Ratih Puspita Febrinasari
Department of Pharmacology, Faculty of Medicine, Universitas Sebelas Maret, Indonesia

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Effectiveness of Health Promotion Model-Based Educational Video on Adolescent Knowledge and Attitude Regarding Stunting Prevention: A Case Study in Ponorogo, Indonesia Denis Khorudin; Sajidan; Ratih Puspita Febrinasari; Revi Gama Hatta Novika; Hari Wahyu Nugroho
Journal of Health Promotion and Behavior Vol. 11 No. 3 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2026.11.03.03

Abstract

Background: Indonesia’s stunting prevalence stands at 19.8%, far above the national target of 14%. Adolescents, as future mothers, represent a critical yet underutilized upstream prevention target. No study has previously integrated all constructs of the Health Promotion Model (HPM) into an educational video for adolescent stunting prevention. This study aimed to develop a valid HPM-based reproductive health education video and evaluate its effectiveness on adolescent knowledge and attitudes. Subjects and Method: A sequential exploratory mixed-method study applied the Analysis, Design, Development, Implementation, and Evaluation in Research and Development (ADDIE R&D) framework combined with a quasi-experimental with control group design, was conducted at two High Schools in Ponorogo, Indonesia. The intervention group consisted of 55 senior high school students, while the control group consisted of 55 vocational high school students. Study was carried out from September 2025 to March 2026. Content validity was assessed by two experts: a health promotion specialist and a visual media specialist. Quantitative data were analyzed using the Wilcoxon signed-rank test (within-group) and Mann-Whitney test (between-group). Results: Expert validation demonstrated excellent content validity, with a perfect Scale-Level Content Validity Index based on the average method (S-CVI/Ave = 1.00), and no revisions were required. Knowledge scores increased significantly in the intervention group (p < 0.001). Attitude scores also improved significantly in the control group (p<0.001). However, the post-test comparison between the intervention and control groups showed a statistically significant difference (p <0.001), with the intervention group achieving superior outcomes. Conclusion: The Health Promotion Model (HPM)-based reproductive health educational video demonstrated excellent content validity and significantly improved adolescents' reproductive health outcomes. Therefore, its integration into school-based health promotion programs is recommended to enhance reproductive health education among adolescents.
Evaluation of Smoke-Free Area Policy Implementation in Sragen Regency: A Qualitative Study of Governance, Enforcement, and Health Communication Meidyan Thomas Setiawan; Eti Poncorini Pamungkasari; Revi Gama Hatta Novika; Argyo Demartoto; Ratih Puspita Febrinasari
Journal of Health Policy and Management Vol. 11 No. 2 (2026)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/

Abstract

Background: Sragen Regency has adopted a smoke-free area policy; however, its implementation continues to face challenges related to governance, enforcement, health communication, and compliance. This study aimed to evaluate the implementation of the smoke-free area policy in Sragen Regency, with a focus on governance, enforcement, and health communication Subjects and Method: This qualitative study used an embedded case study design and was conducted from February to June 2026 within the Sragen Regency Government setting, including the Integrated Government Office Complex and selected subdistrict offices. Informants were purposively selected based on their involvement in smoke-free policy implementation, with recruitment continuing until data saturation was reached. In-depth interviews were conducted with 19 informants, comprising seven key informants, eight primary informants, and four supporting informants. Two focus group discussions (FGDs) involved 19 participants. Data were collected through in-depth interviews, FGDs, field observations, and document review. Policy implementation was evaluated using the Context, Input, Process, and Product (CIPP) framework. Data were analyzed using the interactive model of Miles, Huberman, and Saldaña. Trustworthiness was strengthened through source and method triangulation. Results: Smoke-free policy implementation was supported by local regulations, acceptance among government employees, no-smoking signs, and monitoring activities. Enforcement largely relied on persuasive approaches, including interpersonal communication, social monitoring, direct verbal reminders, and leadership by example, rather than formal sanctions. Organizational culture, social norms, leadership involvement, designated smoking areas, the physical environment, and informal communication influenced compliance. The implementation of the smoke-free policy improved workplace comfort; however, compliance remained uneven. Conclusion: Smoke-free policy implementation was influenced by governance arrangements, predominantly persuasive enforcement, and health communication that largely occurred through interpersonal interactions. Stronger implementation management, supervision, monitoring and evaluation, and more systematic health communication are needed to improve the consistency of smoke-free policy implementation.