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Journal of Health Innovation and Environmental Education

an Open Access Journal

The Impact of Health Education through Animated Videos on Mothers' Attitudes in Providing Complementary Foods to Breast Milk

Mạnh Cường Nguyễn
Vietnam Military Medical University ROR
Viet Nam
mcnguyenmanhh@gmail.com
Thanh Nguyen Le
Vietnam Military Medical University ROR
Viet Nam
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  • Purpose of the study: To determine the effect of health education through animated video toward mother’s behavior with infant aged 6-12 months to prevent stunting through the provision of complementary feeding.

    Methodology: This study employed pre experimental design with the one group pretest post test design. There were 20 respondents involved in this study which were selected by using probability sampling with simple random sampling. The data were collected by using questionnaire and analyzed by using parametric test praid T-Test.

    Main Findings: The finding showed that there was an effect of health education through animated video and mother behavior. Good Mother behavior in providing complementary feeding in infants aged 6 months could decrease the risk of stunting.

    Novelty/Originality of this study: This study offers novelty by integrating animated health education videos to strengthen mothers’ attitudes toward appropriate complementary feeding practices. Unlike previous studies that rely on conventional counseling, this research demonstrates how visual–digital media can enhance maternal understanding and behavioral readiness. The findings advance knowledge by highlighting animation-based education as an effective, scalable intervention for improving infant nutrition practices.

  • How to cite

    The Impact of Health Education through Animated Videos on Mothers’ Attitudes in Providing Complementary Foods to Breast Milk. (2025). Journal of Health Innovation and Environmental Education, 2(1), 113-120. https://doi.org/10.37251/jhiee.v2i1.2325

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    1. N. Soliman et al., “Persistent Global Burden of Stunting Among Children,” Eur. J. ofMedical Heal. Sci., vol. 6, no. 2, pp. 15–20, 2024. DOI: https://doi.org/10.24018/ejmed.2024.6.2.2080
    2. H. Rasheed et al., “Estimating the health burden of aflatoxin attributable stunting among children in low income countries of Africa,” Sci. Rep., vol. 11, pp. 1–11, 2021, doi: 10.1038/s41598-020-80356-4. DOI: https://doi.org/10.1038/s41598-020-80356-4
    3. R. Suminar, S. Fatimah, and F. Karim, “The culture of complementary feeding practice among stunting in toddlers aged under 24 months,” Interdiscip. Int. J. Conserv. Cult., vol. 2, no. 1, pp. 21–30, 2024. DOI: https://doi.org/10.25157/iijcc.v2i1.3875
    4. R. Masuke et al., “Effect of inappropriate complementary feeding practices on the nutritional status of children aged 6-24 months in urban Moshi , Northern Tanzania : Cohort study,” pp. 1–16, 2021, doi: 10.1371/journal.pone.0250562. DOI: https://doi.org/10.1371/journal.pone.0250562
    5. I. N. Hanifa, A. Limavady, and M. Fewtrell, “Exploring factors influencing complementary feeding practices in Asia from parents ’ and caregivers ’ perspectives : A qualitative systematic review,” Nutr. Diet., no. September 2024, pp. 1–16, 2025, doi: 10.1111/1747-0080.70031. DOI: https://doi.org/10.1111/1747-0080.70031
    6. D. Allotey et al., “Fathers ’ Complementary Feeding Support Strengthens the Association Between Mothers ’ Decision-Making Autonomy and Optimal Complementary Feeding in Nigeria,” Community Glob. Nutr., vol. 2020, no. 2, pp. 1–11, 2020.
    7. D. H. Hamer et al., “Importance of breastfeeding and complementary feeding for management and prevention of childhood diarrhoea in low- and middle-income countries,” J. Glob. Health, vol. 112, pp. 1–8, 2022, doi: 10.7189/jogh.12.10010. DOI: https://doi.org/10.7189/jogh.12.10011
    8. E. U. Egwuaba and B. A. Sunday, “Challenges in Transitioning from Exclusive Breastfeeding to Complementary Feeding among Nursing Mothers in Nteje, Anambra, Nigeria,” African J. Humanit. Contemp. Educ. Res., vol. 19, no. 1, pp. 210–229, 2025, doi: https://doi.org/10.62154/ajhcer.2025.019.01022. DOI: https://doi.org/10.62154/ajhcer.2025.019.01022
    9. K. Fikadu, M. Yihune, W. G. Boynito, and Z. Hailemariam, “Exploring Multiple Barriers to Proper Child Feeding Practices in Rural Districts of Ethiopia,” Food Sci. Nutr., vol. 13, no. 3, pp. 1–14, 2025, doi: 10.1002/fsn3.4757. DOI: https://doi.org/10.1002/fsn3.4757
    10. Y. Y, S. S, G. YM, S. G, and A. Zarina, “Preventing Stunting in Rural Indonesia: A Community-Based Perspective,” African J. Food, Agric. Nutr. Dev., vol. 24, no. 9, pp. 24471–24491, 2024, doi: https://doi.org/10.18697/ajfand.134.24820. DOI: https://doi.org/10.18697/ajfand.134.24820
    11. Y. B. Prasetyo, P. Permatasari, and H. D. Susanti, “The effect of mothers’ nutritional education and knowledge on children’s nutritional status: a systematic review,” Int. J. Child Care Educ. Policy, vol. 17, no. 1, pp. 1–16, 2023, doi: 10.1186/s40723-023-00114-7. DOI: https://doi.org/10.1186/s40723-023-00114-7
    12. M. Saaka, K. Wemah, F. Kizito, and I. Hoeschle-Zeledon, “Effect of nutrition behaviour change communication delivered through radio on mothers’ nutritional knowledge, child feeding practices and growth,” J. Nutr. Sci., vol. 10, no. 44, pp. 1–9, 2021, doi: 10.1017/jns.2021.35. DOI: https://doi.org/10.1017/jns.2021.35
    13. R. R and H. N, “Development of Digital-Based Learning Multimedia to Improve Students’ Skills in Childbirth,” Heal. Educ. Heal. Promot., vol. 11, no. 1, pp. 11–20, 2023, doi: 10.58209/hehp.11.1.11.
    14. R. Iskandar, M. Hilman, G. Syafei, A. Bahatmaka, H. Hidayat, and K. Huda, “Utilization of PowerPoint and YouTube as Digital-Based Learning Media: Literature Review,” J. Ilm. Wahana Pendidik., vol. 9, no. 20, pp. 936–942, 2023, [Online]. Available: https://doi.org/10.5281/zenodo.10353888
    15. T. Moe-Byrne, E. Evans, N. Benhebil, and P. Knapp, “The effectiveness of video animations as information tools for patients and the general public: A systematic review,” Front. Digit. Heal., vol. 4, no. October, pp. 1–14, 2022, doi: 10.3389/fdgth.2022.1010779. DOI: https://doi.org/10.3389/fdgth.2022.1010779
    16. S. Ito-Jaeger, E. Perez Vallejos, T. Curran, and P. Crawford, “What’s Up With Everyone? A qualitative study on young people’s perceptions of cocreated online animations to promote mental health literacy,” Heal. Expect., vol. 25, no. 4, pp. 1633–1642, 2022, doi: 10.1111/hex.13507. DOI: https://doi.org/10.1111/hex.13507
    17. B. Stadlinger, S. Jepsen, I. Chapple, M. Sanz, and H. Terheyden, “Technology-enhanced learning: a role for video animation,” Br. Dent. J., vol. 230, no. 2, pp. 93–96, 2021, doi: 10.1038/s41415-020-2588-1. DOI: https://doi.org/10.1038/s41415-020-2588-1
    18. A. Ferretti, E. Vayena, and A. Blasimme, “Unlock digital health promotion in LMICs to benefit the youth,” PLOS Digit. Heal., vol. 2, no. 8, pp. 1–17, 2023, doi: 10.1371/journal.pdig.0000315. DOI: https://doi.org/10.1371/journal.pdig.0000315
    19. C. S. Santiago Jr, M. P. Leah Ulanday, Z. R. Jane Centeno, M. D. Cristina Bayla, and J. S. Callanta, “Flexible Learning Adaptabilities in the New Normal: E-Learning Resources, Digital Meeting Platforms, Online Learning Systems and Learning Engagement,” Asian J. Distance Educ., vol. 16, no. 2, pp. 38–56, 2021, [Online]. Available: http://www.asianjde.com/
    20. M. J. S. Díaz, “Emergency Remote Education, Family Support and the Digital Divide in the Context of the COVID-19 Lockdown,” Int. J. Environ. Res. Public Health, vol. 18, no. 15, pp. 1–18, 2021, doi: 10.3390/ijerph18157956. DOI: https://doi.org/10.3390/ijerph18157956
    21. P. A. Febriyani, D. Ismail, and S. R. Ningsih, “The improvement of knowledge, attitude, and behavior of toddler feeding through nutrition education video,” Int. J. Health Sci. (Qassim)., vol. 6, no. 9, pp. 552–565, Aug. 2022, doi: 10.53730/ijhs.v6nS9.12224. DOI: https://doi.org/10.53730/ijhs.v6nS9.12224
    22. S. Lioret et al., “Home visiting intervention over pregnancy and the first two years of life to promote healthy feeding practices and energy balance-related behaviors and prevent obesity risk in children from socially disadvantaged families: protocol for a participant-blind,” BMC Public Health, vol. 25, no. 1, pp. 1–23, 2025, doi: 10.1186/s12889-025-25004-0. DOI: https://doi.org/10.1186/s12889-025-25004-0
    23. E. Galmarini, L. Marciano, and P. J. Schulz, “The effectiveness of visual-based interventions on health literacy in health care: a systematic review and meta-analysis,” BMC Health Serv. Res., vol. 24, no. 1, pp. 1–10, 2024, doi: 10.1186/s12913-024-11138-1. DOI: https://doi.org/10.1186/s12913-024-11138-1
    24. M. Mustary et al., “Integration of Health Literacy and Local Cultural Approaches for Preeclampsia Prevention: A Qualitative Study in Maros District, Indonesia,” J. Educ. Community Heal., vol. 12, no. 1, pp. 33–41, 2025, doi: 10.34172/jech.3303. DOI: https://doi.org/10.34172/jech.3303
    25. L. Schneider et al., “Mothers’ perceptions on and learning from infant and young child-feeding videos displayed in Mother and Child Health Centers in Kenya: A qualitative and quantitative approach,” Public Health Nutr., vol. 24, no. 12, pp. 3845–3858, 2021, doi: 10.1017/S1368980021002342. DOI: https://doi.org/10.1017/S1368980021002342
    26. M. Adam et al., “Evaluation of a community-based mobile video breastfeeding intervention in Khayelitsha, South Africa: The Philani MOVIE cluster-randomized controlled trial,” PLoS Med., vol. 18, no. 9, pp. 1–25, 2021, doi: 10.1371/journal.pmed.1003744. DOI: https://doi.org/10.1371/journal.pmed.1003744
    27. Y. Q. Ouyang and L. Nasrin, “Father’s knowledge, attitude and support to mother’s exclusive breastfeeding practices in bangladesh: A multi-group structural equations model analysis,” Healthc., vol. 9, no. 3, pp. 1–23, 2021, doi: 10.3390/healthcare9030276. DOI: https://doi.org/10.3390/healthcare9030276
    28. G. Beressa, S. J. Whiting, and T. Belachew, “Effect of nutrition education integrating the health belief model and theory of planned behavior during pregnancy on gestational weight gain and birth weight in Southeast Ethiopia using complex analyses,” BMC Pregnancy Childbirth, vol. 25, no. 1, pp. 1–15, 2025, doi: 10.1186/s12884-025-07284-x. DOI: https://doi.org/10.1186/s12884-025-07284-x
    29. S. Rismawati and H. Kurnia, “The Influence of Health Education About Complementary Foods for Breast Milk (MPASI) on the Knowledge and Attitudes of Mothers of Babies Aged 0-6 Months,” Media Inf., vol. 21, no. 02, pp. 44–52, 2025, doi: 10.37160/mijournal.v21i02.789. DOI: https://doi.org/10.37160/mijournal.v21i02.789
    30. E. Erika, N. Wahyuni, D. Wu. Ramadhani, R. Riamah, and D. Setianingsih, “The Effect of Early Education Using Animation Video and Leaflets on Preparation of Complementary Feedings as Stunting Prevention,” in 5th Riau International Nursing Conference (RINC), 2023, pp. 64–75. doi: 10.18502/kme.v3i1.12699. DOI: https://doi.org/10.18502/kme.v3i1.12699
    31. A. Yilmaz and S. Duygulu, “Developing Psychological Empowerment and Patient Safety Culture: A Pre-experimental Study,” J. Basic Clin. Heal. Sci., vol. 5, no. 2, pp. 94–103, 2021, doi: 10.30621/jbachs.907526. DOI: https://doi.org/10.30621/jbachs.907526
    32. M. A. Atiyah, “Knowledge of Nursing College Students on Preventive Measures for Irritable Bowel Syndrome : Pre-Experimental Study,” Int. J. Integr. Mod. Med., vol. 2, no. 3, pp. 16–24, 2024.
    33. N. Desreza, S. Riza, and N. Zarita, “The Influence of Benson Relaxation Technique on Pain Reduction in Patients After Cesarean Section Surgery,” Int. J. Adv. Technol. Eng. Inf. Syst., vol. 3, no. 2, pp. 1–7, 2023, doi: 10.55047/ijateis.v3i2.867. DOI: https://doi.org/10.55047/ijateis.v3i2.867
    34. M. R. A. Saputra and A. N. Widiadi, “Effectiveness of Out-Class Learning at the Museum (OCAM) on Motivation and Learning Outcomes of History,” Hist. J. Progr. Stud. Pendidik. Sej., vol. 12, no. 2, pp. 333–348, 2024, doi: 10.24127/hj.v12i2.7966. DOI: https://doi.org/10.24127/hj.v12i2.7966
    35. N. N. Hasanah, A. N. Amiatun, L. Lusmilasari, and F. Haryanti, “Effect of Nurturing Care Video Education on Mother’s Knowledge and Attitude in Toddler Parenting: A Quasi-experimental Study,” Malaysian J. Med. Heal. Sci., vol. 21, no. 1, pp. 83–90, 2025, doi: 10.47836/mjmhs.21.1.12. DOI: https://doi.org/10.47836/mjmhs.21.1.12
    36. W. G. Boynito, G. Y. Tessema, K. Temesgen, S. De Henauw, and S. Abbeddou, “Acceptability and feasibility of video-based health education for maternal and infant health in Dirashe District, South Ethiopia: A qualitative study,” PLOS Glob. Public Heal., vol. 3, no. 6, pp. 1–18, 2023, doi: 10.1371/journal.pgph.0000821. DOI: https://doi.org/10.1371/journal.pgph.0000821
    37. M. M. Rahman, M. I. Tabash, A. Salamzadeh, S. Abduli, and M. S. Rahaman, “Sampling Techniques (Probability) for Quantitative Social Science Researchers: A Conceptual Guidelines with Examples,” SEEU Rev., vol. 17, no. 1, pp. 42–51, 2022, doi: 10.2478/seeur-2022-0023. DOI: https://doi.org/10.2478/seeur-2022-0023
    38. S. J. Stratton, “Population Sampling: Probability and Non-Probability Techniques,” Prehosp. Disaster Med., vol. 38, no. 2, pp. 147–148, 2023, doi: 10.1017/S1049023X23000304. DOI: https://doi.org/10.1017/S1049023X23000304
    39. H. R. Ganesha and P. S. Aithal, “Choosing an Appropriate Data Collection Instrument and Checking for the Calibration, Validity, and Reliability of Data Collection Instrument Before Collecting the Data During Ph.D. Program in India,” Int. J. Manag. Technol. Soc. Sci., vol. 7, no. 2, pp. 497–513, 2022, doi: 10.47992/ijmts.2581.6012.0235. DOI: https://doi.org/10.47992/IJMTS.2581.6012.0235
    40. H. Taherdoost, “Data collection methods and tools for research; A technique for academic and business research projects,” Int. J. Acad. Res. Manag., vol. 2021, no. 1, pp. 10–38, 2021, [Online]. Available: https://hal.science/hal-03741847v1
    41. H. Widiputra, A. Mailangkay, and E. Gautama, “Multivariate CNN-LSTM Model for Multiple Parallel Financial Time-Series Prediction,” Complexity, vol. 2021, pp. 1–14, 2021, doi: 10.1155/2021/9903518. DOI: https://doi.org/10.1155/2021/9903518
    42. R. R. Ahmed, D. Streimikiene, J. Streimikis, and I. Siksnelyte-Butkiene, “A comparative analysis of multivariate approaches for data analysis in management sciences,” E a M Ekon. a Manag., vol. 27, no. 1, pp. 192–210, 2024, doi: 10.15240/tul/001/2024-5-001. DOI: https://doi.org/10.15240/tul/001/2024-5-001
    43. P. Pichayapinyo et al., “Perceptions of the 2D short animated videos for literacy against chronic diseases among adults with diabetes and/or hypertension: a qualitative study in primary care clinics,” BMC Prim. Care, vol. 25, no. 1, pp. 1–10, 2024, doi: 10.1186/s12875-024-02621-z. DOI: https://doi.org/10.1186/s12875-024-02621-z
    44. A. Andriani, D. Pertamana, and L. T. Novianti, “Exploring Undergraduate Students’ Perspectives on the Integration of Podcasts for Enhancing Listening Skills,” Art Teach. English as a Foreign Lang., vol. 5, no. 1, pp. 49–66, 2024, doi: 10.36663/tatefl.v5i1.690. DOI: https://doi.org/10.36663/tatefl.v5i1.690
    45. E. Nopyanti, E. S. Futriani, S. Suliati, F. Murtiani, and A. D. Widiantari, “Influence of Educational Videos on Knowledge and Attitude on Reproduktive Health in Adolescent,” J. Keperawatan Komprehensif (Comprehensive Nurs. Journal), vol. 9, no. 3, pp. 311–317, 2023, doi: 10.33755/jkk.v9i3.524. DOI: https://doi.org/10.33755/jkk.v9i3.524
    46. A. Z. Moshthafavi and R. Mardhiati, “Pengaruh Media Video Animasi Terhadap Pengetahuan Dan Sikap Pencegahan Fluor Albus Remaja Remaja Di Smp Pgri 2 Ciledug,” J. Pendidik. Kesehat., vol. 13, no. 1, pp. 41–51, 2024. DOI: https://doi.org/10.31290/jpk.v13i1.4147
    47. A. T. Gizaw, P. Sopory, and M. Sudhakar, “Determinants of knowledge, attitude and self-efficacy towards complementary feeding among rural mothers: Baseline data of a cluster-randomized control trial in South West Ethiopia,” PLoS One, vol. 18, no. 11 November, pp. 1–12, 2023, doi: 10.1371/journal.pone.0293267. DOI: https://doi.org/10.1371/journal.pone.0293267
    48. E. Spyreli, M. C. McKinley, and M. Dean, “An online survey of dietary quality during complementary feeding; associations with maternal feeding self-efficacy and adherence to dietary recommendations,” BMC Nutr., vol. 8, no. 1, pp. 1–15, 2022, doi: 10.1186/s40795-022-00595-8. DOI: https://doi.org/10.1186/s40795-022-00595-8
    49. K. Kandpal and P. Dutta, “Harnessing Mass Media and Media Education to Enhance Health Literacy on Maternal Health through IEC Materials,” Media Educ., vol. 20, no. 3, pp. 408–418, 2024, doi: 10.13187/me.2024.3.408. DOI: https://doi.org/10.13187/me.2024.3.408
    50. W. Abu-Ras, L. B. Idris, and B. H. Aboul-Enein, “Effectiveness of Cartoons, Comics, and Animation-Based Sexual Health Promotion and Education Interventions: A Scoping Review,” Int. J. Sex. Heal., vol. 37, no. 2, pp. 221–239, 2025, doi: 10.1080/19317611.2024.2421882. DOI: https://doi.org/10.1080/19317611.2024.2421882
    51. N. Jiang et al., “Parents’ intentions toward preschool children’s myopia preventive behaviors: Combining the health belief model and the theory of planned behavior,” Front. Public Heal., vol. 10, pp. 1–11, 2022, doi: 10.3389/fpubh.2022.1036929. DOI: https://doi.org/10.3389/fpubh.2022.1036929
    52. K. Shitu, M. Alemayehu, Y. A. B. Buunk-Werkhoven, and S. Handebo, “Determinants of intention to improve oral hygiene behavior among students based on the theory of planned behavior: A structural equation modelling analysis,” PLoS One, vol. 16, no. 2 February, pp. 1–17, 2021, doi: 10.1371/journal.pone.0247069. DOI: https://doi.org/10.1371/journal.pone.0247069
    53. K. Manji, J. Hanefeld, J. Vearey, H. Walls, and T. De Gruchy, “Using WhatsApp messenger for health systems research: A scoping review of available literature,” Health Policy Plan., vol. 36, no. 5, pp. 774–789, 2021, doi: 10.1093/heapol/czab024. DOI: https://doi.org/10.1093/heapol/czab024
    54. M. A. us Salam, G. C. Oyekwe, S. A. Ghani, and R. I. Choudhury, “How can WhatsApp® facilitate the future of medical education and clinical practice?,” BMC Med. Educ., vol. 21, no. 1, pp. 1–4, 2021, doi: 10.1186/s12909-020-02440-7. DOI: https://doi.org/10.1186/s12909-020-02440-7
    55. A. Rojas-García, S. Lingeman, and A. P. Kassianos, “Attitudes of mothers and health care providers towards behavioural interventions promoting breastfeeding uptake: A systematic review of qualitative and mixed-method studies,” Br. J. Health Psychol., vol. 28, no. 4, pp. 952–971, 2023, doi: 10.1111/bjhp.12663. DOI: https://doi.org/10.1111/bjhp.12663
    56. J. R. Hildreth, M. H. Vickers, T. Buklijas, and J. L. Bay, “Understanding the importance of the early-life period for adult health: A systematic review,” J. Dev. Orig. Health Dis., vol. 14, no. 2, pp. 166–174, 2023, doi: 10.1017/S2040174422000605. DOI: https://doi.org/10.1017/S2040174422000605
    57. X. Lyu, J. Li, and S. Li, “Approaches to Reach Trustworthy Patient Education: A Narrative Review,” Healthc., vol. 12, no. 23, pp. 1–27, 2024, doi: 10.3390/healthcare12232322. DOI: https://doi.org/10.3390/healthcare12232322