Effect of a Simulation-Based Educational Video on Menarche Readiness Among Fourth-Grade Girls in Yogyakarta
Abstract
Introduction: Menarche is a key biopsychosocial milestone in early adolescence, yet many young girls experience it with limited knowledge and emotional readiness due to inadequate, age-appropriate reproductive health education. This lack of readiness stems from insufficient understanding, limited information provided by parents and teachers, and suboptimal reproductive health education in schools. Providing education that is both comprehensive and age-appropriate about the physical and emotional changes of puberty is essential to help reduce fear, correct misconceptions, and lessen the stigma associated with menstruation.
Methods: The study aimed to analyze the effect of simulation-based video media on adolescent readiness to face menarche. This study employed a pre-experimental design with a one-group pretest-posttest approach. The sample comprised 54 fourth-grade female students within elementary school, selected via total sampling. The research instrument was a questionnaire assessing readiness to face menarche. The intervention video presented realistic scenarios depicting the physical and emotional experiences associated with menarche, including hygiene management and coping strategies for discomfort, to support both cognitive and affective learning.
Results: The analysis revealed an increase in readiness scores following the intervention, with a pretest mean of 15.44 and a posttest mean of 18.40. The Wilcoxon Signed Rank Test yielded a p-value of 0.000 (p < 0.05), indicating a significant effect of simulation-based video media on adolescent readiness to face menarche. Simulation-based video media effectively enhances adolescent readiness to face menarche and serves as a viable alternative for reproductive health education in elementary schools.
Conclusion: This media can be implemented as an effective and practical method for delivering reproductive health education in primary school settings. It also serves as a feasible tool to support adolescents’ preparation for menarche by improving their readiness and understanding of this developmental milestone.
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References
- Nasiri, S., Dolatian, M., Ramezani Tehrani, F., Alavi Majd, H., & Bagheri, A. (2022). The relationship between social determinants of health and girls’ age at menarche based on the World Health Organization model: Path analysis. Heliyon, 8(10), e10794. https://doi.org/10.1016/j.heliyon.2022.e10794
- Chandra-Mouli, V., & Patel, S. V. (2020). Mapping the knowledge and understanding of menarche, menstrual hygiene and menstrual health among adolescent girls in low- and middle-income countries. In C. Bobel et al. (Eds.), The Palgrave handbook of critical menstruation studies (pp. 609–636). https://doi.org/10.1007/978-981-15-0614-7_46
- Shannon, A. K., Schwab, K. J., & Id, J. H. (2019). Women’s and girls’ experiences of menstruation in low- and middle-income countries: A systematic review and qualitative metasynthesis. PLOS Medicine, 16(6), 1–40. https://doi.org/10.1371/journal.pmed.1002803
- World Health Organization. (2018). Adolescent health. https://www.who.int/health-topics/adolescent-health
- UNICEF Indonesia. (2021). Profil remaja 2021. https://www.unicef.org/indonesia/media/9546/file/Profil%20Remaja.pdf
- Kementerian Kesehatan Republik Indonesia. (2023). Merancang masa depan anak remaja sejak dini. https://kesprimkom.kemkes.go.id/assets/uploads/contents/others/Warta_Kesmas_Edisi_01_Tahun_2023.pdf
- Sudikno, S., & Sandjaja, S. (2022). Usia menarche perempuan Indonesia semakin muda: Hasil analisis Riskesdas 2010. Jurnal Kesehatan Reproduksi, 10(2). https://doi.org/10.22435/kespro.v10i2.2568.163-171
- Hafni, R., Elmiyati, & Aslinar. (2025). Tingkat pengetahuan kesehatan reproduksi pada remaja di SMAN Unggul Tunas Bangsa Aceh Barat Daya. Future Academia, 3(4), 1623–1633. https://doi.org/10.61579/future.v3i4.675
- Brix, N., Ernst, A., Lauridsen, L. L. B., Parner, E. T., Arah, O. A., Olsen, J., et al. (2020). Risk of selection bias due to non-participation in a cohort study on pubertal timing. Paediatric and Perinatal Epidemiology, 34(6), 668–677. https://doi.org/10.1111/ppe.12679
- Asumah, M. N., Abubakari, A., & Gariba, A. (2022). Schools’ preparedness for menstrual hygiene management: A descriptive cross-sectional study in the West Gonja Municipality, Savannah Region of Ghana. BMJ Open, 12(4), e056526. https://doi.org/10.1136/bmjopen-2021-056526
- Aventin, Á., Gough, A., McShane, T., Gillespie, K., O’Hare, L., Young, H., et al. (2020). Engaging parents in digital sexual and reproductive health education: Evidence from the JACK trial. Reproductive Health, 17, 1–18. https://doi.org/10.1186/s12978-020-00975-y
- Ghadirzadeh, E., Moosazadeh, M., Shakeriastani, K., Zarrinkamar, M., Gheibi, M., Elyasi, F., & Geran, M. (2025). The association between age at menarche and depression: A systematic review and meta-analysis. Clinical Psychology, 100, 100695. https://doi.org/10.1016/j.clinsp.2025.100695
- Lawn, R. B., Sallis, H. M., Wootton, R. E., Taylor, A. E., Demange, P., Fraser, A., et al. (2020). The effects of age at menarche and first sexual intercourse on reproductive and behavioural outcomes: A Mendelian randomization study. PLOS ONE, 15(6), e0234488. https://doi.org/10.1371/journal.pone.0234488
- Astuti, W. A., Kurniawati, H. F., & Tyas, D. N. F. N. (2019). Studi tentang pola asuh, pusat informasi dan konseling kesehatan reproduksi remaja (PIK-KRR) dan kejadian kehamilan remaja. Jurnal Ilmiah Bidan, 4(1), 36–47. https://doi.org/10.61720/jib.v4i1.133
- Wilson, L. F., & Mishra, G. D. (2016). Age at menarche, level of education, parity and the risk of hysterectomy: A systematic review and meta-analyses of population-based observational studies. PLOS ONE, 11(3), e0151398. https://doi.org/10.1371/journal.pone.0151398
- Rahmaddiansyah, R., Rusti, S., & Fettriwanti, F. (2023). Upaya peningkatan pengetahuan mengenai kesehatan reproduksi remaja pada pelajar SMP Negeri 1 Batang Kapas Kabupaten Pesisir Selatan. Buletin Ilmiah Nagari Membangun, 6(4), 331–341. https://doi.org/10.25077/bina.v7i4.541
- Rokhmah, N. L., Astuti, A. W., Ernawati, D., Anggraeni, W. S., & Sewoko, E. (2022). Pelayanan kesehatan reproduksi remaja: A scoping review. Jakiyah, 7(1), 12–26. https://doi.org/10.35721/jakiyah.v7i1.139
- Astuti, A. W., & Kurniawati, H. F. (2021). The intersection between health and culture: A qualitative exploratory study about Indonesian adolescents’ sexual reproductive health services. Pakistan Journal of Medical & Health Sciences, 15(3), 1147–1152. https://pjmhsonline.com/2021/march/1147.pdf
- Rahma, M., Sanusi, A., & Koswara, N. (2021). Manajemen kesehatan reproduksi remaja. Jurnal Bidan Midwife, 8(2), 122–129. https://doi.org/10.37402/jurbidhip.vol8.iss2.143
- Nova, W. I., & Astuti, A. W. (2024). Reproductive health education strategies for preparing children for menarche: A scoping review. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 9(2), 20–29. https://doi.org/10.30604/jika.v9i2.2797
- Rahmandani, S. N., Idris, M., & Ayurachmawati, P. (2022). Pengembangan video pembelajaran membaca permulaan untuk siswa kelas I SD Negeri 90 Palembang. Jurnal Pendidikan dan Konseling, 4(4), 1545–1550. https://doi.org/10.31004/jpdk.v4i4.5571
- Crankshaw, T. L., Strauss, M., & Gumede, B. (2020). Menstrual health management and schooling experience among female learners in Gauteng, South Africa: A mixed method study. Reproductive Health, 17(1), 1–15. https://doi.org/10.1186/s12978-020-0896-1
- Jannati, S. H., Astuti, A. W., & Ernawati, D. (2022). The implementation of youth reproductive health services during the COVID-19 pandemic. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 7(2), 569–574. https://doi.org/10.30604/jika.v7i2.1004
- Kurniawati, H. F., & Astuti, A. W. (2020). Studi kualitatif tentang pelayanan kesehatan reproduksi remaja: Perspektif remaja, ibu muda, dan petugas pelayanan. Midwifery Journal, 5(2), 110–120. https://journal.ummat.ac.id/index.php/MJ/article/view/1167/pdf
- Rusyanti, S. (2023). Media video berpengaruh terhadap kesiapan remaja dalam menghadapi menstruasi pertama. Jurnal Obstetrika Sciencia, 5(2), 352–367. https://doi.org/10.55171/obs.v7i1.377
- Tunnisya, K. (2024). The influence of video media on teenagers’ knowledge about menarche in primary school students. Journal of Nursing and Public Health, 12(2), 455–460. https://jurnal.unived.ac.id/index.php/jnph/article/view/7388
- Mahmudah, N., & Daryanti, M. S. (2021). Kesiapan dalam menghadapi menarche pada siswi sekolah. Jurnal JKFT, 6(1), 72–80. https://doi.org/10.31000/jkft.v6i1.5350
- Siregar, E. P., Andriani, N., Manjorang, B., Artiani, L., & Sembiring, N. (2025). Optimizing menarche readiness through video and leaflet health education interventions among primary school girls. Jurnal Kesehatan Perintis Indonesia, 9(2), 156–163. https://doi.org/10.34012/jkpi.v9i2.7357
- Kumar, M. A., & N. S. (2024). Effect of video modeling with simulation on improving menstrual hygiene skills for adolescents with autism spectrum disorder. Cureus, 16(6), e62847. https://doi.org/10.7759/cureus.62847
- Adelia, P. A., Yuniza, Y., & Tamar, M. (2024). The influence of health education with animated videos on adolescents’ knowledge about menstruation. Masker Medika, 12(2), 309–316. https://doi.org/10.52523/maskermedika.v12i2.656
- Nisa, S., Ardiansyah, F., Amandus, H., & Hardika, R. (2025). Effect of health education using animated video media and snakes and ladders game on girls’ readiness for menarche. International Journal of Health and Pharmaceutical, 5(2), 342–347. https://doi.org/10.51601/ijhp.v5i2.417
- Anggraini, D. H., Ichwan, E. Y., & Sari, Y. (2021). Health promotion using animated videos to increase elementary students’ knowledge and readiness in dealing with menarche. Women, Midwives and Midwifery, 1(2), 16–24. https://doi.org/10.36749/wmm.1.2.16-24.2021
- Sahu, M., & Kumar, A. V. (2023). The effectiveness of video-assisted teaching program on knowledge regarding puberty among girls in a selected school in Manamadurai, Sivagangai District, Tamil Nadu. International Journal of Creative Research Thoughts, 11(12). https://www.ijcrt.org/papers/IJCRT2310358.pdf
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