The impact of e-booklets on knowledge and attitudes toward anemia awareness among adolescent girls

Ainun Najmi, Ismi Izaz (Department of Nutrition, Poltekkes Kemenkes Yogyakarta, Jl Tata Bumi no 3, Banyuraden, Gamping, Sleman, Yogyakarta, 55293)
Rialihanto, Muhammad Primiaji (Department of Nutrition, Poltekkes Kemenkes Yogyakarta, Jl Tata Bumi no 3, Banyuraden, Gamping, Sleman, Yogyakarta, 55293 Center of Excellence for Applied Technology Innovation in The Field of Public Health, Poltekkes Kemenkes Yogyakarta, Jl Tata Bum)
Setiyobroto, Idi (Department of Nutrition, Poltekkes Kemenkes Yogyakarta, Jl Tata Bumi no 3, Banyuraden, Gamping, Sleman, Yogyakarta, 55293 Center of Excellence for Applied Technology Innovation in The Field of Public Health, Poltekkes Kemenkes Yogyakarta, Jl Tata Bum)
Wijanarka, Agus (Department of Nutrition, Poltekkes Kemenkes Yogyakarta, Jl Tata Bumi no 3, Banyuraden, Gamping, Sleman, Yogyakarta, 55293 Center of Excellence for Applied Technology Innovation in The Field of Public Health, Poltekkes Kemenkes Yogyakarta, Jl Tata Bum)
Attawet, Jutharat (Department of Nursing and Allied Health School of Health Sciences Swinburne University of Technology, John Street, Hawthorn, Victoria 3122 Australia)
Laksono, Agung Dwi (National Research and Innovation Agency Republic of Indonesia, Jakarta)
kasjono, Heru Subaris (Center of Excellence for Applied Technology Innovation in The Field of Public Health, Poltekkes Kemenkes Yogyakarta, Jl Tata Bumi no 3, Banyuraden,Gamping, Sleman, Yogyakarta, 55293 Environment Department, Poltekkes Kemenkes Yogyakarta, Jl Tata Bumi )
Waluyo, Waluyo (Department of Nutrition, Poltekkes Kemenkes Yogyakarta, Jl Tata Bumi no 3, Banyuraden, Gamping, Sleman, Yogyakarta, 55293 Center of Excellence for Applied Technology Innovation in The Field of Public Health, Poltekkes Kemenkes Yogyakarta, Jl Tata Bum)
Siswati, Tri (Department of Nutrition, Poltekkes Kemenkes Yogyakarta, Jl Tata Bumi no 3, Banyuraden, Gamping, Sleman, Yogyakarta, 55293 Center of Excellence for Applied Technology Innovation in The Field of Public Health, Poltekkes Kemenkes Yogyakarta, Jl Tata Bum)

Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics)
VOLUME 13 ISSUE 5, 2025

ABSTRAK Latar Belakang: Menurut Survei Kesehatan Indonesia tahun 2023, sebanyak 15,5% remaja putri menderita anemia, sehingga anemia sebagai suatu masalah kesehatan yang signifikan. Salah satu faktor yang berkaitan dengan anemia remaja adalah rendahnya pengetahuan dan kepatuhan konsumsi Fe.Tujuan: Mengevaluasi efektivitas edukasi gizi menggunakan e-booklet dibandingkan dengan media slide dalam meningkatkan pengetahuan dan sikap terkait anemia.Metode: Penelitian ini merupakan penelitian quasi eksperimental dengan desain pretest-posttest control group. Penelitian dilakukan pada bulan Maret-April 2024, melibatkan 85 siswi SMP di Yogyakarta, yang dibagi ke dalam kelompok intervensi (e-booklet dan media slide) dan kelompok kontrol (media slide). Data tentang pengetahuan dan sikap dikumpulkan menggunakan kuesioner terstruktur pada tiga tahap: pretest, posttest-1, dan posttest-2. Analisis statistik yang digunakan adalah paired t-test, uji wilcoxon, independent t-test, dan uji mann-whitney.Hasil: Hasil penelitian menunjukkan peningkatan yang signifikan dalam skor pengetahuan pada kedua kelompok, dengan kelompok intervensi mencapai skor post-test yang lebih tinggi (89,1 vs 78,8; p<0,05). Meskipun kedua kelompok menunjukkan sedikit peningkatan dalam hal sikap, perubahan yang diamati tidak mencapai signifikansi secara statistik. Temuan ini menyoroti efektivitas e-booklet sebagai alat pembelajaran digital, yang menawarkan fleksibilitas dan konten mendalam yang mendukung pembelajaran mandiri.Kesimpulan: Penelitian ini menggarisbawahi potensi e-booklet untuk mengatasi kesenjangan pengetahuan tentang anemia di kalangan remaja. Pembuat kebijakan sebaiknya mengintegrasikan e-booklet ke dalam program pendidikan kesehatan nasional dan menggabungkannya dengan metode offline yang interaktif untuk meningkatkan perubahan pengetahuan remaja.KATA KUNCI: anemia; e-booklet; pengetahuan; remaja putri; sikap ABSTRACTBackground: Based on Indonesia Health Survey 2023, 15,5% female adolescents suffer from anemia, as a significant health problem. This is due to lack of knowledge and low compliance of Fe consumption. Objectives: To evaluate the effectiveness of nutrition education using e-booklets compared to slide media in improving anemia-related knowledge and attitudes.Methods: This was a quasi-experimental design with a pretest-posttest control group, conducted in March–April 2024, involving 85 junior high school girls in Yogyakarta, divided into intervention (e-booklet and slide media) and control (slide media) groups. Data on knowledge and attitudes were collected using structured questionnaires at three points: pretest, posttest-1, and posttest-2. Statistical analyses included paired t-tests, Wilcoxon, independent t-tests, and Mann-Whitney tests.Results: The results showed a significant improvement in knowledge scores in both groups, with the intervention group achieving higher post-test scores (89.1 vs. 78.8; p<0.05). Although both groups demonstrated a slight improvement in attitudes, the observed changes did not reach statistical significance. The findings highlight the effectiveness of e-booklets as a digital learning tool, offering flexibility and in-depth content that supports independent learningConclusions: This study underscores the potential of e-booklets to address knowledge gaps about anemia among adolescents. Policymakers should integrate e-booklets into national health education programs while combining them with interactive offline methods to enhance attitude changes.KEYWORDS: anemia; attitude; adolescent girls; e-booklet; knowledge