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Journal : proners

The Effect of Health Education Using Animated Videos on Attitudes Regarding the Importance of Breakfast Among 4th and 5th Grade Elementary School Students Oktavianto, Eka; Nurhalisah, Nurhalisah; Timiyatun, Endar
ProNers Vol. 10 No. 1 (2025): June
Publisher : Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/jpn.v10i1.94696

Abstract

Background: Breakfast plays an important role in fulfilling balanced nutrition, especially for school-age children. However, many students are not accustomed to eating breakfast, resulting in risks of decreased concentration, reduced immunity, and digestive disorders. Educational media such as animated videos have the potential to improve students' understanding and attitudes toward the importance of breakfast. Objective: To determine the effect of health education using animated videos on students' attitudes about the importance of breakfast. Methods: This study used a pre-experimental design with a one-group pre-test post-test approach. The sample consisted of 36 students from grades 4 and 5 selected through accidental sampling. The intervention consisted of an animated video lasting 4 minutes and 13 seconds. Data collection used attitude questionnaires, and analysis was performed using the Wilcoxon test. Results: Students' average attitude scores increased from 7.03 before the intervention to 9.69 after, with a difference of 2.66 points. The Wilcoxon test showed a p-value = 0.000 (p < 0.05), indicating a significant effect of the intervention on students' attitudes. Conclusion: Health education through animated videos is effective in improving students' attitudes toward the importance of breakfast and can serve as an alternative nutrition education medium at the elementary school level.
The Effect of Foot Reflexology Therapy on Reducing Menstrual Pain Scores in Adolescents Khoirunnisa, Fazana; Timiyatun, Endar; Nurhayati, Pipin; Isnaeni, Yeni
ProNers Vol. 10 No. 2 (2025): December
Publisher : Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/jpn.v10i2.110861

Abstract

Background: Dysmenorrhea is commonly experienced by most teenagers during menstruation, it causes discomfort and can interfere with daily activities. Handling of dysmenorrhea can be done in 2 ways, namely pharmacologically (drugs) and non pharmacologically. One of the management efforts to reduce menstrual pain (dysmenorrhea) non pharmacologically is with foot reflexology therapy. Objective: To determine the effect of foot reflexology therapy on reducing menstrual pain scores (dysmenorrhea) in adolescents at MA MAFAZA Bantul. Method: This study used a pre experimental design with one group pretest and posttest design and did not have a comparison group (control). The population of this study were all adolescents who experienced primary dysmenorrhea at MA MAFAZA Bantul. The sampling technique used was accidental sampling with a sample size of 20 female students. The instrument used to measure menstrual pain was the Numerical Rating Scale (NRS). The data analysis method used the Wilcoxon test. Results: The average menstrual pain score in female students before being given foot reflexology therapy was 3.70, higher than the average value after being given reflexology massage therapy, which was 1.00. There was a decrease in the average pain score of 2.70. The results of the Wilcoxon test obtained a p value < 0.001. Based on these results, the p value <0.05 indicates that there is a significant difference before and after being given foot reflexology therapy. Conclusion: There is an effect of foot reflexology therapy on reducing menstrual pain scores (dysmenorrhea) in adolescents at MA MAFAZA Bantul.
The Effect of Grandmother-Led Health Education on Mothers' Attitudes Toward Stunting Prevention: A One-Group Pretest–Posttest Study Oktavianto, Eka; Timiyatun, Endar; Ispandiyah, Woro
ProNers Vol. 11 No. 1 (2026): June
Publisher : Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/jpn.v11i1.110873

Abstract

Background: Children's physical and cognitive development are negatively impacted by stunting, a chronic nutritional problem. Stunting prevention is greatly aided by family support, especially when it comes to mothers' views as primary caregivers toward proper childcare and nutrition. One promising family-based strategy for enhancing maternal attitudes toward stunting prevention is grandmother-led health education. Objective: This study aimed to examine the effect of grandmother-led health education on mothers' attitudes toward stunting prevention. Methods: This quantitative pre-experimental study employed a one-group pretest–posttest design involving 25 grandmothers and 25 mothers living in the same household. Grandmothers participated in two 90-minute structured training sessions on stunting prevention before delivering a standardized 90-minute face-to-face health education session supported by an educational video covering stunting definition, risk factors, consequences, infant feeding, balanced nutrition, exclusive breastfeeding, and growth monitoring. Grandmothers' competency was assessed through structured questioning and direct observation using predefined competency criteria before they were allowed to conduct the educational sessions. Mothers' attitudes were measured using a validated and reliable questionnaire before and immediately after the intervention. Data were analyzed using the Wilcoxon signed-rank test. Results: The mean maternal attitude score increased from 62.30 before the intervention to 90.20 after the intervention, representing a mean improvement of 27.90 points. The Wilcoxon Signed-Rank Test indicated a statistically significant difference between pretest and posttest scores (Z = −4.235, p < 0.001). Conclusion: Grandmother-led health education using educational video media significantly improved mothers' attitudes toward stunting prevention. Integrating grandmothers into family-based health promotion programs may strengthen maternal engagement in stunting prevention and contribute to improving child nutritional outcomes.
Motivation of Health Cadres to Provide Cervical Cancer Counseling After Video And Guidebook Education Predikasari, Gelis Septian; Timiyatun, Endar; Oktavianto, Eka
ProNers Vol. 11 No. 1 (2026): June
Publisher : Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/jpn.v11i1.111471

Abstract

Background: Health cadres are strategically positioned to deliver cervical cancer prevention messages, but limited training and educational resources may reduce their motivation to provide counseling. Objective: To determine changes in cadres' motivation to provide cervical cancer prevention counseling after receiving combined video education and a guidebook. Methods: A pre-experimental one-group pretest-posttest study was conducted in Wijimulyo Village, Nanggulan, Kulon Progo, Indonesia, in March 2026. Twenty-five female health cadres were selected by simple random sampling from a population of 110. Motivation was measured using a 19-item Likert questionnaire with a raw score range of 0-57. The instrument had item-total correlations above 0.361 and a Cronbach's alpha of 0.725. Participants completed a pretest, watched a 2-minute 47-second educational video, participated in a researcher-guided review of the three guidebook modules, and joined a facilitated discussion in which key messages were clarified and linked to their counseling roles before completing an immediate posttest. The educational intervention, including the video presentation, structured guidebook review, and facilitated discussion, lasted approximately 60 minutes. Paired scores were analyzed using the Wilcoxon signed-rank test. Results: The median motivation score increased from 36 (interquartile range [IQR] 34-37) before the intervention to 37 (IQR 35-41) afterward. Thirteen cadres had higher scores, six were unchanged, and six had lower scores. The increase was statistically significant (Z = -2.28, p = 0.023) with an effect size of r = 0.52. Conclusion: Combined video education, structured guidebook review, and facilitated discussion were associated with an immediate increase in cadres' self-reported motivation to provide cervical cancer prevention counseling. Actual counseling performance and community screening participation were not measured; therefore, no conclusions can be drawn regarding these outcomes. Follow-up assessment is needed to determine whether the motivational change is sustained over time.
Co-Authors Abel Adellia Salsabila Annisa Ulfa Ardhian Indra Darmawan Aris Setyawan Arroyyani, Risa Atik Badi&#039;ah Atik Badi'ah Atik Suryati Badi'ah, Atik Dewastuti, Nadya Wuri Dian Nur Adkhanasari Dina Wahyu Melinda Diyan Nur Hidayah Ersandi Mustakim Finky Yunita Pratiwi Gani Apriningtyas Budiyati Habibatul Anisa Halimatus Sadiyah Hesti Setyaningrum Ibna Dzakia Rahmayanti Izza Fikriyatul Musdalifah Izzati, Shifani Nazah Karimah, Karimah Karimah, Karimah Khoirunnisa, Fazana Lesmana, Tri Wahyu Intan Maryani Melan Wulandari Mira Rahmiati Misra Mutawaqqil Mutawaqqil Nadya Wuri Dewastuti Nanda Putri Sabrianti Neti Sundari Niluh Miftahul Janah Nuhayati, Pipin Nurhalisah, Nurhalisah Nurhayati, Pipin Nurnaningsih Oktavianto, Eka Pipin Nurhayati Pipin Nurhayati Pipin Nurhayati Predikasari, Gelis Septian Rahmayanti, Ibna Dzakia Rahmiati, Mira Rizki Yulia Purwitaningtyas, Rizki Yulia SADIYAH, HALIMATUS Saifudin, I Made Moh. Yanuar SARI, DIAN NUR ADKHANA Sarjiyah Sarjiyah Sarjiyah Setyaningrum, Niken Setyorini, Andri Siti Aisyah Humairah Sri Handayani Sri Hariyanti Sri Nur Hartiningsih Sri Nur Hartiningsih Hartiningsih Suniarti Sunny Suniarti Sunny Sunny, Suniarti Sunny, Suniarty Supriyadi Suryati Suryati Suryati Suryati Suryati Taufiq Kariyadi Teti Maharani Tri Wahyu Intan Lesmana Ulfa Jumrotin Abutalib Utari Utari Uut Dewi Asrifah Viantika Kusumasari Viantika Kusumasari Woro Ispandiyah Woro Ispandiyah yanti susilawati Yeni Isnaeni Yeni Isnaeni Yeni Isnaeni, Yeni Yesita Nurdiasti Yuli Septiningsih Zuyyina Lutfah, Fitria