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Date Received: 14/08/19 Date Revised: 11/09/19 Date Published: 15/09/2019 © Greentree Group Publishers
________________________________________________________________________________________________________ Joshi et al. Greentree Group Publishers © jolnt J Nur Today 2019 Vol. 11 Issue 1 www.jolnt.com 45 [e ISSN 2456-1630]
J Nur Today
RESEARCH ARTICLE www.jolnt.com
e-ISSN 2456-1630
A Descriptive Study to Assess the Knowledge Regarding Behavioral
Disorders and Its Prevention among the Teachers of Primary School
of Ahmedabad City, Gujarat State with a View to Develop A
Pamphlet
Jinal Patel1, Mayuri Vaghela2, Mona Patni3, Janvi Solanki4, Priti Panchal5, Farhinbanu Sheikh6,
Krishna Baldaniya7, Twinkal Gamit,8 Ritesh Shrimali9 and Jalaj.R.Joshi10*
1-94th Year B.Sc. Nursing, GCS college of Nursing, Ahmedabad, Gujarat, India
10Lecturer, 4th Year B.Sc.Nursing, GCS college of Nursing, Ahmedabad, Gujarat, India
ABSTRACT The present study aims to assess the knowledge regarding behavioral disorders and its prevention
among 100 primary school teachers. The research design adopted for this study was Non
experimental descriptive research design and non-probability convenient sampling technique was
used for data collection. The study was conducted in different primary school of Ahmedabad city.
Data collection tool consisted of semi- structured knowledge questionnaire with multiple choice
questions. Data was analyzed through descriptive and inferential statistics. The study revealed that
68% of the samples had good knowledge, 30% had average knowledge and 02% had poor
knowledge. Mean score regarding behavioral disorder and its prevention was 21.87. Among
demographic variables Gender, Age, Religion, Education, Monthly income, Residing area, Type
of family, Job pattern, any family history of behavioral disorder and Have you taken any training
for prevention and management of behavior disorder? , it was found that there was association
between any training and knowledge of teachers. Chi- square value was 6.713, and calculated P
value was 0.0349 which was less than 0.05 which indicates that it was significant. After analysis
the investigator developed and distributed a pamphlet regarding behavioral disorders and its
prevention.
KEYWORDS Behavioral, Disorders, School, Knowlwdge
J Nur Today
________________________________________________________________________________________________________ Joshi et al. Greentree Group Publishers © jolnt J Nur Today 2019 Vol. 11 Issue 1 www.jolnt.com 46 [e ISSN 2456-1630]
INTRODUCTION
“Good behaviour is the last refuge of
mediocrity.”
-Henry S. Haskins
Today’s children are tomorrow's future. There is a great to emphasize on children these days
because of the recognition that a very substantial proportion of the world's population, 35-45%
constitute young children. The future of our country depends on positive mental health of our young
people. However, nearly one in five children and adolescents have emotional and behavioral
disorders at some point of time in their young lives, regardless of their geographic region or socio-
economic status.
Recent evidence by WHO indicates that by 2020 childhood neuropsychiatric disorders will rise
proportionately by over 50%, and would be the fifth most common cause of morbidity, mortality
and disability among children. Epidemiologically estimates suggests that approximately 14-20%
of all children from birth to 18 years of age have some type of psychiatric disorders and about 03%
to 05% have serious disorders.
According to Ramesh p Adhikari 2015 the result suggest that addictive behavior not paying
attention to studies getting angry over small issues fighting back disobedience and stealing were
the most commonly identified behavioral related problems of children with these problem seen as
interrelated and interdependent result indicates that community members view the family the
strategies reported by parents and teachers to manage child behavioral problems were talking
listening consoling advising and physical punishment conduct or behavioral problems related to
repeated violation of others rights aggressiveness hyperkinetic impulsive behavior and missing
classes or running away from school.
The most commonly reported child behavioural problems in the study area were addictive
behaviour neglecting school-work getting over small issue fighting disobedience and stealing the
children family school and community environment were seen responsible for the increase or
decrease of these problems children with supportive parents and family environments were
thoughts to exits fewer behaviour related problems that children with unsupportive parents and
difficult family circumstances respondents reported that society had negative attitudes towards
children with behavioural problems.
J Nur Today
________________________________________________________________________________________________________ Joshi et al. Greentree Group Publishers © jolnt J Nur Today 2019 Vol. 11 Issue 1 www.jolnt.com 47 [e ISSN 2456-1630]
Teachers have difficulties managing children behavioural problems teachers reported under
listening talking and counselling as a first option to deal with child behavioural problems.
The term "behaviour disorder" is often seen as less stigmatizing, less severe, more socially
acceptable and more practical than the term emotionally disturbed. The term grew out of a
behavioural model which process the teachers can see and describe behaviour disorder, but cannot
easily describe disturbed emotions. In common usage today, "behavioural disorder" is usually
attributed to less severally disturbed students whereas "emotionally disturbed" is reserved for the
most seriously impaired.
Behaviour is simple verbal and non-verbal communication. It is the conduct, actions and words that
children employ as a signal, with which they express their thoughts, feelings, need and impulses.
It is judged as to whether it meets social, cultural, developmental and age appropriate standards.
Behaviour can be positive or negative, impulsive or planned, predictable or unpredictable,
consistent or inconsistent and it can elicit a wide range of positive or negative responses from
others.
Therefore as mental health in school health is essential, for which teachers need to identify the
common mental health problems. The disruptive behaviours in the classroom tend to diminish if
they are ignored by the teacher and if the teacher gives systematic approval and attention when they
behave well. So, knowledge of teachers regarding prevention of behavioural problems among
school children is very much essential for mental health promotion.
Teachers have been utilized for school health programmers in health status assessment and health
education. Since there is considerable shortage at mental health professionals, schools teachers can
make important contributions in the promotion of mental health of children. The opportunity that
teachers have for interpersonal relationship greatly contribute to the mental health of children.
STATEMENT OF THE PROBLEM
“A Descriptive Study To Assess The Knowledge Regarding Behvioural Disorders And Its
Prevention Among The Teachers Of Primary School Of Ahmedabad City, Gujarat State With View
To Develop A Pamphlet”
OBJECTIVES
1) Assess the existing knowledge of teachers regarding selected behavioural problems of primary
school children.
J Nur Today
________________________________________________________________________________________________________ Joshi et al. Greentree Group Publishers © jolnt J Nur Today 2019 Vol. 11 Issue 1 www.jolnt.com 48 [e ISSN 2456-1630]
2) Associate the level of knowledge of teachers with selected demographic variables.
3) Develop the pamphlet about behaviour disorders and distribute it.
ASSUMPTION
Primary school teachers may be have some knowledge regarding behavioural problems among
children.
The pamphlet may be useful sources to improve the knowledge regarding behavioural disorders
and its prevention among the teachers of primary schools in Ahmadabad city.
RESEARCH APPROACH: The research study approach is Non- experimental descriptive
research approach was used in this study.
RESEARCH DESIGN: The research design selected for the study is Non experimental descriptive
survey research design.RESEARCH SETTING: The study was conducted in selected school of
Ahmedabad city, Gujarat state.
The selected area (Jivan prakash vidhyavihar) for pilot study was selected randomly by
investigator. The investigator had collected information about total number of school which was
convenient for investigator. The study was conducted successfully.
TARGET POPULATION
All teachers consist in selected primary school of Ahmedabad city, Gujarat state.
SAMPLE SIZE AND SAMPLING TECHNIQUE
Total 100 teachers available at selected primary school of Ahmedabad city, Gujarat state were
selected by random sampling technique. The steps of the sampling technique that the investigator
adopted were as follow:
There were 30 samples collected from Eklavya Vidhyavihar, 10 samples collected from Shri Hiraba
Vidhyalay, 10 samples collected from Arpan VidhyaVihar, 20 samples collected from Uma
Vidhyalaya, 30 samples collected from Ankur Vidhyalaya.
SELECTION OF TOOLS FOR DATA COLLECTION
A semi-structured knowledge questionnaire
The investigator reviewing the literature pertaining to assess knowledge regarding behavioural
disorders and its prevention among the teacher of primary school investigator had prepared
knowledge questioners by using multiple choice question method for collection of data regarding
behavioural disorders.
DEVELOPMENT OF TOOLS: Development of semi-structured Knowledge questionnaire:
J Nur Today
________________________________________________________________________________________________________ Joshi et al. Greentree Group Publishers © jolnt J Nur Today 2019 Vol. 11 Issue 1 www.jolnt.com 49 [e ISSN 2456-1630]
Semi-structured knowledge questionnarie tool is used to assess knowledge on behavioural
disorders by using multiple choice question method.
DESCRIPTION OF THE TOOLS:
The final tool consisted of following two sections:
Section I- This section consisted 10 items for obtaining information regarding demographic data
such as Gender, Age in year, Religion, Education, Monthly income, Teacher’s residing in.., Type
of family, Job pattern, Any family history of behaviour disorder?, Have you taken any training for
prevention and management of behaviour disorder ?
Section II- This section consisted structured knowledge question regarding behavioural disorders
and its prevention. There were 30 items each item carry one mark. Maximum score of the
questionnaire is 30. Investigator gives 1 mark for correct answer and 0 marks for wrong answer.
RELIABILITY
The reliability of semi structured knowledge questionnaire determined by test retest method using
Spearman’s rank correlation formula.
The reliability of semi-structured knowledge questionnaire was 0.77638 which is more than 0.5;
hence the questionnaire was determined by Spearman’s rank correlation formula found to be
reliable .
PROCEDURE FOR DATA COLLECTION
Formal permission from principal of selected school of Ahmedabad city. The investigator had
collected data after getting permission. The data collection procedure was started from 30/04/19 to
03/05/19.
An informed written consent from all the participants was taken before starting the study. The
investigator approached the samples individually, discussed the objectives of the study and
obtained consent for participation in the study. All samples gave cooperation during data collection
procedure and no problem was faced during data collection.
PLAN OF DATA ANALYSIS:
The investigator analyzed the data in the following manner:
Demographic Data analyzed by using frequency and percentage and had presented in the form of
the table.
Chi-square was applied to find the association with demographic data & the findings documented
in tables and graphs.
J Nur Today
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ANALYSIS AND INTERPRETATION OF DEMOGRAPHIC DATA OF SAMPLES.
Table 1 Frequency and percentage distribution of samples according to their demographic variable (N=100)
Sr.No Variable Frequency Percentage
1.
Gender:
a. Male
b. Female
c. Transgender
15
85
00
15%
85%
00%
2. Age of teacher(year)
a. 21-30
b. 31-40
c. 41-50
d. Above 51
47
45
07
01
47%
45%
07%
01%
3. Religion
a. Hindu
b. Muslim
c. Christian
d. Other
100
00
00
00
100%
00%
00%
00%
4. Education
a. UG
b. PG
c. M.Phill
d. Ph.D
49
48
03
00
49%
48%
03%
00%
5. Family Monthly Income
a. Less than 5000/-
b. 5001 to 10,000/-
c. 10,001 to 15000/
d. More than 15,001/-
68
21
08
03
68%
21%
08%
03%
6. Teacher residing in…..
a. Urban
b. Rural
98
02
98%
02%
7. Type of family:
a. Nuclear
b. Joint
27
73
27%
73%
8. Job pattern
a. Government
b. Semi-government
c. Private
d. Corporate
00
05
95
00
00%
05%
95%
00%
9. Any family history of behaviour disorder?
a. Yes
b. No
11
89
11%
89%
10. Have you taken any training for prevention
and management of behaviour disorder?
a. Yes
b. No
13
87
13%
87%
J Nur Today
________________________________________________________________________________________________________ Joshi et al. Greentree Group Publishers © jolnt J Nur Today 2019 Vol. 11 Issue 1 www.jolnt.com 51 [e ISSN 2456-1630]
Figure 1 Bar graph showing demographic variable such as gender, age, religion, education, monthly income
15%
85%
0%
47% 45%
7%1%
100%
0% 0% 0%
49% 48%
3%0%
68%
8%3%
0
20
40
60
80
100
120
a) M
ale
b)
Fem
ale
c) T
ran
s ge
nd
er
a) 2
1-3
0
b)
31
-40
c) 4
1-5
0
d)
Ab
ove
51
a) H
ind
u
b)
Mu
slim
c) C
hri
stia
n
d)
Oth
er
a) U
.G
b)
P.G
c) M
.Ph
ill
d)
Ph
.D
a) 5
00
0-1
0,0
00
b)
10
,00
1-1
5,0
00
c) 1
5,0
01
-20
,00
0
d)
Ab
ove
20
,00
1
Gender Age of teacher(Year)
Religion Education Monthly incomein Rs.
Series1
J Nur Today
________________________________________________________________________________________________________ Joshi et al. Greentree Group Publishers © jolnt J Nur Today 2019 Vol. 11 Issue 1 www.jolnt.com 52 [e ISSN 2456-1630]
Figure 2 Bar graph showing demographic variable such as residential area, types of family, job pattern, family history,
taken training
98%
2%
27%
73%
0%5%
95%
0%
11%
89%
13%
87%
0
20
40
60
80
100
120
a) U
rban
b)
Ru
ral
a) N
ucl
ear
b)
Join
t
a) G
ove
rnm
en
t
b)
Sem
i-go
vern
men
t
c) P
riva
te
d)
Co
rpo
rate
a) Y
es
b)
No
a) Y
es
b)
No
Teacherresiding in.....
Types offamily
Job pattern Any familyhistory ofbehaviourdisorder?
10. Have youtaken any
training forprevention
andmanagementof behaviour
disorder?
Series1
J Nur Today
________________________________________________________________________________________________________ Joshi et al. Greentree Group Publishers © jolnt J Nur Today 2019 Vol. 11 Issue 1 www.jolnt.com 53 [e ISSN 2456-1630]
ANALYSIS AND INTERPRETATION OF DATA RELATED TO THE KNOWLEDGE OF
SAMPLES
Table 2 Showing the area wise mean and percentage of knowledge score of samples regarding prevention and
management of behavioural disorder (N=100)
AREA MAX.
SCORE
MEAN.
SCORE
PERCENTAGE
Introduction and definition of
Behavioural disorder
4 2.85 71.25
Nail biting 3 2.25 75
Thumb sucking 6 4.59 76.5
Pica 8 4.97 62.12
Enuresis 5 3.61 72.2
Temper tantrum 4 3.6 90
Total 30 21.87
Figure 3 Pie chart showing the area wise mean and percentage of knowledge score of samples regarding prevention
and management of behavioural disorder
Table 3 Overall frequency and percentage distribution of knowledge score of samples regarding behavioural disorder
and prevention (N=100)
Knowledge level Classification Frequency Percentage (%)
Good 21-30 68 68%
Average 11-20 30 30%
Poor 00-10 02 02%
Total 30 100 100%
Introduction and definition of
Behavioural disorder 13%
Nail biting10%
Thumb sucking20%
Pica27%
Enuresis17%
Temper tantrum 13%
J Nur Today
________________________________________________________________________________________________________ Joshi et al. Greentree Group Publishers © jolnt J Nur Today 2019 Vol. 11 Issue 1 www.jolnt.com 54 [e ISSN 2456-1630]
Figure 4 Bar graph showing overall frequency and percentage distribution of knowledge score of samples regarding
behavioural disorder and prevention
ANALYSIS AND INTERPRETATION OF THE DATA RELATED TO ASSOCIATION OF
KNOWLEDGE SCORES WITH SELECTED DEMOGRAPHIC VARIABLES OF THE
SAMPLES:
Table 4 Association of knowledge score with selected demographic variable of sample
Sr.
No.
Demographic
Variables
Frequency
(f) 2 P value Association
Calculated
value
df
1. Gender:
a. Male
b. Female
c. Transgender
15
85
00
2.645
2
0.2665
Not
significant
2. Age of teacher(year)
a. 21-30
b. 31-40
c. 41-50
d. Above 51
47
45
07
01
4.083
6
0.6655
Not
significant
3. Education
a. UG
b. PG
c. M.Phill
d. Ph.D
49
48
03
00
3.761
4
0.3754
Not
significant
4. Family Monthly Income:
a. Less than 5000/-
b. 5001 to 10,000/-
c. 10,001 to 15000/
68
21
08
2.519
6
0.8664
Not
significant
0
10
20
30
40
50
60
70
21-30 11to20 00-10
Good Average Poor
Frequency
Frequency
30%
2%
68%
J Nur Today
________________________________________________________________________________________________________ Joshi et al. Greentree Group Publishers © jolnt J Nur Today 2019 Vol. 11 Issue 1 www.jolnt.com 55 [e ISSN 2456-1630]
d. More than 15,001/- 03
5. Teacher residing in…..
a. Urban
b. Rural
98
02
4.996
2
0.5139
Not
significant
6. Type of family:
a. Nuclear
b. Joint
27
73
1.508
2
0.4706
Not
significant
7. Job pattern
a. Government
b. Semi-government
c. Private
d. Corporate
00
05
95
00
2.491
2
0.3066
Not
significant
8. Any family history of behaviour
disorder?
a. Yes
b. No
11
89
2.796
2
0.2471
Not
significant
9. Have you taken any training for
prevention and management of
behaviour disorder?
a. Yes
b. No
13
87
6.713
2
0.0349
significant
MAJOR FINDINGS OF THE STUDY:
The data were analyzed and interpreted in terms of objectives of the study. Descriptive and
inferential statistics were utilized for data analysis. Data were organized and presented under the
following manner: analysis and interpretation of demographic data of samples, knowledge of
samples regarding prevention among behavioural disorders.
In the survey it is found that > 70% teachers know about behavioural disorder the common age
group of behavioural disorders, eating disorder, and common bad habits in the children.
Nail biting
Almost 70% teachers are familiar with the symptoms of nail biting and its prevention.
Thumb sucking
They know what is thumb sucking, its causes, symptoms and the therapy which is use to prevent
thumb sucking.
Pica
84% teachers know about pica disease, majority of them know causes of this disease and the
common problems which are found among the children who are suffering from pica.
Even they also know the most effective way of treating pica patients along with pharmacological
treatment too.
Enuresis
J Nur Today
________________________________________________________________________________________________________ Joshi et al. Greentree Group Publishers © jolnt J Nur Today 2019 Vol. 11 Issue 1 www.jolnt.com 56 [e ISSN 2456-1630]
>80% teachers know about sign and symptoms of Enuresis disease and most of them even know
the appropriate age at which the symptoms can be detected, they also know the suitable age of child
for providing toilet training and the substance which is to be avoided.
Tamper tantrum
Almost 80% teachers are aware of Tamper tantrum disease, its causes and prevention.
Knowledge of sample regarding behaviour disorder
The mean knowledge score of the study was 21.87.
CONCLUSION
At the end of the study, the investigator comes to know about the following highlights.
1. This survey was conducted only for 100 teachers so it is only validated to 100 samples.
2. From the survey of 100 samples of teachers from Ahmedabad city it is found that almost 80%
teachers know about behavioural disorders of children of primary school.
3. Association of one demographic variable was found have you taken any training for prevention
and management of behaviour disorder ? as P value (0.0349) was found less than 0.05.
4. A pamphlet may be effective in enhancing knowledge of behavioural disorders and its
prevention.
J Nur Today
________________________________________________________________________________________________________ Joshi et al. Greentree Group Publishers © jolnt J Nur Today 2019 Vol. 11 Issue 1 www.jolnt.com 57 [e ISSN 2456-1630]
BIBLIOGRAPHY
WEBSITE:
1. https://www.google.co.in/url?sa=t&source=web&rct=j&url=http://repository-
tnmgrmu.ac.in/2792/1/3005216edwinjosej.pdf&ved=2ahUKEwiLme-3_f3eAhVELI8KHS0zB-
wQFjAEegQIBBAB&usg=AOvVaw1qIel5ZDYkSmV4k0mLmHBi
2. https://www.google.com/url?sa=t&source=web&rct=j&url=http://repository-
tnmgrmu.ac.in/519/1/3002279nithyas.pdf&ved=2ahUKEwi5mdOHw8zhAhXp6XMBHYl5D-
sQFjAAegQIAxAB&usg=AOvVaw0lh7T3oBzOx872syZ6asQ9
3. http://www.industrialpsychiatry.org/article.asp?issn=0972-
6748;year=2017;volume=26;issue=1;spage=91;epage=94;aulast=Gupta;type=0
4. https://www.google.com/url?sa=t&source=web&rct=j&url=http://www.innovationalpublishers
.com/Content/uploads/Abstract/169695842_IJNR%2520Abstract%252026.pdf&ved=2ahUKEwj
0uubOvMzhAhVc63MBHT_bDG8QFjAAegQIBhAC&usg=AOvVaw2yKQhBkG0Q6-
pPhyrxC_jX
5. https://www.google.com/url?sa=t&source=web&rct=j&url=http://www.innovationalpublishers
.com/Content/uploads/Abstract/169695842_IJNR%2520Abstract%252026.pdf&ved=2ahUKEwj
0uubOvMzhAhVc63MBHT_bDG8QFjAAegQIBhAC&usg=AOvVaw2yKQhBkG0Q6-
pPhyrxC_jX
6. https://www.google.com/url?sa=t&source=web&rct=j&url=https://pdfs.semanticscholar.org/9
6bb/96e61ddf81d2e4c86c55d522650a83b94eb6.pdf&ved=2ahUKEwihqeDmvczhAhWZ7HMBH
YT_BHsQFjABegQIAhAB&usg=AOvVaw3wv1SSGn09agzybHyMMfHU
7. http://www.rguhs.ac.in/cdc/onlinecdc/uploads/05_N031_25183.doc
8. https://www.google.co.in/url?sa=t&source=web&rct=j&url=http://repository-
tnmgrmu.ac.in/2792/1/3005216edwinjosej.pdf&ved=2ahUKEwiLme-3_f3eAhVELI8KHS0zB-
wQFjAEegQIBBAB&usg=AOvVaw1qIel5ZDYkSmV4k0mLmHBi
9. https://www.google.com/url?sa=t&source=web&rct=j&url=http://repository-
tnmgrmu.ac.in/519/1/3002279nithyas.pdf&ved=2ahUKEwi5mdOHw8zhAhXp6XMBHYl5D-
sQFjAAegQIAxAB&usg=AOvVaw0lh7T3oBzOx872syZ6asQ9
10. https://www.google.com/url?sa=t&source=web&rct=j&url=https://pdfs.semanticscholar.org/9
6bb/96e61ddf81d2e4c86c55d522650a83b94eb6.pdf&ved=2ahUKEwihqeDmvczhAhWZ7HMBH
YT_BHsQFjABegQIAhAB&usg=AOvVaw3wv1SSGn09agzybHyMMfHU
J Nur Today
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11. http://www.rguhs.ac.in/cdc/onlinecdc/uploads/05_N031_25183.doc
12. https://www.google.co.in/url?sa=t&source=web&rct=j&url=http://repository-
tnmgrmu.ac.in/2792/1/3005216edwinjosej.pdf&ved=2ahUKEwiLme-3_f3eAhVELI8KHS0zB-
wQFjAEegQIBBAB&usg=AOvVaw1qIel5ZDYkSmV4k0mLmHBi
13. https://www.google.com/url?sa=t&source=web&rct=j&url=http://repository-
tnmgrmu.ac.in/519/1/3002279nithyas.pdf&ved=2ahUKEwi5mdOHw8zhAhXp6XMBHYl5D-
sQFjAAegQIAxAB&usg=AOvVaw0lh7T3oBzOx872syZ6asQ9