International Journal of Public Health Science (IJPHS)
Vol 15, No 3: September 2026

Effectiveness of nursing-led microlearning with spaced reinforcement on sexual violence awareness among rural adolescents in Indonesia

Risnah Risnah (Universitas Islam Negeri Alauddin Makassar)
Muthahharah Muthahharah (Universitas Islam Negeri Alauddin Makassar)
Eka Hadrayani (Universitas Islam Negeri Alauddin Makassar)
Aisyah Bahar (Universitas Islam Negeri Alauddin Makassar)
Harmawati Harmawati (Universitas Islam Negeri Alauddin Makassar)
Muhammad Irwan (Universitas Sulawesi Barat)
Sudarman Sudarman (Lincoln University College)



Article Info

Publish Date
01 Sep 2026

Abstract

Sexual violence among adolescents remains a major public health concern, particularly in rural areas where access to prevention education is limited. This study evaluated the effectiveness of a nursing-led microlearning intervention with spaced reinforcement in improving adolescents’ awareness of sexual violence. A repeated-measures experimental study was conducted among 120 adolescents aged 13-16 years from rural junior high schools. Participants received either microlearning with spaced reinforcement (n = 60) or leaflet-based education (n = 60). Awareness was assessed at baseline, post-intervention, and four-week follow-up. Data were analyzed using linear mixed-effects models and generalized estimating equations. Baseline awareness scores were comparable between groups. Compared with leaflet education, the microlearning group demonstrated significantly greater improvements immediately after the intervention (β = 9.1, 95% CI: 7.2-11.0, p < 0.001) and maintained higher scores at follow-up (β = 8.6, 95% CI: 6.5-10.7, p

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Journal Info

Abbrev

IJPHS

Publisher

Subject

Health Professions

Description

International Journal of Public Health Science (IJPHS) is an interdisciplinary journal that publishes material on all aspects of public health science. This IJPHS provides the ideal platform for the discussion of more sophisticated public health research and practice for authors and readers world ...