Effect Of Snake Ladder Media Health Education On Behavioral Improvement In PHBS In Elementary School Students
Article Sidebar
-
Health Education, Snake Ladder, Elementary School Children, PHBS
Abstract
Clean and Healthy Living Behavior (PHBS) is an important indicator in the achievement of health as stated in the Sustainable Development Goals (SDGs) 2015-2030 program. However, the implementation of the PHBS program in the community is still not optimal. One effective educational method is to use snake and ladder media. This study aims to analyze the influence of snake and ladder media on improving PHBS behavior in elementary school children. This study uses a quasi-experimental design with a one group pre-test post-test with control group design. Sampling using the Simple Random Sampling Technique, the sample consisted of 52 students in grades 3-6. The independent variable is health education using snake and ladder media, while the dependent variable includes knowledge, attitudes, and actions. The research instruments include snake and ladder boards, questionnaires, and observation sheets. Data analysis used the Wilcoxon test and the Mann-Whitney test with a value of α<0.05. The results of the study showed an increase in knowledge, attitudes, and actions in PHBS, with a p-value of <0.001 (α<0.05) each, meaning that there was an influence of snake and ladder media health education on knowledge, attitudes, and actions in PHBS. In addition, there were differences in knowledge, attitudes, and actions between the intervention and control groups with a p<0.001 value. This shows that education using snake and ladder media is effective in improving PHBS behavior in elementary school children
Full text article
References
[1] Akbar, F et al. Clean and Healthy Living Behavior in Elementary School Children. Indonesian Journal of Professional Sanitation, 2023. 4(01), 44–53. https://doi.org /10.33088/jspi.4.01.
[2] Ministry of Health of the Republic of Indonesia. General Secretariat. Ministry of Health's Strategic Plan Year Strategic Plan of the Ministry of Health. Jakarta: Ministry of Health of the Republic of Indonesia, 2015
[3] Diana Morika, H et al. The Influence Of Health Education On The Level Of Knowledge Of Students About Clean And Healthy . Journal of Scientific Administration. 2023. 6(01). 125-128
[4] Agustina, A. N. N., Setianto, B., Lara Aviana Gita. Evaluation of the Implementation of Household Clean and Healthy Living Behavior (PHBS) (Study in the Work Area of the Jagir Health Center). Preventive Promotive Journal, 2023; 6(3), 500–505. http://journal. unpacti.ac.id/index.php/JPP
[5] Social Statistics Division of BPS East Java Province. Statistics. Health of East Java Province. East Java : BPS East Java Province, 2017
[6] Ministry of Health of the Republic of Indonesia. National Riskesdas Report 2018 [Internet]. [cited 2023 Aug 31]. 2019 Available from: https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasi l-riskesdas-2018_ 1274. pdf
[7] Setiawan Pradita, & Lilis Sulistyorini. Literature Review: The Relationship between Hand Washing and Food Consumption and Cases of Diarrhea in School Children in Indonesia. Student Scientific Creativity Journal (SSCJ). 2023: 1(3), 286-292
[8] Munawaroh, S., Cahyo, K., Syamsulhuda BM. Identify Factors of Clean and Healthy Living Behavior (PHBS) of Graduate House Boarding House Residents. Journal of Public Health. 2016. 4(5). 389-395 http:// ejournal- s1.undip.ac.id /index.php/jkm
[9] Nutrisia Nu'im Haiya, & Ardian, I. The Effectiveness of Audio-Visual Media and Hand Washing Ladder Snakes on Elementary school children's Knowledge. Journal of Community Health, 2023; 9(2), 231–239. https://doi.org/10.25311/keskom.vol9.iss 2. 1398
[10] Hilman, Asep F., Atin Karjatin., & Febri Sri Lestari. Increasing Elementary School Children's Knowledge of PHBS Through Modified Snake and Ladder Media. Journal of Health Research. 2022; 14(1). 9-15, https://www. researchgate.net /publication/ 367705397_Peningkatan_Pengetahuan_Anak_Sekolah_Dasar_Tentang_Phbs_Melalui_Media_Ular_Tangga_Yang_Dimodifikasi
[11] Nursalam, N. Nursing Science Research Methodology: A Practical Approach (4th ed.). Jakarta: Salemba Medika, 2020
[12] Nadine, Tri Wibowo, A., & Malkan Bakhrul Ilmi, I. Increasing Knowledge of Elementary School Children in Grades 4-6 about PHBS and PUGS through Nadine's Snake and Ladder Media. Journal of Indonesian Community Service, 2022; 3 (3), 504-513. https:// journal. untar.ac.id/ index.php/ baktimas/article /view/20531
[13] Notoatmodjo, S. Health Research Methodology. Jakarta: PT. Copyright © 2018 Copyright © 2018 Copyright © 2018 Copyright ©
[14] Kurniawati, L. The Effect of Health Education on the Snake and Ladder and Singing Method on Personal Hygiene Behavior in Elementary School Children in Paron Ngawi District. Airlangga University.2018
[15] Aneke, Dewi Ranee. The Influence of Character Education with Snake and Ladder Media on the Knowledge, Attitudes, and Actions of Elementary school children in the Prevention of Bulliying Behavior in Tuban. Airlangga University.. 2020
[16] Mustar, Yetty Septiani., Indra Himawan S., Ananda Perwira B. Health Education: Clean and Healthy Living Behavior (PHBS) in Elementary Schools. FIG.2018; 2(2). 89-95
[17] Sari, K., Fadhilah, U., & Agnes Oktavia, D. The Effect of Snake and Ladder Game on Increasing Knowledge on Dengue Haemorrhagic Fever Prevention Knowledge. Journal of Nursing, 2023; 13(1), 23–32. https://doi.org/10.59870 v12I1.134
[18] Nuranisah, Siti & Lia Kurniasari. The Influence of Snake and Ladder Game Media on CTPS on Knowledge and Attitudes in Efforts to Prevent Diarrhea (Study on Grade 4 Students of SDN 003 Palaran Samarinda City). Borneo Student Research. 2020; 1(2), 1204-1209
[19] Sitanaya, Rini, Hans Lesmana, Surya Iarayani, & Badai Septa. Simulation of the Snake and Ladder Game as a Media for Improving Dental and Oral Health Knowledge for Elementary School Age Children. Dental Health Media. 2021; 20(2), 28-33. journal.poltekkes-mks.ac.id
[20] Rosidah, A. J., Hazanah, S., Chifdillah, N. A. The Effect of Health Education Using Snake and Ladder Media on Knowledge and Attitudes about the Dangers of Smoking in Students of SMA Negeri 4 Samarinda. Tambusai Health Journal, 2024; 5(4), 13159–13165
[21] Princess, Rifa. F. S., Baby Prabowo S., Deni Wiranto., Widi Nurwanti. Snakes and Ladders Game Media on the Behavior of Brushing Teeth in Elementary School Children. Journal Center of Excellence : Health Assistive Technology. 2024; 2(1), 10-15,https://ejournal.poltekkesjakarta1.ac.id/index.php/jcha
[22] Ikasari, Fillia S., Renditya Anggama. Knowledge of elementary school children about proper handwashing in Martapura District. Indonesian Journal of Nurses. 2020; 4(1), 316-328, https://www. researchgate.net/publication/349129144_Pengetahuan_Anak_Usia_Sekolah_tentang_Cuci_Tangan_yang_Benar_di_Kecamatan_Martapura
[23] Maksum, E et al. The Effectiveness of Health Promotion of Modified Snake and Ladder Game on the Level of Knowledge of Covid-19 Health Protocols. Journal Of Telenursing. 2022; 4 (2), 449-458
[24] Madinah, S., Farhat, H. Y., & Hariati, N. W., The Effect of Snake and Ladder Educational Games on Knowledge and Attitudes About Balanced Nutrition. Journal of Food and Nutrition Research. 2024; 6(1). 14-22
[25] F. Khaulani, S. Neviyarni, and I. Murni, "Phases and Tasks of Elementary School Development," J. Ilm. Educators. Basic, vol. 7, no. 1, pp. 51–59, 2020
Authors
Copyright (c) 2025 Shofiatuz Zahro, Sri Utami, Rini Ambarwati, Miadi
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-ShareAlikel 4.0 International (CC BY-SA 4.0) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).