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Fulltext Vulnerability towards online sexual grooming among Malaysian children. [Kerentanan kanak-kanak Malaysia terhadap pengantunan seksual dalam talian]

Zainal Rashid AA, Kamaluddin MR, Wahab S, Abdul Aziz DA, Abdul Latiff Z, Rathakrishnan B

Jurnal Psikologi Malaysia, 2018;32:91-108.

This study was conducted to examine the vulnerability of Malaysian children towards online sexual grooming by ascertaining the level of vulnerability and the relationships with social media profiles and demographical factors. To achieve the objectives of this study, a quantitative method using a cross-sectional research design with the aid of electronic questionnaire via Google Form was used to gather the data. A total of 205 Malaysian children from the age of 10 to 17 years old participated in this study with their parents’ consent. Based on the analyses of the items, it was found that each child was vulnerable towards sexual grooming at different levels. This study also found that the frequency of social media usage was directly correlated with online sexual grooming vulnerability (r = 0.14, p = 0.05) and age of the respondents (r = 0.20, p = 0.006). Children with more social media accounts were also found to be more vulnerable towards online sexual grooming compared to those with lower number of social media accounts (F (2, 191) = 7.30, p = 0.001). Findings also revealed that there was no significant difference on online sexual grooming vulnerability in terms of gender (t (191) = -0.39, p = 0.149). As a conclusion, this study provide in-depth exposure related to online sexual grooming vulnerability to public

Matched MeSH terms: Adolescent
Obstetric performance of adolescent pregnancies at the Muar District Hospital (1979-1983)

Nalliah S

Family Practitioner, 1985;8(1):59-62.

Matched MeSH terms: Adolescent
A case of concurrent leptospirosis and schistosomiasis in Malaya

Ryrie CA

Malayan Medical Journal, 1930;5:148-9.

Matched MeSH terms: Adolescent
Psychosocial issues in an adolescent with diabetes mellitus

Sherina MS, Shiran MS

Family Physician, 2003;12:17-18.

Matched MeSH terms: Adolescent
Clinical Practice Guideline: Management of autism spectrum disorder in children and adolescents

Matched MeSH terms: Adolescent
Fulltext The relationship between extrinsic motivation and physical activity level among students

Kamal AA, Zulkifli AF

Movement Health & Exercise, 2019;8(1):145-156.
MyJurnal

Nowadays, people have realized that physical activity plays a critical role in determining the health and wellness of an individual. This is proven by the extensive research on this area, which indicates that people have started to emphasize this matter. In addition, it is also well known that motivation is one of the main factors that determine whether people will participate in performing physical activity or not. Both extrinsic and intrinsic motivators play a major role in determining levels of physical activity. Therefore, this study is made to investigate the relationship between extrinsic motivation and physical activity level. The researcher randomly selected 195 students from SMK Alam Megah 2, Seksyen 28, Shah Alam, Selangor as respondents for this study. The method of this study includes a questionnaire adapted from International Physical Activity Questionnaire (IPAQ) and Exercise Motivation Inventory (EMI), which was edited to fulfil the requirements of this study. The results from this study show that there is a positive and significant relationship between extrinsic motivation and physical activity.

Matched MeSH terms: Adolescent
Periodontal health status of children and adolescents with diabetes mellitus: a systematic review and meta-analysis

Zainal Abidin Z, Zainuren ZA, Noor E, Mohd Nor NS, Mohd Saffian S, Abdul Halim R

Aust Dent J, 2021 03;66 Suppl 1:S15-S26.
PMID: 33864280 DOI: 10.1111/adj.12845

Diabetes mellitus (DM) is a complex metabolic disease characterized by hyperglycaemia resulted from defects in insulin secretion or action, or both. Various studies have reported on the bidirectional relationship between DM and periodontal disease. A systematic search of the literature was performed in several databases, EBSCO Medline Complete, PubMed, Science Direct and a manual search for articles from 2000 until 2019. Literature that fulfilled the inclusion criteria were identified, and data measuring plaque index (PI), gingival index (GI), clinical attachment loss (CAL) and periodontal probing depth (PPD) were extracted and subjected to Random-effects meta-analysis. From 947 titles and abstracts screened, 11 articles were included for meta-analysis. It was found that PI, GI, CAL and PPD were significantly higher in DM children than in non-DM children according to the Standardized Mean different (SMD) and 95% confidence intervals (CI) (SMD 0.54, 95% CI 0.20-0.87, P = 0.002; SMD 0.63, 95% CI 0.39-0.87, P

Matched MeSH terms: Adolescent
Psychosocial risk factors associated with mental health of adolescents amidst the COVID-19 pandemic outbreak

Amran MS

Int J Soc Psychiatry, 2022 02;68(1):6-8.
PMID: 33158391 DOI: 10.1177/0020764020971008

BACKGROUND: An outbreak of global pandemic COVID-19 profoundly affects life around the globe. Prolonged isolation, contact restriction and economic shutdown impose a deeply change to the psychosocial environment. These indicate a tendency to threaten the mental health of adolescents' significantly. Detecting adolescents' psychosocial risk during Pandemic COVID-19, particularly when they stay at home, may be helpful to better understand their mental health well- being.
AIMS: The current study aimed to explore psychosocial risk factors associated with mental health of adolescents' in the midst of the outbreak.
METHOD: This research uses a qualitative approach which focuses on focus group discussions interviews. This research took 6 weeks via online communication platform involving (n = 15) adolescents from the Low Income Household.
RESULT: The participants adolescents' psychosocial risk experience during amidst of Outbreak Covid-19 Pandemic are composed of (1) self- conflict (develop negative thought at home, unplanned of daily activities, changing sleep pattern and irregular wake up time and massively use internet) (2) Family Members (Conflict between parent and miscommunication between siblings) (3) School (Piling up on homework, Inadequate guidance for homework and Inability to comprehend online learning). These psychosocial risk factors have caused disruption to daily life adolescents' during outbreaks and almost inevitably trigger a spike in mental health issues.
CONCLUSION: Overall of study emphasized that psychosocial risks are important factors that can be addressed in order to reduce mental health problem.

Matched MeSH terms: Adolescent
Implementation of problem-based learning in child and adolescent psychiatry: shared experiences of a special-interest study group

Skokauskas N, Guerrero APS, Hanson MD, Coll X, Paul M, Szatmari P, et al.

Acad Psychiatry, 2011 Jul-Aug;35(4):249-251.
PMID: 21804045 DOI: 10.1176/appi.ap.35.4.249

BACKGROUND/OBJECTIVE: Problem-based learning (PBL) represents a major development and change in educational practice that continues to have a large impact across subjects and disciplines worldwide. It would seem that child and adolescent psychiatry, because of its inherently integrative, bio-psycho-social nature and emphasis on teamwork and collaboration, would be a specialty learned optimally through PBL. Thus, there was a need to establish an international group where experiences in implementing PBL in child and adolescent psychiatry could be shared. This article reports on the first meeting and plans of the Problem-Based Learning in Child and Adolescent Psychiatry (CAP) Special Interest Study Group (SISG), held at the annual meeting of the American Academy of Child and Adolescent Psychiatry.

METHODS: Through international collaboration and information-sharing, the SISG aims to promote knowledge among Child and Adolescent Psychiatrists on PBL, to explore evaluation methods of PBL in CAP, and to discuss development of PBL-based curricula.

RESULTS: Problem-based learning (PBL) represents a major change in education that has had a large impact across disciplines worldwide.

CONCLUSION: The core steps in PBL are the following: presentation of the initial problem; discussion of the problem, and development of learning objectives; independent learning focused on the objectives; and discussion, exploration of new ideas, and discovery of solutions in the reconvened group. Different from the traditional teacher's role, the PBL tutor is an active facilitator who guides learners to identify issues and ways to learn, rather than a "content expert" who provides facts.

Matched MeSH terms: Adolescent Psychiatry/education*; Adolescent Psychiatry/methods; Adolescent Psychiatry/trends
Fulltext Evaluation of BNT162b2 vaccine effectiveness in Malaysia: test negative case-control study

Lim AH, Ab Rahman N, Ong SM, Paraja J, Rashid R, Parmar IS, et al.

Vaccine, 2022 Sep 16;40(39):5675-5682.
PMID: 36030123 DOI: 10.1016/j.vaccine.2022.08.032

There is a notable lack of vaccine effectiveness studies using test-negative case-controlled approach in low- and middle-income countries which have different logistic, demographic and socio-economic conditions from high-income countries. We aimed to estimate the effectiveness of BNT162b2 vaccine against COVID-19 infection over time, intensive care unit admission, severe or critical disease and death due to COVID-19. This study was conducted in the resident population of Labuan aged ≥18 years who had been tested for SARS-CoV-2 by Reverse-Transcriptase Polymerase Chain Reaction between 1 March 2021 and 31 October 2021. We used a test-negative case-control design where 2644 pairs of cases and controls were matched by age, sex, testing date, nationality and testing reason. Analysis was stratified by age group to estimate age effect (<60 years and ≥60 years). Of 22217 individuals tested by Reverse-Transcriptase Polymerase Chain Reaction, 5100 were positive for SARS-CoV-2 and aged 18 years and above. Overall vaccine effectiveness ≥ 14 days after the second dose was 65.2% (95% CI: 59.8-69.9%) against COVID-19 infection, 92.5% (95% CI: 72.3-98.8%) against intensive care unit admission, and 96.5% (95% CI: 82.3-99.8%) against COVID-19 deaths. Among infected individuals, vaccine effectiveness was 79.2% (95% CI: 42.3-94.1%) in preventing severe or critical disease due to COVID-19. Vaccine effectiveness for ≥60 years was 72.3% (95% CI: 53.4-83.9%) in fully vaccinated individuals, higher than 64.8% (95% CI: 49.3-59.1%) for those <60 years. Two doses of BNT162b2 were highly effective against COVID-19 infection, severe or critical disease, intensive care unit admission and death due to COVID-19. This study addresses a gap in literature on BNT162b2 vaccine effectiveness in low- and middle-income populations and demonstrates the feasibility of such a study design in a resource limited setting while supporting evidence of waning immunity.

Matched MeSH terms: Adolescent
Fulltext Health motivations and perceived barriers are determinants of self-care behaviour for the prevention of hypertension in a Malaysian community

Tan PPS, Sandhu RS, Zain SM, Hall D, Tan NC, Lim HM, et al.

PLoS One, 2022;17(12):e0278761.
PMID: 36477162 DOI: 10.1371/journal.pone.0278761

INTRODUCTION: Self-care behaviour is fundamental in preventing hypertension in the general population. According to the Health Belief Model, health beliefs and perceptions influence the success in adopting disease prevention strategies. While factors influencing hypertension self-care behaviour have been examined previously in patient populations, they have not been assessed in the general community.
METHODS: This was a cross-sectional study conducted between 12 June 2020 to 26 July 2021. An online survey was administered via email and social media to Malaysians in the Selangor and Kuala Lumpur communities. Respondents were over 18 years old, without a formal diagnosis of hypertension. The survey evaluated hypertension knowledge, Health Belief Model constructs, self-care behaviour frequency, and motivators and barriers to self-care behaviour. Multiple linear regression was performed to determine the main predictors of self-care behaviour, and descriptive statistics were used to characterise motivators and barriers of each self-care behaviour.
RESULTS: Only health motivations (β = 0.217, p < 0.001) and perceived barriers (β = 0.571, p < 0.001) significantly influenced self-care behaviour. Maintaining a healthy diet, regular physical activity and blood pressure checks need to be improved in the community, particularly in reducing salt and calorie intake. Lack of time, limited choices and laziness are the biggest challenges that need to be tackled in adopting a healthy diet and an active lifestyle in the community. Many are ignorant towards their health status, therefore, do not prioritize blood pressure screenings, suggesting a need to enhance community blood pressure checks for early diagnosis of hypertension.
CONCLUSION AND IMPLICATIONS: Motivations and barriers were the main determinants of self-care behaviour in the Selangor and Kuala Lumpur community. Targeting these aspects of self-care behaviour should be considered when developing interventions and education programmes tailored to local cultural, environmental and personal factors, to more effectively reduce the hypertension prevalence and burden.

Matched MeSH terms: Adolescent
Fulltext Hierarchical topological model of the factors influencing adolescents' non-suicidal self-injury behavior based on the DEMATEL-TAISM method

Lan Z, Pau K, Mohd Yusof H, Huang X

Sci Rep, 2022 Oct 14;12(1):17238.
PMID: 36241902 DOI: 10.1038/s41598-022-21377-z

This study analyzed the factors influencing adolescents' non-suicidal self-injury (NSSI) behavior and their interrelationships, and established a total influencing factor model. Through a literature analysis and semi-structured interviews with 87 adolescents and 27 experts in Guangxi Province, China, 13 influencing factors were identified from six aspects: physiological factors, cognitive factors, emotional factors, social support factors, social environment, and NSSI behavior. A system of factors influencing adolescents' NSSI behavior and a model of the factors influencing the comprehensive antagonism multilevel explanatory structure were obtained using a combination of Decision-Making Trial and Evaluation Laboratory technique and Total Adversarial Interpretive Structural Model. In descending order, NSSI, emotional state, self-efficacy, and self-cognition influenced adolescents' NSSI behavior. Social environment, exercise, and recreation had a greater impact on other factors, while NSSI, emotional regulation ability, and emotional state were greatly affected by other factors. Emotion regulation ability, self-cognition, self-efficacy, family support, school support, social support, and sleep were found to be the core factors influencing NSSI behavior of adolescents. These factors could be used to directly intervene in adolescent NSSI behavior. Timely treatment of adolescents' negative emotional states is directly conducive to preventing NSSI behavior and alleviating its severity.

Matched MeSH terms: Adolescent
Fulltext "Sometimes I Feel Grateful…": Experiences of the Adolescent Siblings of Children with Autism Spectrum Disorder in Malaysia

Chu SY, Kassim SNZB, Gan CH, Fierro V, Chan CMH, Hersh D

J Autism Dev Disord, 2023 Feb;53(2):795-807.
PMID: 34247302 DOI: 10.1007/s10803-021-05184-5

Sibling relationships remain understudied in typically developing adolescents who have siblings with autism spectrum disorder (ASD). This study explored the lived experiences and perceptions of adolescents who have a brother or a sister with a diagnosis of ASD using semi-structured interviews. Using thematic analysis, the participants reported having difficulties communicating with their siblings. Feeling a mixture of emotions was common when interacting with their siblings with ASD and emotional self-regulation was a typical coping strategy utilized by these adolescents. Despite the challenges, having a sibling with ASD led to closer relationships between the siblings. These findings offer insights into these adolescents' needs and how they may be best supported, informing the practice of speech-language pathology and other health professions.

Matched MeSH terms: Adolescent
Fulltext The Effectiveness of an Empowerment Education Intervention for Substance Use Reduction among Inner-City Adolescents in Nigeria

Ojonuba HS, Abdul Rahman H, Zaremohzzabieh Z, Mohd Zulkefli NA

Int J Environ Res Public Health, 2023 Feb 20;20(4).
PMID: 36834427 DOI: 10.3390/ijerph20043731

(1) Background: Substance use among inner-city adolescents is at an alarming rate in Nigeria. Despite their high exposure to this risk, limited experimental tests have been conducted on prevention programs. (2) Methods: This study investigates the effectiveness of an empowerment education intervention in reducing the risk of substance use in Abuja's inner-city adolescents. Random selection placed adolescents into intervention and control conditions, and assessment was conducted at baseline, post-test, and 3-months follow-up intervention. After pre-test, the intervention group engaged in an empowerment education intervention of 11 sessions. (3) Results: In a post-test of three months, results show significant and positive changes among adolescents in substance use, including a notable reduction in positive attitudes toward drugs. In other words, the results showed adolescents reported less depression and substance use as well as higher peer support, parental support, social competence, and self-esteem at post-test and 3-month follow-ups as compared to the pre-intervention period. In addition, at both post-test and the 3-month follow-up, the intervention group performed better than the control group on peer support, parental support, social competence, and self-esteem. (4) Conclusions: This study presents a new indication that the empowerment education intervention effectively reduces substance use among Nigeria's inner-city adolescents.

Matched MeSH terms: Adolescent
Fulltext The predictive role of parental attitudes toward COVID-19 vaccines and child vulnerability: A multi-country study on the relationship between parental vaccine hesitancy and financial well-being

Sharif Nia H, Allen KA, Arslan G, Kaur H, She L, Khoshnavay Fomani F, et al.

Front Public Health, 2023;11:1085197.
PMID: 36875362 DOI: 10.3389/fpubh.2023.1085197

BACKGROUND AND PURPOSE: Recent new mutations and increases in transmission of COVID-19 among adolescents and children highlight the importance of identifying which factors influence parental decisions regarding vaccinating their children. The current study aims to explore whether child vulnerability and parents' attitudes toward vaccines mediate the association between perceived financial well-being and vaccine hesitancy among parents.
METHOD: A predictive, cross-sectional, multi-country online questionnaire was administered with a convenience sample of 6,073 parents (Australia, 2,734; Iran, 2,447; China, 523; Turkey, 369). Participants completed the Parent Attitude About Child Vaccines (PACV), the Child Vulnerability Scale (CVS), a Financial Well-being (FWB) measure, and Parental Vaccine Hesitancy (PVH) questionnaire.
RESULTS: The current study revealed that perceived financial well-being had significant and negative associations with parents' attitudes toward COVID-19 vaccines and child vulnerability among the Australian sample. Contrary to the Australian findings, results from Chinese participants indicated that financial well-being had significant and positive predictive effects on parent attitudes toward vaccines, child vulnerability, and parental vaccine hesitancy. The results of the Iranian sample revealed that parents' attitudes toward vaccines and child vulnerability significantly and negatively predicted parental vaccine hesitancy.
CONCLUSION: The current study revealed that a parents' perceived financial well-being had a significant and negative relationship with parental attitudes about vaccines and child vulnerability; however, it did not significantly predict parental vaccine hesitancy among Turkish parents as it did for parents in Australia, Iran, and China. Findings of the study have policy implications for how certain countries may tailor their vaccine-related health messages to parents with low financial wellbeing and parents with vulnerable children.

Matched MeSH terms: Adolescent
Fulltext Idiopathic pulmonary haemosiderosis occurring in a Malaysian patient

Hanip MR, Isa MR, Zainudin BM

Singapore Med J, 1994 Oct;35(5):535-7.
PMID: 7701382

A young East Malaysian lady presented with haemoptysis in 1989. Since then she had recurrent episodes of dyspnoea and two occasions of respiratory failure requiring assisted ventilation. An open lung biopsy showed intra-alveolar haemorrhage with diffuse interstitial fibrosis consistent with idiopathic pulmonary haemosiderosis after excluding secondary causes of pulmonary haemorrhage. She failed to respond to corticosteroid and continued to depend on oxygen until she succumbed to the illness 2 years after the presentation.

Matched MeSH terms: Adolescent
A survey of COVID-19 vaccine acceptance across 23 countries in 2022

Lazarus JV, Wyka K, White TM, Picchio CA, Gostin LO, Larson HJ, et al.

Nat Med, 2023 Feb;29(2):366-375.
PMID: 36624316 DOI: 10.1038/s41591-022-02185-4

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) continued to mutate and spread in 2022 despite the introduction of safe, effective vaccines and medications. Vaccine hesitancy remains substantial, fueled in part by misinformation. Our third study of Coronavirus Disease 2019 (COVID-19) vaccine hesitancy among 23,000 respondents in 23 countries (Brazil, Canada, China, Ecuador, France, Germany, Ghana, India, Italy, Kenya, Mexico, Nigeria, Peru, Poland, Russia, Singapore, South Africa, South Korea, Spain, Sweden, Turkey, the United Kingdom and the United States), surveyed from 29 June to 10 July 2022, found willingness to accept vaccination at 79.1%, up 5.2% from June 2021. Hesitancy increased in eight countries, however, ranging from 1.0% (United Kingdom) to 21.1% (South Africa). Almost one in eight (12.1%) vaccinated respondents are hesitant about booster doses. Overall support for vaccinating children under 18 years of age increased slightly but declined among parents who were personally hesitant. Almost two in five (38.6%) respondents reported paying less attention to new COVID-19 information than previously, and support for vaccination mandates decreased. Almost a quarter (24%) of those who became ill reported taking medications to combat COVID-19 symptoms. Vaccination remains a cornerstone of the COVID-19 pandemic response, but broad public support remains elusive. These data can be used by health system decisionmakers, practitioners, advocates and researchers to address COVID-19 vaccine hesitancy more effectively.

Matched MeSH terms: Adolescent
Diagnostic value of serum and tissue eosinophil in diagnosis of asthma among patients with chronic rhinosinusitis

Che Mat CMH, Md Shukri N, Mohamad S, Tuan Sharif SE, Ramli R, Jais MH, et al.

Eur Arch Otorhinolaryngol, 2023 May;280(5):2283-2291.
PMID: 36401099 DOI: 10.1007/s00405-022-07746-4

BACKGROUND: Chronic rhinosinusitis (CRS) is one of the most common chronic inflammatory diseases of sinonasal mucosa. Asthma among CRS patients is often underdiagnosed which makes the management of CRS more challenging. Therefore, using serum and tissue eosinophil as an indicator and predictor of asthma in CRS patients is vital for further preventing recurrent and increasing the effectiveness of treatment for CRS.
OBJECTIVE: To determine the association and diagnostic ability of serum and tissue eosinophils in the diagnosis of asthma among CRS patients.
METHODS: A cross-sectional study was conducted involving 24 CRS patients with asthma and without asthma, respectively, from the Otorhinolaryngology clinic of two tertiary hospitals located on the East Coast of Peninsular Malaysia. Serum and tissue eosinophils (obtained from nasal polyp) levels between both groups were compared. Association between serum and tissue eosinophils with asthma was evaluated using logistic regression analysis, adjusting for important sociodemographic characteristics. The diagnostic ability of serum and tissue eosinophil was then evaluated by assessing the receiver operating characteristic curve.
RESULTS: A total of 48 CRS patients with a mean [SD] age of 47.50 [14.99] years were included. Patients with asthma had significantly higher serum [0.48 vs 0.35 × 109/L] and tissue eosinophil [100 vs 8.5 per HPF] levels. Tissue eosinophils were found to be an independent predictor of asthma with adjusted OR 1.05, p 0.375 × 109/L and tissue eosinophil > 58 per HPF.

Matched MeSH terms: Adolescent
Psychosis symptoms associated with Niemann-Pick disease type C

Ong LT

Psychiatr Genet, 2021 Aug 01;31(4):107-118.
PMID: 34133410 DOI: 10.1097/YPG.0000000000000286

Niemann-Pick disease type C (NP-C) is a severe neurovisceral lipid storage disease that results in the accumulation of unesterified cholesterol in lysosomes or endosomes. The clinical presentations of NP-C are variable which include visceral symptoms, neurologic symptoms and psychiatric symptoms. Psychosis is the most common psychiatric manifestation of NP-C and is indistinguishable from a typical psychosis presentation of schizophrenia. The common psychotic presentations in NP-C include visual hallucinations, delusions, auditory hallucinations and thought disorders. Psychosis symptoms are more common in adult or adolescent-onset forms compared with pediatric-onset forms. The underlying pathophysiology of psychosis in NP-C is most probably due to dysconnectivity particularly between frontotemporal connectivity and subcortical structures. NP-C sometimes is mistaken for schizophrenia which causes delay in treatment due to lack of awareness and literature review. This review aims to summarize the relevant case reports on psychosis symptoms in NP-C and discuss the genetics and pathophysiology underlying the condition.

Matched MeSH terms: Adolescent
Fulltext Effectiveness of school-based child sexual abuse intervention among school children in the new millennium era: Systematic review and meta-analyses

Che Yusof R, Norhayati MN, Mohd Azman Y

Front Public Health, 2022;10:909254.
PMID: 35937243 DOI: 10.3389/fpubh.2022.909254

INTRODUCTION: School-based child sexual abuse intervention programs were developed to educate the school children to protect them from sexual abuse. The programs were evaluated to make sure the interventions were effective in reducing child sexual abuse cases (CSA). This review aimed to determine the effectiveness of the school-based child sexual abuse intervention programs in the new millennium era (2000-2021) in improving the knowledge, skills, and attitude of school children under 18 years old toward child sexual abuse.
METHODS: A systematic search was conducted through MEDLINE (PubMed), EBSCO, and SCOPUS databases to collect full English articles related to school-based CSA intervention programs published from 2000 to 2021.
RESULTS: A total of 29 studies from randomized control trial and quasi-experimental from several countries was analyzed. Comparisons within group of pre-post intervention for knowledge, skills, and attitude were measured by standardized mean difference (SMD) and 95% CI of -1.06 (95% CI: -1.29, -0.84), -0.91 (95% CI: -1.2, -0.61), and -0.51 (95% CI: -3.61, 0.58), respectively. Meanwhile for between intervention and control group comparisons, the SMD of knowledge was 0.9 (95% CI: 0.63, 1.18), skills was 0.39 (95% CI: 0.07, 0.71), and attitude was 1.76 (95% CI: 0.46, 3.07).
CONCLUSION: The programs were found to be effective in improving the knowledge, skills, and attitude of the students from pre-intervention to post-intervention and between the intervention and control groups.Systematic Review Registration: www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022312383, identifier: CRD42022312383.

Matched MeSH terms: Adolescent

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