Carmen van der Mark, Justin Bitter, Paul H J Hendriks, Hester Vermeulen, Catharina J van Oostveen
The Nurse Perceived Adequacy of Staffing Scale for general hospital wards: A development and psychometric validation study
International journal of nursing studies advances
majority adolescents currently becoming sexually active 18th birthday battle unsafe sexual behaviors teenage pregnancies sexually transmitted infections school dropouts study designed tested effect integrated reproductive health lesson materials problembased pedagogy pbp enhance safe sexual behaviors among adolescents tanzania clustered randomized controlled trial adopted among 660 adolescents tanzania study consisted three research arms including pure pbp hybrid pbp lecturebased pedagogy lbp sexualrisk behavior beliefs selfesteem scale adopted previous studies measured adolescents sexual behaviors statistical analysis software sas version 94 used analyze data descriptive analysis established adolescents sociodemographic profiles generalized estimating equation gee determined effect interventions adolescents intentions practice safe sexual behaviors 95 confidence interval significance level 5 adolescents mean age 15 1869 years sums 575 n 380 females 395 adolescents sexually active whereas 448 initiated sexual intercourse age 10 12 years endline findings showed 549 adolescents lbp group demonstrated significant intention unsafe sexual behaviors 263 309 adolescents pure pbp hybrid pbp groups respectively differenceindifference odds ratio unsafe sexual behavior among adolescents hybrid pbp pure pbp less aor 030 p 00001 95ci 01398 05559 aor 030 p 00002 95ci 01386 05487 contrary control group respectively integrated rh lesson materials pbp change spectrum sexual behavior among adolescents tanzania study suggests school teachers health workers work together facilitate rh lessons using pbp enhance safe sexual behaviors among adolescents healthy adulthood future investmenttrial registration pan african clinical trial registry identifier pactr202009656160779