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

Journal article

Authors/Editors

SURAPON BOONLUE

Strategic Research Themes

digital learning (Future Learning)

Publication Details

Author list: Meeklinhom Y.; Boonlue S.; Powwattana A.; Thammaraksa P.

Publisher: Periodical

Publication year: 2025

Journal acronym: Int J Community Based Nurs Midwifery

Volume number: 13

Issue number: 3

Start page: 180

End page: 190

Number of pages: 11

ISSN: 2322-4835

eISSN: https://pmc.ncbi.nlm.nih.gov/journals/?term=101615484

URL: https://www.scopus.com/inward/record.uri?eid=2-s2.0-105010885830&doi=10.30476%2Fijcbnm.2025.104901.2667&partnerID=40&md5=1a0bf1d9bfd8c06e8f55439a6f543ca5

Languages: English-Great Britain (EN-GB)

View on publisher site

Abstract

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. © 2025 Elsevier B.V., All rights reserved.

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