Strengthening Adolescent Health Literacy through an Integrated Educational Approach Based on Video and Booklet Media in Vocational High Schools
Abstract
Purpose of the study: This study aimed to examine the effectiveness of an integrated educational approach using video and booklet media in strengthening adolescent reproductive health literacy in a vocational high school.
Methodology: A quasi-experimental pretest–posttest control group design was employed involving 28 Grade X students, equally divided into experimental (video-based education) and control (booklet-based education) groups. Health literacy was measured using a validated and reliable 28-item questionnaire (Cronbach’s Alpha = 0.851). Data were analyzed using paired t-tests and independent t-tests with a significance level of p < 0.05.
Main Findings: Both interventions significantly improved health literacy scores. The experimental group showed a mean increase of 7.86 points (16.21 ± 2.45 to 24.07 ± 1.98; p < 0.001), while the control group improved by 4.21 points (15.93 ± 2.37 to 20.14 ± 2.11; p < 0.001). The difference in mean improvement between groups was statistically significant (p < 0.001), indicating greater effectiveness of video-based education.
Novelty/Originality of this study: This study advances prior research by framing reproductive health education within a health literacy strengthening paradigm and by comparatively evaluating integrated audiovisual and printed media approaches in a vocational high school context, which remains underexplored in adolescent health promotion research.
References
P. A. Romero-García et al., “Complementary and alternative medicine (CAM) practices: A narrative review elucidating the impact on healthcare systems, mechanisms and paediatric applications,” Healthcare, vol. 12, no. 15, p. 1547, 2024, doi: 10.3390/healthcare12151547.
M. Burnier and A. Damianaki, “Hypertension as cardiovascular risk factor in chronic kidney disease,” Circ. Res., vol. 132, no. 8, pp. 1050–1063, 2023, doi: 10.1161/CIRCRESAHA.122.321762.
A. Setya Roswendi and Y. Zakiyah, “Relationship between environmental sanitation and the incidence of scabies: a literature review,” KnE Med., vol. 2022, pp. 207–215, 2022, doi: 10.18502/kme.v2i2.11083.
D. A. Majeed et al., “Data Analysis and machine learning applications in environmental management,” J. Ilm. Ilmu Terap. Univ. Jambi, vol. 8, no. 2, pp. 398–408, 2024, doi: 10.22437/jiituj.v8i2.32769.
M. Gayatri et al., “Risk factors for primary postpartum haemorrhage-related maternal deaths: evidence from maternal verbal autopsy in Jember District, Indonesia,” Bahrain Med. Bull., vol. 44, no. 4, pp. 1161–1171, 2022, doi: 10.1097/ms9.0000000000003224.
A. H. Talal, E. M. Sofikitou, U. Jaanimägi, M. Zeremski, J. N. Tobin, and M. Markatou, “A framework for patient-centered telemedicine: Application and lessons learned from vulnerable populations,” J. Biomed. Inform., vol. 112, p. 103622, 2020, doi: https://doi.org/10.1016/j.jbi.2020.103622.
H. Ames, C. Glenton, and S. Lewin, “Purposive sampling in a qualitative evidence synthesis,” BMC Med. Res. Methodol., 2019.
G. X. L. Silvederio et al., “Gut microbiome composition and diversity of wild-caught and hatchery-bred milkfish (Chanos chanos) fry,” J. Genet. Eng. Biotechnol., vol. 23, no. 3, p. 100520, 2025, doi: 10.1016/j.jgeb.2025.100520.
J. Singh, B. Matthees, and A. L. Odetunde, “Leaning online education during COVID-19 pandemic – attitudes and perceptions of non-traditional adult learners,” Qual. Assur. Educ., vol. 29, no. 4, pp. 408–421, 2021, doi: 10.1108/QAE-12-2020-0147.
R. N. Atmadani, A. Akrom, D. Ananda, L. Y. Saputri, A. A. Puspitasari, and S. Urbayatun, “Supports and barriers regarding the iron-folic acid supplementation adherence level in anemic pregnant women: Indonesian’s perspective,” Media Kesehat. Masy. Indones., vol. 20, no. 2, pp. 46–56, Jun. 2024, doi: 10.30597/mkmi.v20i2.32569.
L. A. Mukadar, T. Joko, and O. Setiani, “Liquid waste pollution load analysis home industry batik and the impact on the quality of river water in the sub-district of Pekalongan Selatan, Pekalongan City,” Int. J. Heal. Educ. Soc., vol. 4, no. 11, pp. 47–60, 2021, [Online]. Available: www.ijhes.com
N. H. Pratiwi Ningsih, Sri Utami, “Pengaruh pendidikan kesehatan metode permainan redi ( Roda,” JOM FKp, vol. 5, no. 2, pp. 563–571, 2018.
S. L. Souisa, D. A. Luhulima, and H. Tuaputimain, “Pengembangan media e-book untuk meningkatkan perilaku cinta damai,” J. Pendidik. Indones., vol. 12, no. 2, pp. 51–58, 2023.
H. Fitriyani, Sarwi, and P. Marwoto, “The validity of collaborative based science learning model to develop students’ critical thinking skills,” in Proceedings of the 6th International Conference on Educational Research and Innovation (ICERI 2018), Paris, France: Atlantis Press, Jan. 2019, pp. 271–276. doi: 10.2991/iceri-18.2019.58.
A. Razzaque, L. Nahar, M. Akter Khanam, and P. Kim Streatfield, “Socio-demographic differentials of adult health indicators in Matlab, Bangladesh: self-rated health, health state, quality of life and disability level,” Glob. Health Action, vol. 3, no. 1, p. 4618, 2010, doi: 10.3402/gha.v3i0.4618.
V. B. Lemes et al., “Associations among psychological satisfaction in physical education, sports practice, and health indicators with physical activity: Direct and indirect ways in a structural equation model proposal,” Int. J. Pediatr. Adolesc. Med., vol. 8, no. 4, pp. 246–252, 2021, doi: 10.1016/j.ijpam.2020.11.004.
D. Kumalasari, H. Purwanta, and S. Aw, “Comparative analysis of Generation Z’s digital history literacy in history education majors on Java Island: A study of history digital literacy,” J. Educ. e-Learning Res., vol. 11, no. 1, pp. 90–96, 2024, doi: 10.20448/jeelr.v11i1.5342.
A. N. Vidyastuti, R. Darmayanti, and R. Sugianto, “The role of teachers and communication information technology (ICT) media in the implementation of mathematics learning in the digital age,” Al-Jabar, J. Pendidik. Mat., vol. 9, no. 2, pp. 221–230, 2018.
M. Haq, “A comparative analysis of qualitative and quantitative research methods and a justification for adopting mixed methods in social research. The university of bradford institutional repository,” Annu. PhD Conf. Univ. Bradford Sch. Manag., pp. 1–22, 2023.
H. Taherdoost, “What are different research approaches? Comprehensive review of qualitative, quantitative, and mixed method research, their applications, types, and limitations,” J. Manag. Sci. Eng. Res., vol. 5, no. 1, pp. 53–63, 2022, doi: 10.30564/jmser.v5i1.4538.
S. Sukri, Y. Palinggi, and L. Petrus Taliabo, “The influence of health education on the level of knowledge about hypertension,” J. Promot. Reventif, vol. 7, no. 1, pp. 52–57, 2024, doi: 10.37251/jhiee.v1i2.1204.
M. A. Adeoye, “Review of Sampling Techniques for Education,” ASEAN J. Sci. Educ., vol. 2, no. 2, pp. 87–94, 2023.
A. Sanaullah, I. Niaz, J. Shabbir, and I. Ehsan, “A class of hybrid type estimators for variance of a finite population in simple random sampling,” Commun. Stat. Simul. Comput., vol. 51, no. 10, pp. 5609–5619, 2022, doi: 10.1080/03610918.2020.1776873.
M. M. Goraya, M. U. Mehmood, N. Iftikhar, and A. U. R. Bhatti, “The role of folk narratives in moral education: An interdisciplinary approach,” J. Polit. Stab. Arch., vol. 3, no. 2, pp. 186–205, Apr. 2025, doi: 10.63468/jpsa.3.2.10.
L. R. Peralta et al., “Health literacy of adolescents ’ responses to a workshop focusing on food , nutrition , climate change and digital technology solutions in Oceania: A multi ‑ site pilot study in Vanuatu,” BMC Public Health, vol. 25, no. 648, 2025, doi: 10.1186/s12889-025-21865-7.
H. T. U. N. Muthukumarana and R. V. S. P. K. Ranatunga, “Utilizing digital health technologies to improve patient experience and care quality in global healthcare: A systematic review,” Int. J. Digit. Heal. Telemed., vol. 1, no. 2, pp. 1–14, Sep. 2025, doi: 10.51137/wrp.ijdht.2025.hmui.45903.
P. da S. Finamore et al., “Nigerian politicians, discipline, integrity, character and the rule of law: Application versus financial spending in 2019 federal elections,” J. Chem. Inf. Model., vol. 53, no. February, p. 2021, 2021, doi: 10.13140/RG.2.2.19482.59846.
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