Skip to main content
Erschienen in: Quality of Life Research 1/2020

27.09.2019 | School

The impacts of peer education based on adolescent health education on the quality of life in adolescents: a randomized controlled trial

verfasst von: Hua Diao, Yang Pu, Lianjian Yang, Ting Li, Feng Jin, Hong Wang

Erschienen in: Quality of Life Research | Ausgabe 1/2020

Einloggen, um Zugang zu erhalten

Abstract

Purpose

During adolescence, adolescents are more susceptible to internalizing and externalizing problems influencing quality of life (QoL). The purpose of the study is to verify the effectiveness of a peer education on improving QoL of adolescents.

Methods

A cluster randomized controlled trial (RCT) was conducted involving 1564 subjects who were divided into an intervention group (n = 714) and a control group (n = 850). The intervention group received 1-year peer education. Their QoL and basic information were assessed using a Adolescent Quality of Life Scale and a self-designed basic situation questionnaire.

Results

After the intervention, significant increases were found in the psychological, and social, pubertal dimensions, and in total QoL (P < 0.05) in the intervention group relative to the control group. Significant decrease was found in physical dimension (P < 0.05), but the change in the intervention group (0.74 decrease) was much less than that in the control group (1.94 decrease). The improvements of physical (B = 1.215, SE = 0.305, P < 0.001), psychological (B = 1.496, SE = 0.598, P = 0.013), pubertal (B = 0.828, SE = 0.244, P = 0.001), and total (B = 3.455, SE = 1.429, P = 0.016) QoL in the intervention group were higher than in the control group in mixed model.

Conclusions

The peer education based on adolescent health education is effective in improving the physical, psychological, pubertal, and total QoL of adolescents, but no social QoL.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat (1995). The World Health Organization Quality of Life assessment (WHOQOL): Position paper from the World Health Organization. Social Science & Medicine, 41(10), 1403–1409. (1995). The World Health Organization Quality of Life assessment (WHOQOL): Position paper from the World Health Organization. Social Science & Medicine, 41(10), 1403–1409.
2.
Zurück zum Zitat Shrivastava, S. R., Shrivastava, P. S., & Ramasamy, J. (2013). Childhood and adolescence: Challenges in mental health. Journal of the Canadian Academy of Child and Adolescent Psychiatry,22(2), 84–85.PubMedPubMedCentral Shrivastava, S. R., Shrivastava, P. S., & Ramasamy, J. (2013). Childhood and adolescence: Challenges in mental health. Journal of the Canadian Academy of Child and Adolescent Psychiatry,22(2), 84–85.PubMedPubMedCentral
3.
Zurück zum Zitat Riazi, A., Shakoor, S., Dundas, I., Eiser, C., & McKenzie, S. A. (2010). Health-related quality of life in a clinical sample of obese children and adolescents. Health and Quality of Life Outcomes,8, 134.CrossRef Riazi, A., Shakoor, S., Dundas, I., Eiser, C., & McKenzie, S. A. (2010). Health-related quality of life in a clinical sample of obese children and adolescents. Health and Quality of Life Outcomes,8, 134.CrossRef
4.
Zurück zum Zitat Mirghafourvand, M., Charandabi, S. M.-A., Sharajabad, F. A., & Sanaati, F. (2018). Religious practice and health-related quality of life in iranian adolescent girls. Journal of Religion and Health,57(3), 796–806.CrossRef Mirghafourvand, M., Charandabi, S. M.-A., Sharajabad, F. A., & Sanaati, F. (2018). Religious practice and health-related quality of life in iranian adolescent girls. Journal of Religion and Health,57(3), 796–806.CrossRef
5.
Zurück zum Zitat Cumming, S. P., Gillison, F. B., & Sherar, L. B. (2011). Biological maturation as a confounding factor in the relation between chronological age and health-related quality of life in adolescent females. Quality of Life Research,20(2), 237–242.CrossRef Cumming, S. P., Gillison, F. B., & Sherar, L. B. (2011). Biological maturation as a confounding factor in the relation between chronological age and health-related quality of life in adolescent females. Quality of Life Research,20(2), 237–242.CrossRef
6.
Zurück zum Zitat van der Cruijsen, R., Murphy, J., & Bird, G. (2019). Alexithymic traits can explain the association between puberty and symptoms of depression and anxiety in adolescent females. PLoS ONE,14(1), e0210519.CrossRef van der Cruijsen, R., Murphy, J., & Bird, G. (2019). Alexithymic traits can explain the association between puberty and symptoms of depression and anxiety in adolescent females. PLoS ONE,14(1), e0210519.CrossRef
7.
Zurück zum Zitat Oldehinkel, A. J., Verhulst, F. C., & Ormel, J. (2011). Mental health problems during puberty: Tanner stage-related differences in specific symptoms. The TRAILS study. Journal of Adolescence,34(1), 73–85.CrossRef Oldehinkel, A. J., Verhulst, F. C., & Ormel, J. (2011). Mental health problems during puberty: Tanner stage-related differences in specific symptoms. The TRAILS study. Journal of Adolescence,34(1), 73–85.CrossRef
8.
Zurück zum Zitat Rogol, A. D., Roemmich, J. N., & Clark, P. A. (2002). Growth at puberty. Journal of Adolescent Health,31(6), 192–200.CrossRef Rogol, A. D., Roemmich, J. N., & Clark, P. A. (2002). Growth at puberty. Journal of Adolescent Health,31(6), 192–200.CrossRef
9.
Zurück zum Zitat Sheehy, A., Gasser, T., Molinari, L., & Largo, R. H. (1999). An analysis of variance of the pubertal and midgrowth spurts for length and width. Annals of Human Biology,26(4), 309–331.CrossRef Sheehy, A., Gasser, T., Molinari, L., & Largo, R. H. (1999). An analysis of variance of the pubertal and midgrowth spurts for length and width. Annals of Human Biology,26(4), 309–331.CrossRef
10.
Zurück zum Zitat Marcell, A. V., Allan, E., Clay, E. A., Watson, C., & Sonenstein, F. L. (2013). Effectiveness of a brief curriculum to promote condom and health care use among out-of-school young adult males. Perspectives on Sexual and Reproductive Health,45(1), 33–40.CrossRef Marcell, A. V., Allan, E., Clay, E. A., Watson, C., & Sonenstein, F. L. (2013). Effectiveness of a brief curriculum to promote condom and health care use among out-of-school young adult males. Perspectives on Sexual and Reproductive Health,45(1), 33–40.CrossRef
11.
Zurück zum Zitat Schleider, J. L., Ye, F., Wang, F., Hipwell, A. E., Chung, T., & Sartor, C. E. (2019). Longitudinal reciprocal associations between anxiety, depression, and alcohol use in adolescent girls. Alcoholism-Clinical and Experimental Research,43(1), 98–107.CrossRef Schleider, J. L., Ye, F., Wang, F., Hipwell, A. E., Chung, T., & Sartor, C. E. (2019). Longitudinal reciprocal associations between anxiety, depression, and alcohol use in adolescent girls. Alcoholism-Clinical and Experimental Research,43(1), 98–107.CrossRef
12.
Zurück zum Zitat Reardon, L. E., Leen-Feldner, E. W., & Hayward, C. (2009). A critical review of the empirical literature on the relation between anxiety and puberty. Clinical Psychology Review,29(1), 1–23.CrossRef Reardon, L. E., Leen-Feldner, E. W., & Hayward, C. (2009). A critical review of the empirical literature on the relation between anxiety and puberty. Clinical Psychology Review,29(1), 1–23.CrossRef
13.
Zurück zum Zitat Akca, O. F., Vural, T. A., Turkoglu, S., & Kilic, E. Z. (2015). Anxiety sensitivity: Changes with puberty and cardiovascular variables. Pediatrics International,57(1), 49–54.CrossRef Akca, O. F., Vural, T. A., Turkoglu, S., & Kilic, E. Z. (2015). Anxiety sensitivity: Changes with puberty and cardiovascular variables. Pediatrics International,57(1), 49–54.CrossRef
14.
Zurück zum Zitat Angold, A., Costello, E. J., & Worthman, C. M. (1998). Puberty and depression: The roles of age, pubertal status and pubertal timing. Psychological Medicine,28(1), 51–61.CrossRef Angold, A., Costello, E. J., & Worthman, C. M. (1998). Puberty and depression: The roles of age, pubertal status and pubertal timing. Psychological Medicine,28(1), 51–61.CrossRef
15.
Zurück zum Zitat Palacio-Vieira, J. A., Villalonga-Olives, E., Valderas, J. M., Espallargues, M., Herdman, M., Berra, S., et al. (2008). Changes in health-related quality of life (HRQoL) in a population-based sample of children and adolescents after 3 years of follow-up. Quality of Life Research,17(10), 1207–1215.CrossRef Palacio-Vieira, J. A., Villalonga-Olives, E., Valderas, J. M., Espallargues, M., Herdman, M., Berra, S., et al. (2008). Changes in health-related quality of life (HRQoL) in a population-based sample of children and adolescents after 3 years of follow-up. Quality of Life Research,17(10), 1207–1215.CrossRef
16.
Zurück zum Zitat Mendle, J., Harden, K. P., Brooks-Gunn, J., & Graber, J. A. (2010). Development’s tortoise and hare: Pubertal timing, pubertal tempo, and depressive symptoms in boys and girls. Developmental Psychology,46(5), 1341–1353.CrossRef Mendle, J., Harden, K. P., Brooks-Gunn, J., & Graber, J. A. (2010). Development’s tortoise and hare: Pubertal timing, pubertal tempo, and depressive symptoms in boys and girls. Developmental Psychology,46(5), 1341–1353.CrossRef
17.
Zurück zum Zitat Bravender, T. (2015). Adolescents and the importance of parental supervision. Pediatrics,136(4), 761–762.CrossRef Bravender, T. (2015). Adolescents and the importance of parental supervision. Pediatrics,136(4), 761–762.CrossRef
18.
Zurück zum Zitat Ibanez, L., Ferrer, A., Marcos, M. V., Hierro, F. R., & de Zegher, F. (2000). Early puberty: Rapid progression and reduced final height in girls with low birth weight. Pediatrics,106(5), e72.CrossRef Ibanez, L., Ferrer, A., Marcos, M. V., Hierro, F. R., & de Zegher, F. (2000). Early puberty: Rapid progression and reduced final height in girls with low birth weight. Pediatrics,106(5), e72.CrossRef
19.
Zurück zum Zitat Fang, Q., Wang, H., Cao, X., & Chen, H. (2012). Puberty timing status and its correlation with childhood obesity in Chongqing City. Journal of Hygiene Research,41, 562–565 (in Chinese).PubMed Fang, Q., Wang, H., Cao, X., & Chen, H. (2012). Puberty timing status and its correlation with childhood obesity in Chongqing City. Journal of Hygiene Research,41, 562–565 (in Chinese).PubMed
20.
Zurück zum Zitat Dimler, L. M., & Natsuaki, M. N. (2015). The effects of pubertal timing on externalizing behaviors in adolescence and early adulthood: A meta-analytic review. Journal of Adolescence,45, 160–170.CrossRef Dimler, L. M., & Natsuaki, M. N. (2015). The effects of pubertal timing on externalizing behaviors in adolescence and early adulthood: A meta-analytic review. Journal of Adolescence,45, 160–170.CrossRef
21.
Zurück zum Zitat Deardorff, J., Cham, H., Gonzales, N. A., White, R. M. B., Tein, J.-Y., Wong, J. J., et al. (2013). Pubertal timing and Mexican-origin girls’ internalizing and externalizing symptoms: the influence of harsh parenting. Developmental Psychology,49(9), 1790–1804.CrossRef Deardorff, J., Cham, H., Gonzales, N. A., White, R. M. B., Tein, J.-Y., Wong, J. J., et al. (2013). Pubertal timing and Mexican-origin girls’ internalizing and externalizing symptoms: the influence of harsh parenting. Developmental Psychology,49(9), 1790–1804.CrossRef
22.
Zurück zum Zitat Carter, R., Jaccard, J., Silverman, W. K., & Pina, A. A. (2009). Pubertal timing and its link to behavioral and emotional problems among ‘at-risk’ African American adolescent girls. Journal of Adolescence,32(3), 467–481.CrossRef Carter, R., Jaccard, J., Silverman, W. K., & Pina, A. A. (2009). Pubertal timing and its link to behavioral and emotional problems among ‘at-risk’ African American adolescent girls. Journal of Adolescence,32(3), 467–481.CrossRef
23.
Zurück zum Zitat Li, C., Wang, H., Cao, X., Gou, M., & Zhang, Z. (2013). Depressive symptoms and its related factors among primary and middle school students in an urban-rural-integrated area of Chongqing. Journal of Hygiene Research,42(5), 783–788 (in Chinese).PubMed Li, C., Wang, H., Cao, X., Gou, M., & Zhang, Z. (2013). Depressive symptoms and its related factors among primary and middle school students in an urban-rural-integrated area of Chongqing. Journal of Hygiene Research,42(5), 783–788 (in Chinese).PubMed
24.
Zurück zum Zitat Evcili, F., & Golbasi, Z. (2019). The effect of peer education model on sexual myths of Turkish university students: An interventional study. Perspectives in Psychiatric Care,55(2), 239–248.CrossRef Evcili, F., & Golbasi, Z. (2019). The effect of peer education model on sexual myths of Turkish university students: An interventional study. Perspectives in Psychiatric Care,55(2), 239–248.CrossRef
25.
Zurück zum Zitat Seymour, J. E., Almack, K., Kennedy, S., & Froggatt, K. (2013). Peer education for advance care planning: Volunteers’ perspectives on training and community engagement activities. Health Expectations,16(1), 43–55.CrossRef Seymour, J. E., Almack, K., Kennedy, S., & Froggatt, K. (2013). Peer education for advance care planning: Volunteers’ perspectives on training and community engagement activities. Health Expectations,16(1), 43–55.CrossRef
26.
Zurück zum Zitat Khan, N. A., Nasti, C., Evans, E. M., & Chapman-Novakofski, K. (2009). Peer education, Exercising, and Eating Right (PEER): Training of peers in an undergraduate faculty teaching partnership. Journal of Nutrition Education and Behavior,41(1), 68–70.CrossRef Khan, N. A., Nasti, C., Evans, E. M., & Chapman-Novakofski, K. (2009). Peer education, Exercising, and Eating Right (PEER): Training of peers in an undergraduate faculty teaching partnership. Journal of Nutrition Education and Behavior,41(1), 68–70.CrossRef
28.
Zurück zum Zitat Bulduk, S., & Erdogan, S. (2012). The effects of peer education on reduction of the HIV/sexually transmitted infection risk behaviors among Turkish University students. JANAC—Journal of the Association of Nurses in Aids Care,23(3), 233–243.CrossRef Bulduk, S., & Erdogan, S. (2012). The effects of peer education on reduction of the HIV/sexually transmitted infection risk behaviors among Turkish University students. JANAC—Journal of the Association of Nurses in Aids Care,23(3), 233–243.CrossRef
29.
Zurück zum Zitat Ngo, A. D., Ha, T. H., Rule, J., & Dang, C. V. (2013). Peer-based education and the integration of HIV and sexual and reproductive health services for young people in Vietnam: Evidence from a project evaluation. PLoS ONE,8(11), e80951.CrossRef Ngo, A. D., Ha, T. H., Rule, J., & Dang, C. V. (2013). Peer-based education and the integration of HIV and sexual and reproductive health services for young people in Vietnam: Evidence from a project evaluation. PLoS ONE,8(11), e80951.CrossRef
30.
Zurück zum Zitat Allicock, M., Carr, C., Johnson, L.-S., Smith, R., Lawrence, M., Kaye, L., et al. (2014). Implementing a one-on-one peer support program for cancer survivors using a motivational interviewing approach: Results and lessons learned. Journal of Cancer Education,29(1), 91–98.CrossRef Allicock, M., Carr, C., Johnson, L.-S., Smith, R., Lawrence, M., Kaye, L., et al. (2014). Implementing a one-on-one peer support program for cancer survivors using a motivational interviewing approach: Results and lessons learned. Journal of Cancer Education,29(1), 91–98.CrossRef
31.
Zurück zum Zitat Liu, Q., Liu, L., Vu, H., Liu, X., Tang, S., & Wang, H. (2015). Comparison between peer-led and teacher-led education in tuberculosis prevention in rural middle schools in Chongqing, China. Asia-Pacific Journal of Public Health,27(2), NP2101–NP2111.CrossRef Liu, Q., Liu, L., Vu, H., Liu, X., Tang, S., & Wang, H. (2015). Comparison between peer-led and teacher-led education in tuberculosis prevention in rural middle schools in Chongqing, China. Asia-Pacific Journal of Public Health,27(2), NP2101–NP2111.CrossRef
34.
Zurück zum Zitat Dong, F., Li, C., Peng, X., & Qin, H. (2009). Significance, calculation methods and precautions of sample content calculation in clinical research. Chinese Journal of Stroke,4(10), 854–859 (in Chinese). Dong, F., Li, C., Peng, X., & Qin, H. (2009). Significance, calculation methods and precautions of sample content calculation in clinical research. Chinese Journal of Stroke,4(10), 854–859 (in Chinese).
35.
Zurück zum Zitat Joinson, C., Heron, J., Lewis, G., Croudace, T., & Araya, R. (2011). Timing of menarche and depressive symptoms in adolescent girls from a UK cohort. British Journal of Psychiatry,198(1), 17–23.CrossRef Joinson, C., Heron, J., Lewis, G., Croudace, T., & Araya, R. (2011). Timing of menarche and depressive symptoms in adolescent girls from a UK cohort. British Journal of Psychiatry,198(1), 17–23.CrossRef
36.
Zurück zum Zitat Negriff, S., Hillman, J. B., & Dorn, L. D. (2011). Does competence mediate the associations between puberty and internalizing or externalizing problems in adolescent girls? Journal of Adolescent Health,49(4), 350–356.CrossRef Negriff, S., Hillman, J. B., & Dorn, L. D. (2011). Does competence mediate the associations between puberty and internalizing or externalizing problems in adolescent girls? Journal of Adolescent Health,49(4), 350–356.CrossRef
37.
Zurück zum Zitat Cheng, X. (2017). Quality of life and its influencing factor on children in early pubertal timing in Chongqing. Master Degree, Chongqing Medical University, Chongqing (in Chinese). Cheng, X. (2017). Quality of life and its influencing factor on children in early pubertal timing in Chongqing. Master Degree, Chongqing Medical University, Chongqing (in Chinese).
38.
Zurück zum Zitat Petito, F., & Cummins, R. A. (2000). Quality of life in adolescence: The role of perceived control, parenting style, and social support. Behaviour Change,17(3), 196–207.CrossRef Petito, F., & Cummins, R. A. (2000). Quality of life in adolescence: The role of perceived control, parenting style, and social support. Behaviour Change,17(3), 196–207.CrossRef
39.
Zurück zum Zitat Gopinath, B., Hardy, L. L., Baur, L. A., Burlutsky, G., & Mitchell, P. (2012). Physical activity and sedentary behaviors and health-related quality of life in adolescents. Pediatrics,130(1), e167–e174.CrossRef Gopinath, B., Hardy, L. L., Baur, L. A., Burlutsky, G., & Mitchell, P. (2012). Physical activity and sedentary behaviors and health-related quality of life in adolescents. Pediatrics,130(1), e167–e174.CrossRef
40.
Zurück zum Zitat Karande, S., & Venkataraman, R. (2013). Impact of co-morbid attention-deficit/hyperactivity disorder on self-perceived health-related quality-of-life of children with specific learning disability. Indian Journal of Psychiatry,55(1), 52–58.CrossRef Karande, S., & Venkataraman, R. (2013). Impact of co-morbid attention-deficit/hyperactivity disorder on self-perceived health-related quality-of-life of children with specific learning disability. Indian Journal of Psychiatry,55(1), 52–58.CrossRef
41.
Zurück zum Zitat Hatami, M., Kazemi, A., & Mehrabi, T. (2015). Effect of peer education in school on sexual health knowledge and attitude in girl adolescents. Journal of Education and Health Promotion,4, 78.PubMedPubMedCentral Hatami, M., Kazemi, A., & Mehrabi, T. (2015). Effect of peer education in school on sexual health knowledge and attitude in girl adolescents. Journal of Education and Health Promotion,4, 78.PubMedPubMedCentral
42.
Zurück zum Zitat Valente, T. W., Paredes, P., & Poppe, P. R. (1998). Matching the message to the process: The relative ordering of knowledge, attitudes, and practices in behavior change research. Human Communication Research,24(3), 366–385.CrossRef Valente, T. W., Paredes, P., & Poppe, P. R. (1998). Matching the message to the process: The relative ordering of knowledge, attitudes, and practices in behavior change research. Human Communication Research,24(3), 366–385.CrossRef
Metadaten
Titel
The impacts of peer education based on adolescent health education on the quality of life in adolescents: a randomized controlled trial
verfasst von
Hua Diao
Yang Pu
Lianjian Yang
Ting Li
Feng Jin
Hong Wang
Publikationsdatum
27.09.2019
Verlag
Springer International Publishing
Schlagwort
School
Erschienen in
Quality of Life Research / Ausgabe 1/2020
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-019-02309-3

Weitere Artikel der Ausgabe 1/2020

Quality of Life Research 1/2020 Zur Ausgabe