Effectiveness of Brief Online Education in Enhancing Parental Knowledge on Child Growth and Health Monitoring

  • Merita Arini Master of Hospital Administration, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Indonesia
  • Edwin Tohaga Master of Hospital Administration, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Indonesia
  • Erwin Astha Triyono Department of Internal Medicine, Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia
  • Harumi Iring Primastuti Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Indonesia
  • Wan Hasliza Wan Mamat Department of Professional Nursing Studies, Kulliyyah of Nursing, International Islamic University Malaysia, Pahang, Malaysia
  • Desiani Wahyu Utami Master of Hospital Administration, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Indonesia
  • Warkim Sutarto Master of Hospital Administration, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Indonesia
  • Fauzan Adima Master of Hospital Administration, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Indonesia
  • Abdul Latif Kurniawan Master of Hospital Administration, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Indonesia
  • Teuku Ilham Noeryosan Master of Hospital Administration, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Indonesia
Keywords: Child Growth Monitoring, Parental Knowledge, Health Education, Online Learning, Community Health

Abstract

Introduction: Monitoring children’s growth and development is essential, yet many parents face barriers in accessing reliable health education. While online learning offers potential solutions, evidence of its effectiveness remains limited, particularly in developing countries. This study assessed the impact of a pediatrician-led online session, consisting of a brief presentation and interactive discussion via Zoom, conducted in collaboration with a community clinic, on parental knowledge regarding child growth and health monitoring.

Methods: A single-group pretest-posttest design was conducted with 77 eligible participants from a publicly accessible webinar in collaboration with a private clinic in Bantul, Yogyakarta, Indonesia. The intervention included a pediatrician-led session covering growth milestones, health indicators, and monitoring techniques. A ten-item online questionnaire was developed and validated for content by four experts using the Content Validity Index (CVI), resulting in an average S-CVI of 0.95. Wilcoxon Signed-Rank Test and effect size analysis were performed.

Results: Participants’ knowledge significantly increased following the intervention (p = 0.001) with a medium to large effect size (r = 0.52). There was an improvement in participants’ knowledge scores from a median of 70 (IQR 60–80) to 100 (IQR 85–100). No significant differences were found across demographic variables such as age, gender, or occupation (p > 0.05).

Conclusion: This study demonstrated a positive shift in parental knowledge after a brief Zoom-based session. The findings underscore the potential of accessible online education to initiate broader community involvement in child health monitoring. Sustained impact will require integration with ongoing education, system-level support, and attention to barriers such as digital access and health literacy.

References

UNICEF, WHO, WORLD BANK. Level and trend in child malnutrition. World Heal Organ [Internet]. 2023;4. Available from: https://www.who.int/publications/i/item/9789240073791

UNICEF, WHO. Global report on children with developmental disabilities [Internet]. 2023. 1–116 p. Available from: https://www.unicef.org/media/145016/file/Global-report-on-children-with-developmental-disabilities-2023.pdf

UNICEF. The State Of The World’s Children 2021. ON MY MIND. Promoting, Protecting, and Caring For Children’s Mental Health [Internet]. 2021. Available from: https://www.unicef.org/indonesia/media/11186/file/The State of the World’s Children 2021 - Full report.pdf

Sari ZM, Stefanie, Tahir I bin, Puspitasari Y, Hutagaol ER, Purnama Y. Challenges in Early Diagnosis of Childhood Diseases: the Role of Routine Examinations and Early Detection. Maj Kedokt Sriwij. 2024;56(2):55–62.

Bradbury D, Chisholm A, Watson PM, Bundy C, Bradbury N, Birtwistle S. Barriers and facilitators to health care professionals discussing child weight with parents: A meta?synthesis of qualitative studies. Br J Health Psychol [Internet]. 2018 Sep 26;23(3):701–22. Available from: https://onlinelibrary.wiley.com/doi/10.1111/bjhp.12312

Uhm J-Y, Choi M-Y. Barriers to and Facilitators of School Health Care for Students with Chronic Disease as Perceived by Their Parents: A Mixed Systematic Review. Healthcare [Internet]. 2020 Nov 21;8(4):506. Available from: https://www.mdpi.com/2227-9032/8/4/506

Sujarwoto. Health information inequalities and child healthcare: Evidence from Indonesia National Socio-Economic Survey 2013. J Public Adm Stud. 2018 May;3(1):51–61.

UNICEF. Situasi Anak di Indonesia - Tren, peluang, dan Tantangan dalam Memenuhi Hak-Hak Anak. Unicef Indones [Internet]. 2020;8–38. Available from: https://www.unicef.org/indonesia/sites/unicef.org.indonesia/files/2020-07/Situasi-Anak-di-Indonesia-2020.pdf

Republic Indonesia Ministry of Health. Hasil Utama SKI 2023 - Badan Kebijakan Pembangunan Kesehatan | BKPK Kemenkes [Internet]. Republic Indonesia Ministry of Health. 2023. Available from: https://www.badankebijakan.kemkes.go.id/daftar-frequently-asked-question-seputar-hasil-utama-ski-2023/hasil-utama-ski-2023/

Yirga AA, Mwambi HG, Ayele DG, Melesse SF. Factors Affecting Child Malnutrition in Ethiopia. Afr Health Sci [Internet]. 2019 Aug 20;19(2):1897–909. Available from: https://www.ajol.info/index.php/ahs/article/view/189050

Republic Indonesia Ministry of Women’s Empowerment and Child Protection and Central Statistics Agency. Profil Anak Indonesia Tahun 2019 [Internet]. 2019. Available from: https://www.kemenpppa.go.id/lib/uploads/list/15242-profil-anak-indonesia_-2019.pdf

Republic Indonesia Ministry of Health. Peraturan Menteri Kesehatan Republik Indonesia Nomor 25 Tahun 2014Tentang Upaya Kesehatan Anak. 2014;

Mareta R, Sulaeman ES, Setyowati R, Padmaningrum D. The Role of Parents in Child Development: Literature Review. In: Proceedings of 5th Borobudur International Symposium on Humanities and Social Science (BISHSS 2023) [Internet]. Atlantis Press SARL; 2023. p. 1101–8. Available from: http://dx.doi.org/10.2991/978-2-38476-273-6_114

Hoey H, Stephenson T, Namazova-baranova L. Prevention and Therapeutic Innovation in the Management of Child Health. J Pediatr [Internet]. 2019;208:300–1. Available from: https://doi.org/10.1016/j.jpeds.2019.01.056

Anggraini TNYA, Ekawati. Pengaruh Pendidikan Kesehatan Terhadap Pengetahuan dan Perilaku Kader Dalam Pemantauan Tumbuh Kembang Balita. Media Ilmu Kesehat [Internet]. 2019 Jul 1;8(3):237–44. Available from: https://ejournal.unjaya.ac.id/index.php/mik/article/view/343

Raghupathi V, Raghupathi W. The influence of education on health: an empirical assessment of OECD countries for the period 1995–2015. Arch Public Heal [Internet]. 2020 Dec 6;78(20):1–18. Available from: https://archpublichealth.biomedcentral.com/articles/10.1186/s13690-020-00402-5

Abera M, Robbins JM, Tesfaye M. Parents ’ perception of child and adolescent mental health problems and their choice of treatment option in southwest Ethiopia. Child Adolesc Psychiatry Ment Health. 2015;9(40):1–11.

Alazwari IAH, Alarsan S, Alkhateeb NA, Salameh EK. Designing Effective Health Education Programs: A Review of Current Research and Best Practices. Int J Med Res Heal Sci [Internet]. 2023;12(2):42–6. Available from: https://ysmu.am/v2/wp-content/uploads/2023/09/13.-Alazwari-NAMJ-v17-2023-n2.pdf

Kadir A, Wirawan H, Salam R, Zahra NS. Working Mothers in Indonesian Public Organizations: Investigating the Effect of Work-Family Conflict on Positive Discipline Parenting Via Well-being. J Appl Soc Sci [Internet]. 2023;18(1). Available from: https://journals.sagepub.com/doi/10.1177/19367244231196782

Polit DF, Beck CT. The Content Validity Index: Are you sure you know what’s being reported? Critique and recommendations. Res Nurs Heal Nurs Heal. 2006;29:488–95.

Singh A, Id KAT, Id NM, Shrestha J, Id FA, Id AA, et al. Learning from health system actor and caregiver experiences in Ghana and Nepal to strengthen growth monitoring and promotion. PLoS One [Internet]. 2023;1–19. Available from: http://dx.doi.org/10.1371/journal.pone.0282807

Tesfa M, Gonete KA, Chane Y, Yohannes S. Growth Monitoring Practice and Associated Factors Among Health Professionals at Public Health Facilities of Bahir Dar Health Centers , Northwest Ethiopia , 2021. Pediatr Heal Med Ther [Internet]. 2022;13(May):195–215. Available from: https://www.dovepress.com/growth-monitoring-practice-and-associated-factors-among-health-profess-peer-reviewed-fulltext-article-PHMT

Gunawan G, Kristiawan M, Risdianto E, Monicha RE. Application of the Zoom Meeting Application in Online Learning During the Pandemic. Educ Q Rev [Internet]. 2021 Jun 30;4(2):26–32. Available from: https://www.asianinstituteofresearch.org/EQRarchives/Application-of-the-Zoom-Meeting-Application-in-Online-Learning-During-the-Pandemic

Arini M, Puspitosari WA, Primastuti HI, Mamat WHW. Parental Perception of Preschool Children’s Mental Health and Synchronous Online Education Effectiveness in Knowledge Enhancement. Media Publ Promosi Kesehat Indones [Internet]. 2025 Apr 9;8(4):252–64. Available from: https://jurnal.unismuhpalu.ac.id/index.php/MPPKI/article/view/7003

Gegenfurtner A, Ebner C. Webinars in higher education and professional training: A meta-analysis and systematic review of randomized controlled trials. Educ Res Rev [Internet]. 2019;28(October):1–19. Available from: https://www.sciencedirect.com/science/article/pii/S1747938X1830561X

Ebner C, Gegenfurtner A. Learning and Satisfaction in Webinar, Online, and Face-to-Face Instruction: A Meta-Analysis. Front Educ [Internet]. 2019 Sep 3;4(September):1–11. Available from: https://www.frontiersin.org/article/10.3389/feduc.2019.00092/full

Darsini, Fahrurrozi, Cahyono EA. Pengetahuan?; Artikel Review. J Keperawatan [Internet]. 2019;12(1):95–107. Available from: https://e-journal.lppmdianhusada.ac.id/index.php/jk/article/download/96/89

Monintja KC, Soemarko DS, Fitriani DY, Herqutanto, Wibowo S. The Effectiveness of Education Through Web-Based Seminar in Increasing Knowledge about the Early Detection and Reporting of Occupational Diseases. Occup Environ Med J Indones [Internet]. 2024;2(1):1–12. Available from: https://scholarhub.ui.ac.id/oemji/vol2/iss1/2/

Laili RN, Nashir M. The Use of Zoom Meeting for Distance Learning in Teaching English to Nursing Students during Covid-19 Pandemic. UHAMKA Int Conf ELT CALL [Internet]. 2020;(December):235–44. Available from: https://journal.uhamka.ac.id/index.php/uicell/article/view/6290/2138

Archibald MM, Ambagtsheer RC, Casey MG, Lawless M. Using Zoom Videoconferencing for Qualitative Data Collection: Perceptions and Experiences of Researchers and Participants. Int J Qual Methods [Internet]. 2019 Jan 1;18:1–8. Available from: http://journals.sagepub.com/doi/10.1177/1609406919874596

Tryastuti D, Almubarok MF. Efektifitas Edukasi Kesehatan Online Berbasis Zoom Cloud Meeting Terhadap Pengetahuan Manajemen Prehipertensi Pada Dewasa Prehipertensi. Res Educ Art Link Nurs J [Internet]. 2023;6(1):47–58. Available from: https://ojs.fdk.ac.id/index.php/Nursing/article/view/2343

Sawan F. The Factors Influencing Knowledge Sharing and the Theories Used as Research Perspectives. Int J Innov Creat Chang [Internet]. 2020;14(2):1099–119. Available from: https://www.ijicc.net/images/Vol_14/Iss_2/14270_Sawan_2020_E_R.pdf

Kartikaningrum, Pratiwi H, Mustikaningtias I. Analisis Tingkat Pengetahuan dan Sikap Masyarakat Terhadap Obat Generik di Wilayah Purwokerto Utara. MPI (Media Pharm Indones [Internet]. 2022 Jun 30;4(1):65–74. Available from: https://journal.ubaya.ac.id/index.php/MPI/article/view/4901

Arini M, Primastuti HI, Basha MABMK. Improving Knowledge of Non-Communicable Disease Program Managers in Tuberculosis-Diabetes Mellitus Control and Care. Indones J Public Heal. 2024;19(1):13–25.

Arini M, Primastuti HI. Literature Review: Telemedicine Implementation in Developing Countries. Lect Notes Networks Syst. 2024;505–14.

Nurhidayati N, Arini M, Wan Mamat WH. Readiness and Service Model Exploration for Chronic Kidney Disease Telemonitoring at Public Hospital in Bengkulu, Indonesia. JMMR (Jurnal Medicoeticolegal dan Manaj Rumah Sakit). 2024;13(2):150–64.

Kuswandi W. Efektivitas Aplikasi Zoom Meeting Terhadap Kualitas Pembelajaran Jarak Jauh Mahasiswa Pendidikan Masyarakat IKIP Siliwangi Angkatan 2018. Comm-Edu (Community Educ Journal) [Internet]. 2021 May 21;4(2):76–81. Available from: https://journal.ikipsiliwangi.ac.id/index.php/comm-edu/article/view/7201

Permana AA, Kusnadi A, Marpaung AN, Marcela E Dela, Yuasan N, Fauziyah S. Effect of Zoom fatigue on health and learning loss in students during the COVID-19 pandemic. J Inov Teknol Pendidik [Internet]. 2023 Mar 9;10(1):22–32. Available from: https://journal.uny.ac.id/index.php/jitp/article/view/52930

Kaur H, Singh A, Mahajan S, Lal M, Singh G, Kaur P. Assessment of barriers and motivators to online learning among medical undergraduates of Punjab. J Educ Health Promot [Internet]. 2021;10(April):1–10. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8224509/pdf/JEHP-10-123.pdf

Mitchell MS, Faulkner GE. On supplementing foot in the door incentives for ehealth program engagement. J Med Internet Res. 2014;16(7):7–9.

Arini M, Suryanto F, Puspita G, Primastuti HI. Enhancing School Health Monitoring through Teacher Training and Web-Based Applications. BIO Web Conf. 2024;137:1–9.

Shannon A, Davis-Street J, Drew C. Engaging and motivating for health behavior change. Soc Pet Eng - SPE Int Conf Heal Saf Environ 2014 Journey Contin. 2014;2:707–12.

Jegan R, Rose A, Dierickx K. Institutional financial incentives in healthcare: a review of normative considerations. BMC Med Ethics. 2025 Jul;26(1):1–13.

Halpern SD, Chowdhury M, Bayes B, Cooney E, Hitsman BL, Schnoll RA, et al. Effectiveness and Ethics of Incentives for Research Participation. JAMA Intern Med. 2021 Nov;181(11):1479–1488.

Largent EA, Eriksen W, Barg FK, Greysen SR, Halpern SD. Participants’ Perspectives on Payment for Research Participation: A Qualitative Study. Ethics Hum Res. 2022 Nov;44(6):14–22.

Arini M, Hidayah FN, Suryandari G, Astuti Y. Self-management support effectiveness on knowledge and foot health risk prevention of diabetes mellitus Patients in Patukan hamlet, Sleman. In: AIP Conference Proceedings. 2024. p. 090008-1-090008–7.

Published
2025-11-01
How to Cite
Arini, M., Tohaga, E., Astha Triyono, E., Iring Primastuti, H., Hasliza Wan Mamat, W., Desiani Wahyu Utami, Warkim Sutarto, Fauzan Adima, Abdul Latif Kurniawan, & Teuku Ilham Noeryosan. (2025). Effectiveness of Brief Online Education in Enhancing Parental Knowledge on Child Growth and Health Monitoring . Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 8(11), 1269-1279. https://doi.org/10.56338/mppki.v8i11.8297