Adolescents' Knowledge and Attitudes after Animated Video Education With and Without Counseling
DOI:
https://doi.org/10.55537/j-ibm.v6i2.1853Keywords:
Adolescents, animated video, attitude, counseling, fruit and vegetable consumption, knowledgeAbstract
This quasi-experimental study compared animated video alone with counseling combined with animated video for improving adolescents' knowledge and attitudes toward fruit and vegetable consumption in Pangkalpinang City. Eighty students aged 12–15 years were selected by simple random sampling and assigned to a control group (video only, n = 40) or intervention group (counseling + video, n = 40). Knowledge and attitudes were assessed before and after intervention and analyzed using Wilcoxon signed-rank and Mann-Whitney U tests. Knowledge increased significantly within both groups (p < 0.001), but the between-group difference in knowledge gain was not significant (Z = -1.744; p = 0.081). Attitude improved significantly in the intervention group (Z = -3.21; p = 0.003), but not in the control group (p = 0.250), and the between-group difference favored counseling + video (Z = -2.784; p = 0.005). Combined counseling and animated video was therefore more effective for improving attitudes, while knowledge gains were comparable.
Downloads
References
Badan Penelitian dan Pengembangan Kesehatan. (2013). Riset kesehatan dasar 2013. Kementerian Kesehatan Republik Indonesia.
Badan Penelitian dan Pengembangan Kesehatan. (2019). Laporan nasional Riskesdas 2018. Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan. https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/
Champion, K. E., Parmenter, B., McGowan, C., Spring, B., Wafford, Q. E., Gardner, L. A., Thornton, L., McBride, N., Barrett, E. L., Teesson, M., Newton, N. C., & The Health4Life Team. (2019). Effectiveness of school-based eHealth interventions to prevent multiple lifestyle risk behaviours among adolescents: A systematic review and meta-analysis. The Lancet Digital Health, 1(5), e206–e221. https://doi.org/10.1016/S2589-7500(19)30088-3
Chan, C. L., Tan, P. Y., & Gong, Y. Y. (2022). Evaluating the impacts of school garden-based programmes on diet and nutrition-related knowledge, attitudes and practices among school children: A systematic review. BMC Public Health, 22, Article 1251. https://doi.org/10.1186/s12889-022-13587-x
Dahodwala, M., Geransar, R., Babion, J., de Grood, J., & Sargious, P. (2018). The impact of the use of video-based educational interventions on patient outcomes in hospital settings: A scoping review. Patient Education and Counseling, 101(12), 2116–2124. https://doi.org/10.1016/j.pec.2018.06.018
Deshpande, N., Wu, M., Kelly, C., Woodrick, N., Werner, D. A., Volerman, A., & Press, V. G. (2023). Video-based educational interventions for patients with chronic illnesses: Systematic review. Journal of Medical Internet Research, 25, e41092. https://doi.org/10.2196/41092
Evans, C. E. L., Christian, M. S., Cleghorn, C. L., Greenwood, D. C., & Cade, J. E. (2012). Systematic review and meta-analysis of school-based interventions to improve daily fruit and vegetable intake in children aged 5 to 12 y. The American Journal of Clinical Nutrition, 96(4), 889–901. https://doi.org/10.3945/ajcn.111.030270
Febriani, C. A., Nuryani, D. D., & Elviyanti, D. (2019). Efektifitas pemanfaatan media gambar bergerak dan video animasi terhadap peningkatan pengetahuan dan sikap ibu tentang gizi seimbang pada balita. Jurnal Kesehatan, 10(2), 181–186. https://doi.org/10.26630/jk.v10i2.1263
Guillaumie, L., Godin, G., Manderscheid, J.-C., Spitz, E., & Muller, L. (2012). The impact of self-efficacy and implementation intentions-based interventions on fruit and vegetable intake among adults. Psychology & Health, 27(1), 30–50. https://doi.org/10.1080/08870446.2010.541910
Haris, V. S. D. (2018). Pengaruh penyuluhan dengan media animasi terhadap pengetahuan dan sikap tentang makanan bergizi, seimbang dan aman bagi siswa SD 08 Cilandak Barat Jakarta Selatan tahun 2017. Quality: Jurnal Kesehatan, 12(1), 38–42.
Kementerian Kesehatan Republik Indonesia. (2014). Peraturan Menteri Kesehatan Republik Indonesia Nomor 41 Tahun 2014 tentang pedoman gizi seimbang.
Knai, C., Pomerleau, J., Lock, K., & McKee, M. (2006). Getting children to eat more fruit and vegetables: A systematic review. Preventive Medicine, 42(2), 85–95. https://doi.org/10.1016/j.ypmed.2005.11.012
McAleese, J. D., & Rankin, L. L. (2007). Garden-based nutrition education affects fruit and vegetable consumption in sixth-grade adolescents. Journal of the American Dietetic Association, 107(4), 662–665. https://doi.org/10.1016/j.jada.2007.01.015
Medeiros, G. C. B. S., Azevedo, K. P. M., Garcia, D., Oliveira Segundo, V. H., Mata, Á. N. S., Fernandes, A. K. P., Santos, R. P., Trindade, D. D. B. B., Moreno, I. M., Martínez, D. G., & Piuvezam, G. (2022). Effect of school-based food and nutrition education interventions on the food consumption of adolescents: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 19(17), Article 10522. https://doi.org/10.3390/ijerph191710522
O’Brien, K. M., Barnes, C., Yoong, S., Campbell, E., Wyse, R., Delaney, T., Brown, A., Stacey, F., Davies, L., Lorien, S., & Hodder, R. K. (2021). School-based nutrition interventions in children aged 6 to 18 years: An umbrella review of systematic reviews. Nutrients, 13(11), Article 4113. https://doi.org/10.3390/nu13114113
Pearson, N., Biddle, S. J. H., & Gorely, T. (2009). Family correlates of fruit and vegetable consumption in children and adolescents: A systematic review. Public Health Nutrition, 12(2), 267–283. https://doi.org/10.1017/S1368980008002589
Putri, I. M. A., Hatijah, N., Pengge, N. M., Taufiqurrahman, & Hindaryani, N. (2023). The effect of nutrition education using animated video media on the knowledge, attitude, behavior of fruit and vegetable consumption in the 4th grade students of SDN 129 Gresik. In Proceedings of the 6th International Conference of Health Polytechnic Surabaya (ICoHPS 2023) (pp. 485–495). Atlantis Press.
Rachmi, C. N., Jusril, H., Ariawan, I., Beal, T., & Sutrisna, A. (2021). Eating behaviour of Indonesian adolescents: A systematic review of the literature. Public Health Nutrition, 24(S2), S84–S97. https://doi.org/10.1017/S1368980200002876
Rasmussen, M., Krølner, R., Klepp, K.-I., Lytle, L., Brug, J., Bere, E., & Due, P. (2006). Determinants of fruit and vegetable consumption among children and adolescents: A review of the literature. Part I: Quantitative studies. International Journal of Behavioral Nutrition and Physical Activity, 3, Article 22. https://doi.org/10.1186/1479-5868-3-22
Silveira, J. A. C., Taddei, J. A. A. C., Guerra, P. H., & Nobre, M. R. C. (2011). Effectiveness of school-based nutrition education interventions to prevent and reduce excessive weight gain in children and adolescents: A systematic review. Jornal de Pediatria, 87(5), 382–392. https://doi.org/10.2223/JPED.2123
Siswati, T., Olfah, Y., Kasjono, H. S., & Paramashanti, B. A. (2022). Improving adolescent knowledge and attitude toward the intergenerational cycle of undernutrition through audiovisual education: Findings from RESEPIN study in Yogyakarta, Indonesia. Indian Journal of Community Medicine, 47(2), 196–201. https://doi.org/10.4103/ijcm.ijcm_1229_21
Wang, D., Stewart, D., Chang, C., & Shi, Y. (2015). Effect of a school-based nutrition education program on adolescents’ nutrition-related knowledge, attitudes and behaviour in rural areas of China. Environmental Health and Preventive Medicine, 20(4), 271–278. https://doi.org/10.1007/s12199-015-0456-4
World Health Organization. (n.d.). Adolescent health. Retrieved July 31, 2026, from https://www.who.int/health-topics/adolescent-health
World Health Organization. (2026, January 26). Healthy diet. https://www.who.int/news-room/fact-sheets/detail/healthy-diet
Yue, C. L., Kim, J., Ogawa, R., Stark, E., & Kim, S. (2013). Applying the cognitive theory of multimedia learning: An analysis of medical animations. Medical Education, 47(4), 375–387. https://doi.org/10.1111/medu.12090
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Emilia Emilia, Kurnia Sari

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.