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Enhancing Adolescent Nutrition Knowledge Through Digital Innovation: Evaluating the Effectiveness of E-Pocket Books in Reducing Obesity Hastuti, Puput Tri; Utami, Siti Budi; Rialihanto, Muhammad Primiaji; Susilo, Joko; Attawet, Jutharat; Siswati, Tri
Health Dynamics Vol 2, No 8 (2025): August 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20803

Abstract

Background: Balanced nutrition education is an essential effort in preventing obesity, especially in adolescents who are vulnerable to nutritional problems due to unhealthy diets and a lack of knowledge. This study aims to determine the effectiveness of Android-based e-pocket books in improving the understanding of balanced nutrition among adolescents in Yogyakarta. Methods: This study employed an experimental design with control groups, utilizing pre-tests and post-tests. Conducted from February to March 2023 in a high school in Yogyakarta, Indonesia, the research established a minimum sample size of 27 students per group through the Lemeshow formula and multistage sampling. Inclusion criteria required students to have Android phones, to consent to participate, to attend the study, and to complete data collection. The treatment group received education via e-pocket-book media, while the control group used e-leaflets. Knowledge was measured at three points: before the intervention, immediately after (post-test 1), and nine days later (post-test 2). Data analysis was performed using the Wilcoxon and Mann-Whitney tests with SPSS software. Results: The knowledge score of the treatment group increased from 76.3 (pre-test) to 93.8 (post-test 1) and 91.3 (post-test 2). The control group increased from 73.8 (pre-test) to 82.5 (post-test 1) and 81.3 (post-test 2). The increase in knowledge was more significant in the treatment group, showing that e-pocket-books were more effective than e-leaflets. Conclusion: Android-based e-pocket-books improve adolescents' knowledge of balanced nutrition more than e-leaflets. Digital technology in nutrition education has great potential to be applied in schools. Further research is needed to evaluate the long-term impact on nutritional behavior.
Response to Letter: Enhancing Adolescent Nutrition Knowledge Through Digital Innovation: Evaluating the Effectiveness of E-Pocket Books in Reducing Obesity. Siswati, Tri; Utami, Siti Budi; Rialihanto, Muhammad Primiaji; Susilo, Joko; Attawet, Jutharat
Health Dynamics Vol 2, No 10 (2025): October 2025 (In progress)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

We would like to express our appreciation for the constructive input given to the article on the effectiveness of e-pocket books in improving balanced nutrition knowledge in adolescents to reduce obesity. This response aims to clarify the context of the research, answer the methodological issues raised, and affirm the empirical contribution of the study. The research is focused on improving nutrition knowledge, not on changes in nutritional status, and the term "obesity reduction" in the title describes the long-term direction of nutrition education interventions. A single 120-minute intervention was recognized to have limitations in maintaining knowledge retention, but significant results showed that e-pocket book media was effective in improving comprehension in a short period of time. The validity and reliability of the instrument have met the minimum standards for health education research in schools. In this study, the use of WhatsApp groups is not a disruptive variable, but part of a digital learning strategy to increase participant engagement. Although the research is still limited to urban schools with a small sample size, these findings are early evidence of the feasibility of e-pocket books as a digital educational medium that is lightweight, easily accessible, and in accordance with the digital habits of teenagers in general today.