Berita Kedokteran Masyarakat
Vol 42 No 07 (2026)

Website-based balanced nutritional education and its effect on knowledge and perception among early adolescents: a health belief model approach

Yusta Cindy Claresta (Nutrition Department, Poltekkes Kemenkes Yogyakarta, Indonesia)
Tri Siswati (Nutrition Department, Poltekkes Kemenkes Yogyakarta, Indonesia)
Joseph Fernando Lim (Eigenform AI Pte. Ltd, Lorong Tapakning No 229, 10 Ilir, Ilir Timur 3, Palembang, Sumatera Selatan, Indonesia)
Esthy Rahman Asih (Nutrition Department, Poltekkes Kemenkes Yogyakarta, Indonesia)
Jutharat Attawet (Nursing Department, School of Health Sciences, Swinburne University of Technology, Victoria, Australia)



Article Info

Publish Date
29 Jul 2026

Abstract

Purpose: This study examined the effectiveness of a website-based balanced nutrition education program grounded in the Health Belief Model on the knowledge and perceptions of early adolescents, comparing it with conventional educational media. Methods: This quasi-experimental, pre- test-posttest control group study was conducted in Sleman, Yogyakarta (February–May 2025). Junior high school students from SMPN 1 Mlati received the website-based nutrition intervention (three 30-minute sessions on days 1, 3, and 5), while those from SMPN 1 Seyegan served as the control group (conventional/printed media). Knowledge and perceptions were assessed using structured questionnaires before and after the intervention. Data were analyzed to evaluate within- and between- group changes. Results: Both groups showed a significant increase in knowledge scores after the intervention (intervention: 39.90 to 48.43, Δ=8.53, p<0.001; control: 37.00 to 45.44, Δ=8.44, p<0.001). Perception scores also increased significantly in both groups (intervention: 48.28 to 52.27, Δ=3.99, p<0.001; control: 50.75 to 52.03, Δ=1.28, p=0.032). However, between-group analysis indicated no significant difference in knowledge improvement (p=0.911), whereas perception improvement was significantly greater in the intervention group (p=0.004). This finding suggests that website-based nutrition education serves as a more effective "cue to action" for fostering positive perceptions of balanced nutrition than conventional media. Conclusion: Website-based balanced nutrition education is more effective at shaping students' perceptions than conventional media and holds potential as a theory-based school health promotion strategy.

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Journal Info

Abbrev

bkm

Publisher

Subject

Nursing Public Health

Description

Berita Kedokteran Masyarakat (BKM Public Health and Community Medicine) is a peer-reviewed and open access journal that deals with the fields of public health and public medicine. The topics of the article will be grouped according to the main message of the author. This focus covers areas and scope ...