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Open Access 01-12-2024 | Research

Development and implementation of a worksite-based intervention to improve mothers’ knowledge, attitudes, and skills in sharing information with their adolescent daughters on preventing sexual violence: lessons learned in a developing setting, Sri Lanka

Authors: Dilini Mataraarachchi, P.K. Buddhika Mahesh, T.E.A. Pathirana, P.V.S.C. Vithana

Published in: BMC Public Health | Issue 1/2024

Abstract

Background

Sexual violence among adolescents has become a major public health concern in Sri Lanka. Lack of sexual awareness is a major reason for adverse sexual health outcomes among adolescents in Sri Lanka. This study was intended to explore the effectiveness of a worksite-based parent-targeted intervention to improve mothers’ knowledge, and attitudes on preventing sexual violence among their adolescent female offspring and to improve mother-daughter communication of sexual violence prevention with the family.

Methods

“My mother is my best friend” is an intervention designed based on previous research and behavioral theories, to help parents to improve their sexual communication skills with their adolescent daughters. A quasi-experimental study was conducted from August 2020 to March 2023 in randomly selected two Medical Officer of Health (MOH)areas in Kalutara district, Sri Lanka. Pre and post-assessments were conducted among a sample of 135 mothers of adolescent girls aged 14–19 years in both intervention and control areas.

Results

Out of the 135 mothers who participated in the baseline survey, 127 mothers (94.1%) from the intervention area (IA) physically participated in at least one session of the intervention. The worksite-based intervention was effective in improving mothers’ knowledge about adolescent sexual abuse prevention (Difference in percentage difference of pre and post intervention scores in IA and CA = 4.3%, p = 0.004), mother’s attitudes in communicating sexual abuse prevention with adolescent girls (Difference in percentage difference of pre and post intervention scores in IA and CA = 5.9%, p = 0.005), and the content of mother-daughter sexual communication (Difference in percentage difference of pre and post intervention scores in IA and CA = 27.1%, p < 0.001).

Conclusions and recommendations

Worksite-based parenting program was effective in improving mothers’ knowledge about sexual abuse prevention among adolescent daughters and in improving the content of mother-daughter communication about sexual abuse prevention. Developing appropriate sexual health programs for mothers of different ethnicities, and cultures using different settings is important. Conduction of need assessment programs to identify the different needs of mothers is recommended.

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Jewkes R, Dartnall E. Sexual violence. Int Encycl Public Heal. 2016;491–8.

UNICEF. Sexual violence against children [Internet]. 2021. Available from: https://www.unicef.org/protection/sexual-violence-against-children.

Immigration and Refugee board C. Responses to information requests (RIRs). Sri Lanka Sex Domest violence, Incl Legis state Prot Serv available Vict. 2012;1–8.

Perera B. Prevalence and correlates of sexual abuse reported by late adolescent school children in Sri Lanka. 2009;21(2):203–11.

Rajapaksa-hewageegana N, Piercy H, Salway S, Samarage S. Sexual & reproductive healthcare sexual and reproductive knowledge, attitudes and behaviours in a school going population of Sri Lankan adolescents. Sex Reprod Healthc [Internet]. 2015;6(1):3–8. https://doi.org/10.1016/j.srhc.2014.08.001.

Udigwe I, Ofiaeli O, Ebenebe J, Nri-Ezedi C, Ofora V, Nwaneli E. Sexual abuse among adolescents. Ann Heal Res. 2021;7:50–8.CrossRef

Hettiarachchi D. The place of sexuality education in preventing child pregnancies in Sri Lanka. Sri Lanka J Child Heal. 2022;51(1):4–7.CrossRef

Downing J, Jones L, Bates G, Sumnall H, Bellis MA. A systematic review of parent and family-based intervention effectiveness on sexual outcomes in young people. Health Educ Res [Internet]. 2011;26(5):808–33. https://doi.org/10.1093/her/cyr019.

Romo LF, Bravo M, Tschann JM. The effectiveness of a joint mother-daughter sexual health program for Latina early adolescents. J Appl Dev Psychol [Internet]. 2014;35(1):1–9. https://doi.org/10.1016/j.appdev.2013.10.001.

10.

Grusec JE. Socialization processes in the family: social and emotional development. Annu Rev Psychol. 2011;62:243–69.CrossRefPubMed

11.

Shams M, Parhizkar S, Mousavizadeh A, Majdpour M. Mothers’ views about sexual health education for their adolescent daughters: a qualitative study. Reprod Health. 2017;14(1).

12.

Mataraarachchi D, Buddhika Mahesh PK, Pathirana TEA, Ariyadasa G, Wijemanne C, Gunatilake I et al. Mother’s perceptions and concerns over sharing sexual and reproductive health information with their adolescent daughters- A qualitative study among mothers of adolescent girls aged 14–19 years in the developing world, Sri Lanka. BMC Womens Health [Internet]. 2023;23(1):223. https://doi.org/10.1186/s12905-023-02369-1.

13.

Rohanachandra YM, Amarakoon L, Alles PS, Amarasekera AU, Mapatunage CN. Parental knowledge and attitudes about child sexual abuse and their practices of sex education in a Sri Lankan setting. Asian J Psychiatr [Internet]. 2023;85:103623. Available from: https://www.sciencedirect.com/science/article/pii/S1876201823001788.

14.

Bessant J, Maher L. Developing radical service innovations in healthcare—the role of design methods. Int J Innov Manag. 2009;13(04):555–68.CrossRef

15.

Mataraarachchi D, Buddhika APTE, Vithana PKM. Mother-daughter communication of sexual and reproductive health (SRH) matters and associated factors among sinhalese adolescent girls aged 14–19 years, in Sri Lanka. BMC Womens Health. 2023;23(1):1–10.

16.

Pocock SJ. The Size of a Clinical Trial [Internet]. Clinical Trials. 2013. p. 123–41. (Wiley Online Books). https://doi.org/10.1002/9781118793916.ch9.

17.

Robinson WT. Adaptation of the information-motivation-behavioral skills model to needle sharing behaviors and hepatitis C risk: a structural equation model. SAGE Open. 2017;7(1).

18.

John SA, Walsh JL, Weinhardt LS. The information–motivation–behavioral skills model revisited: A network-perspective structural equation model within a public sexually transmitted infection clinic sample of hazardous alcohol users. AIDS Behav. 2017;21(4):1208–18.CrossRefPubMed

19.

Eastman KL, Corona R, Schuster MA. Talking parents, healthy teens: a worksite-based program for parents to promote adolescent sexual health. Prevening Chronic Dis Public Heal Res Pract Policy. 2006;3(4).

20.

Godamunne PKS. Sri Lankan parents’ attitudes towards adolescent reproductive and sexual health education needs: A qualitative study. 2008.

21.

Whalen CK, Henker B, Hollingshead J, Burgess S. Parent–adolescent dialogues about AIDS. J Fam Psychol. 1996;10(3):343–57.CrossRef

22.

Coombs RH, Santana FO, Fawzy FI. Parent training to prevent adolescent drug use: an educational model. J Drug Issues [Internet]. 1984;14(2):393–402. https://doi.org/10.1177/002204268401400214.

23.

Kirby D, Miller BC. Interventions designed to promote parent-teen communication about sexuality. 2002;(97):93–110.

24.

Mytton J, Ingram J, Manns S, Thomas J, Manns S, Hons L et al. Facilitators and barriers to engagement in parenting progrmas. Health Educ Behav. 2014;(May 2013).

25.

Winick C, Rothacker DQ, Norman RL. Four worksite weight loss programs with high-stress occupations using a meal replacement product. Occup Med (Lond). 2002;52(1):25–30.CrossRefPubMed

26.

Bogart LM, Skinner D, Thurston IB, Toefy Y, Klein DJ, Hu CH, et al. Let’s talk! A South African worksite-based HIV prevention parenting program. J Adolesc Health. 2013;53(5):602–8.CrossRefPubMedPubMedCentral

27.

Schuster MA, Corona R, Elliott MN, Kanouse DE, Eastman KL, Zhou AJ, et al. Evaluation of talking parents, Healthy Teens, a new worksite based parenting programme to promote parent-adolescent communication about sexual health: Randomised controlled trial. BMJ. 2008;337(7664):273–7.

28.

Akers AY, Holland CL, Bost J. Interventions to improve parental communication about sex: a systematic review. Pediatrics. 2011;127(3):494–510.CrossRefPubMedPubMedCentral

Title: Development and implementation of a worksite-based intervention to improve mothers’ knowledge, attitudes, and skills in sharing information with their adolescent daughters on preventing sexual violence: lessons learned in a developing setting, Sri Lanka
Authors: Dilini Mataraarachchi
P.K. Buddhika Mahesh
T.E.A. Pathirana
P.V.S.C. Vithana
Publication date: 01-12-2024
Publisher: BioMed Central
Published in: BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-024-18416-x

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Development and implementation of a worksite-based intervention to improve mothers’ knowledge, attitudes, and skills in sharing information with their adolescent daughters on preventing sexual violence: lessons learned in a developing setting, Sri Lanka

Abstract

Background

Methods

Results

Conclusions and recommendations

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions and recommendations

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