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The impact of behavior change communication on healthy living movement-related knowledge and behavior among adolescents: A mixed-methods study

Public Health of Indonesia · Vol. 9 No. 1 (2023) · hlm. 21–30

DOI
10.36685/phi.v9i1.654
ISSN
2477-1570, 2528-1542
Terbit
2023-03-20
Penerbit
YCAB Publisher
Bahasa
eng
Lisensi
creativecommons.org/licenses/by-nc/4.0

Abstrak

Background: Behavior change communication (BCC) is a validated health communication technique for influencing changes in knowledge and behaviors. Objective: This study aimed to investigate the impact of BCC on the knowledge and practice of the Healthy Living Movement (HLM) or called Gerakan Masyarakat Hidup Sehat (Germas). Methods: This was a mixed-methods study. A single group pre-posttest design was conducted in Yogyakarta and Central Java, Indonesia, from May to October 2019. Participants are all first-year students from selected schools, as many as 713 persons. The intervention was the BCC strategy, while the outcomes were knowledge and behavior. The BCC intervention was carried out through several stages, from need assessment, designing an educational intervention, the intervention with pre-and post-test, evaluation, and networking. Specifically, the educational intervention was conducted 60 minutes weekly for three weeks. The contents of HLM included a balanced diet, physical activity, and the relationship between health and academic achievement. The knowledge and practice scores were measured using a structured questionnaire before and after the BCC intervention. STATA 13 was used to calculate the mean difference (MD) using a t-test. To evaluate the BCC intervention, qualitative in-depth interviews were used, and data were analyzed thematically. Results: BCC intervention significantly increased knowledge and behavior on a balanced diet, physical activity, and the relationship between health and academic achievement (p <0.05). Internal social norms were carried out through the HLM campaign and declarations, as well as assigning HLM ambassadors, while advocacy by establishing networking between universities, schools, and public health centers strengthened the sustainability program. Conclusion: BCC intervention improves knowledge and behavior among adolescents. Moreover, the environment is crucial to support and maintaining the program.

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  • Universitas Alma Ata
  • University of Indonesia
  • Poltekkes Kemenkes Yogyakarta
  • Muhammadiyah University of Surakarta
  • Kementerian Kesehatan Republik Indonesia
  • University of Surrey
  • Swinburne University of Technology
  • Organisasi lain
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Rekan penulisOrganisasiArtikel bersama
Jutharat AttawetSwinburne University of Technology5
Yati AfiyantiUniversity of Indonesia4
Nurhidayat NurhidayatMuhammadiyah University of Surakarta4
Lukman WarisSekolah Tinggi Ilmu Kesehatan Husada Jombang4
Joko SusiloPoltekkes Kemenkes Yogyakarta3
Idi SetiyobrotoPoltekkes Kemenkes Yogyakarta3
Arif Sabta AjiUniversitas Alma Ata2
Shelini SurendranUniversity of Surrey2
Heriandi SutadiUniversity of Indonesia2
Nurmaulid NurmaulidHasanuddin University1
Imalia Dewi AsihUniversity of Indonesia1
Kasdjono, Heru SubarisPoltekkes Kemenkes Yogyakarta1
Olfah, YustianaPoltekkes Kemenkes Yogyakarta1
Sulistiyawati SulistiyawatiState University of Semarang1
Nelfi Putri PiliangMuhammadiyah University of Surakarta1
Herwinda Kusuma RahayuUniversitas Alma Ata1
Alfina Ulfah FarhanUniversitas Alma Ata1
Rafiqah Dwita HafizhahUniversitas Alma Ata1
Ifana Fitria ZulfaUniversitas Alma Ata1
Sintia Aurilia PutriUniversitas Alma Ata1
Rina AlfianaUniversitas Alma Ata1
Fani ListiyanaUniversitas Alma Ata1
Fatma Annisa WulandariUniversitas Alma Ata1
Mumtaz KhouridhiyaUniversitas Alma Ata1
Effatul AfifahUniversitas Alma Ata1
Kuswantoro Rusca PutraUniversity of Brawijaya1
Rr. Tutik Sri HayatiUniversity of Indonesia1
Ratna NingsihPoltekkes Kemenkes Bengkulu1
Hayuni RahmahUniversity of Indonesia1
Sabi’ah KhairiAfiliasi tidak diketahui1
Isyti’aroh Isyti’arohAfiliasi tidak diketahui1
Efy AfifahUniversity of Indonesia1
Dewi GayatriUniversity of Indonesia1
Lina Herida PinemUniversity of Indonesia1
Henny PermatasariUniversity of Indonesia1

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Sumber metadata: OAI-PMH (metadata jurnal) http://stikbar.org/ycabpublisher/index.php/PHI/oai, pertama di-harvest 10 Nov 2026, terakhir terlihat 10 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en-US">The impact of behavior change communication on healthy living movement-related knowledge and behavior among adolescents: A mixed-methods study</dc:title>
	<dc:creator>Siswati, Tri</dc:creator>
	<dc:creator>Widiyanto, Santo Yoseph Didik</dc:creator>
	<dc:creator>Olfah, Yustiana</dc:creator>
	<dc:creator>Setyowati, Setyowati</dc:creator>
	<dc:creator>Paramashanti, Bunga Astria</dc:creator>
	<dc:subject xml:lang="en-US">behavior change communication</dc:subject>
	<dc:subject xml:lang="en-US">BCC</dc:subject>
	<dc:subject xml:lang="en-US">school</dc:subject>
	<dc:subject xml:lang="en-US">healthy living</dc:subject>
	<dc:subject xml:lang="en-US">adolescents</dc:subject>
	<dc:description xml:lang="en-US">Background: Behavior change communication (BCC) is a validated health communication technique for influencing changes in knowledge and behaviors.
Objective: This study aimed to investigate the impact of BCC on the knowledge and practice of the Healthy Living Movement (HLM) or called Gerakan Masyarakat Hidup Sehat (Germas).
Methods: This was a mixed-methods study. A single group pre-posttest design was conducted in Yogyakarta and Central Java, Indonesia, from May to October 2019. Participants are all first-year students from selected schools, as many as 713 persons. The intervention was the BCC strategy, while the outcomes were knowledge and behavior. The BCC intervention was carried out through several stages, from need assessment, designing an educational intervention, the intervention with pre-and post-test, evaluation, and networking. Specifically, the educational intervention was conducted 60 minutes weekly for three weeks. The contents of HLM included a balanced diet, physical activity, and the relationship between health and academic achievement. The knowledge and practice scores were measured using a structured questionnaire before and after the BCC intervention. STATA 13 was used to calculate the mean difference (MD) using a t-test. To evaluate the BCC intervention, qualitative in-depth interviews were used, and data were analyzed thematically.
Results: BCC intervention significantly increased knowledge and behavior on a balanced diet, physical activity, and the relationship between health and academic achievement (p &amp;lt;0.05). Internal social norms were carried out through the HLM campaign and declarations, as well as assigning HLM ambassadors, while advocacy by establishing networking between universities, schools, and public health centers strengthened the sustainability program.
Conclusion: BCC intervention improves knowledge and behavior among adolescents. Moreover, the environment is crucial to support and maintaining the program.</dc:description>
	<dc:publisher xml:lang="en-US">YCAB Publisher</dc:publisher>
	<dc:date>2023-03-20</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en-US">Peer-reviewed Article</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://stikbar.org/ycabpublisher/index.php/PHI/article/view/654</dc:identifier>
	<dc:identifier>10.36685/phi.v9i1.654</dc:identifier>
	<dc:source xml:lang="en-US">Public Health of Indonesia; Vol. 9 No. 1 (2023): January - March; 21-30</dc:source>
	<dc:source>2477-1570</dc:source>
	<dc:source>2528-1542</dc:source>
	<dc:source>10.36685/phi.v9i1</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://stikbar.org/ycabpublisher/index.php/PHI/article/view/654/284</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2023 Tri Siswati, Setyowati, Santo Yoseph Didik, Yustiana Olfah, Bunga Astria Paramashanti</dc:rights>
	<dc:rights xml:lang="en-US">https://creativecommons.org/licenses/by-nc/4.0</dc:rights>
</oai_dc:dc>