From Mobile Screens to Awareness: Initiating Learning in Online Reproduction Classes as an Innovation in Health Promotion for Adolescents
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Adolescent reproductive health is a crucial issue directly related to the quality of life and future of the younger generation. Adolescent knowledge is a vital foundation for addressing reproductive health issues. Therefore, health promotion media that adapt to the needs and lifestyles of today's adolescents are necessary. This study aims to assess the effectiveness of digital reproduction classes as a learning medium for increasing adolescents' knowledge about reproductive health. It is hoped that this increased knowledge will stimulate awareness of the importance of reproductive health. This research is a single-group experimental study using a pre-post-test design for the trial of the reproductive health classes. The trial was conducted in three stages: a small-scale trial (n=7), a limited-scale trial (n=60), and a large-scale trial (n=380). Data were analyzed using a paired-sample t-test to compare knowledge scores before and after the intervention, and the N-Gain formula was used to assess class effectiveness. The small-scale trial increased the knowledge of 85.7% of participants, with an average increase of 14.3 points. The limited-scale trial showed an average increase of 15 points, while the large-scale trial showed an average increase of 15.54 points, with a p-value of 0.000 (95% CI: 16.67–14.42). The N-Gain score in the small-scale trial was 0.56, compared to 0.47 in the large-scale trial. The results demonstrate the effectiveness of the class in improving adolescents' knowledge. These findings reinforce the potential of online learning as an innovation in health promotion.
Alperin, M. (2023). Online Learning: Innovative Approaches for Public Health and Health Promotion Pedagogy. Pedagogy in Health Promotion, 9(3), 155-157. https://doi.org/10.1177/23733799231190289
Balalle, H. (2024). Exploring student engagement in technology-based education in relation to gamification, online/distance learning, and other factors: A systematic literature review. Social Sciences & Humanities Open, 9, 100870. https://doi.org/10.1016/j.ssaho.2024.100870
Balayong, V. L. (2024). Strategies on facilitating learning and adequacy of instructional materials in technology and livelihood education to student engagement. EPRA International Journal of Multidisciplinary Research (IJMR), 10(9), 673–681. https://doi.org/10.36713/epra2013
Balumbi, M., Stang, S., Suriah, S., Syarif, S., Putro, G., Marwang, S., & Wijaya, E. (2025). The importance of reproductive health education for elementary school children: Long-term benefits and challenges in implementation-A literature review. Journal of Education and Health Promotion, 14(170), 1-8. https://doi.org/10.4103/jehp.jehp_861_24
BPS (2023). Kajian Fertilitas Remaja Umur 10-14 Tahun di Indonesia. Long Form SP2020. Jakarta: BPS. Retrieved from https://www.bps.go.id/id/publication/2023/12/15/388847fe1848d4853c405201/kajian-fertilitas-remaja-umur-10-14-tahun-di-indonesia.html
Bujang, S. D. A., Selamat, A., Krejcar, O., Maresova, P., & Nguyen, N. T. (2020, April). Digital learning demand for future education 4.0—Case studies at Malaysia education institutions. Informatics, 7(2), 1–11. https://doi.org/10.3390/informatics7020013
Chang, H. Y., Hou, Y. P., Yeh, F. H., & Lee, S.S. (2020). The impact of an mHealth app on knowledge, skills and anxiety about dressing changes: A randomized controlled trial. Journal of Advanced Nursing, 76(4), 1046–1056. https://doi.org/doi.org/10.3390/informatics7020013
Choi, Y. et al. (2020). School Health Needs Assessment in Chanchamayo, Peru : A Health Promoting School Project. Frontiers. 8 (July), 1–12. https://doi.org/10.3389/fpubh.2020.00333.
Cloete, A. L. (2017). Technology and education: Challenges and opportunities. HTS: Theological Studies, 73(3), 1-7. https://doi.org/10.4102/hts.v73i4.4589.
Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches. Los Angeles: Sage Publications.
Farah, A.M., Endris, B.S. and Gebreyesus, S.H. (2019). Maternal undernutrition as proxy indicators of their offspring’s undernutrition: Evidence from 2011 Ethiopia demographic and health survey. BMC Nutrition, 5(1), 1–12. https://doi.org/10.1186/s40795-019-0281-z
Fibrila, F., Sulistyowati, S., & Akhyar, M. (2023). Benefits of Adolescent Women's Reproductive Health Records as a Basis for Screening Preconception Care: A Research and Development Study. International Conference Health, Social Science & Engineering, KnE Social Sciences, 455-464. https://doi.org/10.18502/kss.v8i14.13857.
Haleem, A., Javaid, M., Qadri, M. A., & Suman, R. (2022). Understanding the role of digital technologies in education: A review. Sustainable operations and computers, 3, 275-285. https://doi.org/10.1016/j.susoc.2022.05.004
Hasibuan, A. R., Pasaribu, A. F., Alfiyah, S., Utami, J. N., & Harahap, N. R. Y. (2024). Peran pendidikan kesehatan dalam meningkatkan kesadaran masyarakat terhadap pola hidup sehat di era digital. Didaktika: Jurnal Kependidikan, 13(001), 305-318.
Hasyim, M. (2024). Tantangan dan Peluang Pendidikan Kesehatan di Era Digital: Membangun Kesadaran Kesehatan Online. Oshada: Jurnal Kesehatan, 1(2), 16-24.
Helmyati, S., Dipo, D. P., Adiwibowo, I. R., Wigati, M., Safika, E. L., Hariawan, M. H., ... & Trisnantoro, L. (2021). Monitoring continuity of maternal and child health services, Indonesia. Bulletin of the World Health Organization, 100(2), 144-154. https://doi.org/10.2471/BLT.21.286636
Hemajothi, S., & Jain, S. K. (2022). Challenges of e-learning during the pandemic and its implication in education. Technoarete Transactions on Applications of Information and Communication Technology (ICT) in Education, 1(4), 1-6.
Hendriyanto, H. (2025). PPemanfaatan Learning Management System dalam Meningkatkan dan Memeratakan Kualitas Pendidikan. Jakarta: Kemenko PMK. Retrieved from https://www.kemenkopmk.go.id/pemanfaatan-learning-management-system-dalam-meningkatkan-dan-memeratakan-kualitas-pendidikan
Hidayah F.N (2023). Konten Kesehatan Jadi yang Paling Banyak Diakses Masyarakat Indonesia 2023. Goodstats. Retrieved from https://data.goodstats.id/statistic/5-mobil-pick-up-terlaris-maret-2026-gran-max-salip-carry-lRbtt?utm_campaign=read-infinite&utm_medium=infinite&utm_source=internal
IHTA (2019). Health-Tech Members in Indonesia. Jakarta: Indonesia Health Tech Association.
Kementerian Kesehatan Republik Indonesia. (2023). Survei Kesehatan Indonesia. Jakarta: BPKP
Kolarš, B., Mijatović Jovin, V., Živanović, N., Minaković, I., Gvozdenović, N., Dickov Kokeza, I., & Lesjak, M. (2025). Iron deficiency and iron deficiency anemia: A comprehensive overview of established and emerging concepts. Pharmaceuticals, 18(8), 1104. https://doi.org/10.3390/ph18081104
Kosse, R. C., Bouvy, M. L., de Vries, T. W., Kaptein, A. A., Geers, H. C., van Dijk, L., & Koster, E. S. (2017). mHealth intervention to support asthma self-management in adolescents: the ADAPT study. Patient Preference and Adherence, 11, 571–577. https://doi.org/10.2147/PPA.S124615
Kumbo, L., Mero, R. F., & Hayuma, B. J. (2023). Navigating the digital frontier: Innovative pedagogies for effective technology integration in education. The Journal of Informatics, 3(1), 14–33. https://doi.org/10.59645/tji.v3i1.142
Lee, M. , Lee, H., Kim, Y., Kim J., Cho, M., Jang, J., & Jang, H. (2018). Mobile app-based health promotion programs: a systematic review of the literature. International Journal of Environmental Research and Public Health, 15(12), 2838. https://doi.org/10.3390/ijerph15122838
McKinsey. (2021). The value of getting personalization right—or wrong—is multiplying [Internet]. mckinsey.com. Retrieved from https://www.mckinsey.com/capabilities/growth-marketing-and-sales/our-insights/the-value-of-getting-personalization-right-or-wrong-is-multiplying
Mufrida, I. C. (2024). RI Peringkat 4 Jumlah Perempuan yang Menikah di Bawah Usia 18 Tahun [Internet]. data.goodstats.id. https://data.goodstats.id/statistic/ri-peringkat-4-jumlah-perempuan-yang-menikah-di-bawah-usia-18-tahun-JkHnB
Nurjanah, A. S. (2024). Kesehatan Reproduksi: Mengapa Masih Dianggap Tabu? [Internet]. kesmas-id.com. Retrieved from https://kesmas-id.com/kesehatan-reproduksi/#:~:text=Stigma
Pijanowski, L. (2018). 8 Principles of Deeper Learning Key elements that teachers can use in instructional design to guide students to engage more deeply with content [Internet]. edutopia.org. Retrieved from https://www.edutopia.org/article/8-principles-deeper-learning
Pour, C.H. (2024). What is e-learning? Importance, benefits and use cases [Internet]. techtarget.com. Retrieved from https://www.techtarget.com/whatis/definition/Web-based-training-e-learning
Pratama, A.H. (2018). Tantangan dan Peluang Startup Kesehatan di Indonesia Tahun 2018, Tech in Asia [Internet]. Retrieved from https://id.techinasia.com/startup-kesehatan-indonesia-2018
Rahmadania S.R (2025). Angka Infeksi Menular Seksual di Kalangan Gen Z Meningkat, Terbanyak Sifilis [Internet]. detik.com. Retrieved from https://www.detik.com/kalimantan/berita/d-7973929/angka-infeksi-menular-seksual-di-kalangan-gen-z-meningkat-terbanyak-sifilis
Rajak, M., & Shaw, K. (2019). Evaluation and selection of mobile health (mHealth) applications using AHP and fuzzy TOPSIS. Technology in Society, 59(101186) https:/doi.org/10.1016/j.techsoc.2019.101186
Raouna, K. (2025). What is online learning: Brief history, benefits & limitations [Internet]. Learnworlds. Retrieved from https://www.learnworlds.com/what-is-online-learning
Ruchala, P.L. & James, D.C. (1997). Social Support Knowledge of Infant Development, and Maternal Confidence Among Adolescent and Adult Mothers. Journal of Obstetric, Gynecologic & Neonatal Nursing, 26(6), 685–689. https://doi.org/https://doi.org/10.1111/j.1552-6909.1997.tb02743.x.
Rumdari, R., Setyowati, S., Budiati, T., & Rachmawati, I.N. (2025). Digital Support Education on Risky Adolescent Reproductive Health Behaviors: A Systematic Review. Indonesian Journal of Global Health Research, 7(2), 1075–1086. https://doi.org/10.37287/ijghr.v7i2.5869.
Sahertian G. F (2024). Pengaruh Digitalisasi Bagi Remaja: Manfaat atau Beban?’ [Internet]. Kompasiana. Retrieved from https://www.kompasiana.com/greseldafidelyasahertian0502/6732c89434777c 2f207ff594/pengaruh-digitalisasi-bagi-remaja-manfaat-atau-beban
Santrock, J.W. (2022). Adolescence. 17th edn. McGraw-Hill Education.
Sekaran, U. (2003). Research and Method: Research Methods for Business – A Skill-Building Approach. John Wiley & Sons, Inc.
Sembada, S. D., Pratomo, H., Fauziah, I., Amani, S. A., Nazhofah, Q., & Kurniawati, R. (2022). Pemanfaatan media online sebagai sarana edukasi kesehatan pada remaja: tinjauan literatur. PREPOTIF: Jurnal Kesehatan Masyarakat, 6(1), 564-574.
Simanjuntak S. T. (2024). Tantangan dan Peluang di Era Digital pada Remaja Sekarang [Internet]. kompasiana. Retrieved from https://www.kompasiana.com/wahyuwahyu7362/675114ea34777c65026a5622/ tantangan-dan-peluang-di-era-digital-pada-remaja-sekarang?l=c
Siswati, T. S., Sitasari, A., Paramashanti, B. A., Tjaronosari, T., Nurhidayat, N., Wijanarka, A., & Waris, L. (2024). Effect of mHealth based intervention on maternal knowledge and practices of child care: A quasi-experimental study. Public Health of Indonesia, 10(1), 10-20. https://doi.org/10.36685/phi.v10i1.756
Smith, A., Brown, L., & Taylor, P. (2024). Digital learning engagement in adolescent health education. Journal of Health Communication, 29(2), 134–146.
Soni, A. et al. (2021). Research article early childhood undernutrition, preadolescent physical growth, and cognitive achievement in India: A population-based cohort study. PLoS Medicine, 18(10), 1–16. https://doi.org/10.1371/Journal.PMED.1003838.
Stark, A. L., Geukes, C., & Dockweiler, C. (2022). Digital Health Promotion and Prevention in Settings: Scoping Review. Journal of medical Internet research, 24(1), e21063. https://doi.org/10.2196/21063
Sugiono, S. (2019). Metode Penelitian & Pengembangan: Research and Development. Bandung: CV. Alfabeta
Sun, T., Xu, X., Ding, Z., Xie, H., Ma, L., Zhang, J., ... & Ma, Z. (2024). Development of a health behavioral digital intervention for patients with hypertension based on an intelligent health promotion system and WeChat: randomized controlled trial. JMIR mHealth and uHealth, 12(1), e53006. https://doi.org/10.2196/53006
Syahrial, S., Syarif, H., & Muhammad, M. (2019). The effectiveness of basic reading textbooks development for university students. EAI Endorsed Transactions on e-Learning, 21(6), e5. https://doi.org/10.4108/eai.19-7-2019.2289527
Thorpe, L. P., & Cruze, W.W. (1956). Physical development during adolescence, in Developmental psychology. English: Ronald Press Company. https://doi.org/10.1037/14562-005
Timotheou, S., Miliou, O. and Dimitriadis, Y. (2023). Impacts of digital technologies on education and factors influencing schools ’ digital capacity and transformation. Education and Information Technologies, 28(6), 6695–6726. https://doi.org/10.1007/s10639-022-11431-8
Unicef. (2021). Strategi Komunikasi Perubahan Sosial Dan Perilaku: Meningkatkan Gizi Remaja Di Indonesia. Jakarta: UNICEF.
Wahyuningsih, S., Widati, S., Praveena, S. M., & Azkiya, M. W. (2024). Unveiling barriers to reproductive health awareness among rural adolescents: a systematic review. Frontiers in reproductive health, 6, 1444111. https://doi.org/10.3389/frph.2024.1444111
WHO. (2018). mHealth: use of appropriate digital technologies for public health: report by the Director-General. World Health Organization. https://iris.who.int/handle/10665/276430
WHO. (2019). WHO guideline Recommendations on digital interventions for health system strengthening. Geneva: World Health Organization. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK541902/
Wiafe, M. A., Ayenu, J., & Eli-Cophie, D. (2023). A review of the risk factors for iron deficiency anaemia among adolescents in developing countries. Anemia, 2023(1), 6406286. https://doi.org/10.1155/2023/6406286
Zaimy, S., Darma, I. Y., Moryanda, R., & Irman, V. (2025). Effectiveness of Digital Educational Media in Improving Adolescents’ Reproductive Health Knowledge. Journal of Medical Record and Infomation Technologi (JOMRIT), 3(2), 25-30. Retrieved from https://jurnal.syedzasaintika.ac.id/index.php/jomrit/article/view/30817
Zou, Y., Kuek, F., Feng, W., & Cheng, X. (2025, March). Digital learning in the 21st century: trends, challenges, and innovations in technology integration. Frontiers in Education, 10, 1562391. https://doi.org/10.3389/feduc.2025.1562391
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