Effects of Health Education on Sexual Risk Behaviors Using Thinking-Based Learning to Enhance Critical Thinking and Health Literacy Among Grade 6 Students
Article Sidebar
Main Article Content
Abstract
This study aimed to 1) develop and evaluate the effectiveness of lesson plans on sexual risk behaviors using thinking-based learning to enhance critical thinking skills and health literacy based on the 80/80 criterion, 2) compare students’ critical thinking skills, and 3) compare students’ health literacy before and after learning through thinking-based learning activities on sexual risk behaviors. This study employed a quasi-experimental research design. The sample consisted of 35 Grade 6 students from Anuban Lamphun School during the first semester of the 2024 academic year. The participants were selected using simple random sampling. The research instruments included 1) lesson plans on sexual risk behaviors using thinking-based learning, 2) a critical thinking skills assessment, and 3) a health literacy assessment on sexual risk behaviors. Data were analyzed using percentage, mean, and standard deviation. The research hypotheses were tested using the Wilcoxon Matched-Pairs Signed-Rank Test and the paired-sample t-test.
The findings revealed that 1) the lesson plans on sexual risk behaviors using thinking-based learning to enhance critical thinking skills and health literacy for Grade 6 students consisted of six lesson plans. Each lesson plan included five instructional steps, namely engaging, problem identification, information gathering, alternative identification, and conclusion and decision making. The lesson plans achieved an efficiency of process (E1) of 95.71 and an efficiency of outcome (E2) of 91.00, which was higher than the established 80/80 criterion. 2) Students’ critical thinking skills after learning were higher than before learning at a statistically significant level of .05 (M = 28.74, S.D. = 1.17). 3) Students’ health literacy after learning was higher than before learning at a statistically significant level of .05 (M = 4.91, S.D. = 0.80).
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Anderson, L. W., & Krathwohl, D. R. (Eds.). (2001). A taxonomy for learning, teaching, and assessing: A revision of Bloom's taxonomy of educational objectives. Longman.
Bureau of Reproductive Health. (2018). A survey on sexuality education and life skills for adolescents aged 10-19 years. Department of Health. https://rh.anamai.moph.go.th/web-upload/7x027006c2abe84e89b5c85b44a692da94/tinymce/kpi64/2_4/2_4_44_7.pdf [In Thai]
Bureau of Reproductive Health. (2020). Reproductive health situation in adolescents and youth 2020. Department of Health. https://rh.anamai.moph.go.th/th/cms-of-1/207028 [In Thai]
Chomthananan, N., Sarayuthpitak, J., & Changkaew, W. (2021). Effects of “Moderate Class More Knowledge” activity using reflective thinking on health literacy on electronic cigarette of secondary school students. Academic Journal of Thailand National Sports University, 14(1), 225–236. https://he02.tci-thaijo.org/index.php/TNSUJournal/article/view/250860 [In Thai]
Facione, P., Gittens, C. A., & Tiwari, A. (2008). Critical thinking and clinical reasoning in the health sciences: An international multidisciplinary teaching anthology. California Academic press.
Facione, P. (1990). Critical thinking: A statement of expert consensus for purposes of educational assessment and instruction—The Delphi report. California Academic Press.
Fongtanakit, K. (2022). Rational choice theory and its challenges. Journal of Public Administration, Public Affairs, and Management, 20(2), 83–101. https://so05.tci-thaijo.org/index.php/pajournal/article/view/257479 [In Thai]
Health Education Division. (2021). Performance report on the development of health literacy and health behaviors 2021. Department Of Health Service Support. [In Thai]
Johnson, A. B., & Smith, C. D. (2021). Cognitive processes in health literacy and decision-making among adolescents. Academic Press.
Khaemmanee, T. (2021). Science of teaching: Knowledge for effective learning process management (25th ed.). Chulalongkorn University Press. [In Thai]
Konkam, B., Pinchaleaw, D., & Keskomon, T. (2021). Effects of a participatory promotion program for early adolescents on sex education, life skills, and unplanned pregnancy preventing behaviors. The Southern College Network Journal of Nursing and Public Health, 8(1), 196–210. https://he01.tci-thaijo.org/index.php/scnet/article/view/220092 In Thai]
Kruon, Y. (2023). Effects of learning activities applied by using LOVE Model on responsible citizen of ninth grade students [Master’s thesis, Silpakorn University]. DSpace at Silpakorn University. http://ithesis-ir.su.ac.th/dspace/bitstream/123456789/5130/1/620620117.pdf [In Thai]
Manganello, J. A. (2008). Health literacy and adolescents: A framework and agenda for future research. Health Education Research, 23(5), 840-847. https://doi.org/10.1093/her/cym069
Manyanon, U., & Sarayuthpitak, J. (2020). Effects of analytical thinking process in sex education on the sexual behavior of eight grade male students. Journal of Education Studies, Chulalongkorn University, 48(3), 428–442. https://doi.org/10.14456/educu.2020.42 [In Thai]
Ministry of Education. (2008). The Basic Education Core Curriculum B.E. 2551 (A.D. 2008). Bureau of Academic Affairs and Educational Standards. https://academic.obec.go.th/web/images/document/1725597180_d_1.pdf [In Thai]
Moolkam, S. (2008). Writing a lesson plan that emphasizes thinking (3rd ed.). EK Books. [In Thai]
Nanthum, J., & Kota, N. (2024). The development of problem-based learning activities learning unit promoting health in the community for Mathayom 3 students. Journal of Arts and Science Chaiyaphum Rajabhat University, 11(1), 107-118. (pp. 1-2). https://so06.tci-thaijo.org/index.php/JAS_CPRU/article/view/269069/183739 [In Thai]
Narakorn, K., Sirisawat, C., & Panpruksa, K. (2017). The effect of learning management in health education by using inquiry method on learning achievement and attitude towards learning management for Prathomsuksa 5 students. Silpakorn University Journal of Education, 15(1), 110–122. https://so02.tci-thaijo.org/index.php/suedujournal/article/view/174848/125153 [In Thai]
Noppakunwong, T. (2023). Development of a thinking-based learning model with social networking sites to enhance media literacy skill of undergraduate students. Journal of Graduate School Chaiyaphum Review, 1(2), 1-13. https://so15.tci-thaijo.org/index.php/JGCR/article/view/507 [In Thai]
Nutbeam, D. (2008). The evolving concept of health literacy. Social science & medicine, 67(12), 2072–2078. https://doi.org/10.1016/j.socscimed.2008.09.050
Porkitfuangfoo, N., & Koraneekid, P. (2020). Development of a learning model using thinking-based learning with social media to promote media literacy for undergraduate students. Journal of Education. 15(2), 1-13. https://so01.tci-thaijo.org/index.php/OJED/article/view/245023/165746 [In Thai]
Pathanang, K., & Anguravirutt, S. (2018). Development of learning activities using a problem-based learning and Socratic questioning technique to promote critical thinking in Mathayomsuksa 4 students. Journal of Humanities and Social Sciences Mahasarakham University, 37(2), 57-60. https://hujmsu.msu.ac.th/Eng/pdfsplitE.php?p=MTU5OTAxNTk0Ni5wZGZ8NjYtNzY= [In Thai]
Phansin, A. (2022). Factors affecting intention of premature pregnancy prevention among female senior high school and vocational certificate student in Khanuworalaksaburi District, Kamphaeng Phet Province. [Master thesis, Naresuan University]. NU Intellectual Repository. https://nuir.lib.nu.ac.th/dspace/bitstream/123456789/5934/3/AutcharaPhansin.pdf [In Thai]
Phetkliang, D., & Phetkliang, R. (2024). Guidelines for enhancing decision-making skill via Social Studies learning management. Journal of Education Bansomdejchaopraya Rajabhat University, 17(1), 64–71. https://so17.tci-thaijo.org/index.php/EduBSRU/article/view/254 [In Thai]
Pinasa, C., Kumyoung, A., Kessung, P., Inyai, C., & Srijumnong, J. (2024). Development of authentic assessment tools in educational measurement and evaluation, Faculty of Education, Loei Rajabhat University. Trends of Humanities and Social Sciences Research, 12(2), 323–346. https://so03.tci-thaijo.org/index.php/Humanties-up/article/view/280330/186142 [In Thai]
Promwong, C. (2013). Media performance testing or teaching series. Silpakorn Education and Research Journal, 5(1), 7-20. https://so05.tci-thaijo.org/index.php/suedureasearchjournal/article/view/28419 [In Thai]
Prongprommarat, J., Hongkhuntod, A., & Talasi W. (2021). The development of sexual literacy scale and norm of secondary school students. Sikkha Journal of Education, 8(2), 23-35. https://so05.tci-thaijo.org/index.php/sikkha/article/view/251154/172334 [In Thai]
Pubumrung, S. (2020). The organization of decision-making activities in elementary school students: A case study of results with the IGTTM2 test [Master thesis, Burapha University]. Burapha University Research Information. https://buuir.buu.ac.th/bitstream/1234567890/9190/1/58910148.pdf [In Thai]
Safitri, Y., & Nurhayati, S. (2023). Sex education using problem-based learning approach: An effort to raise adolescent awareness of the dangers of promiscuity. Jurnal Simki Pedagogia, 6(2), 279-286. https://doi.org/10.29407/jsp.v6i2.265
Salachua, P. (2021). Effects of developing media sexual health literacy on the premarital sex prevention among lower secondary school students [Master thesis, Burapha University]. DSpace at Burapha University. https://ir.buu.ac.th/dspace/bitstream/1513/341/1/61920073.pdf [In Thai]
Smart-Morstad, K. (2012). Thinking-based learning: Promoting quality student achievement in the 21st century, by R. J. Swartz, A. L. Costa, B. K. Beyer, R. Reagan, & B. Kallick. Critical Questions in Education, 3(1), 50–51. https://academyforeducationalstudies.org/wp-content/uploads/2014/12/morstad_book_review_final.pdf
Sricharun, S., Tuntiwaranuruk, C., & Sirisawad, C. (2017). The effect of inquiry cycle learning (7E) with higher order question on rational thinking and learning achievement in the topic “digestive system” of grade 10 students. Journal of Education Naresuan University, 19(2), 83-94. https://so06.tci-thaijo.org/index.php/edujournal_nu/article/view/88741/69774 [In Thai]
Thaipong, S., Rodpipat, S, & Sarayuthpitak, J. (2023). The development of health education learning using problem-based approach and Socratic questioning to enhance learning achievement and creative problem solving of secondary school students. Academic Journal of Thailand National Sports Univesity, 15(1), 259-274. https://he02.tci-thaijo.org/index.php/TNSUJournal/article/view/257623/177778 [In Thai]
Swartz, R. J., & McGuinness, C. (2014). Developing and assessing thinking skills: Final report part 1, literature review and evaluation framework. International Baccalaureate. https://doi.org/10.13140/RG.2.1.4917.6163
Swartz, R. J., & Parks, S. (1994). Infusing the teaching of critical and creative thinking into content Instruction. Critical Thinking & Software.
Tangnorakul, P., Sananreangsak, S., & Teerarungsikul, N. (2019). The relationship between sexual health literacy and sexual behavior among middle school female students. Royal Thai Navy Medical Journal, 46(3), 607–620. https://he01.tci-thaijo.org/index.php/nmdjournal/article/view/231178 [In Thai]
Taphad, W., & Sarayuthpitak, J. (2017). Effects of health education learning management using analytical thinking skill and assessing situation for learning achievement in media literacy of lower secondary school students. Journal of Education, Chulalongkorn University, 45(4), 177–189. https://so02.tci-thaijo.org/index.php/EDUCU/article/view/125461 [In Thai]
Waraporn, F. (2022). Report of individual behavior records of grade 6 students, academic year 2022. Anuban Lamphun School. [In Thai]
Wattanaburanon, A. (2020). LOVE model and health education learning management. Journal of Maejo Liberal Arts, 8(1), 233-245. https://so03.tci-thaijo.org/index.php/liberalartsjournal/article/view/244245 [In Thai]
Wongpairin, K., & Songsern, U. (2022). The development of instructional model by thinking-based learning to enhance English reading comprehension abilities and analytical thinking skills of upper secondary school students. Journal of International Buddhist Studies, 13(1), 87-103. https://so09.tci-thaijo.org/index.php/jibs/article/view/2576/1839
