Evaluating the Effectiveness of Clinical Intervention Strategies for Addressing School Refusal Behavior Among Primary School Pupils in Keiyo North Sub-County, Elgeyo Marakwet County, Kenya

Main Article Content

Pamella Jemutai Toroitich https://orcid.org/0000-0002-7780-3659
Kisilu Kitainge
Agnes Oseko

Keywords

Clinical interventions, learners, school refusal behaviour

Abstract

Several cases in Kenya have been reported on school refusal behavior among primary school pupils and in Elgeyo Marakwet Country the cases are higher. Therefore, the objective of this study was to evaluate the effectiveness of clinical intervention strategies for addressing school refusal behavior among primary school pupils in Keiyo North Sub-County, Elgeyo Marakwet County, Kenya. The study was guided by Psychoanalytic Theory by Sigmound Freud. Positivism philosophy and descriptive research design guided data collection. The study target population was 5806 pupils which comprised of grade 7 and 8 pupils in public primary schools in Keiyo North Sub-County. A sample size of 357 pupils was arrived at using Gill et al. (2010) sample size table. The data was collected using structured questionnaires which was first subjected to pilot study to determine its validity and reliability. Ethical consideration was applied during data collection. Collected data was subjected to descriptive and inferential statistics using SPSS version 23. Results indicated that majority of learners (83.8%) stated that their teachers never recommended hospital visits when they complained of being sick at school. Additionally, 81.6% of the pupils reported being taken to the hospital for somatic symptoms, though the symptoms were often mild. Also, majority, 97.8%, stated that they did not use medication to address their anxiety related to school refusal, indicating that clinical interventions for such behavior are rarely employed. Results further indicated that there was a significant relationship between effectiveness of clinical intervention strategies and school refusal behavior among pupils in public primary schools in Keiyo North sub-county (χ²=33.096, N=38, p<0.05). The study concluded that the clinical intervention strategies have not been effectively used by teachers and particularly in primary schools who mostly resort to one strategy of punishment to correct school refusal. The study recommends that Teachers, Service Commission should post trained school counsellors to primary schools and not secondary schools alone and also ensure that school counseling programmes are functional.

Abstract 113 | PDF Downloads 99

References

Banerjee, P. A. (2016). A systematic review of factors linked to poor academic performance of disadvantaged students in science and maths in schools. Cogent Education, 3(1), 1178441.

Boag, S. (2014). Ego, drives, and the dynamics of internal objects. Frontiers in psychology, 5, 666.

Gelo, O., Braakmann, D., & Benetka, G. (2008). Quantitative and qualitative research: Beyond the debate. Integrative
psychological and behavioral science, 42, 266-290.

Grünbaum, A. (2006). Is Sigmund Freud's psychoanalytic edifice relevant to the 21st century?. Psychoanalytic Psychology, 23(2), 257.

Havik, T., Bru, E., & Ertesvåg, S. K. (2015). School factors associated with school refusal-and truancy-related reasons for school non-attendance. Social psychology of education, 18, 221-240.

Henzan, H., Takeuchi, R., Njenga, S. M., Gregorio Jr, E. R., Ichinose, Y., Nonaka, D., & Kobayashi, J. (2022). Factors influencing school re‐entry among adolescents in Kenya. Pediatrics International, 64(1), e14866.

Jaja, I. R., Idoniboye, O., & Amadi, C. C. (2022). A Critique of the Positivist Paradigm in Human Sciences. International Journal of Research and Innovation in Social Science, 6(3), 224-229.

Kawsar, M. D. S., Yilanli, M., & Marwaha, R. (2018). School refusal.

Kearney, C. A. (2008). School absenteeism and school refusal behavior in youth: A contemporary review. Clinical psychology review, 28(3), 451-471.

Kearney, C. A., & Silverman, W. K. (1999). Functionally based prescriptive and nonprescriptive treatment for children and adolescents with school refusal behavior. Behavior Therapy, 30(4), 673-695.

Kenya National Union of Teachers. (2018). KNUT: School Refusal Hurting Education. Retrieved from https://www.knut.or.ke/index.php/news-and-events/426-knut-school-refusal-hurting-education

Marczyk, G. R., DeMatteo, D., & Festinger, D. (2010). Essentials of research design and methodology (Vol. 2). John Wiley & Sons.

McClemont, A. J., Morton, H. E., Gillis, J. M., & Romanczyk, R. G. (2021). Brief report: Predictors of school refusal due to bullying in children with autism spectrum disorder and attention-deficit/hyperactivity disorder. Journal of autism and developmental disorders, 51(5), 1781-1788.

Muhamad, A., Kiyingi, F. P., & Namugumya, E. (2024). Non-Monetary Intangible Rewards and Teacher Performance in Secondary Schools in the Central Region of Uganda. Journal of Research in Education and Technology, 2(2), 39-50.

Muhamed A. (2020). The role of effective rewards on school performance in the selected secondary school in central region (Uganda). International Journal of Development Research. 10(5), 17880

Munkhaugen, E. K., Gjevik, E., Pripp, A. H., Sponheim, E., & Diseth, T. H. (2017). School refusal behaviour: Are children and adolescents with autism spectrum disorder at a higher risk?. Research in Autism Spectrum Disorders, 41, 31-38.

Newell, B. R., & Shanks, D. R. (2014). Unconscious influences on decision making: A critical review. Behavioral and brain sciences, 37(1), 1-19.

Polit, D. F. (2017). Clinical significance in nursing research: A discussion and descriptive analysis. International Journal of Nursing Studies, 73, 17-23.

Sigelman, C. K., De George, L., Cunial, K., & Rider, E. A. (2018). Life span human development. Cengage AU.

Sutphen, R. D., Ford, J. P., & Flaherty, C. (2010). Truancy interventions: A review of the research literature. Research on
social work practice, 20(2), 161-171.

Tinagyei, D. (2017). Truancy and academic performance of junior high school pupils in Asikuma-Odoben-Brakwa district (Doctoral dissertation, University of Education, Winneba).