The Effectiveness of Nutrition Comic, Cards and Video on Nutritional Knowledge of Elementary School Students in Sebatik Island, North Kalimantan

Abstract

Background:The double burden of malnutrition still occurs in Indonesia, especially in school-age children. The prevalence of underweight and obese children aged 5-12 years in Nunukan Regency, North Kalimantan was 4.2% and 20.2%, respectively. One of the causes of nutritional problems in school-age children is an inappropriate food consumption pattern. This can be influenced by the lack of nutritional knowledge. This study aims to determine the effectiveness of nutrition cards, comics and videos on nutrition knowledge of elementary school students. Methods: This was a Quasi Experimental Design with a Nonequivalent Control Group research design. The subjects were 83 elementary school students aged 10-13 years on Sebatik Island, North Kalimantan. Students were selected using purposive sampling method. Data of nutritional knowledge were obtained using the pretest-posttest form, that taken before and after the intervention using cards, comics and nutrition videos. Data were analyzed using paired T-test and oneway ANOVA with p < 0.05. Results: The results showed that there were significant differences in the mean pretest and posttest scores before and after education in each treatment group (p < 0.05). There was a significant difference in the changes in the pretest and posttest scores between the treatment groups (p < 0.05). In addition, based on Bonferroni's post hoc test, comics were more effective than controls group and statistically significant (p < 0.05). Conclusion: Comic was more effective to increase nutrition knowledge than the control group. Educational media should be made as attractive as possible so that the message can be delivered optimally to students.