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Effectiveness of the EM 2R3SW Digital Application on Parental Outcomes for Childhood Leukemia Prevention: A Quasi- Experimental Study in Depok, Indonesia Puspita, Ratumas Ratih; Handayani Fasimi, Rizki; Dora Wijaya, Rafika; Rohanah, Rohanah; Dwi Pratiwi, Rita
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 4 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i4.917

Abstract

Background: Childhood acute lymphoblastic leukemia (ALL) is a leading cause of cancer-related morbidity and mortality in low- and middle-income countries, including Indonesia. Parental gaps in knowledge, attitudes, preventive behaviors, and healthy lifestyle practices contribute to delayed detection and poor outcomes. Digital health platforms offer scalable strategies to strengthen preventive health literacy in families. Objective: To evaluate the effectiveness of EM-2R3SW, a web-based digital education application, on parental knowledge, attitudes, preventive behaviors, and healthy lifestyle practices related to childhood leukemia prevention. Methods: A quasi-experimental pretest–posttest study was conducted among mothers of children aged 0–18 years in Sukmajaya District, Depok, Indonesia (N = 112). Participants accessed leukemia-prevention multimedia content within EM-2R3SW over two weeks. Validated questionnaires measured outcomes at baseline and post-intervention. Data were analyzed using Wilcoxon signed-rank tests due to non-normal distribution (Kolmogorov–Smirnov p < 0.05). Results: Significant improvements were observed across all outcomes. Knowledge scores increased from 16.48 to 27.65, attitudes from 68.15 to 85.95, preventive behaviors from 72.39 to 112.20, and healthy lifestyle practices from 68.39 to 109.27 (all p < 0.001). Category transitions demonstrated marked progression from inadequate to good–very good levels, particularly in preventive practices. Conclusion: The EM-2R3SW digital intervention effectively improved parental literacy and behavioral determinants for childhood leukemia prevention. This approach is feasible, low-cost, and scalable for community-based cancer prevention efforts in resource-limited settings. Larger randomized studies with long-term follow-up are recommended
Co-Authors Agus Dwi Pranata Al-Hafiz, Mohammad Alita, Dini Arum Amanda Rischa Ramadhina Amelia Nurul Hakim Ammari, Rieko Andini Restu Marsiwi Andriyani Rahmah Fahriati ARDIYANTI, WIDYA Arief, Ilham Aripin Asep Hidayat Astuti Astuti Astuti, Heny Aulia, Gina Azahra, Jihan Najlah Azzahra, Elsa Azzahra, Meida Beti Rianti BETTY BETTY betty betty BIMA BIMA, BIMA Chatarina Umbul Wahyuni CHINALDY, RIZKY Christin, Rumondang Deden Gumilar Nugraha Desty Alyumah Desy Darmayanti Dewi Fitriani DEWI FITRIANI Dewi, Bunga Arista Dheandra Fadlillah Jauhari Diah Permata Sari Dian Karoseri Farida Farida Fenita Purnama Sari Indah Fildza Anindya Fadhila Frili, Frili Gama Bagus Kuntoadi Gina Aulia Ginting, Samaria Herawati Gita Ayuningtyas Gita Ayuningtyas Handayani Fasimi, Rizki Haningrum, Katarina Silvia Holidah Holidah Holidah, Holidah Humaira Fadhilah Husniati, Siti Ida Listiana Iskandar, Arik Jelika Avelia Hareva Kasumawati, Frida LESTARI, R TRI RAHAYUNING LESTARI, SANTI Listiana, Ida Lukman Handoyo Lutvianty, Dinda MAIRIZA, SANTI Miftah Parid Firmansyah Muchtar, Riska Indria Muh Firman Yudiatma Muhammad Zulfikar Adha Muthoinah, Luthfi Mutiara, Ayu Indah Ni Bodro Ardi Nita Farida Nur Hasanah Nur Hasanah Nurhaetami, Cut Intan Nurwulan Adi Ismaya Poddar, Prof. Sandeep Poddar, Sandeep Prakasa, Juansah Satya Pratama, Defi Anggara Pratama, Yusuf Apriliyansyah Pratama PUJI LESTARI Puji, Lela Kania Rahsa Purwadiansyah, Anggie Ellen Puspita, Ratumas Ratih Putrajaya, Fadly Putri Azzahra Putri Handayani Setyaningsih Rafika Dora Wijaya Rahayu, Safitri Rahayu, Savitri Rahmat Kurniawan Rahmawati, Lusi Ramdan, Raka Fahri Rani Aprilia Simamora Rini, Wahyu Sulistyo RIRIS ANDRIATI Riza Umamah Rohanah Rohanah Rohanah, Rohanah Roni Saputra, Roni SAFITRI RAHAYU Sandeep Poddar Sania, Sania Sansuwito, Tukimin bin Santi Lestari Sarah, Fitri Sari, Diah Ellyana Saripa Muda Im Sefta Ade Saputra Sheli, Sheli Shely Mariska Siti Novy Romlah Sri Haryanto SRI SUPAMI Sucipto Sucipto Sucipto Sucipto Sudi Dewi Asih Kusumawati Sudika Sanusi, Ahmad Sulistyo Rini, Wahyu Sumarwati Sumarwati Sumarwati SUSI DEWIASIH KUSUMAWATI Suyono Suyono Tiara, Intan Dwi Timor Utama TITA HARDIANTI Tri Okta Ratnaningtyas Umamah, Riza Unayah, Maelia Uswatun Hasanah Uswatun Hasanah Utari Kusumawati Veri Veri Veri, Veri Wannasta Alayya Yundah Yundah