Effectiveness of Child-rearing Information Booklet among Adolescent Mothers: A Quasi-experimental Non-equivalent
Genevive Claire B Antonio1, Teresa N Basatan1
1Saint Louis University, Baguio City, Philippines.
Insights
The Child-rearing Information Booklet (CRIB) improved adolescent mothers' knowledge and practices in childcare. While attitudes remained unchanged, the CRIB demonstrated significant effectiveness in enhancing essential child-rearing skills for young mothers.
Area of Science:
- Maternal and Child Health
- Developmental Psychology
- Public Health Interventions
Background:
- Adolescent mothers face unique challenges in providing optimal care for children aged 0-2 years.
- Young mothers' ability to support child development is influenced by the dual demands of adolescence and motherhood.
Purpose of the Study:
- To evaluate the effectiveness of the Child-rearing Information Booklet (CRIB) for adolescent mothers.
- To assess the impact of CRIB on knowledge, attitude, and practices (KAP) related to child-rearing in adolescent mothers with children aged 0-2 years.
Main Methods:
- A quasi-experimental, non-equivalent pre-test-post-test control group design was employed.
- 30 intervention and 30 control adolescent mothers were recruited in Baguio City.
- Validated questionnaires assessed KAP, with data analyzed using independent sample t-tests.
Main Results:
- Both groups demonstrated baseline knowledge, favorable attitudes, and satisfactory practices in childcare.
- Significant improvements were observed in knowledge and practice scores post-intervention.
- The CRIB intervention showed a significant difference in post-test scores for knowledge (large effect) and practice (large effect), and attitude (medium effect).
Conclusions:
- Adolescent mothers possess inherent child-rearing knowledge and practices.
- The CRIB is effective in enhancing adolescent mothers' knowledge and practices concerning child-rearing.
- While CRIB significantly improves knowledge and practice, its effect on attitude is limited, potentially influenced by other socio-demographic factors.
Background:
Child-rearing is challenging for adolescent mothers at risk of providing limited care to their children because of the challenges and demands of simultaneously being an adolescent and a mother. Children aged 0-2 years depend on caregivers like their young mothers to promote their physical, emotional, social, and cognitive growth and development.
Objective:
The study aimed to determine the effectiveness of the Child-rearing Information Booklet (CRIB) among adolescent mothers with children aged 0-2 years on the three dimensions of knowledge, attitude, and practices.
Methods:
The study utilized the quasi-experimental non-equivalent pre-test-post-test control group design to investigate 30 intervention and 30 comparison adolescent mothers with children aged 0-2 years who met the study criteria in Baguio City from January 2019 to January 2021. The fishbowl sampling technique was used in selecting the population and the specific barangays. A validated self-made questionnaire (I-CVI of 0.95 with Cronbach's α of 0.96) determined both groups' knowledge, attitude, and practices (KAP). The study used the weighted mean for adolescent mothers' KAP while an independent sample t-test analyzed the significant change in the scores of both groups and to answer the significant difference in the pre- and post-test scores between the two groups.
Results:
The results revealed that both groups are knowledgeable about child-rearing skills. Both groups have a favorable attitude when caring for their children and have a very satisfactory practice in childcare. The study also yielded a significant difference in the change of scores in the pre- and post-test scores of the two groups, specifically in knowledge and practice, while no significant difference in their attitude. It also presented a significant difference in the post-test scores between the two groups along with their knowledge (large effect size), attitude (medium effect size), and practices (large effect size).
Conclusions:
Adolescent mothers have pre-existing KAP in child-rearing. The CRIB effectively enhances adolescent mothers' child-rearing knowledge and practice. Also, the increase of scores in KAP in child-rearing during the post-test may not be solely caused by the CRIB but also influenced by their age, level of education, living environment, experience in child-rearing, and age of their child. The CRIB has a high practical significance in improving the knowledge and practices among adolescent mothers but not in their attitude.
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