The Effect of Health Education Using Leaflet Media on Adolescents’ Knowledge About Gastritis

  • Hafdhallah STIKes Medika Seramoe Barat
  • Janaton STIKes Mediak Seramoe Barat
  • Hafizul Makruf STIKes Mediak Seramoe Barat
  • Rika Andriani STIKes Mediak Seramoe Barat
  • Ardi Ficri Harahap STIKes Mediak Seramoe Barat
  • Nanda Qoriansas STIKes Mediak Seramoe Barat
DOI: https://doi.org/10.56338/promotif.v16i1.12212
Keywords: adolescents, gastritis, health education, health knowledge, leaflet, school health

Abstract

Introduction: Gastritis can affect adolescents' daily functioning and may be associated with irregular eating patterns and limited knowledge of prevention. School-based health education using leaflets is a practical approach for delivering concise health information. This study evaluated changes in adolescents' knowledge of gastritis following leaflet-based health education at MTsS Serambi Mekkah, West Aceh Regency, Indonesia.

Methods: A quasi-experimental one-group pretest-posttest study was conducted among 66 students. Data were collected from January 26 to 31, 2026. Participants completed a knowledge pretest, received health education supported by a leaflet, and completed a posttest. Pre- and post-intervention knowledge scores were compared using the Wilcoxon signed-rank test.

Results: The mean knowledge score increased from 6.58 (SD 2.42) before the intervention to 8.56 (SD 2.53) after the intervention. The proportion of participants categorized as having poor knowledge decreased from 59.1% to 15.2%, while good knowledge increased from 12.1% to 33.3%. The Wilcoxon signed-rank test showed a statistically significant pre-post difference (Z = -5.815; p < 0.001).

Conclusion: Adolescents had higher gastritis knowledge scores after leaflet-based health education. Because the study used a single-group pretest-posttest design, the findings support short-term improvement after the intervention but do not establish a definitive causal effect. Controlled studies with longer follow-up are warranted.

References

  1. Simbolon P, Waruwu RB, Laia GP, Munthe IM. Penyuluhan kesehatan tentang penyakit gastritis pada mahasiswa Prodi MIK STIKes Santa Elisabeth Medan tahun 2023. PaKMas (Jurnal Pengabdian Kepada Masyarakat). 2023;3(2):167-172. doi:10.54259/pakmas.v3i2.2125.
  2. Destiyanih R, Hisni D, Fajariyah N. Pengaruh edukasi kesehatan gastritis terhadap perilaku pencegahan pada remaja di Depok. Jurnal Promotif Preventif. 2022;4(2):94-99. doi:10.47650/jpp.v4i2.380.
  3. Hakim B, Lubis. Pengaruh pendidikan kesehatan menggunakan metode Tudang Sipulung terhadap pengetahuan tentang pencegahan gastritis di SMAN 2 Luwu. Fenomena Kesehatan. 2022;5(2):88-95. Available from: https://ojs.ikbkjp.ac.id/JFK/article/view/158
  4. World Health Organization. Gastritis and duodenitis. WHO Mortality Database. 2023 Apr:28-30. Available from: https://platform.who.int/mortality/themes/theme-details/topics/indicator-groups/indicator-group-details/MDB/gastritis-and-duodenitis
  5. Yunanda TF, Washyurianto Y, Teresia RPD, WahYuningsih T. Gambaran faktor penyebab terjadinya gastritis di Desa Tlogowaru wilayah kerja Puskesmas Temandang Kabupaten Tuban. Global Health Science. 2023;8(1):41-46.
  6. Dharma KK. Metodologi Penelitian Keperawatan: Panduan Melaksanakan dan Menerapkan Hasil Penelitian. Jakarta: Penerbit Trans Info Media; 2018.
  7. Romadonika F, Ilham, Safitri RP, Hidayati BN, Pratiwi EA, Mahmud6 P. Pendidikan kesehatan tentang pengetahuan dan perilaku pencegahan gastritis di pondok pesantren. Journal of Community Empowermen. 2022;32(3):167-186. Available from: https://journal.ummat.ac.id/index.php/jce
  8. Alfiani F, Wardin I. Pengaruh pemberian pendidikan kesehatan tentang swamedikasi nyeri gastritis terhadap perubahan pengetahuan masyarkat di Desa Jemaras Kidul. 2022;11(1).
  9. Sinaga EMG, Apriza, Widawati. Pengaruh penyuluhan kesehatan menggunakan media leaflet tentang gastritis di SMAN 1 Perhentian Raja tahun 2023. Jurnal Kesehatan Terpadu. 2024;3(1):63-71. doi:10.31004/sjkt.v3i1.24724.
  10. Kumala A, Salma WO. Pengaruh penyuluhan kesehatan terhadap tingkat pengetahuan dan pola makan untuk mencegah gastrisitas pada remaja di SMAN 2 Kendari tahun 2024. 2024;4(1). doi:10.37887/jkkm.v4i1.1128.
  11. Wahyuningrum A, Hidayah A, Samodra G, Pardigantara A, Pratama AG. Edukasi dan penyuluhan kesehatan tentang penyakit gastritis di Puskesmas Kembaran 1 & 2. Jurnal Pengabdian Masyarakat Farmasi: Pharmacare Society. 2025;4(3):235-242. doi:10.37905/phar.soc.v4i3.34334.
  12. Sustersic M, Gauchet A, Foote A, Bosson JL. How best to use and evaluate patient information leaflets given during a consultation: a systematic review of literature reviews. Health Expect. 2017;20(4):531-542. doi:10.1111/hex.12487.
  13. Wilson EAH, Makoul G, Bojarski EA, Bailey SC, Waite KR, Rapp DN, et al. Comparative analysis of print and multimedia health materials: a review of the literature. Patient Educ Couns. 2012;89(1):7-14. doi:10.1016/j.pec.2012.06.007.
  14. Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int. 2000;15(3):259-267. doi:10.1093/heapro/15.3.259.
  15. Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 2012;12:80. doi:10.1186/1471-2458-12-80.
  16. Bröder J, Okan O, Bauer U, Bruland D, Schlupp S, Bollweg TM, et al. Health literacy in childhood and youth: a systematic review of definitions and models. BMC Public Health. 2017;17(1):361. doi:10.1186/s12889-017-4267-y.
  17. Fleary SA, Joseph P, Pappagianopoulos JE. Adolescent health literacy and health behaviors: a systematic review. J Adolesc. 2018;62:116-127. doi:10.1016/j.adolescence.2017.11.010.
  18. Smith C, Goss HR, Issartel J, Belton S. Health literacy in schools? A systematic review of health-related interventions aimed at disadvantaged adolescents. Children (Basel). 2021;8(3):176. doi:10.3390/children8030176.
  19. Nash R, Patterson K, Flittner A, Elmer S, Osborne R. School-based health literacy programs for children (2-16 years): an international review. J Sch Health. 2021;91(8):632-649. doi:10.1111/josh.13054.
  20. Perry EL. Health literacy in adolescents: an integrative review. J Spec Pediatr Nurs. 2014;19(3):210-218. doi:10.1111/jspn.12072.
  21. Sugano K, Tack J, Kuipers EJ, Graham DY, El-Omar EM, Miura S, et al. Kyoto global consensus report on Helicobacter pylori gastritis. Gut. 2015;64(9):1353-1367. doi:10.1136/gutjnl-2015-309252.
  22. Malfertheiner P, Megraud F, Rokkas T, Gisbert JP, Liou JM, Schulz C, et al. Management of Helicobacter pylori infection: the Maastricht VI/Florence consensus report. Gut. 2022;71(9):1724-1762. doi:10.1136/gutjnl-2022-327745.
  23. Hooi JKY, Lai WY, Ng WK, Suen MMY, Underwood FE, Tanyingoh D, et al. Global prevalence of Helicobacter pylori infection: systematic review and meta-analysis. Gastroenterology. 2017;153(2):420-429. doi:10.1053/j.gastro.2017.04.022.
  24. Ford AC, Marwaha A, Sood R, Moayyedi P. Global prevalence of, and risk factors for, uninvestigated dyspepsia: a meta-analysis. Gut. 2015;64(7):1049-1057. doi:10.1136/gutjnl-2014-307843.
  25. Moayyedi P, Lacy BE, Andrews CN, Enns RA, Howden CW, Vakil N. ACG and CAG clinical guideline: management of dyspepsia. Am J Gastroenterol. 2017;112(7):988-1013. doi:10.1038/ajg.2017.154.
Published
2026-08-25
Issue
Vol. 16 No. 1: JUNE 2026 (On Progress)
Section
Original Articles

Copyright (c) 2026 Hafdhallah, Janaton, Hafizul Makruf, Rika Andriani, Ardi Ficri Harahap, Nanda Qoriansas

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