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All Journal Jurnal Penelitian Kesehatan Suara Forikes Health Notions 2-TRIK: TUNAS-TUNAS RISET KESEHATAN Jurnal Aisyah : Jurnal Ilmu Kesehatan AloHA International Journal of Health Advancement (AIJHA) International Journal of Advanced Health Science and Technology Health Community Engagement Frontiers in Community Service and Empowerment Health Dynamics Indonesian Journal of Community Empowerment Jurnal Ilmu Psikologi dan Kesehatan Jati Emas (Jurnal Aplikasi Teknik dan Pengabdian Masyarakat) Borneo Nursing Journal
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Poltekkes Kemenkes Surabaya
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Comparative Effectiveness of Educational Videos and Leaflets on Adolescent Self-Efficacy in Pregnancy Planning: A Quasi-Experimental Study Ajeng Mardiani; Nana Usnawati; Nurlailis Saadah; Sulikah Sulikah
International Journal of Advanced Health Science and Technology Vol. 6 No. 5 (2026): October
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i5.640

Abstract

Adolescent reproductive risk behaviors, including smoking and overt romantic involvement in school settings, may reflect limited self-control and decision-making capacity and may increase vulnerability to unintended pregnancy. Although reproductive health education is widely implemented, evidence comparing educational media for strengthening adolescents’ self-efficacy in pregnancy planning remains limited. This study aimed to compare the effectiveness of video-based and leaflet-based reproductive health education in improving adolescents’ self-efficacy for pregnancy planning. A quasi-experimental pretest–posttest two-group design was conducted among 46 female students at SMK PGRI 1 Magetan, East Java, Indonesia. Participants were randomly allocated to a video group (n=23) or a leaflet group (n=23). Both groups received standardized reproductive health education covering pregnancy planning, optimal reproductive age, pregnancy risks, physical, psychological, and social readiness, and reproductive decision-making. Self-efficacy was assessed using a 15-item, five-point Likert questionnaire based on the self-efficacy framework. Within-group changes were evaluated using the Wilcoxon Signed-Rank Test, while between-group differences were assessed using the Mann–Whitney U test. Self-efficacy increased significantly in both groups (p<0.01). The mean score in the video group increased from 35.00 to 53.35, representing a 52.42% increase, whereas the leaflet group increased from 34.87 to 43.52, representing a 24.81% increase. Baseline self-efficacy did not differ significantly between groups (p=0.690), while post-intervention scores differed significantly (p<0.01). Video-based education therefore produced a greater immediate improvement in adolescent self-efficacy for pregnancy planning than leaflet-based education. These findings support the use of audiovisual media as a potentially more engaging strategy for school-based reproductive health education, while larger studies with longer follow-up are needed to determine whether the observed gains are sustained and translate into behavioral outcomes.
Comparative Effectiveness of Video-Based and Leaflet-Based Education on Perceptions and Decision-Making Regarding Postpartum Contraceptive Method Selection Ashio Liana Yudha Wijaya; nurlailis saadah; Sulikah Sulikah; Heru Santoso Wahito Nugroho
International Journal of Advanced Health Science and Technology Vol. 6 No. 5 (2026): October
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i5.642

Abstract

Postpartum contraceptive planning is an important component of maternal healthcare because timely contraceptive selection can prevent unintended and closely spaced pregnancies and support informed reproductive decision-making. However, the effectiveness of different educational media in improving the psychological determinants of postpartum contraceptive selection remains insufficiently established. This study aimed to compare the effectiveness of video-based and leaflet-based education in improving perceptions and decision-making regarding postpartum contraceptive method selection among third-trimester pregnant women. A quantitative quasi-experimental study with a pretest–posttest two-group design was conducted among 40 third-trimester pregnant women at the Sukomoro Community Health Center, Magetan, Indonesia. Participants were allocated equally to a video-based education group (n = 20) and a leaflet-based education group (n = 20). Perceptions and decision-making were assessed using a structured questionnaire based on the Health Belief Model. Data were analyzed using paired-samples t-tests, Wilcoxon signed-rank tests, independent-samples t-tests, and Mann–Whitney U tests according to data distribution. Both groups demonstrated significant improvements following the intervention (p < 0.001). Perception scores increased from 64.95 ± 3.44 to 84.00 ± 4.03 in the video group, compared with 65.40 ± 3.05 to 73.50 ± 2.01 in the leaflet group. The between-group posttest difference was 10.50 points (95% CI: 8.46–12.54; p < 0.001). Decision-making also improved significantly in the video group (Z = −4.038; p < 0.001), with a significant post-intervention difference between groups (U = 2.00; Z = −5.577; p < 0.001). Video-based education produced greater immediate improvements in maternal perceptions and decision-making than leaflet-based education. Video-based education may therefore serve as a useful component of antenatal counseling to strengthen informed postpartum contraceptive planning.
Co-Authors Aini Ahmad Ajeng Mardiani Alfi Rusdianti Aries Prasetya Aries Prasetyo Ashio Liana Yudha Wijaya Astin Nur Hanifah Astuti Setiyani, Astuti Budi Joko S Budi Joko Santosa Budi Yulianto Fadia Meisyn Tassyabela Fatimah Fatimah Friska Diah Puspitasari Gelintina Kurniawati Handayani, Tinuk Esti Heny Trisetyowati Heru Santoso Wahito Nugroho Icha Amelia Kusuma Wardani Ika Nur Azizah Ike Mutiarasari Intan Auria Khambali, Khambali Luluk Widarti, Luluk Meila Marindawati Miliana Fantini Nana Usnawati Nisa Khoirotul Qoni'ah nurlailis saadah Nurlailis Sa’adah Nurweningtyas Nurweningtyas Nurweningtyas Wisnu Nuryani, Nuryani Purwanto, Triana Septianti Rahayu Sumaningsih Rahayu Sumaningsih Rahayu, Teta Puji Rheinanda Inez Syagita Cinantya Sanjung Alam Amanda Santosa, Budi Joko Sayyidah Shofiyyah Setya Dewi Shinta Aprillya Nugraheni Sri Murti Yanti Subagyo, Subagyo Suharto, Agung Sumasto, Hery Sunarto Sunarto Suparji Suparji Suparji Suparji Surtinah, N Syaifoel Hardy Syilfa Uswatun Khasanah Teta Puji Rahayu Tinuk Esti H Tinuk Esti Handyani Triana Septianti Tutiek Herlina Tyas Arini Uswatun Khasanah Wisnu, Nurwening Tyas