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Peer-reviewedCC BY-NC-NDBMC public health

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
  1. 1College of Pharmacy, Nursing & Medical Sciences, Riyadh Elm University, Riyadh, Saudi Arabia.
  2. 2Faculty of Nursing, Middle East University, Amman, Jordan.
  3. 3Faculty of Nursing, Philadelphia University, Amman, Jordan.
  4. 4Department of Pharmaceutical Sciences, Faculty of Pharmacy, Jadara University, Irbid, 21110, Jordan.
  5. 5Department of Clinical Nursing, School of Nursing, the University of Jordan, Amman, Jordan.
  6. 6Woman's Health and Midwifery Nursing, Faculty of Nursing, Mansoura University, Mansoura, Egypt.
  7. 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  -