Educational Media and Maternal Behavioral Change in Fetal Brain Health Stimulation

Authors

  • Wiwin Winarsih Midwifery Department, Poltekkes Kemenkes Tanjung Karang, Bandar Lampung, Indonesia
  • Ika Fitria Elmeida Midwifery Department, Poltekkes Kemenkes Tanjung Karang, Bandar Lampung, Indonesia

DOI:

https://doi.org/10.26630/jk.v17i1.5601

Keywords:

Attitudes, Behaviors, Educational video, Knowledge, Stimulation

Abstract

Health behaviors of pregnant women, such as stimulating fetal brain development, are efforts to improve long-term child development. This study aims to analyze the effectiveness of Education and Communication educational media (educational videos and leaflets) on the knowledge, attitudes, and behavior of pregnant women in conducting stimulation to improve fetal brain health. This study is a quasi-experimental pretest–posttest design conducted at the Kalianda Community Health Center, South Lampung Regency, from October to December 2025. The study included 30 pregnant women in the second and third trimesters, selected purposively and divided into two groups: the educational video intervention group (n = 15) and the brochure intervention group (n = 15). Data were collected using a validated and reliable questionnaire. Data analysis used descriptive statistics, the Shapiro-Wilk normality test, and the paired t-test. The results showed a significant increase in knowledge, attitudes, and behavior of pregnant women in both groups after the intervention (p < 0.05). The educational video group showed a greater increase in all variables than the leaflet group, with p-values of 0.000 for knowledge, 0.001 for attitude, and 0.000 for behavior. Conclusion: Educational videos are more effective than leaflets in improving pregnant women's knowledge, attitudes, and behavior regarding fetal brain stimulation.

References

Abdulrahaman, M. D., Faruk, N., Oloyede, A. A., Surajudeen-Bakinde, N. T., Olawoyin, L. A., Mejabi, O. V., Imam-Fulani, Y. O., Fahm, A. O., & Azeez, A. L. (2020). Multimedia tools in the teaching and learning processes: A systematic review. Heliyon, 6(11), e05312. https://doi.org/10.1016/j.heliyon.2020.e05312

Anjarwati, A., & Koni Suryaningsih, E. (2021). The Relationship between Pregnancy-related Anxiety and Maternal-fetal Attachment among Primigravida. Open Access Macedonian Journal of Medical Sciences, 9(G), 47–51. https://doi.org/10.3889/oamjms.2021.6586

Apriani, A., Andhikatias, Y. R., Rohmatika, D., Ernawati, Mareta, M. Y., Wijayanti, & Widyastuti, D. E. (2023). The Effect of Fetal Stimulation on the Quality of Life of Pregnant Women and Fetal Heart Rate. Gaster, 21(2), 176–185. https://doi.org/10.30787/gaster.v21i2.1067

Ayatulloh, D., Nursalam, N., & Kurniawati, N. D. (2021). The Effect of Knowledge Management in Healthcare Services: A Systematic Review. JURNAL PENDIDIKAN KEPERAWATAN INDONESIA, 7(1), 84–96. https://doi.org/10.17509/jpki.v7i1.35132

Bobek, E., & Tversky, B. (2016). Creating Visual Explanations Improves Learning. Cognitive Research: Principles and Implications, 1(1), 27. https://doi.org/10.1186/s41235-016-0031-6

Dai, X., & Wang, J. (2023). Effect of online video infotainment on audience attention. Humanities and Social Sciences Communications, 10(1), 421. https://doi.org/10.1057/s41599-023-01921-6

Department of Economic and Social Affairs. (2020). Sustainable Development Goals Report 2020 Department of Economic and Social Affairs. United Nations. https://unstats.un.org/sdgs/report/2020/The-Sustainable-Development-Goals-Report-2020.pdf

Fannia, N., Misrawati, M., & Wahyuni, S. (2023). Pengaruh Edukasi Stimulasi Janin Menggunakan Media Video Terhadap Kedekatan Emosional Ibu dan Janin. COMSERVA : Jurnal Penelitian Dan Pengabdian Masyarakat, 2(09), 1677–1684. https://doi.org/10.59141/comserva.v2i09.531

Haka, I. N., Setiasih, S., & Hardjanti, T. S. (2022). EDUKASI STIMULASI JANIN SECARA AUDIOVISUAL MEMPENGARUHI TINGKAT PENGETAHUAN IBU HAMIL. Midwifery Care Journal, 3(4), 130–134. https://doi.org/10.31983/micajo.v3i4.9256

Hasanica, N., Catak, A., Mujezinovic, A., Begagic, S., Galijasevic, K., & Oruc, M. (2020). The Effectiveness of Leaflets and Posters as a Health Education Method. Materia Socio Medica, 32(2), 135. https://doi.org/10.5455/msm.2020.32.135-139

Ibe, E., & Abamuche, J. (2019). Effects of audio-visual technological aids on students' achievement and interest in secondary school biology in Nigeria. Heliyon, 5(6), e01812. https://doi.org/10.1016/j.heliyon.2019.e01812

Ministry of Health Republic Indonesia. (2019). Permenkes No. 4 Tahun 2019. Jakarta.

Ministry of Health Republic Indonesia. (2020a). Rencana Aksi Kegiatan Direktorat Pelayanan Kesehatan Primer 2020-2024. Jakarta. https://keslan.kemkes.go.id/lakip_files/Revisi_II_Rencana_aksi_dan_lokus.pdf

Ministry of Health Republic Indonesia. (2020b). Revisi 2 Pedoman Pelayanan Entenatal, Persalinan, Nifas, Dan Bayi Baru Lahir. Jakarta. https://drive.google.com/file/d/13OowLt338BV8B1096O7sjxFBVq1835ez/view

Kman, N. E., Price, A., Berezina‐Blackburn, V., Patterson, J., Maicher, K., Way, D. P., McGrath, J., Panchal, A. R., Luu, K., Oliszewski, A., Swearingen, S., & Danforth, D. (2023). First Responder Virtual Reality Simulator to train and assess emergency personnel for mass casualty response. JACEP Open, 4(1), e12903. https://doi.org/10.1002/emp2.12903

Kristiani, S., Suwoyo, & Pratiwi, I. Y. (2020). Pengaruh Pendidikan Kesehatan Melalui Media Video terhadap Kecemasan Menghadapi Persalinan Pada Ibu Primigravida TM III di Wilayah Kerja Puskesmas Blabak Kediri. Jurnal Midwifery Update. https://jurnalmu.poltekkes-mataram.ac.id/index.php/jurnalmu/article/view/92/77

Lampung Provincial Health Office. (2024). Profil Kesehatan Provinsi Lampung Tahun 2023. Bandar Lampung.

Maddahi, M. S., Dolatian, M., Khoramabadi, M., & Talebi, A. (2016). Correlation of maternal-fetal attachment and health practices during pregnancy with neonatal outcomes. Electronic Physician, 8(7), 2639–2644. https://doi.org/10.19082/2639

Mahdi, D. A. (2022). Improving Speaking and Presentation Skills through an Interactive Multimedia Environment for Non-Native Speakers of English. Sage Open, 12(1). https://doi.org/10.1177/21582440221079811

Noetel, M., Griffith, S., Delaney, O., Sanders, T., Parker, P., del Pozo Cruz, B., & Lonsdale, C. (2021). Video Improves Learning in Higher Education: A Systematic Review. Review of Educational Research, 91(2), 204–236. https://doi.org/10.3102/0034654321990713

Ostic, D., Qalati, S. A., Barbosa, B., Shah, S. M. M., Galvan Vela, E., Herzallah, A. M., & Liu, F. (2021). Effects of Social Media Use on Psychological Well-Being: A Mediated Model. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.678766

Purwati, Y., & Sari, A. D. (2024). Audio-visual Effectiveness of Independent Fetal Well-being Monitoring on Mother-Fetus Attachment and Birth Outcomes. Enfermería Global, 23(1), 68–94. https://doi.org/10.6018/eglobal.568371

Rahayuningsih, F. B., & Kristinawati, B. (2023). The Effectiveness of Audio-visual Media and Leaflets in Enhancing Knowledge, Attitudes, and Practices of Pregnancy Services. JURNAL PENDIDIKAN KEPERAWATAN INDONESIA, 9(2), 193–208. https://doi.org/10.17509/jpki.v9i2.68250

Rasdiyanah, R., Wiarsih, W., & Sukihananto, S. (2020). Health Education Using Booklet and Diary Media on the Self-Efficacy of Housewives with Hypertension. Jurnal Pendidikan Keperawatan Indonesia, 6(1). https://doi.org/10.17509/jpki.v6i1.23205

Saepul, S., Hermayanti, Y., & Platini, H. (2019). Knowledge About Nutritional Intake In Pregnant Women With Anemia. Jurnal Pendidikan Keperawatan Indonesia, 5(2). https://doi.org/10.17509/jpki.v5i2.18706

Seijdel, N., Schoffelen, J.-M., Hagoort, P., & Drijvers, L. (2024). Attention Drives Visual Processing and Audio-visual Integration During Multimodal Communication. The Journal of Neuroscience, 44(10), e0870232023. https://doi.org/10.1523/JNEUROSCI.0870-23.2023

Setyaningsih, R. S. D., & Maliya, A. (2018). Pengaruh Pendidikan Kesehatan Perawatan Kaki Diabetik dengan Metode Demonstrasi Terhadap Kemampuan Merawat Kaki Pada Pasien Diabetes Mellitus. Jurnal Berita Ilmu Keperawatan, 11(2), 57–66. https://doi.org/10.23917/bik.v11i2.10581

Smith, M., Mitchell, A. S., Townsend, M. L., & Herbert, J. S. (2020). The relationship between digital media use during pregnancy, maternal psychological well-being, and maternal-fetal attachment. PLOS ONE, 15(12), e0243898. https://doi.org/10.1371/journal.pone.0243898

Strømme, T. Aa., & Mork, S. M. (2021). Students’ Conceptual Sense-making of Animations and Static Visualizations of Protein Synthesis: a Sociocultural Hypothesis Explaining why Animations May Be Beneficial for Student Learning. Research in Science Education, 51(4), 1013–1038. https://doi.org/10.1007/s11165-020-09920-2

Sudarmi, S. (2021). Efektifitas Media Audio Visual pada Kelas Ibu Hamil Terhadap Pengetahuan dan Sikap Ibu dalam Pencegahan Komplikasi Kehamilan dan Persalinan. Jurnal Kesehatan Metro Sai Wawai, 14(1), 19–29. https://doi.org/10.26630/jkm.v14i1.2704

Suri, M., & Nelliraharti, N. (2019). Intensitas komunikasi ibu hamil terhadap janin sebagai rangsangan pendengaran dan perkembangan otak dalam perkenalan kosakata. Journal of Education Science, 5(2), 33-37. https://jurnal.uui.ac.id/index.php/jes/article/view/584

The Lancet. (2024). The next 1000 days: the forgotten ages of child health. In The Lancet (Vol. 404, Number 10467, p. 2021). Elsevier B.V. https://doi.org/10.1016/S0140-6736(24)02553-4

Volpe, G., & Gori, M. (2019). Multisensory Interactive Technologies for Primary Education: From Science to Technology. Frontiers in Psychology, 10. https://doi.org/10.3389/fpsyg.2019.01076

World Health Organization. (2020). Improving Early Childhood Development: WHO Guideline. Geneva. https://iris.who.int/server/api/core/bitstreams/af368e00-83fc-44e4-aa10-fd4b467c2904/content

World Health Organization. (2019). Monitoring health for the SDGs: sustainable development goals. World Health Statistics.

Yulita, D., & Yanti, M. (2021). Faktor – Faktor Yang Berhubungan Dengan Pelaksanaan Stimulasi Janin Dalam Kandungan. Jurnal Kesehatan Perintis (Perintis’s Health Journal), 7(2), 65–70. https://doi.org/10.33653/jkp.v7i2.495

Downloads

Published

11-05-2026

Issue

Vol. 17 No. 1 (2026): Jurnal Kesehatan (In Progress)

Section

Articles

License

Copyright (c) 2026 Wiwin Winarsih, Ika Fitria Elmeida

Creative Commons License

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

Authors who publish in this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
  2. Authors can enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as this can lead to productive exchanges and earlier and greater citations of published work.