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Exploring Pregnant Women's Experiences with RNN-Based Chatbot for Reproductive Health Education at Primary Health Centers: A Qualitative Phenomenological Study Rahmat Rizki Siregar; Azhari Umar Siregar; Seri Astuti Hasibuan; Nurkholidah Nurkholidah; Desi Meliana Gultom; Evi Erianty Hasibuan
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.1194

Abstract

Background: Inadequate reproductive health knowledge among pregnant women contributes to high maternal morbidity in Indonesia. Digital health promotion, particularly through recurrent neural network (RNN)-based chatbots, offers accessible and personalized health education. However, qualitative evidence on how such chatbots shape knowledge and experience remains scarce. Objective: This study aimed to explore pregnant women's experiences in acquiring reproductive health knowledge through RNN-based chatbot health promotion media at primary health centers, focusing on the depth and meaning of perceived knowledge change. Methods: A qualitative study with an interpretive phenomenological approach was conducted involving 24 pregnant women from two Puskesmas in Padangsidimpuan, Indonesia. Participants used the "Bunda Cerdas" chatbot based on LSTM architecture for two weeks. Data were collected through semi-structured in-depth interviews and analyzed using Braun and Clarke's thematic analysis. Trustworthiness was ensured through triangulation and member checking. Results: Six main themes emerged: (1) integrated thematic understanding, (2) convenient access to trusted information, (3) engaging and human-like interaction, (4) empowerment in health decision-making, (5) transformative knowledge retention, and (6) technical-social barriers. Participants reported a shift from fragmented to comprehensive knowledge, particularly in recognizing danger signs, nutritional needs, and birth preparedness. The conversational memory and contextual replies of the RNN chatbot fostered a sense of reliable companionship. Conclusion: RNN-based chatbot media substantively enriched pregnant women's reproductive health knowledge through personalized, dialogic learning. Its integration into primary care services can complement standard antenatal education, addressing knowledge gaps while respecting local cultural context. Further mixed-methods research is recommended to quantify outcomes and ensure sustainable implementation.
From Fixed to Fluid: A Narrative Inquiry into How First-Generation University Lecturers Construct and Negotiate Their Growth Mindset in the Face of Digital Transformation Priyo Sasmito; Nur Latifah; Evi Erianty Hasibuan; Desi Meliana Gultom; Poppy Honora; Edi Epron Sihombing; Erlina Sari
International Journal of Educational Research Excellence (IJERE) Vol. 5 No. 2 (2026): July-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijere.v5i2.2041

Abstract

Digital transformation in higher education demands not only technological proficiency but also fundamental shifts in how lecturers perceive their professional roles and identities. This study explores how first-generation university lecturers in North Sumatra construct and negotiate their growth mindset amidst the forces of digital transformation. Employing a narrative inquiry approach, this research delves into the subjective experiences of lecturers as they adapt to the demands of digital pedagogy and navigate their beliefs about teaching ability shifting from a fixed to a more fluid growth-oriented mindset. The study was conducted across several higher education institutions in North Sumatra, involving participants who are first-generation academics in their families. Data were collected through semi-structured in-depth interviews and reflective document analysis, then analyzed using narrative thematic analysis. The findings reveal that digital transformation triggers tensions between long-held beliefs about the lecturer's role as the sole authority of knowledge and emerging demands to serve as facilitators of collaborative learning. The negotiation of growth mindset occurs through three primary processes: (1) acknowledgment of digital competency limitations as an entry point for learning, (2) pedagogical experimentation driven by student needs, and (3) critical reflection on both failures and successes in adopting technology. The socio-cultural context of North Sumatra including uneven digital infrastructure access and prevailing values of collectivism significantly influences how lecturers build resilience and openness to change. This study concludes that growth mindset is not an inherent trait but rather a narrative construct that is continuously negotiated through experience and reflection. These findings offer implications for professional development programs for Indonesian lecturers, particularly in designing training initiatives that emphasize not only technical skills but also the cultivation of adaptive professional identities in the digital era.