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The low uptake of cervical cancer screening (CCS) in rural areas is mainly related to the lack of awareness regarding cervical cancer. Using educational interventions has been shown to substantially improve knowledge and attitude towards cervical cancer, which are important determinants of undergoing CCS. The aim of this study was to analyse the impact of different educational intervention methods on knowledge, attitudes and willingness to undergo CCS among women in rural Indonesia.
A quasi-experimental study with a non-equivalent control group design.
The study was conducted in North Tobelo, a rural district in North Halmahera Regency.
Sample size was calculated using Power and Sample Size Calculations software (V.3.1.2). 150 women were recruited via convenience sampling from 12 Integrated Health Service Posts, cluster-randomised into three arms: control (n=50), flipchart (n=50) and video (n=50). A per-protocol approach was applied; all participants completed pre-intervention and post-intervention assessments within a single visit with no loss to follow-up. Continuous outcomes were analysed using the Kruskal-Wallis and Wilcoxon tests; categorical outcomes using ² or Fisher’s exact tests with Bonferroni correction. Non-parametric analysis of covariance (Quade’s method) controlled for baseline scores, age at first sexual intercourse and household income, with partial eta-squared reported as the effect size.
All study arms received identical educational content presented in simple Indonesian language and avoiding the use of medical terminology. The educational content included cervical cancer epidemiology, aetiology, risk factors, clinical symptoms, prevention methods, various CCS methods, visual inspection with acetic acid screening procedures, benefits and side effects of getting human papillomavirus vaccination and CCS, as well as a brief explanation regarding cervical cancer treatment. Knowledge, attitude and willingness were assessed using a structured pre-intervention and post-intervention questionnaire comprising both dichotomous items and Likert-scale questions.
Although knowledge improved significantly in all intervention groups (p
In conclusion, the video-based educational intervention demonstrated the greatest improvements in knowledge, attitude, and willngness to undergo CCS compared to other methods.
by Dwi Sisca Kumala Putri, Kencana Sari, Nur Handayani Utami, Nazarina Nazarina, Tiara Amelia, Nadira Yuthie Salwa, Ning Sulistiyowati, Adindra Vickar Ega, Muhammad Azzumar, Rika Rachmawati, Salimar, Mieska Despitasari, Donny Kristanto Mulyantoro
BackgroundMobile Health (mHealth) Applications offer a promising approach to promote the adoption of healthy nutrition and behavior among adolescent girls. A tailored mobile app, Teen ‘n Fit, was developed to support adolescent girls in Indonesia to assess their nutritional status, physical activity, and eating behavior; as a nutrition education media; and as a reminder of iron folic acid consumption. However, it is essential to measure the app’s usability prior to the release.
ObjectiveThis study aimed to measure the usability of a mobile application designed to promote nutrition and healthy behavior of adolescent girls by modifying the mHealth App Usability Questionnaire (MAUQ).
MethodsA cross-sectional usability study was conducted on 64 adolescent girls aged 15–18 from a public high school in Depok, Indonesia. Participants completed app-based tasks and filled out a post-task usability questionnaire. The usability questionnaire was adapted from a validated MAUQ for a standalone mHealth app. The exploratory factor analysis was conducted to determine the items constituting each component in the modified MAUQ. Mann-Whitney analysis was employed to analyze the difference in usability score means based on participants’ characteristics.
ResultsThe modified MAUQ demonstrated strong reliability (Cronbach’s alpha = 0.945). The app achieves a strong usability score, 6.0 ± 0.8 out of 7, with 79.7 percent of participants reporting no prior mHealth experience. The score among participants who occasionally used mHealth applications was higher (p = 0.046) than those who had never made prior use.
ConclusionThe findings indicate strong usability potential of Teen ‘n Fit as a digital health promotion tool for adolescent girls; however, future efforts in conducting effectiveness tests and maintaining user engagement are needed.
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