Poltekita: Jurnal Ilmu Kesehatan
Vol. 20 No. 1 (2026)

Culturally Integrated Behavior-Centered Design Using a Visual–Auditory–Kinesthetic Approach to Prevent Stunting

Nurul Hidayah (Department of Health Promotion, Universitas Sari Mulia, South Kalimantan, Indonesia)
Norliana Ekawati (Department of Health Promotion, Universitas Sari Mulia, South Kalimantan, Indonesia)
Nur Ariska Ramadhana (Department of Health Promotion, Universitas Sari Mulia, South Kalimantan, Indonesia)
Amelia Kartika (Department Midwifery, Universitas Sari Mulia, South Kalimantan, Indonesia)



Article Info

Publish Date
31 Mar 2026

Abstract

Background: Stunting prevalence in South Kalimantan is 24.6%, exceeding the national average and indicating a persistent public health challenge. Despite various educational interventions, the stunting cases remain high. This study aimed to develop and evaluate a Behavior-Centered Design educational medium that integrates Banjar cultural values, Maasi (obedience), Maher (positive habituation), and Manuntung (commitment to completion), using a visual–auditory–kinesthetic learning approach to enhance adolescent engagement in stunting prevention. Methods: A level-3 Research and Development design with a controlled pretest-posttest method was applied to 76 adolescents equally assigned to intervention and control groups. The intervention consisted of four culturally contextualized educational games (comprehensive-card, factor-cards, shame-blocks, and true-false cards) each emphasizing anemia, nutrient balance, healthy behavior, and stunting prevention. Data were collected using a validated questionnaire assessing cognitive, attitude, and motivation toward stunting prevention. Results: Statistical analyses (paired t-tests, independent t-tests, ANOVA, post hoc) showed significant improvements in all domains (p < 0.05), cognitive increasing by 25.7%, attitude by 30.8%, and motivation by 17.1%. The games demonstrated strong cultural strong resonance, with representation of Maasi (97.36%), Maher (92.10%), and Manuntung (97.36%) values. Conclusion: In conclusion, the culturally integrated Behavior-Centered Design educational medium effectively enhances adolescent engagement and behavioral readiness for stunting prevention, offering a promising culturally grounded model for public health promotion in South Kalimantan.

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Journal Info

Abbrev

JIK

Publisher

Subject

Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology

Description

Poltekita : Jurnal Ilmu Kesehatan (e-ISSN: 2527-7170, p-ISSN: 1907-459X) is a peer-reviewed open access scientific journal published by Poltekkes Kemenkes Palu. The scope for Poltekita: Jurnal Ilmu Kesehatan includes nutrition, midwifery, nursing, public health, environmental health, food, and ...