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Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education

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Published by Universitas Airlangga

ISSN : 20853475 EISSN : 25409972 DOI : -

Core Subject : Health,

Health Professions

Arjuna Subject : -

Articles 459 Documents

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The Influence of Digital Health Literacy on Non-Healthcare Students' Telemedicine Interest Intan Widyananda Hermawan; Merita Arini
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI2 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

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Background: The advancement of digital technology has improved the public’s ability to access health information and has encouraged students to use telemedicine services. Telemedicine has expanded access to healthcare services and health information. However, digital health literacy is considered essential for engaging with digital health services. Objectives: This study aimed to analyze the influence of digital competencies and health information literacy on non-health students’ interest in accessing telemedicine services at Muhammadiyah University of Yogyakarta. Methods: This research used a cross-sectional design and involved 104 students from non-health fields, selected through convenience sampling. Data were gathered using a Digital Health Literacy Competencies (DHLC) questionnaire and an adopted telemedicine interest questionnaire, both of which had been validated. Data analysis was carried out using univariate analysis and multiple linear regression with SPSS software. Results: Digital competence and health information literacy significantly influenced students’ interest in accessing telemedicine (p<0.05). The regression model explained 32.5% of the variance in telemedicine interest (R²=0.325). Health information literacy showed a stronger influence (β=0.355; p=0.003) than digital competence (β=0.260; p=0.029). Conclusion: Digital health literacy significantly influences interest in accessing telemedicine among non-healthcare university students, with health information literacy identified as the strongest contributing factor. Strengthening digital health literacy may increase students’ interest in using telemedicine. This research clearly underscores the urgency of promotive interventions to boost students' digital health literacy through systematic educational programs and digital-based preventive campaigns. Furthermore, synergy between higher education institutions and medical service providers is essential for optimizing the awareness, accessibility, and acceptability of telemedicine as an integral pillar in modernizing the digital healthcare ecosystem

Nutrigenomic Literacy as a Determinant of Dietary Behavior among Adolescent Girls and Women: A Systematic Review Honesty Diana Morika; Delmi Sulastri
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI2 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

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Background: Nutrition-related diseases remain a major public health concern among adolescent girls and women. Poor dietary behaviors contribute to anemia, obesity, metabolic disorders, and other non-communicable diseases. Advances in nutrigenomics have emphasized the importance of understanding gene–nutrient interactions in influencing health outcomes. Nutrigenomic literacy—the ability to access, understand, evaluate, and apply nutrigenomic information—has emerged as a potential determinant of dietary behavior. However, evidence regarding its role among adolescent girls and women has not been systematically synthesized. Objective: This systematic review aimed to examine the role of nutrigenomic literacy as a determinant of dietary behavior among adolescent girls and women. Methods: A systematic review was carried out in accordance with the PRISMA 2020 guidelines. Searches of the literature were conducted in PubMed, Scopus, ScienceDirect, Web of Science, and ProQuest to identify studies published from 2015 to 2026. Included studies evaluated nutrigenomic literacy, nutrigenomic education, genetic literacy related to nutrition, precision nutrition, and dietary behavior among adolescent girls and women. Methodological quality was appraised using the Joanna Briggs Institute Critical Appraisal Checklist. Results: Fourteen studies met the inclusion criteria. The findings indicated that higher levels of nutrigenomic literacy and nutrigenomic knowledge were associated with healthier dietary choices, improved nutrition-related decision-making, and greater adherence to dietary recommendations. Personalized nutrition interventions incorporating genetic information enhanced nutritional awareness and supported positive dietary behavior change. Conclusion: Nutrigenomic literacy appears to be an important determinant of dietary behavior among adolescent girls and women. Integrating nutrigenomic education into health promotion programs may improve dietary decision-making and encourage healthier eating practices. Further studies are needed to develop standardized nutrigenomic literacy measures and evaluate their long-term impact on dietary behavior.

Preconception Nutrition Intervention Models for Adolescent Girls: Intergenerational Stunting Scoping Review Islah Wahyuni; Delmi Sulastri
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI2 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

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Background: Stunting is still a significant global public health problem. In Indonesia, the prevalence of stunting decreased from 24.4% in 2021 to 21.6% in 2022, but the figure is still above the expected target. Nutritional interventions in the preconception period, especially in adolescent girls as mothers-to-be, are seen as an important strategy to prevent intergenerational stunting. However, evidence on the most effective intervention models is still scattered and has not been comprehensively synthesized. Objective: To map the scientific evidence on the model of preconception nutritional intervention in adolescent girls and its contribution to the prevention of intergenerational stunting during the period 2020–2026. Methods: This study used a systematic scoping review method based on the Arksey and O'Malley framework updated by Levac et al. (2010) and followed the PRISMA-ScR 2018 guidelines. Literature searches were conducted on PubMed, Scopus, Web of Science, CINAHL, Cochrane Library, and Google Scholar. Inclusion criteria included studies in adolescent girls aged 10–19 years who implemented preconception nutrition interventions with outcomes related to nutritional status or stunting risk. Of the 1,274 articles identified, 16 studies met the inclusion criteria. Results: Five main models of interventions were found, namely micronutrient supplementation, nutrition education based on Social and Behaviour Change Communication (SBCC), food fortification and supplementary feeding, integrated multicomponent interventions based on schools or communities, and mHealth-Based Digital Intervention. The multicomponent model showed the highest effectiveness in reducing the risk of stunting in offspring (RR 0.69–0.82) and comprehensively improving the nutritional status of adolescent girls. Conclusions: preconception nutrition interventions that integrate micronutrient supplementation, SBCC-based education, and systemic support are the most effective approaches to break the intergenerational cycle of stunting. The integration of this model into primary healthcare is needed to support sustainable implementation in Indonesia.

The Effect of Booklet-Based Nutrition Education on Mothers' Knowledge and Attitudes: A Quasi Experimental for Stunting Prevention Rina Hasniyati Djasri; Dhea Shaskia Figna; Delmi Sulastri
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI2 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

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Background: Stunting remained a major public health challenge in Indonesia and adversely affected children's physical growth, cognitive development, and future productivity. Improving maternal knowledge and attitudes through nutrition education played an important role in preventing stunting during the first 1,000 days of life. Educational booklets provided structured, accessible, and easy-to-understand information, making them a useful medium for delivering health education. Objective: This study examined the effect of booklet-based nutrition education delivered through lectures on the knowledge and attitudes of mothers of children under five years of age regarding stunting prevention. Methods: This study used a quasi-experimental design with a one-group pretest-posttest approach. A total of 42 mothers of children under five years of age were selected using purposive sampling. Participants completed a 10-item knowledge questionnaire and a 10-item Likert-scale attitude questionnaire before and after the intervention. The intervention consisted of nutrition education sessions supported by a booklet that contained information on the causes, risk factors, prevention, and appropriate nutritional practices related to stunting. Data were analyzed using the Wilcoxon Signed-Rank Test for knowledge scores and the paired t-test for attitude scores. Statistical significance was established at p < 0.05. Results: The mean knowledge score increased from 5.00 ± 1.73 before the intervention to 8.21 ± 1.26 after the intervention. The mean attitude score also increased from 25.17 ± 2.70 to 30.48 ± 2.05. Both improvements were statistically significant (p < 0.001), indicating that booklet-based nutrition education effectively enhanced participants' knowledge and attitudes toward stunting prevention. Conclusion: Booklet-based nutrition education delivered through lectures significantly improved mothers' knowledge and attitudes regarding stunting prevention. The findings suggested that booklets served as an effective and practical health promotion tool for community-based integrated health service posts (Posyandu) and other maternal and child health programs to support stunting prevention efforts.

Development of an Emo Demo-Based Education Method for HIV/AIDS Prevention among Adolescents Naura Oxana Dhelavega Naura; Rapitos Sidiq; Evi Maria Lestari Silaban; Nindy Audia Nadira
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI2 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

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Background:HIV/AIDS prevention education for adolescents requires approaches that are accurate, interactive, and appropriate to their learning characteristics. Objective: This study aimed to develop a locally adapted Emo Demo-based education method containing HIV/AIDS prevention content and to conduct a preliminary evaluation through feasibility, acceptance, and post-intervention knowledge and attitude outcomes. Methods: An exploratory sequential mixed-methods design was conducted at SMA Negeri 15 Padang. The qualitative phase used formative interviews with two students, a school health unit teacher, and an HIV programme coordinator to identify information needs and audience characteristics. Media development followed the Behaviour Centred Design (BCD) stages of Assess, Build, Create, Deliver, and Evaluate, adapted from the thesis procedure. The package was reviewed by content, design, and language experts and tested for acceptance with 10 students before implementation. The quantitative phase used a posttest-only, non-equivalent control-group design involving 61 Grade XI students, with 29 students in the intervention group and 32 in the control group. Knowledge was measured using 24 true-false items and attitudes using 10 Likert-scale statements. Posttest distributions were compared using the Mann-Whitney U test. Expert feasibility averaged 92%, while student acceptance was 96.2%. Results: The intervention group had higher median knowledge scores than the control group (21.00 vs 16.00) and higher median attitude scores (42.00 vs 34.50); both between-group differences were statistically significant (p = 0.001). Conclusion: These findings support the feasibility and promising educational value of the developed Emo Demo-based method. However, because the design used purposive group selection, no baseline measurement, and no direct assessment of behaviour or emotional response, the findings should be interpreted as preliminary evidence for the developed educational method rather than proof of behavioural effectiveness.

Husband's Social Support in Preventing Peripartum Depression Among Third-Trimester Pregnant Women Allysha Ariesny; Sorpiyani Munthe; Nindy Audia Nadira; Fardian Farid
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI2 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

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Background: Peripartum depression may begin during pregnancy and continue after childbirth. Women in the third trimester commonly experience physical discomfort, hormonal changes, fear of childbirth, and concerns about maternal and infant safety, increasing their vulnerability to psychological distress. Husbands are the closest source of social support, yet their involvement is often limited to practical assistance rather than psychological support. Objective: This study explored husbands’ social support for third-trimester pregnant women in preventing peripartum depression and developed a pocketbook based on identified needs. Methods: A qualitative case-study design was conducted in the working area of Alai Public Health Center, Padang, from January to June 2026. Eleven informants were purposively selected, including three pregnant women, three husbands, three program officers, one media-design expert, and one language expert. Data were collected through semi-structured in-depth interviews, field notes, and documentation and analyzed using data reduction, data display, conclusion drawing, and verification. Credibility was ensured through triangulation, member checking, persistent observation, and an audit trail. Results: Instrumental support was the most consistently provided, including antenatal-care accompaniment, household assistance, financial support, and childbirth preparation. Emotional support remained limited, while informational and appraisal support were also insufficient. These findings informed the development of a practical pocketbook containing peripartum-depression literacy, the four dimensions of social support, warning signs, daily checklists, and childbirth-preparation guidance. The pocketbook was designed to provide husbands with accessible information and practical guidance for recognizing psychological needs and strengthening support during pregnancy. Conclusion: Strengthening husbands’ emotional, informational, and appraisal support alongside practical assistance may improve family-based efforts to prevent peripartum depression. The pocketbook has potential as a practical health-promotion medium for husbands and families, although its effectiveness requires further evaluation.

Developing Cadres' Personal Skills in TB Prevention through Communication Training and E-TIBI Shrimarti Rukmini Devy; Sulvy Dwi Anggraini; Waritsah Sukarijah; Najma Sofie; Faridha Cahyani; Dini Yulia Restuti; Yeny Kusumaning Ayu; Ayu Ferdani; Zhafirah Ramadhani Arimurti; Nurul Jannatul Firdausi; Rizki Rahmawati
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI2 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

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Background: Tuberculosis (TB) remains a global public health challenge and is a key priority under Sustainable Development Goal (SDG) 3. In 2024, 17 suspected cases and 4 confirmed cases of TB were identified in Menang Village, Kediri Regency. Health cadres play an important role in TB control and need adequate communication skills and digital competence. In line with the Ottawa Charter for Health Promotion, particularly Develop Personal Skills, strengthening cadres’ knowledge and skills is important to support TB prevention and early detection in the community. Therefore, effective communication training and initial socialization of the E-TIBI application were implemented to develop cadres’ personal skills. Objective: This study aimed to analyze the outcomes of effective communication training and initial socialization of the E-TIBI application in developing the personal skills of health cadres. Methods: This study utilized a quasi-experimental one-group pretest-posttest design involving 23 health cadres in Menang Village, Kediri Regency. The intervention consisted of effective communication training and the initial socialization of the E-TIBI application. Cadres’ knowledge regarding E-TIBI was analyzed using the paired-samples t-test, whereas effective communication skills were analyzed using the Friedman test, followed by the Wilcoxon signed-rank test with Bonferroni correction. Results: Effective communication training significantly improved cadres’ communication skills (p < 0.001). Significant differences were found between the pre-test and all post-test measurements, while no significant differences were observed among the post-test measurements. Initial socialization of the E-TIBI application also significantly increased cadres’ knowledge (t = -2.285; p = 0.032). Conclusion: The integration of effective communication training and initial socialization of the E-TIBI application significantly improves health cadres' personal skills and knowledge retention in tuberculosis prevention in Menang Village, Kediri Regency.

Adolescents’ Perspectives on Sugar-Sweetened Beverage Consumption: A Qualitative Study to Inform Health Promotion Strategies Erlena; Dwi Sulistyo Cahyaningsih; Ahmad Mubarok; Vera Yulyani
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI2 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

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Background: Sugar-sweetened beverage (SSB) consumption among adolescents is a public health concern because of its association with weight gain and obesity. Understanding adolescents’ experiences and perceptions is important for developing contextually relevant health promotion strategies. Objective: This study explored the experiences and perceptions of Gen-Z adolescents in Karawang regarding daily SSB consumption, focusing on attitudes, subjective norms, perceived behavioural control, and behavioural intentions based on the Theory of Planned Behavior (TPB). Methods: A descriptive qualitative study using a constructivist-interpretivist paradigm was conducted. Three Focus Group Discussions (FGDs), each involving eight adolescents aged 13–17 years, were conducted, resulting in 24 participants. Semi-structured interviews with teachers were also conducted for source triangulation. Data were analyzed thematically using both deductive and inductive approaches, guided by TPB constructs and emerging themes. Results: Adolescents generally expressed positive attitudes toward SSBs, mainly because of their taste, cooling sensation, enjoyment, and habitual consumption. Peer influence and beverage trends on social media shaped subjective norms and contributed to consumption patterns. Easy access to SSBs in school canteens reduced adolescents’ perceived ability to control their intake. Although some participants were aware of health risks and intended to reduce consumption, a gap remained between intention and actual behaviour. Participants suggested the need for consumption monitoring, sugar tracking, reminders, goal setting, feedback, and peer challenges. Conclusion: SSB consumption among adolescents is influenced by interacting individual, social, and environmental factors. Health promotion should extend beyond education by supporting participatory and digitally enabled behavioural interventions, strengthening peer support, and creating school environments that facilitate healthier beverage choices.

Disaster Preparedness in Disaster-Prone Areas: A Scoping Review and Implications for Health Resilience Dzaky Makarim; Bagoes Widjanarko; Ratih Indraswari
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI2 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

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Background: Over the past decade, natural hazard events have become increasingly frequent and severe worldwide, highlighting the importance of community preparedness to protect health and well-being during emergencies. Although disaster risk reduction has been extensively studied, empirical evidence remains limited on the actual preparedness of residents and households, particularly regarding the extent to which disaster knowledge is translated into practical preparedness actions. Objective: This scoping review aimed to map the current state of disaster preparedness among residents and households in disaster-prone areas worldwide. Methods: Relevant studies were searched for across PubMed, ScienceDirect, Wiley Online Library, and Scopus, following the PRISMA-ScR guidelines and using relevant keywords, including “disaster preparedness” and “disaster-prone area”. The search covered the period from January 1, 2020, to February 28, 2025. Articles were screened against predefined inclusion and exclusion criteria, and a quality appraisal was conducted to assess the methodological quality of the included studies. Results: From an initial 7,234 articles, 27 met the eligibility and quality standards for inclusion. The included studies predominantly originated from Asia, reflecting the region’s high exposure to diverse hazards such as earthquakes, floods, tsunamis, droughts, storms, typhoons, and cyclones. Disaster preparedness was assessed across multiple components, including knowledge and attitudes, emergency planning, emergency kits, participation in training, insurance ownership, and protection of critical documents. These findings indicate that preparedness involves not only knowledge but also the capacity of individuals and communities to prepare and respond to disaster risks. Conclusion: Translating knowledge into preparedness action, strengthening confidence in preparedness measures, and building community capacity are essential for improving disaster resilience and supporting health protection during emergencies.

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