The Effect of Alert Education (Respiratory Emergency Alert) on Increasing Parents' Knowledge about the Handling of ISPA in Children at the Telaga Biru Health Center

  • Silvani Mohamad Ibrahim Program Studi Ilmu Keperawatan Fakultas Olahraga Dan Kesehatan Universitas Negeri Gorontalo
  • Zainuddin Program Studi Ilmu Keperawatan Fakultas Olahraga Dan Kesehatan Universitas Negeri Gorontalo
  • Rini Wahyuni Mohamad Program Studi Ilmu Keperawatan Fakultas Olahraga Dan Kesehatan Universitas Negeri Gorontalo
Keywords: SIGAP Education, Respiratory Emergency Alert, Parental Knowledge, ISPA, Children, Health Education

Abstract

Background: Acute Respiratory Tract Infection (ARI) is one of the leading causes of morbidity and mortality in children. The high incidence of ISPA in the Telaga Biru Health Center work area shows the need for efforts to increase parental knowledge in carrying out appropriate initial handling. SIGAP Education (Respiratory Emergency Alert) is one of the health education innovations designed to improve parental preparedness in dealing with respiratory disorders in children.

Objective: This study aims to determine the effect of SIGAP (Respiratory Emergency Alert) education on increasing parents' knowledge about the handling of ISPA in children at the Telaga Biru Health Center.

Methods: This study used a quantitative method with a pre-experimental design of one group pretest-posttest. The research was carried out at the Telaga Biru Health Center in January-February 2026. The research sample amounted to 44 parents who had children with ARI. Data were collected using a knowledge questionnaire and analyzed using a paired t-test.

Results: The results showed that before being given SIGAP education, most of the respondents had a moderate level of knowledge of 21 people (47.7%), 20 people (45.5%) of high knowledge, and 3 people of low knowledge (6.8%). After being given SIGAP education, the majority of respondents had a high level of knowledge of 41 people (93.2%) and a medium level of knowledge of 3 people (6.8%). The results of the paired t-test showed an increase in the average knowledge value from 2.39 ± 0.618 to 2.93 ± 0.255 with a p value of < 0.001, which shows a significant influence of SIGAP education on increasing parental knowledge about the treatment of ISPA in children.

Conclusion: SIGAP (Respiratory Emergency Alert) education has proven to be effective in increasing parents' knowledge about the handling of ISPA in children at the Telaga Biru Health Center. This educational program can be used as one of the health promotion strategies to increase family preparedness in dealing with respiratory disorders in children.

References

Abduh, M., Alawiyah, T., Apriansyah, G., Sirodj, R. A., & Afgani, M. W. (2022). Survey Design: Cross Sectional in Qualitative Research. Educational Journal Science and Computers, 3(01), 31–39. https://doi.org/10.47709/jpsk.v3i01.1955

Adiputra, I. M. S., Trisnadewi, N. W., Oktaviani, N. P. W., & Munthe, S. A. (2021).

Health Research Methodology.

Ainy, A. (2022). Village Preparedness and Disaster Health Management. Journal of Health Sciences, 1(01), 3–11.

Aisyiah, I. K., Effandilus, E. T., & Badriah, N. (2023). The relationship between sex and birth weight and the incidence of ispa in toddlers. 4, 6031–6037.

Akbar, Z., Renaldi, R., Dewi, O., Rany, N., & Hamid, A. (2023). Prevention Behavior of ISPA in the Working Area of the Bunut Health Center, Pelalawan Regency. Journal Health Community, 9(1), 12–20. https://doi.org/10.25311/keskom.vol9.iss1.1127

Alwi, Dewi, D., & Irawati. (2023). The Effect of Module-Based Education on Acute Respiratory Infection Prevention Efforts on the Level of Knowledge of Mothers in Posyandupaccinongan Working Area of Tino Health Center, Jeneponto Regency. Scientific Journal of Nursing, 9(2), 331–337. https://doi.org/10.33023/jikep.v9i2.1581

Andayani, C., Simanjuntak, H. C., Nurfajriyah, I., Zannah, A., Triyani, R., Mardatillah, T., & Nurjanah, S. (2024). The Effectiveness of Educational Media Leaflets on the Level of Student Knowledge about Healthy and Nutritious Food. Journal of Vocational Health Sciences, 3(2), 191–198.

Anderson, E., & Rantepadang, A. (2022). Respiratory Frequency and Ews in Patients in the Emergency Department. Klabat Journal of Nursing, 4(2), 66. https://doi.org/10.37771/kjn.v4i2.834

Arianti, A. L., Saehu, M. S., Uksim, M., & Nursing, S. (2022). An overview of parents' knowledge about ISPA disease at the Children's Polyclinic of Bhayangkara Hospital, Kendari City. Journal of Nursing, 6(June), 6–10.

Asil, E. U., Aygun, O., & Duman, A. (2025). The relationship between parental health literacy and primary school students' anthropometric measurements and general health status. https://doi.org/https://doi.org/10.1186/s12887-025- 05445-7

Health Development Policy Agency. (2023). Indonesian Health Survey (SKI). In the city of Kediri in numbers.

Berfilda, V. K., Sumiatin, T., & Ningsih, W. T. (2024). Mother's Knowledge About Acute Respiratory Infections In Toddlers At Wire Community Health Center.

, 8639–8653.

Billa, S., Suhada, N., Novianus, C., & Wilti, I. R. (2023). Factors Related to the Incidence of Ispa in Toddlers at the Cikuya Health Center, Tangerang Regency in 2022. 3(2), 115–124.

Darsini, Fahrurrozi, & Cahyono, E. A. (2020). Knowledge. Journal of Nursing, 12(1), 97.

Dongky, P., & Kadrianti, K. (2022). Risk Factors for the Physical Environment of the House with the Incidence of Ispa Toddlers in Takatidung Polewali Mandar Village. Unnes Journal of Public Health, 5(4), 324.

https://doi.org/10.15294/ujph.v5i4.13962

Elysabeth, S. (2024). Ethics and Law in Nursing (M. . DR. Sukmareni,

S.H. (ed.)). Foundation Sorting Education. https://books.google.co.id/books?id=CYQYEQAAQBAJ&printsec=frontcov er&hl=id&source=gbs_ge_summary_r&cad=0#v=onepage&q&f=false

Fadila, F. N., & Siyam, N. (2022). Risk Factors for Acute Respiratory Tract Infection (ARI) in Children Under Five. HIGEIA (Journal of Public Health Research and Development), 6(4), 320–331. https://doi.org/10.15294/higeia.v6i4.56803

Hasan, M., The, F., Rompis, K. F., Khairun, U., & Correspondence, P. (2023). Education on the Prevention and Early Management of Acute Respiratory Infections in Children. Journal of Solar Society, 6(1), 16–19.

Huru, M. M., Awang, M. N., Seran, A. A., & Rosita, M. (2025). The relationship between parental knowledge and attitudes and behavior of stimulating children's growth and development in the Posyandu Rindu Sejahtera, East Penfui Village. 4. https://doi.org/10.62354/jurnalmedicare.v4i4.318

Ichsan Trisutrisno., D. (2022). Health education and promotion (A. Karim (ed.)).

Our Writing Foundation.

Jailani, M. S. (2023). Data Collection Techniques and Educational Scientific Research Instruments on Qualitative and Quantitative Approaches. 1:1–9.

Juairiah, & Yulianti, B. D. (2022). The Effect of Education on Mothers' Knowledge of the Management of ISPA in Toddlers. STIKes Sumber Waras Health Journal, 4(1), 22280.

Kartini. (2020). The Relationship Between Parental Behavior Regarding Acute Respiratory Tract Infection (ARI) and Recurrence of ISPA in Toddlers in the Working Area of UPTD Wukir Health Center. JOURNAL of Preventive Promotive, 2, 27–34.

Ministry of Health. (2023). Age Categories of Toddlers, Adolescents, and Adults According to the Ministry of Health. Tempo.CO. https:// www.tempo.co/gaya-hidup/kategori-umur- toddlers-teenagers-and-adults-according to-the Ministry of Health-don't-make a mistake 189378

Kusmawati, I. I., Putri, N. R., Argaheni, N. B., Sukamto, I. S., & Juwita, S. (2023).

Parenting and Toddler Growth and Development. CV tracks, members

VIII.

Maratul, M. (2022). Overview of Mother's Level of Knowledge about Acute Respiratory Tract Infections (ARI) in Toddlers at the Sembayat Health Center.

Miniharianti, M., Zaman, B., & Rabial, J. (2023). The Relationship between the Level of Parental Knowledge and the Incidence of Ispa in Toddlers in the Working Area of the Simpang Tiga Health Center. Journal of Healthcare Technology and Medicine, 9(1), 43. https://doi.org/10.33143/jhtm.v9i1.2784

Muallif. (2023). Quantitative Research Data Management and Analysis. https://an- nur.ac.id/blog/pengolahan-dan-analisis-data-penelitian-kuantitatif.html

Novi Eka Fitrah, Meri Neherta, I. M. S. (2024). Analysis of factors related to the incidence of diarrhea in children under five. Permas Scientific Journal: STIKES Kendal Scientific Journal, 14(3), 75–82. https://journal2.stikeskendal.ac.id/index.php/PSKM/article/view/1979/1260

Nursalam. (2020). Nursing Research Methodology (P. P. Lestari (ed.)).

Medical Salon. https://anyflip.com/fssyu/pext/basic

Perangin-Angin, S. B., & Richard Jerry. (2024). Determinants of ISPA Incidents in Toddlers in the Working Area of Pangkalan Budiman Community Health Center, Serdang Bedagai Regency in 2022. Indonesian Journal of Contemporary Multidisciplinary Research, 3(2), 261–274. https://doi.org/10.55927/modern.v3i2.7719

Squirrels. (2023). The Relationship between Maternal Knowledge and Attitudes and the Handling of ISPA at Home in Toddlers at the Tumbuan Health Center. 3(1), 1–13.

Prabawa, R. S., Dami, M., & Purwaningsih, I. (2022). Implementation of deep breath relaxation therapy for pain reduction in postoperative fracture patients. Journal Nursing, Vol.1, 384–394. https://jurnal.stikesbethesda.ac.id/index.php/p/article/view/297/203

Daughter, courtesy of R. La. (2022). The Relationship between Parental Education and Knowledge Level and the Incidence of Acute Respiratory Tract Infection (ARI) in Toddlers at the Cianjur City Health Center and a Review According to Islamic Views. Journal of education and counseling, 4, 6225–6234.

Rantina, M., Hasmalena, & Nengsih, Y. K. (2021). Stimulation and Detection Handbook Düsseldorf Growing Flowers Children Age (0-6) Year. https://books.google.co.id/books?id=raEJEAAAQBAJ&printsec=frontcover &hl=id&source=gbs_ge_summary_r&cad=0#v=onepage&q&f=false

Raodah, & Handayani, L. (2022). Media as Education Intervention for Public Health Promotion in Indonesia. Indonesian Health Promotion Publication Media, 5(2), 123–133. https://doi.org/10.56338/mppki.v5i2.2039

Retnaningrum, D. N., & Rahmawati, W. (2025). SIGAP (Socialization and Information on Preeclampsia): Reducing the Risk of Preeclampsia From an Early Age. 4(3), 231–239.

Rohmania, M. (2024). Analysis of Science Literacy Ability in the Domain of Knowledge and Competency of Shuh and Kalor Grade 5 Materials at SDN Sumput. JPGSD, 1592–1602.

Rosita, E., Hidayat, W., & Yuliani, W. (2021). Test the validity and reliability of the prosocial behavior questionnaire. 4(4), 279–284.

Saldi, F., Rina, F. A., Wulandari, R., Tinggi, S., Health, I., & Rapih, P. (2022). The Relationship between Knowledge Level and Maternal Behavior in the Prevention of STIs in Toddlers in Sambilegi Lor Hamlet. 78–87.

Sanghati Sanghati, Yantimala Mahmud, Nurbaiti Nurbaiti, Novitaradayanti Novitaradayanti, & Nur Annisa Utami Putri. (2022). First Aid Education for Toddlers with ISPA at the Maccini Sawah Health Center. Journal of Service Society Nusantara, 4(2), 54–60. https://doi.org/10.57214/pengabmas.v4i2.452

Sari, E. N., Sri, E., Tinambunan, L., Prameswari, G., Kartika, L., & Tahapary, P.

A. (2021). The Relationship between Parents' Knowled ge and Behaviors with The Acute Respiratory Infection Incidence of Children Under Five in Tangerang. 10(1), 1403–1411. https://doi.org/10.30994/sjik.v10i1.815

Satria, E., Aninora, N. R., & Faisal, A. D. (2022). Education on Monitoring the Growth and Development of Children Aged 3-5 Years. EBIMA : Journal of Midwife Education in the Community, 3(1), 25–28. https://doi.org/10.36929/ebima.v3i1.497

Setyawan, Y. A., Wahyuningrum, A. D., & Mayasari, S. I. (2024). The level of parental knowledge of the concept of acute respiratory tract infection (ARI) on efforts to prevent childhood ARI. Journal of Nursing Science, 5(1), 70–74.

Silito, H. H. (2024). Health Behavior & Health Promotion (A. Masruroh (ed.)). Squirt Media Main. https://www.researchgate.net/publication/381552730_PERILAKU_KESEH ATAN_PROMOSI_KESEHATAN

Siregar. (2022). Stages of Child Development and Stimulation of Development.

Journal Article, 8.5.2017, 2003–2005.

Siti Romdona, SIlvia Senja Junista, A. G. (2024). Data Collection Techniques: Observations, Interviews and Questionnaires. Journal of Socio-Economic and Political Sciences, 3(1), 39–40. https://id.scribd.com/document/858712784/Romdona- ready-to-publish

Subhaktiyasa, P. G. (2024). Determining Populations and Samples: Quantitative and Qualitative Research Methodological Approaches. Journal of Education Profession Sciences, 9.

Sugiyono. (2020). Quantitative, Qualitative and R&D Research Methodologies. Syadza Rava Ega, Najma, I. H. (2023). Factors Affecting Access

Health Services in Health Centers: Study Literature. Journal of Nursing and Public Health, 11(2), 533–539. https://doi.org/10.37676/jnph.v11i2.5219

Syamsi, N. (2020). The relationship between the level of education and knowledge of mothers under five about the incidence of ispa in toddlers in the working area of the Bontosikuyu Health Center, Selayar Islands Regency. Sandi Husada Health Scientific Journal, 6(1), 49–57. https://doi.org/10.35816/jiskh.v6i1.14

Tampubolon, W. E. (2023). The Effect of Counseling Using Leaflets on Parents' Knowledge of ISPA in Toddlers at the Sadabuan Health Center. University Stuart Royhan. http://localhost:8080/xmlui/handle/123456789/5543%0Ahttps://repository.un ar.ac.id/jspui/bitstream/123456789/5543/1/SKRIPSI ERNA WATI TAMPUBOLON %2819030003%29.pdf

Tooy, T. O., Antuke, M. Z., Siregar, M. N. I., Ibrahim, S. A., & Pantor, S. M. (2025). The Relationship between Environmental Conditions and the Incidence of Acute Respiratory Infections in Adults at the Dumbo Raya Health Center. Jambura Axon Journal, 2(1), 86–98.

Ummi, R. N. F. (2024). Mother's Knowledge and Attitude Towards The Prevention Of Acute Respiratory Track Infection In Toddlers. 2(2), 91–105.

WHO, P. I. (2020). Prevention and control of acute respiratory infections (ARI) which tend to become epidemics and pandemics in health care facilities.

Widianti, S. (2020). Treatment of Ispa in Children Under Five (Literature Study). Health Journal and Development, 10(20), 79–88. https://doi.org/10.52047/jkp.v10i20.81

Wiryadi, F. C., Health, P., Au, T. N. I., & Bandung, C. (2020). Mother's Knowledge of Toilet Training in Children 1-3 Years Based on Characteristics at Posyandu Panawangan Hamlet

Published
2026-06-13
How to Cite
Silvani Mohamad Ibrahim, Zainuddin, & Rini Wahyuni Mohamad. (2026). The Effect of Alert Education (Respiratory Emergency Alert) on Increasing Parents’ Knowledge about the Handling of ISPA in Children at the Telaga Biru Health Center . International Journal of Health, Economics, and Social Sciences (IJHESS), 8(3). https://doi.org/10.56338/ijhess.v8i3.9851
Section
Articles