<![CDATA[Introduction: Stunting remains a major public health challenge in Indonesia, particularly among school-age children, reflecting persistent gaps in nutrition knowledge and health-related behaviors. Conventional health education approaches often show limited effectiveness in engaging children, highlighting the need for more interactive and context-appropriate strategies. Gamification has emerged as a promising approach to enhance learning engagement, yet evidence on its application in nutrition education within local settings remains limited. Objective: To examine the effectiveness of a game-based health education intervention in improving nutrition knowledge and attitudes related to stunting prevention among elementary school students. Method: A quasi-experimental design with a pretest–posttest approach was conducted among elementary school students selected using purposive sampling. The intervention consisted of nutrition education delivered through a modified snakes and ladders game. Data on students’ knowledge and attitudes were collected using structured questionnaires before and after the intervention. Statistical analyses were performed to assess changes in outcomes following the intervention. Result: The findings demonstrated a significant improvement in both nutrition knowledge and attitudes after the implementation of the game-based education intervention. Students showed higher engagement during learning sessions, indicating that interactive media facilitated better understanding of balanced nutrition and stunting prevention concepts. Conclusion: Game-based nutrition education is an effective and feasible strategy to enhance students’ knowledge and attitudes related to stunting prevention. Despite limitations related to study design and sample size, these findings support the integration of gamified learning approaches into school health programs. Future studies are recommended to assess long-term behavioral outcomes within broader policy frameworks.]]>
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