The development of nursing innovation "promotion, prevention, protection board game (Triple P Board Game)" for unintended pregnancy prevention in children and youth in Chaiyaphum province

Authors

  • Anuchida Hemnonthong Faculty of Nursing, Khon Kaen University
  • Nisachon Bubpa Faculty of Nursing, Khon Kaen University
  • Nadchanan Wongchalee Faculty of Nursing, Khon Kaen University

Keywords:

unintended pregnancy prevention, design thinking, board game, nursing innovation, sex education

Abstract

This research aimed to develop and evaluate the effectiveness of nursing innovation "Promotion, Prevention, Protection Board Game (Triple P Board Game)" by integrating the design thinking process and the theory of inventive problem solving (TRIZ). The study was divided into two phases: Phase 1 the development of board game innovation, and Phase 2 evaluation of the nursing innovation effectiveness. The sample group consisted of 30 female secondary school students from Sap Yai District, Chaiyaphum Province. Data collection instruments included a knowledge questionnaire, a health literacy questionnaire, and a questionnaire on feasibility of implementing the innovation. The reliability was tested using Kuder-Richardson 20 (KR-20), which obtained reliability index of 0.949 and Cronbach's Alpha coefficient of 0.998. Data were analyzed using descriptive statistics.
The findings revealed that the nursing innovation "Promotion, Prevention, Protection Board Game (Triple P Board Game)", which was developed by adapting from the traditional Monopoly board game, serves as an educational medium designed to convey knowledge about preventing unintended pregnancy. This nursing innovation comprised playing equipment, rules, and a user manual, which had been examined for content quality by experts and were refined prior to being tested. Post-trial, participants demonstrated high knowledge scores (70%), moderate overall health literacy scores (mean=3.56, SD=1.50), and high feasibility ratings for implementation (mean=4.64, SD=0.30). This nursing innovation can be applied as part of unintended pregnancy prevention programs or as a medium for sex education communication between youth and adults such as parents, teachers, and community nurses. It emphasizes creating a safe learning environment and reducing discomfort in sex education communication, which aligns with guidelines for promoting appropriate sexual health for youth.

References

Bureau of Reproductive Health. Report on the birth rate among women aged 15-19 in Thailand [Report]. Nonthaburi: Bureau of Reproductive Health; 2022 [update 2025; cited 2025 Feb 27]. Available from: https://dashboard.anamai.moph.go.th/dashboard/ labor1519n (in Thai)

United Nations Population Fund. State of world population 2020 [internet]. USA: United Nations Population Fund; 2020 [update 2025; cited 2025 Feb 27]. Available from: https://www.unfpa.org/swop-2020

World Health Organization. Trends in maternal mortality 2000 to 2017: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division: executive summary [Internet]. Geneva: World Health Organization; 2019 [cited 2024 Sep 30]. Available from: https://iris.who.int/handle/10665/327596

Wong SP, Twynstra J, Gilliland JA, Cook JL, Seabrook JA. Risk factors and birth outcomes associated with teenage pregnancy: a canadian sample. J Pediatr Adolesc Gynecol 2020;33(2):153-9.

Nanthawong N. Prevalence and risk factors related to preterm birth among teenage pregnancy in Chaiyaphum Hospital. Chaiyaphum Med J 2022;42(2):69-81. (in Thai)

Titapant V, Chawanpaiboon S, Piyamongkol W. Causes and prevention of fetal growth restriction. Siriraj Med Bull [internet]. 2020 Jul 2 [cited 2024 Sep 29];13(3):210-5. Available from: https://he02.tci-thaijo.org/index.php/simedbull/article/view/241872 (in Thai)

Diabelková J, Malina A, Kuričová M, Hrehová D, Šaková K, Rabajdová M. Adolescent pregnancy outcomes and risk factors. Int J Environ Res Public Health [internet]. 2023 [cited 2024 Sep 29];20(5):4113. Available from: https://doi.org/10.3390/ijerph20054113

Sachueng K, Kittithanesuan Y, Songthamwat M, Saeng-aroon P, Summart U, Songthamwa S, et al. Pregnancy complications in adolescent mothers: a multi-institutional retrospective study. Udonthani Hospital Medical Journal [internet] 2022 [cited 2024 Sep 29]; 30(3):446-59. Available from: https://he02.tci-thaijo.org/index.php/udhhosmj/article/view/260640/178126 (in Thai)

Mansumrit T, Thongsri K, Chotecharnont T. Association of early onset neonatal sepsis (eons) within 72 hours of maternal teenage in Uttaradit Hospital. Health Science Clinical Research [Internet]. 2023 Jun 30 [cited 2024 Sep 30];38(1):56-69. Available from: https://he02.tci-thaijo.org/index.php/hscr/article/view/261023 (in Thai)

Maleerat P, Songthamwat M, Saeng-aroon P, Kittithanesuan Y, Songthamwat S, Summart U, et al. Pregnancy outcome in undernutrition mothers: a multicenter retrospective cohort study. Srinagarind Med J [Internet]. 2022 Dec 22 [cited 2024 Sep 27];37(6):565-7. Available from: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/255563 (in Thai)

Worapattanakul W. Neonates outcomes from teenage mothers. Journal of prevention medicine association of Thailand [Internet]. 2018 Jun 11 [cited 2024 Sep 30];7(1):56-64. Available from: https://he01.tci-thaijo.org/index.php/JPMAT/article/view/127949 (in Thai)

Esfarjani SV, Jamalzade NG, Hakim A, Hesam S. Puberty signs and its relationship with lifestyle in 8-to-10-year-old girls: a descriptive-analytical study. J Family Med Prim Care 2022;11(8):4736-42.

Kawansu P, Sereethammapithak P, Khavansu N. Factors affecting unwanted pregnancy in adolescent girls Nakhon Phanom province. Journal of environmental and community health 2019;8(1):324-36. (in Thai)

Mathewos S, Mekuria A. Teenage pregnancy and its associated factors among school adolescents of Arba Minch Town, Southern Ethiopia. Ethiop J Health Sci 2018;28(3):287-98.

Woodward L, Fergusson DM, Horwood LJ. Risk factors and life processes associated with teenage pregnancy: results of prospective study from birth to 20 years. J Marriage Fam 2001;63:1170-84.

Pivongkomjhon P. Development of preventive and solving strategies for teenage pregnancy by participation of family, community and local organizations in Kumpawapi Sub-District, Udonthani Province. Journal of Health Science [Internet]. 2020 Aug 28 [cited 2024 Sep 29];29(4):608-17. Available from: https://thaidj.org/index.php/JHS/article/view/9304 (in Thai)

Srisujarit D, Techakampholsarakit L, Phongpate K. Management model for preventing unwanted pregnancy in teenagers: a systematic review. NJPH [Internet]. 2021 Aug. 5 [cited 2024 Sep 28];31(2):152-65. Available from: https://he02.tci-thaijo.org/index.php/tnaph/article/view/252585 (in Thai)

Vongtathum P, Samat C. A development of educational board games construct process with design thinking. EDKKUJ [internet]. 2023 Dec 28 [cited 2025 Feb 20];46(4):65-78. Available from: https://so02.tci-thaijo.org/index.php/EDKKUJ/article/view/264876 (in Thai)

Bantawang J, Sritana K. Using educational board game: game of germs to develop self-care protection skills from viral infection in primary students in Mae Yao Wittaya School, Mueang District, Chiang Rai Province. JSSRA [Internet]. 2022 Nov 10 [cited 2024 Sep 30];17(2):77-90. Available from: https://so05.tci-thaijo.org/index.php/JSSRA/article/view/254292 (in Thai)

Jeeradist T. The Theory of Inventive Problem Solving (TRIZ) applies to innovative problem-solving in airline service quality. J Aviat manag [internet]. 2023 Aug 31 [cited 2025 Mar 1];1(1):70-86. available from: https://so19.tci-thaijo.org/index.php/KBUJAM/article/view/102 (in Thai)

Promnimit A, Pakdevong N, Binhosen V. Feasibility study of symptoms management application for colorectal cancer patients undergoing chemotherapy. J Fac Nurs Burapha Univ 2022;30(2):40-52. (in Thai)

Holloway I, Galvin K. Qualitative research in nursing and healthcare. Iowa: John Wiley & Sons;2023.

Prasertsang C. The science of teaching: knowledge for organising effective learning processes. Journal of Roi Et Rajabhat University [internet]. 2019 [cited Feb 27];13(1): 253-6. Available from: https://so03.tci-thaijo.org/index.php/reru/article/download/186064/130907 (in Thai)

Plass JL, Homer BD, Kinzer CK. Foundations of game-based learning. Educ Psychol 2015;50(4):258-83.

World Health Organization. WHO recommendations on adolescent sexual and reproductive health and rights [Internet]. Geneva: WHO; 2018 [update 2024; cited 2024 Sep 29]. Available from: https://apps.who.int/iris/handle/10665/275374

Khumsri C, Klin-eamand C, Poonpaiboonpipat W. The action research for developing learning activities with board games to enhance mathematical concept on Integer of seventh grade students. Journal of Roi Kaensarn Academi [internet]. 2002 Oct 22 [cited 2025 Feb 28];7(10):297-312. Available from: https://so02.tci-thaijo.org/index.php/JRKSA/article/view/256117 (in Thai)

Dechpongsamrit A. The development of broad game learning by cognitive theories of Piaget to enhanced cognitive flexibility in the 21st century students. JSCI-SBU [internet]. 2024 Jun 29 [cited 2025 Jun 10]; 4(1):96-111. Available from: https://ph02.tci-thaijo.org/index.php/JSCI/article/view/254086 (in Thai)

Downloads

Published

2025-06-29

How to Cite

1.
Hemnonthong A, Bubpa N, Wongchalee N. The development of nursing innovation "promotion, prevention, protection board game (Triple P Board Game)" for unintended pregnancy prevention in children and youth in Chaiyaphum province. J Nurs Sci Health [internet]. 2025 Jun. 29 [cited 2025 Dec. 30];48(2):42-58. available from: https://he01.tci-thaijo.org/index.php/nah/article/view/276262

Issue

Section

Research Article