Development of Media Modules for Pregnant Teenage Mothers using the ADDIE Model (Analyze, Design, Develop, Implement, and Evaluate)
DOI:
10.29303/jppipa.v11i10.12868Published:
2025-10-25Downloads
Abstract
Teenage pregnancy is public health issue that impacts maternal and infant health, as well as the continuation of adolescent education. This study aims to develop health education module for adolescent pregnant women using the ADDIE model, assess the module's feasibility based on expert validation and user responses, and test its effectiveness in improving the knowledge of adolescent pregnant women. This study uses the ADDIE development model. The research subjects included adolescent pregnant women in Barito Kuala and Banjar Regencies, South Kalimantan. The research instruments consisted of a validation sheet, user response questionnaire, and pre- and post-test questions. Data analysis was conducted using descriptive quantitative and qualitative methods. The analysis stage indicated low health literacy among pregnant adolescents. The module design was structured with a content structure including learning objectives, materials, illustrations, and evaluation. Expert validation results showed the module was in the feasible category with several revisions in the form of adding specific content and supporting visuals. The trial on respondents showed an increase in knowledge scores, where the average post-test score was higher than the pre-test (p < 0.05). This indicates the module's effectiveness in improving adolescent pregnant women's understanding of healthy pregnancies.
Keywords:
Development, Education, Media, Module, TeenagersReferences
Ambarwati, I., & Sulastri, S. (2023). The Influence Of Health Education Using Media Booklets About The Importance Of Hemoglobin Levels To Increase Knowledge Of Pregnant Women In The Work Area Of The Ngemplak Public Health Center. Contagion: Scientific Periodical Journal Of Public Health And Coastal Health, 5(3), 824–834. https://doi.org/10.30829/contagion.v5i3.15364
Bravo, D. Y., Toomey, R. B., Umaña-Taylor, A. J., Updegraff, K. A., & Jahromi, L. B. (2017). Growth Trajectories Of Mexican-Origin Adolescent Mothers’ Educational Expectations. International Journal Of Behavioral Development, 41(2), 165–174. https://doi.org/10.1177/0165025415616199
Chung, H. W., Kim, E. M., & Lee, J. (2018). Comprehensive Understanding Of Risk And Protective Factors Related To Adolescent Pregnancy In Low‐ And Middle‐Income Countries: A Systematic Review. Journal Of Adolescence, 69(1), 180–188. https://doi.org/10.1016/j.adolescence.2018.10.007
Crespo-Gonzalez, C., Garcia-Cardenas, V., & Benrimoj, S. I. (2017). The Next Phase In Professional Services Research: From Implementation To Sustainability. Research In Social And Administrative Pharmacy, 13(5), 896–901. https://doi.org/10.1016/j.sapharm.2017.05.020
Dwi Cahyani, F., Fadhilawati, D., Rahmatika Aini, M., & Puspita Sari, H. (2024). Utilizing Seesaw Application To Lift Students’ Speaking Proficiency In Senior High School. Jurnal Pendidikan : Riset Dan Konseptual, 8(2), 350–355. https://doi.org/10.28926/riset_konseptual.v8i2.987
Gamberini, C., Angeli, F., & Ambrosino, E. (2022). Exploring Solutions To Improve Antenatal Care In Resource-Limited Settings: An Expert Consultation. Bmc Pregnancy And Childbirth, 22(1), 449–459. https://doi.org/10.1186/s12884-022-04778-w
Griswold, C. H., Nasso, J. T., Swider, S., Ellison, B. R., Griswold, D. L., & Brooks, M. (2013). The Prenatal Care At School Program. The Journal Of School Nursing, 29(3), 196–203. https://doi.org/10.1177/1059840512466111
Haragi, M., Ishikawa, H., & Kiuchi, T. (2019). Investigation Of Suitable Illustrations In Medical Care. Journal Of Visual Communication In Medicine, 42(4), 158–168. https://doi.org/10.1080/17453054.2019.1633237
Hayward, M. D., Hummer, R. A., & Sasson, I. (2015). Trends And Group Differences In The Association Between Educational Attainment And U.S. Adult Mortality: Implications For Understanding Education’s Causal Influence. Social Science & Medicine, 127(2), 8–18. https://doi.org/10.1016/j.socscimed.2014.11.024
Hokororo, A., Kihunrwa, A. F., Kalluvya, S., Changalucha, J., Fitzgerald, D. W., & Downs, J. A. (2015). Barriers To Access Reproductive Health Care For Pregnant Adolescent Girls: A Qualitative Study In Tanzania. Acta Paediatrica, 104(12), 1291–1297. https://doi.org/10.1111/apa.12886
Humberstone, E. (2018). Dynamics Of Social Networks Following Adolescent Pregnancy. Journal Of Social Structure, 19(1), 1–34. https://doi.org/10.21307/joss-2018-009
Humberstone, E. (2019). Friendship Networks And Adolescent Pregnancy: Examining The Potential Stigmatization Of Pregnant Teens. Network Science, 7(4), 523–540. https://doi.org/10.1017/nws.2019.25
Jalambadani, Z., Borji, A., & Delkhosh, M. (2018). The Effect Of Education Based On The Theory Of Planned Behavior On Iron Supplementation Among Pregnant Women. Korean Journal Of Family Medicine, 39(6), 370–374. https://doi.org/10.4082/kjfm.17.0141
Killoren, S. E., Zeiders, K. H., Updegraff, K. A., & Umaña-Taylor, A. J. (2016). The Sociocultural Context Of Mexican-Origin Pregnant Adolescents’ Attitudes Toward Teen Pregnancy And Links To Future Outcomes. Journal Of Youth And Adolescence, 45(5), 887–899. https://doi.org/10.1007/s10964-015-0387-9
Kululanga, L. I., Kadango, A., Lungu, G., Jere, D., Ngwale, M., & Kumbani, L. C. (2020). Knowledge Deficit On Health Promotion Activities During Pregnancy: The Case For Adolescent Pregnant Women At Chiladzulu District, Malawi. Bmc Pregnancy And Childbirth, 20(1), 699–709. https://doi.org/10.1186/s12884-020-03386-w
Kushwah, S. (2024). A Study To Assess Effectiveness Of Self Instruction Module Regarding Knowledge And Attitude Of Antenatal Exercise Among Antenatal Mothers In Selected Hospital At Gwalior, Madhya Pradesh. African Journal Of Biomedical Research, 1(11), 1873–1883. https://doi.org/10.53555/ajbr.v27i4s.3954
Landry, M., Turner, M., Vyas, A., & Wood, S. (2017). Social Media And Sexual Behavior Among Adolescents: Is There A Link? Jmir Public Health And Surveillance, 3(2), E28–E34. https://doi.org/10.2196/publichealth.7149
Maravilla, J. C., Betts, K. S., & Alati, R. (2019). Increased Risk Of Maternal Complications From Repeat Pregnancy Among Adolescent Women. International Journal Of Gynecology & Obstetrics, 145(1), 54–61. https://doi.org/10.1002/ijgo.12776
Marlindawati, M., Corniawati, I., & Sinaga, E. G. (2023). Pengaruh Modul Kesehatan Reproduksi Terhadap Pengetahuan Pus Dan Kunjungan Iva Test Di Desa Apung. Aspiration Of Health Journal, 1(3), 543–553. https://doi.org/10.55681/aohj.v1i3.199
Mekonnen, T., Dune, T., & Perz, J. (2019). Maternal Health Service Utilisation Of Adolescent Women In Sub-Saharan Africa: A Systematic Scoping Review. Bmc Pregnancy And Childbirth, 19(1), 366–376. https://doi.org/10.1186/s12884-019-2501-6
Mhlanga, M., Mangombe, A., Karumazondo, J. J., & Yohannes, T. (2024). Improving Access To Sexual And Reproductive Health Services Among Adolescent Women In Zimbabwe. Reproduction And Fertility, 5(4), 1–11. https://doi.org/10.1530/raf-24-0008
Moore, C. C., & Fournakis, N. A. (2018). Addressing The Sexual Health Of Delaware Teens Through Evidence-Based And Promising Education. Delaware Journal Of Public Health, 4(5), 24–30. https://doi.org/10.32481/djph.2018.11.006
Mulyani, E. Y., Jus’at, I., & Sumaedi, S. (2023). The Effect Of Augmented-Reality Media-Based Health Education On Healthy Lifestyle Knowledge, Attitude, And Healthy Lifestyle Behaviors Among Pregnant Women During Covid-19 Pandemic In Jakarta, Indonesia. Digital Health, 9(1), 1–11. https://doi.org/10.1177/20552076231167255
Muthelo, L., Mbombi, M. O., Mphekgwana, P., Mabila, L. N., Dhau, I., Tlouyamma, J., Mashaba, R. G., Mothapo, K., Ntimane, C. B., Seakamela, K. P., Nemuramba, R., Maimela, E., & Sodi, T. (2024a). Exploring Mental Health Problems And Support Needs Among Pregnant And Parenting Teenagers In Rural Areas Of Limpopo, South Africa. Bmc Women’s Health, 24(1), 236–245. https://doi.org/10.1186/s12905-024-03040-z
Muthelo, L., Mbombi, M. O., Mphekgwana, P., Mabila, L. N., Dhau, I., Tlouyamma, J., Mashaba, R. G., Mothapo, K., Ntimane, C. B., Seakamela, K. P., Nemuramba, R., Maimela, E., & Sodi, T. (2024b). Exploring Mental Health Problems And Support Needs Among Pregnant And Parenting Teenagers In Rural Areas Of Limpopo, South Africa. Bmc Women’s Health, 24(1), 1–7. https://doi.org/10.1186/s12905-024-03040-z
Nambile Cumber, S., Atuhaire, C., Namuli, V., Bogren, M., & Elden, H. (2022a). Barriers And Strategies Needed To Improve Maternal Health Services Among Pregnant Adolescents In Uganda: A Qualitative Study. Global Health Action, 15(1), 1–11. https://doi.org/10.1080/16549716.2022.2067397
Ningrum, E. W., Lusmilasari, L., Huriyati, E., Marthias, T., & Hasanbasri, M. (2024). Improving Maternal Health Literacy Among Low-Income Pregnant Women: A Systematic Review. Narra J, 4(2), 1–13. https://doi.org/10.52225/narra.v4i2.886
Nurcandrani, P. S., Munsaidah, Y., Andhita, P. R., & Lisa, A. M. (2022). Pemanfaatan Media Sosial Antenatal Care Terpadu Sebagai Tools Kie (Komunikasi, Informasi Dan Edukasi) Pada Puskesmas Purwokerto Utara Ii. Prosiding Seminar Nasional Pemberdayaan Masyarakat (Sendamas), 2(1), 13. https://doi.org/10.36722/psn.v2i1.1425
Pati, S., & Chauhan, A. S. (2013). Health Promotion: An Integral Discipline Of Public Health. South East Asia Journal Of Public Health, 2(1), 3–7. https://doi.org/10.3329/seajph.v2i1.15253
Peker, N., Demir, A., Aydın, C., Biler, A., & Gundogan, S. (2018). Adolescent Pregnancies And Perinatal Outcomes: A Study At Tertiary Hospital At The Eastern Part Of Turkey. Clinical And Experimental Obstetrics & Gynecology, 45(3), 339–343. https://doi.org/10.12891/ceog3904.2018
Philibert, L., & Lapierre, J. (2022). Vulnerabilities And Strengths Of Pregnant Haitian Adolescents And Their Families During Transition To Motherhood. International Journal Of Maternal And Child Health And Aids (Ijma), 11(2), 1–11. https://doi.org/10.21106/ijma.564
Plaisime, M., Robertson-James, C., Mejia, L., Núñez, A., Wolf, J., & Reels, S. (2020). Social Media And Teens: A Needs Assessment Exploring The Potential Role Of Social Media In Promoting Health. Social Media + Society, 6(1), 1–11. https://doi.org/10.1177/2056305119886025
Rini, I. M., & Riyana, C. (2019). Analisis Pemanfaatan Modul Supervisi Akademik Dalam Meningkatkan Kompetensi Supervisi Pada Diklat Calon Kepala Sekolah. Diklus: Jurnal Pendidikan Luar Sekolah, 2(2), 92–115. https://doi.org/10.21831/diklus.v2i2.23653
Risnah, R., & Irwan, M. (2019). Dampak Penggunaan Modul Pendidikan Kesehatan Terhadap Peningkatan Pengetahuan Petugas Puskesmas. Lentera Pendidikan : Jurnal Ilmu Tarbiyah Dan Keguruan, 22(2), 284. https://doi.org/10.24252/lp.2019v22n2i10
Schaffer, M. A., Goodhue, A., Stennes, K., & Lanigan, C. (2012). Evaluation Of A Public Health Nurse Visiting Program For Pregnant And Parenting Teens. Public Health Nursing, 29(3), 218–231. https://doi.org/10.1111/j.1525-1446.2011.01005.x
Scorza, P., Merz, E. C., Spann, M., Steinberg, E., Feng, T., Lee, S., Werner, E., Peterson, B. S., & Monk, C. (2021). Pregnancy-Specific Stress And Sensitive Caregiving During The Transition To Motherhood In Adolescents. Bmc Pregnancy And Childbirth, 21(1), 458–467. https://doi.org/10.1186/s12884-021-03903-5
Sekharan, V. S., Kim, T. H. M., Oulman, E., & Tamim, H. (2015). Prevalence And Characteristics Of Intended Adolescent Pregnancy: An Analysis Of The Canadian Maternity Experiences Survey. Reproductive Health, 12(1), 101–110. https://doi.org/10.1186/s12978-015-0093-9
Sewpaul, R., Crutzen, R., Dukhi, N., Sekgala, D., & Reddy, P. (2021). A Mixed Reception: Perceptions Of Pregnant Adolescents’ Experiences With Health Care Workers In Cape Town, South Africa. Reproductive Health, 18(1), 167–177. https://doi.org/10.1186/s12978-021-01211-x
Silva, A. C. S. S. Da, Góes, F. G. B., Ávila, F. M. V. P., Goulart, M. De C. E L., Pinto, L. F., & Stipp, M. A. De C. (2022). Construction And Validation Of A Mobile Application For Health Education About Covid-19. Revista Gaúcha De Enfermagem, 43(1), 1–11. https://doi.org/10.1590/1983-1447.2022.20210289.en
Sudiana, I. K., Adiputra, N., & Budi Adnyana, P. (2020). Development Of Health Integrative Thematic Textbooks (Batik) To Provide Health Education In Elementary Schools. Jpi (Jurnal Pendidikan Indonesia), 8(2), 256–266. https://doi.org/10.23887/jpi-undiksha.v8i2.24103
Taqwin, T., Kaparang, M. J., Wahyuningtias, F., & Ramadhan, K. (2022). Audiovisual Media Increases Stunting Prevention Knowledge Among Pregnant Women In The Working Area Of Wani Health Center: Pretest, Posttest 1 Dan Posttest 2. Poltekita : Jurnal Ilmu Kesehatan, 16(4), 541–546. https://doi.org/10.33860/jik.v16i4.2009
Taşdemir, S., Balci, E., & Günay, O. (2010). Comparison Of Life Quality Of Pregnant Adolescents With That Of Pregnant Adults In Turkey. Upsala Journal Of Medical Sciences, 115(4), 275–281. https://doi.org/10.3109/03009731003628724
Trudeau, J. (2016). The Role Of New Media On Teen Sexual Behaviors And Fertility Outcomes-The Case Of 16 And Pregnant. Southern Economic Journal, 82(3), 975–1003. https://doi.org/10.1002/soej.12034
Tsawe, M., & Susuman, A. S. (2014). Determinants Of Access To And Use Of Maternal Health Care Services In The Eastern Cape, South Africa: A Quantitative And Qualitative Investigation. Bmc Research Notes, 7(1), 723–733. https://doi.org/10.1186/1756-0500-7-723
Uwizeye, D., Muhayiteto, R., Kantarama, E., Wiehler, S., & Murangwa, Y. (2020). Prevalence Of Teenage Pregnancy And The Associated Contextual Correlates In Rwanda. Heliyon, 6(10), 1–11. https://doi.org/10.1016/j.heliyon.2020.e05037
Villebro, M., Shklovski, I., Rossi, L., & Bjørstorp, A. (2018). Comfortably Numb. Proceedings Of The 9th International Conference On Social Media And Society, 187–196. https://doi.org/10.1145/3217804.3217911
Yanti, N. P. D., Suardana, I. N., & Selamet, K. (2022). Pengembangan Modul Elektronik Ipa Smp Kelas Viii Berbasis Inkuiri Pada Materi Cahaya Dan Alat Optik. Jurnal Pendidikan Dan Pembelajaran Sains Indonesia (Jppsi), 5(1), 79–88. https://doi.org/10.23887/jppsi.v5i1.46358
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