Effectiveness of Structured Teaching Programme on Promotion of Mental Health in Children among Mothers of Rural Community

"No health without mental health" The tender the age; more probability of getting affected" Promotion of mental health is a recommended intervention and a step lead ahead in primary level prevention. Latest National survey of children's mental health found that 1 in 10 children and young child aged 5-16 had a clinically recognizable mental disorder. OBJECTIVES OF THE STUDY: 1. To assess the existing knowledge regarding promotion of mental health in children among rural mothers. 2. To assess the post test knowledge regarding promotion of mental health in children among rural mothers. 3. To assess the effectiveness of structured teaching programme of mental health in children among rural mothers. 4. To associate the pre-test knowledge regarding promotion of mental health in their children.

To assess the existing knowledge regarding promotion of mental health in children among To assess the post test knowledge regarding in children among To assess the effectiveness of structured teaching programme of mental health in children among test knowledge regarding promotion of mental health in their children.
ed conceptual framework for the present study was based on General System Model by Ludwig Von Bertalanffy's(1968).Quasi experimental one group pretest posttest research design was adopted for the study.The structured Interview Schedule was developed to collect the data validated by various experts. Pilot study was conducted among 6 mothers in Byrohalli village-Kengeri, feasibility of the study. The main study was conducted at Somannahalli and ChikkaGolahalli rual community in Bangalore from among 60 rural mothers, who were selected by using non probability convenience sampling technique and the data collected was analyzed and interpreted based on descriptive and inferential statistics.

RESULTS:
The assessments of knowledge level of mo mental health promotion revealed that the mean pre test was 10.81 with standard deviated 1.57. Mean post-test was 21.48 with standard deviation 1.76.

INTERPRETATION & CONCLUSION:
The study shows that the structured teaching programme was effective in improving the knowledge regarding promotion of mental health in children among the rural mothers. association between the knowledge scores of rural mothers who attended the structured teaching programme at p level<0.05.The present attempted to assess the effectiveness of structured teaching programme (STP) on knowledge of mothers regarding promotion of mental health in children and found that the developed STP was effective in improving the knowledge of rural mothers regardin Kengeri, Bangalore to find the The main study was conducted at Somannahalli and ChikkaGolahalli rual re from among 60 rural who were selected by using non probability convenience sampling technique and the data collected was analyzed and interpreted based on descriptive and inferential statistics.
The assessments of knowledge level of mothers on mental health promotion revealed that the mean pretest was 10.81 with standard deviated 1.57. Mean test was 21.48 with standard deviation 1.76.

INTERPRETATION & CONCLUSION:
The study shows that the structured teaching in improving the knowledge regarding promotion of mental health in children there was significant association between the knowledge scores of rural mothers who attended the structured teaching programme at p level<0.05.The present study attempted to assess the effectiveness of structured teaching programme (STP) on knowledge of mothers regarding promotion of mental health in children and found that the developed STP was effective in improving the knowledge of rural mothers regarding International Journal of Trend in Scientific Research and Development (IJTSRD) ISSN: 2456-6470 Page: 100 promotion of mental health in children.
Keywords: structured teaching programme, knowledge, mental health

INTRODUCTION:
"No health without mental health".
A good beautiful mind is the core for successful good life. Good mental health leads to good child and this leads to development of a good healthy and developing nation. Child is the mirror for the Nation. Good mental health contributes to qualities of our lives as individuals, as community and as a society in general. Good child is nurtured from seeds of good nutrition, good hygiene, healthy life style and practices in home and those seeked and grasped from surroundings. UNICEF estimates that over 220 million children aged less than 5 years in the developing world have significantly impaired growth. This evidence shows, for the first time, that a common and potentially treatable mental health problem in mothers is one of the causes of infant failure to thrive. We use this evidence to present a case that child focused interventions, largely aiming to provide supplementary nutrition, may need to be combined with mother focused interventions that target maternal mental health. Childhood is a period of huge variations, they are neither small infant nor mature adult, these raises their demand of good attention and guidance by the parents. 1 About 31000 people especially child in growing age complete the suicidal act each year. An average of one person every 18 patients , at least 1000 suicides occur each day and teen suicides in US is nearly 5 times as common among boys and girls. 5 In India 12,000 children ages 5 to 14 may be hospitalized in this country every year for deliberate self -destruction acts and 125,000 deaths and contributes to 10-25% of hospitals and nursing home admissions ( Indian journal of psychiatry -2001). 3 WHO states that problem increases fourfold when the population is in slums and rural area .the inability to cope with urban life, loss of loved ones and property and lack of education and work leads to the hell of mental illness. Although mothers try to feed and care for good rearing and basic needs of their children, even this is often not possible as sometimes mothers are also underfed and unable to develop good mental habits as they lack the knowledge. Global attention is now focused on the development of strategies to reduce mental ill health and promote mental health and promote mental health. 5 The following 'positive steps' for achieving and maintaining positive mental health have been described as the 'five fruit and vegetables of mental health': During the last two decades many studies in India shows they mental disorders prevail in18-267 /1000 with median 65.4/1000 at any given time about 31,000 people specially child in growing age complete the suicidal act each year an average one person every 18 patients at least1000 suicides occur each day  keeping physically active  eating well  for doing something creative  taking a break  asking for help 1

METHOD:
A quasi-experimental one group pretest posttest design with non -probability convenience technique was used in 60 rural mothers with 6-12 years children in Somannahalli and ChikkaGollahalli. Tools used for sociodemographic data sheet, structured interview schedule to assess revised knowledge on promotion of mental health. Data were gathered on individually basis after obtaining official permission from nodal officer, DMHP analysis was done by using descriptive and inferential statistics.
Table 2 Section-B shows: frequency, percentage distribution of level of knowledge and mean and standard deviation of rural mothers regarding promotion of mental health before STP.    The overall mean score in posttest(21.48) was higher than pretest mean scores (10.81)and there was enhancement in knowledge .there was significant difference between posttest and pretest level of knowledge scores with "t"value of 41.9 significant at 0.05 P level. This reveals that there is a significant difference in mean pretest and posttest knowledge scores thus H1 research hypothesis is accepted. Association of the pretest knowledge score of the subjects, with majority of selected demographic variables, evidenced that there was statistically significant association at the level of p<0.05. Hence the research hypothesis stating, that there will be significant association between the pretest knowledge score with selected demographic variables was accepted.

DISCUSSION:
In this study knowledge of rural mothers was assessed regarding promotion of mental health in children revealing; in pretest analysis all 60(100%) of the mothers had inadequate knowledge regarding mental health promotion. The assessment revealed that the mean pretest was 10.81 and standard deviation was 1.57 and mean posttest was 21.48 and standard deviation was 1.76, this shows that with the application of teaching program, knowledge level and understanding on promoting mental health in children was improved in all mothers. There was a significant difference between pre and posttest knowledge scores among rural mothers and statistical significant association was found between the knowledge scores of rural mothers who attended the structured teaching programme at 0.05 level of significance.

CONCLUSION:
Health education programmers, training camps at community level needs to be practiced by all the nursing personnel's. Nurse practitioner should be actively involved in organizing based training programmes,role plays and other various activities with primary level, secondary level and tertiary level integrated implication so that new cases ,identified risk factors and barriers in implementing a programme, effectiveness of therapies can be sorted out.