Indian Journal of Psychiatric Nursing

: 2020  |  Volume : 17  |  Issue : 1  |  Page : 14--17

Effectiveness of structured teaching program on knowledge regarding hazards of substance abuse among adolescent boys of higher secondary school

Perkash Kour 
 Department of Nursing, MMINSR SKIMS Soura, Srinagar Kashmir, India

Correspondence Address:
Ms. Perkash Kour
Department of Nursing,MMINSR SKIMS Soura, Srinagar Kashmir


Background: Adolescent is a stage of struggle for identity. It is evidenced by rebelliousness, adventure seeking behavior and oppositional defiance. The future citizens are at great risk for early ignition to drugs. Substance abuse is a common social problem, not only in India but throughout the world. The problem of substance abuse is growing at an explosive rate and in just little over a decade it has spread its malevolent tentacles to almost every part of the globe. Aim: This study aimed to assess the effectiveness of structured teaching program on knowledge regarding substance abuse among adolescent boys studying in 10th class by conducting pretest before intervention and posttests after intervention on 7th day. Materials and Methods: Pre-experimental one group pre-test and post-test design was used for this study. The sample of 60 students studying 10th standard were selected using purposive sampling technique consists of adolescent age of 16-17yrs, from selected govt. higher secondary school Srinagar J&K. Self Strutured knowledge questionnaire (pre-test post-test) were administered. The effectiveness of Strutured Teaching Programme (STP) was determined by comparing pre-test post-test knowledge scores. Results: The study findings showed that there was significant increase in knowledge score after exposure to structured teaching programme on substance abuse. There was statistically significant association between the level of knowledge gain and fathers occupation at P = 0.034. Conclusion: The study concluded that the mean difference between pre-test and post test knowledge score was 11.317. It has been proved statistically that the STP has an effect on increasing the knowledge regarding substance abuse among high school students.

How to cite this article:
Kour P. Effectiveness of structured teaching program on knowledge regarding hazards of substance abuse among adolescent boys of higher secondary school.Indian J Psy Nsg 2020;17:14-17

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Kour P. Effectiveness of structured teaching program on knowledge regarding hazards of substance abuse among adolescent boys of higher secondary school. Indian J Psy Nsg [serial online] 2020 [cited 2021 Feb 24 ];17:14-17
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Today's children are tomorrow's citizen, it is necessary for us to prevent adolescents to become prone toward substance abuse. An adolescent is a period when lots of changes take place in body and mind. Adolescent students use harmful and illegal substance at younger age. Continuous use of such substance leads to physical and psychological harm and is difficult to stop.[1] Substance abuse is growing at an explosive rate, and in just little over a decade, it has spread its malevolent tentacles to almost every part of the globe surmounting almost all barriers of race, caste, creed, religion, sex, educational status, economic strata, etc.[2] Current statistics found that 29% of college students report that illegal drugs were made available to them on college property. College students in upper grades report greater access to drugs than do teenagers in lower grades.[3] Substance abuse is found in all age groups, but its prevalence is higher among adolescence and young adults, a large majority of whom are students.[4] Use of tobacco, alcohol, and other substances is a worldwide problem and affects many children and adolescents.[5] Early initiation of substance use is usually associated with a poor prognosis and a lifelong pattern of deceit and irresponsible behavior.[6] According to 2012 Survey by the Ministry of Health and family Welfare, among boys aged between 15 and 19, 28.6% reported tobacco use and 15% were addicted to alcohol. Girls aged 15–19 years showed that 5.5% used tobacco while 4% were addicted to alcohol.[7]

 Materials and Methods

The study was conducted at government boys' higher secondary school, Soura, Srinagar. The sample was class 9th and 10th students. The sample size was 60. Sampling technique chosen was convenient sampling. The tool for data collection was knowledge questionnaire. The questionnaire consists of 41 items. Lesson plan for structured teaching program on hazards of substance abuse and audio-visual aids were prepared by researcher. A preexperimental design (one-group pre- and post-test) was adopted, a single test group (experimental group) was selected, and knowledge scores were measured before the structured teaching program. The structured teaching program was then introduced. Their level of knowledge was re-assessed after the structured teaching program. The effectiveness of structured teaching program was then determined by comparing the pretest and posttest scores on the level of adolescent boys.


[Table 1] shows that the majority of subjects (57%, 34) belong to the age group of 16–17 years, 87% (52) were from urban, 58% (35) of the mothers were illiterate, 42% (25) of the fathers were literate, 95% (57) of the mothers were homemaker, 48% (29) fathers were labors, 63% (38) hailed from nuclear family system, and 87% (52) of the subjects had an income of <1000.{Table 1}

[Table 2] shows the distribution of subjects according to posttest knowledge score, in which 3.3 had below average knowledge, 35 had average knowledge, 50 had good knowledge, and 11.7 had excellent knowledge.{Table 2}

[Table 3] shows that the post test knowledge mean score (21.87+/- 6.803) is increased from the prettest (10.55+/-5.104).{Table 3}

[Table 4] depicts percentage and frequency distribution of the study subjects; in the pretest, 66.7% had below average knowledge, 25% had average knowledge, 8.3% had good knowledge, and 0% had excellent knowledge. In the posttest, 3.3% had below average knowledge, 35% had average knowledge, 50% had good knowledge, and 11.7% had excellent knowledge.{Table 4}

[Table 5] shows that there is a significant enhanacement in the knowledge of adolescents after STP (t = 10.970, P <0.001){Table 5}

[Table 6] shows that there was significant association with selected demographic variables (father's occupation). These findings revealed that pretest knowledge is associated with some demographic variables.{Table 6}


In the present study, a total sample of 60 adolescent boys was selected by convenient sampling. The effectiveness of structured teaching program on knowledge, regarding hazards of substance abuse, was assessed by comparing pre- and post-test knowledge score using paired t-test. The findings revealed that, in the pretest, the mean value was 10.55 with SD of 5.10, whereas, in the posttest, the mean value was 21.67 with SD of 6.80. There is a significant difference between the mean value of the pre- and post-test knowledge score. The obtained “t” value was 10.970 at P < 0.001 being statistically significant. The present study is consistent with the study done by Puri, Jayalakshmi, and Mathur (2015) to determine the effectiveness of STP on knowledge regarding hazards of substance abuse among adolescents of Udipur District, Rajasthan, India.[8] The findings revealed that the pretest knowledge score of students was significantly (P < 0.05) less toward substance abuse. A study reveals that proper education (STP) enhances posttest knowledge among students regarding hazardous of substance abuse. Another study done by Mariappan' comparative study was conducted to assess the effectiveness of STP on addiction (alcohol abuse) among adolescents in selected schools of Salem District, Tamil Nadu State, India.[9] The findings revealed that pretest knowledge score was 12.5 (P = 3.677) less as compared to posttest knowledge (P = 6.253).


Shaping the attitude and promotion of a health lifestyle, including constructive behavior, is essential in the formative years of life. In spite of being aware of harmful effects of substance use, adolescents take up this habit. This requires comprehensive prevention and control programs in schools and the community, targeted toward adolescents and their parents and other family members. Effective measures are required to encourage shaping the attitudes of schoolchildren toward self-confidence and adequacy, as also to prevent risk behavior among adolescents. Need to strengthen adolescent health programs and health promotion activities, as well as substance prevention programs that build a bridge between a school and its community.

Financial support and sponsorship


Conflicts of interest

There are no conflicts of interest.


1Barking SL, Smith KS, Durant RH. Adolescents attitude and social skills affect current substance use. J Adolesc Health 2002;gh30:448-51.
2Ahmed A, Sen AK. Prevalence of drug abuse among students of Jamia Milia Islamia: A survey report. Disabil Impair 1998;12:31-9.
3World Health Organization. International substance abuse day. Nurs J India 1992;111:130.
4Park K. Park's Textbook of preventive and social medicine. 18th edition 2005. India: Banarsidas Bhanot Publishers.
5WHO. WHO expert committe on drug dependence. 34th report, 2012. Geneva: WHO.
6Tripathi BM, Lal R. Substance abuse in children and adolescents. Indian J Pediatr 1999;66:569-75.
7Mishra PN. Substance abuse rising amongst Indian kids. DNA India, 20-oct-2014.
8Goswami YP, Jayalakshmi LS, Mathur M. A Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge regarding Substance Abuse among Adolescents at Selected Nursing Colleges of Udaipur District, Rajasthan, India. International Journal of Scientific and Research Publications 2015;5:1-5.
9Mariappan U. Effectiveness of STP on Knowledge Regarding Addiction (Alcohol Abuse among Adolescents; 2014.