control group, both immediately post-intervention and at the 4-week follow-up (F = 117.42, F = 29.18, F = 92.06 and F = 46.28).

Conclusions: This study demonstrates that delivering specialized information, fostering internalized motivation, and providing targeted skill development significantly enhances STI prevention knowledge, attitudes, perceived self-efficacy, and preventive behaviors among female adolescents.

Implications: These findings provide a strategic guideline for healthcare providers to implement the IMB Model-based program aimed at preventing recurrent STIs among female adolescents.

Downloads

Download data is not yet available.

References

World Health Organization (WHO). Global status report on sexually transmitted infections 2025 [Internet]. 2025. Available from: https://www.who.int/news-room/fact-sheets/detail/sexually-transmitted-infections-(stis)

Division of AIDS and Sexually Transmitted Diseases, Department of Disease Control, Ministry of Health of Public Health. Annual report 2024 [Internet]. 2024 [cited 2025 Oct 27]. Available from: https://ddc.moph.go.th/uploads/publish/1705520250508101951.pdf (in Thai)

Zheng L, Gu X, Fu G, Zhuang M, Liang H, Peng P, et al. Syphilis epidemic among men who have sex with men: A global systematic review and meta-analysis of prevalence, incidence, and associated factors. Lancet Global Health 2024;12(5):774-85.

Department of Disease Control. Operational plan for prevention and control of sexually transmitted infections, 2023–2030 [Internet]. 2025 [cited 2025 Oct 27]. Available from: https://ddc.moph.go.th/pagecontent.php?page=1618&dept= (in Thai)

Sawadcharoenying P. A study of factors affecting sexually transmitted diseases prevention and control implememented by the division of aids and STIs during 2010-2019. Thai AIDS Journal 2020;32(3):94–113. (in Thai)

Sirited P, Thongmark W, Kotmongkon D, Wandondaeng R, Thong-o J, Khrueapheng M. Effect of health beliefs modification program on adolescent sexually transmitted disease prevention behaviors in Phetchaburi Province. Journal of Health Science and Community Public Health 2021;7(2):309-26. (in Thai)

Suthipong R, Rueangchai K. Knowledge regarding prevention of sexually transmitted infections and preventive behaviors among adolescents in Mueang District, Ratchaburi Province. In: Proceedings of the 5th National Conference: Muban Chombueng Rajabhat University Research. Ratchaburi, Thailand: Muban Chombueng Rajabhat University; 2017. p.430-6. (in Thai)

Wattradul D, Numpet T, Smuntavekin S, Chaopreecha A. Developing model of health promoting behavior in preventing HIV and STDs in the youths in the city. Journal of Nursing Science and Health 2016;39(1):24–36. (in Thai)

Wangwonsin A, Kuntamung J, Yomjun N, Simsin S, Boonyom S. Factors related to sexually transmitted disease preventive behaviors among high school students of a school in lower northern region. Journal of Public Health and Health Sciences Research 2021;3(1):1-12. (in Thai)

Muanphetch C, Maharachapong, N. Social media usage behavior and sexual intercourse among Thai adolescents. The Journal of Prapokklao Hospital Clinical Medical Education Center 2020;37(3):232-9 (in Thai)

Buarod T, Thongnopakun S. Online sexual media literacy and preventive behaviors toward sexually transmitted infections among university youth in Chonburi Province. Journal of Disease Control 2019;45(4):402–12. (in Thai)

Fisher JD, Fisher WA. Changing AIDS risk behavior. Psychological Bulletin. 1992;111:455–74.

Ramsiri K. Effects of an information-motivation-behavioral skills program for alcohol drinking prevention among female adolescents. [master’s thesis]. Chonburi: Burapha University; 2021. (in Thai)

Kingmala C, Sookpool A, Pangsuk P, Wangmun W. Effect of information motivation behavioral skill to pregnancy prevention program in early adolescents, Surin Province. Udonthani Hospital Medical Journal 2019;27(2):158–65. (in Thai)

Suwalak N, Tansakul S, Thirawiwat M, Kaewdamkeng K. Effects of an information-motivation-behavioral skills program for preventing sexual intercourse among tenth grade students. Thai Journal of Health Education 2019;42(1):29–42. (in Thai)

Burns N, Grove SK. The practice of nursing research: Conduct, critique, and utilization. 3rd ed. Philadelphia: W. B. Saunders; 1993.

Webber AL. Social psychology. New York: Harper Perennial; 1992.

Suwan J, Junprasert S, Homsin P. Development on intention and behavior of sexually transmitted diseases among Thai army recruits in Nakornratchasima Province. Journal of The Royal Thai Army Nurses 2017;18(1):237–44. (in Thai)

Chananok J, Udomphoka T, Nokaew J. Effects of a program promoting AIDS, sexually transmitted disease, and teenage pregnancy prevention behaviors among student leaders in a private school in Mueang District, Nakhon Ratchasima Province. Journal of Health Research and Development, Nakhon Ratchasima Provincial Public Health Office 2019;5(1):96-106. (in Thai)

Drago F, Ciccarese G, Zangrillo F, Gasparini G, Cogorno L, Riva S, et al. A survey of current knowledge on sexually transmitted diseases and sexual behaviour in Italian adolescents. International Journal of Environmental Research and Public Health 2016;13(4):422. doi: 10.3390/ijerph13040422

Janthapet P, Deeprom C. Effects of a program promoting sexually transmitted infection prevention behaviors among Mathayomsuksa 1 students in Phonthong District, Roi Et Province. Journal of Nursing Science and Health 2019;42(4):92-101. (in Thai)