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An Experimental Study to Evaluate the Effectiveness of Sexual Assertiveness Training Program on Sexual Awareness and Sexual Assertiveness among Adolescents Attending Selected Schools in Madurai
Background of the study: Adolescence is a period of transition between childhood and adulthood. As the adolescents grow, their problems also increase due to failure in understanding the anatomical, developmental and psychological changes. Some react to this with excitement and some others experience shame, anxiety and guilt which lead to many sex related issues. Equipping them with adequate sexual information give them confidence and help them to know how to act in sexual difficult situations. Nurses play a pivotal role in creating sexual awareness and sexual assertiveness in adolescents. Aim: The aim of the study is to assess the effectiveness of sexual assertiveness training program on sexual awareness and sexual assertiveness among adolescents attending selected schools in Madurai. Methodology: Quasi experimental non equivalent pre test, post test and control group design was used for the study. The study was conducted in Amutham Higher Secondary school and CSI higher secondary school, Madurai. The setting of the study was selected using simple random sampling technique. A total of 250 school going adolescents were selected using inclusion and exclusion criteria, out of which 125 were in experimental group and control group each. The conceptual framework for the study was based on Ernestine Wiedenbach’s “The helping art of clinical nursing theory” (1964). Tools used were questionnaire on sexual awareness, 5 point likert scale on sexual assertiveness and situational questionnaire on sexual assertiveness. The sexual assertiveness training programme was administered over 2 hours in a week for 5 consecutive weeks. Data was analyzed using descriptive and inferential statistics. Results: The sexual assertiveness training programme was effective in improving school going adolescents sexual awareness (pre test, post test comparison t = 7.157, P < 0.001, Post test comparison t = 3.286, P < 0.001) sexual assertiveness (pre test, Post test comparison t = 13.397, P < 0.001, Post test comparison t = 6.749, P < 0.001) sexual assertiveness according to situational questions (Pre test comparison t = 8.839, P < 0.001, Post test comparison t = 5.38, P < 0.001). There was a significant positive relationship found between sexual awareness and sexual assertiveness (r = 0.41). Conclusion: Sexual awareness and sexual assertiveness of school going adolescents were not adequate to protect themselves. Study findings conclude that sexual assertiveness training programme was effective in improve sexual awareness and sexual assertiveness among school going adolescents.
Adolescents, Sexual Assertiveness, Sexual Awareness, Sexual Assertiveness Training Program).
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