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Soc Sci Med. 2017 Oct;190:265-274. doi: 10.1016/j.socscimed.2017.05.044. Epub 2017 Jun 12.

Effects of health empowerment intervention on resilience of adolescents in a tribal area: A study using the Solomon four-groups design.

Author information

1
Department of Preventive & Social Medicine, All India Institute of Hygiene & Public Health, Kolkata, India. Electronic address: dr.kaushiks@yahoo.in.
2
Department of Preventive & Social Medicine, All India Institute of Hygiene & Public Health, Kolkata, India.
3
Jadavpur University, Kolkata, India.

Abstract

RATIONALE:

Resilience prevents the emergence of stress-related mental health problems among adolescents. Adolescents in tribal areas of India are more prone to develop such problems.

OBJECTIVES:

The primary objective was to determine the effect of combined life skills-based health empowerment intervention on the resilience of school-going adolescents in a tribal area. The secondary objectives were to determine the effect of the intervention on internal health locus of control and self-determination and to compare the effect of intervention on resilience between non-tribal and tribal adolescents.

METHODS:

We conducted this quasi-experimental study using a Solomon four-group design among 742 adolescents in two schools of Purulia, West Bengal, India. Students of the pretested group were examined for resilience using the Child Youth Resilience Measurement scale. A life skills education-based health empowerment intervention was administered among students of the experimental group. Post-test data on resilience, self-determination, internal health locus of control and pathological behaviour was obtained 3 months after the completion of intervention. A multi-level general linear mixed model was constructed to determine the effect of intervention on resilience.

RESULTS:

Resilience was less among tribal adolescents at baseline. The intervention significantly improved resilience [βAdjusted = 11.19 (95% CI = 10.55, 11.83], with a greater increase for tribal adolescents [βtribal-nontribal = 1.53 (95% CI = 0.03, 3.03)]. The intervention also significantly improved internal health locus of control (marginal mean increment 1.38 ± 0.05), self-determination (marginal mean increment 3.71 ± 0.09) and reduced pathological behaviour of the adolescents.

CONCLUSION:

Our study informed the current health policy that the existing life skills education-based programme should be reviewed and modified to include generic life skills, and the life skills education-based programme should be coupled with developmental interventions aimed at improving adult education and family climate for optimum effect on mental health and health behaviour of adolescents.

KEYWORDS:

Adolescent health; Empowerment; Health locus of control; Life skills education; Mental health; Resilience; Self-determination

PMID:
28625414
DOI:
10.1016/j.socscimed.2017.05.044
[Indexed for MEDLINE]

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