Mobile Application Intervention for Prevention of Multiple Risk Behaviors among Thai Female Adolescents: A Quasi-experimental Study.
Pimrat Thammaraksa, Arpaporn Powwattana, Surapon Boonlue and 1 others
PMID 40755862WHAT IT FOUND
A mobile app improved Thai girls' confidence and intention to avoid smoking, alcohol, and sex.
However, the actual number of girls engaging in these behaviors did not drop significantly compared to the control group.
Key findings
01The intervention group showed significantly higher perceived behavioral control and intention to avoid multiple risk behaviors at week 4 and week 8 compared to the control group.
02At week 8, the difference in the percentage of participants reporting multiple risk behaviors between the intervention and control groups was not significant.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was underpowered to detect differences in the primary behavioral outcome due to the small sample size and low baseline rates of multiple risk behaviors. The follow-up period was short (8 weeks), which may not be sufficient to observe sustained behavioral changes. Self-reported data on sensitive behaviors like sexual activity and substance use may be subject to social desirability bias. The participants were already interested in the program, which may limit generalizability to less motivated adolescents.
Declared interests
The study received ethical approval from the Boromarajonani College of Nursing, Bangkok. No specific funding sources or conflicts of interest were declared in the provided text.
The easy way to misread this
Do not conclude that the mobile app reduced actual risk behaviors. The study showed improvements in intention and perceived control, but the difference in reported multiple risk behaviors between the app group and the control group was not significant.