Changes in self-concept and healthy behaviors following an audio instructional program on puberty among teenage girls with visual impairment: a quasi-experimental study.
7 affiliations
- 1College of Pharmacy, Nursing & Medical Sciences, Riyadh Elm University, Riyadh, Saudi Arabia.
- 2Faculty of Nursing, Middle East University, Amman, Jordan.
- 3Faculty of Nursing, Philadelphia University, Amman, Jordan.
- 4Department of Pharmaceutical Sciences, Faculty of Pharmacy, Jadara University, Irbid, 21110, Jordan.
- 5Department of Clinical Nursing, School of Nursing, the University of Jordan, Amman, Jordan.
- 6Woman's Health and Midwifery Nursing, Faculty of Nursing, Mansoura University, Mansoura, Egypt.
- 7Nursing Department, Faculty of Health Professions, Al- Quds University, Jerusalem, Palestine. [email protected].
Abstract
Background
Teenage girls, who are a vulnerable group, require special care and attention, particularly when puberty begins. A consistent teaching program about menstruation should be offered to adolescent girls with visual disabilities.Aim
The goal of this research was to evaluate the self-concept and healthy behavior of teenage girls with visual impairment after conducting an audio instructional program regarding puberty.Methods
A Quasi-experimental research design. The study was carried out in Al- Nor and Al- Aml schools in Port-Said city & Damietta city, one school in each city. Purposive sampling included 46 visually impaired teenage girls representing all eligible participants in the setting who met the inclusion criteria (25) at Port-Said City and (21) at Damietta City. Data collection instruments: Survey for Structured Interviews, Adolescents' Self-concept Short Scale, Puberty Healthy Behavior Questionnaire.Results
Significant improvements were observed in knowledge, self-concept, and menstrual health practices across pre, post, and follow-up phases. The mean total knowledge score increased from 16.43 ± 6.60 pre-intervention to 21.63 ± 6.33 post-intervention and 22.91 ± 5.80 at follow-up (F = 63.33, p < 0.001). The total self-concept score also improved significantly from 95.76 ± 6.42 to 106.91 ± 4.94 and 109.96 ± 6.88, respectively (F = 189.81, p < 0.001). Similarly, total health practices improved from 36.15 ± 5.07 pre-intervention to 40.35 ± 3.48 post-intervention and 41.67 ± 3.67 at follow-up (F = 18.51, p < 0.001), with consistent improvements across all domains. Significant correlations were found between knowledge, self-concept and health practices (p < 0.001).Conclusion
The results of this investigation revealed that visually impaired adolescent girls had low knowledge, self-concept, and menstrual hygiene practices at puberty before the intervention. All measured outcome variables showed a significant improvement after the implementation of the audio instructions program, and such improvement was maintained at follow-up (p < 0.001).Clinical trial registration
This trial was registered on 22/ March /2026 at ClinicalTrials.gov, identifier [NCT07496606].
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BibTeX
@article{abdelfatah2026changes,
title = {{Changes in self-concept and healthy behaviors following an audio instructional program on puberty among teenage girls with visual impairment: a quasi-experimental study.}},
author = {Amira Mohamed Abdelfatah and Fathia Mahmoud AbdElmenim Sayed and Fatma Kamal Ali and Rabia Hani Haddad and Razan Haddad and Wafaa J Tohol and Nehmedo Ezzat Osman and Ashraf Jehad Abuejheisheh},
journal = {BMC public health},
year = {2026},
month = aug,
doi = {10.1186/s12889-026-28945-2},
url = {https://europepmc.org/article/MED/42972387},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Changes in self-concept and healthy behaviors following an audio instructional program on puberty among teenage girls with visual impairment: a quasi-experimental study.
AU - Amira Mohamed Abdelfatah
AU - Fathia Mahmoud AbdElmenim Sayed
AU - Fatma Kamal Ali
AU - Rabia Hani Haddad
AU - Razan Haddad
AU - Wafaa J Tohol
AU - Nehmedo Ezzat Osman
AU - Ashraf Jehad Abuejheisheh
PY - 2026
DA - 2026/08/06
JO - BMC public health
DO - 10.1186/s12889-026-28945-2
UR - https://europepmc.org/article/MED/42972387
AB - Background Teenage girls, who are a vulnerable group, require special care and attention, particularly when puberty begins. A consistent teaching program about menstruation should be offered to adolescent girls with visual disabilities.Aim The goal of this research was to evaluate the self-concept and healthy behavior of teenage girls with visual impairment after conducting an audio instructional program regarding puberty.Methods A Quasi-experimental research design. The study was carried out in Al- Nor and Al- Aml schools in Port-Said city & Damietta city, one school in each city. Purposive sampling included 46 visually impaired teenage girls representing all eligible participants in the setting who met the inclusion criteria (25) at Port-Said City and (21) at Damietta City. Data collection instruments: Survey for Structured Interviews, Adolescents' Self-concept Short Scale, Puberty Healthy Behavior Questionnaire.Results Significant improvements were observed in knowledge, self-concept, and menstrual health practices across pre, post, and follow-up phases. The mean total knowledge score increased from 16.43 ± 6.60 pre-intervention to 21.63 ± 6.33 post-intervention and 22.91 ± 5.80 at follow-up (F = 63.33, p < 0.001). The total self-concept score also improved significantly from 95.76 ± 6.42 to 106.91 ± 4.94 and 109.96 ± 6.88, respectively (F = 189.81, p < 0.001). Similarly, total health practices improved from 36.15 ± 5.07 pre-intervention to 40.35 ± 3.48 post-intervention and 41.67 ± 3.67 at follow-up (F = 18.51, p < 0.001), with consistent improvements across all domains. Significant correlations were found between knowledge, self-concept and health practices (p < 0.001).Conclusion The results of this investigation revealed that visually impaired adolescent girls had low knowledge, self-concept, and menstrual hygiene practices at puberty before the intervention. All measured outcome variables showed a significant improvement after the implementation of the audio instructions program, and such improvement was maintained at follow-up (p < 0.001).Clinical trial registration This trial was registered on 22/ March /2026 at ClinicalTrials.gov, identifier [NCT07496606].
SN - 1471-2458
ER -