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All Journal AcTion: Aceh Nutrition Journal
Nia Novita Wirawan
Department of Nutrition Science, Faculty of Health Sciences, Brawijaya University
Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Effectiveness of communication pathways and educational media in promoting nutrition-related behavioral change among mothers of toddlers: A systematic review Nadiya Novitania Putri Diana; Nia Novita Wirawan; Widya Rahmawati
AcTion: Aceh Nutrition Journal Vol 11, No 1 (2026): March
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v11i1.3032

Abstract

Stunting remains a major public health problem in many developing countries, primarily due to inadequate nutrition. Nutrition education has been widely implemented; however, comparative evidence on the effectiveness of different communication pathways and educational media in promoting sustained maternal behavioral change remains limited. This study aimed to analyze the effectiveness of communication pathways and educational media in supporting behavior changes related to toddler nutrition. Studies were identified using the PICO framework through searches in PubMed and Scopus, following PRISMA guidelines.  The inclusion criteria were open-access articles published between 2020 and 2025 that assessed behavioral outcomes and evaluated communication pathways or educational media. The methodological quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tools. Of the 2,500 articles identified, 14 studies met the inclusion criteria. The results indicate that interpersonal communication provides the most consistent evidence to support sustained nutrition-related behavioral change through personalized two-way interactions. Community and mass communication pathways mainly improve awareness and attitudes, with less consistent effects on long-term behavior. Educational media, particularly video-based media, enhance engagement and comprehension but are most effective when integrated into interactive communication pathways. Combining communication pathways with educational media appears to be the most effective approach for improving maternal feeding practices.
Effect of digital nutrition education via WhatsApp and mHealth on maternal nutrition literacy and child feeding practices: A systematic review Fathimah Az Zahra Faiq; Nia Novita Wirawan; Fajar Ari Nugroho
AcTion: Aceh Nutrition Journal Vol 11, No 1 (2026): March
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v11i1.3144

Abstract

Suboptimal infant and young child feeding practices remain a major contributor to child malnutrition, particularly in low- and middle-income countries (LMICs). Maternal nutritional literacy plays a key role in shaping appropriate feeding behaviors. Digital platforms, such as WhatsApp and mobile health (mHealth) applications, have emerged as potential tools for delivering nutrition education. This systematic review followed the PRISMA 2020 guidelines. PubMed, Scopus, and Google Scholar were searched for studies published between 2020 and 2025. Eligible studies included digital nutrition education interventions targeting mothers of infants and young children and reported outcomes related to maternal nutrition literacy and/or child feeding practices. Due to the heterogeneity of the study designs and outcome measures, the findings were synthesized narratively. Fourteen studies were included in the review. Most were conducted in LMIC settings and involved WhatsApp-based or mobile health interventions. Digital education is generally associated with improved maternal nutrition literacy, dietary diversity, timely initiation of complementary feeding, and feeding frequency. Theory-based and interactive interventions have demonstrated stronger engagement than passive approaches. Digital nutrition education via WhatsApp and mHealth shows promising evidence for supporting maternal nutrition literacy and child feeding practices, although methodological variability warrants cautious interpretation.
Co-Authors Fajar Ari Nugroho Fathimah Az Zahra Faiq Nadiya Novitania Putri Diana Widya Rahmawati