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Empowerment Scale for Pregnant Adolescents: Psychometric Testing on Antenatal Care and Birth Attendant Choices

Jurnal Kesehatan Masyarakat · Vol. 21 No. 4 (2026) · hlm. 1004–1015

DOI
10.15294/kemas.v21i4.42339
ISSN
2355-3596, 1858-1196
Terbit
2026-07-09
Penerbit
Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)
Bahasa
eng

Abstrak

Inability of pregnant adolescents to make decisions regarding antenatal care and the choice of birth attendants increases the risk of maternal and childbirth complications. This study aimed to develop and validate an empowerment measurement instrument based on the Cattaneo and Chapman framework. A quantitative approach was applied in three community health centers (Puskesmas) in Cimahi City, known for high adolescent pregnancy rates. Data were collected by three community volunteers who distributed questionnaires directly and via Google Forms. Instrument validity was examined through a readability test with 10 adolescents and face validity by four experts. Thirty pregnant adolescents participated. Reliability was tested using Cronbach’s alpha. The empowerment construct produced 40 statements; the Item-Total Correlation test revealed one invalid self-efficacy item, two knowledge items, two skill items, one action item, and three impact items. The overall Cronbach’s alpha was 0.92, with subscales: meaningful goals (0.84), self-efficacy (0.58), knowledge (0.70), skills (0.52), action (0.77), and impact (0.83). This study concludes that the empowerment instrument is valid and reliable, and further research is recommended to revalidate it through content validity and factor analysis with larger samples

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33 penulis · 91 tautan kepenulisan bersama · 33 lintas organisasi

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  • Sebelas Maret University
  • Diponegoro University
  • Universitas Gadjah Mada
  • Universitas Jenderal Achmad Yani Yogyakarta
  • Universitas Ahmad Dahlan
  • STIKes Surya Global Yogyakarta
  • Sultan Agung Islamic University
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Rekan penulisOrganisasiArtikel bersama
Diffah HanimSebelas Maret University2
Bhisma MurtiSebelas Maret University2
Lilia Faridatul FauziahSebelas Maret University1
Ida NursantiUniversitas Jenderal Achmad Yani Yogyakarta1
Julhan IrfandiSebelas Maret University1
Setyo Sri RahardjoSebelas Maret University1
Sumardiyono SumardiyonoSebelas Maret University1
SuminahAfiliasi tidak diketahui1
Deri Andika PutraSebelas Maret University1
Inas Khoirun NisaSebelas Maret University1
Agus Jati SunggoroAfiliasi tidak diketahui1
Ratih Tri Kusuma DewiAfiliasi tidak diketahui1
Ratih Arianita AgungAfiliasi tidak diketahui1
Fardhiasih Dwi AstutiUniversitas Ahmad Dahlan1
Vitri WidyaningsihSebelas Maret University1
Achmad Arman SubijantoSebelas Maret University1
Hariza AdnaniSTIKes Surya Global Yogyakarta1
AA SubiyantoSebelas Maret University1
Yulia Lanti Retno DewiSebelas Maret University1
Daniel Akbar WibowoSebelas Maret University1
Nur Hafidha HikmayaniSebelas Maret University1
Endang LestariSultan Agung Islamic University1
Tri Nur KristinaDiponegoro University1
Diana Nur AfifahDiponegoro University1
Fatikhu Yatuni AsmaraDiponegoro University1
Saekhol BakrieDiponegoro University1
Dian Puspita DewiDiponegoro University1
Doni WidyandanaUniversitas Gadjah Mada1
Fitriana MawardiUniversitas Gadjah Mada1

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Sumber metadata: OAI-PMH (metadata jurnal) https://journal.unnes.ac.id/journals/kemas/oai, pertama di-harvest 6 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en">Empowerment Scale for Pregnant Adolescents: Psychometric Testing on Antenatal Care and Birth Attendant Choices</dc:title>
	<dc:creator xml:lang="en">handayani, Fatiah Handayani</dc:creator>
	<dc:creator xml:lang="en">Sulaeman, Endang Sutisna </dc:creator>
	<dc:creator xml:lang="en"> Mulyani, Sri</dc:creator>
	<dc:creator xml:lang="en">Pamungkasari, Eti Poncorini </dc:creator>
	<dc:subject xml:lang="en">adolescent pregnancy; antenatal care; birth attendants; empowerment; psychometric testing</dc:subject>
	<dc:description xml:lang="en">Inability of pregnant adolescents to make decisions regarding antenatal care and the choice of birth attendants increases the risk of maternal and childbirth complications. This study aimed to develop and validate an empowerment measurement instrument based on the Cattaneo and Chapman framework. A quantitative approach was applied in three community health centers (Puskesmas) in Cimahi City, known for high adolescent pregnancy rates. Data were collected by three community volunteers who distributed questionnaires directly and via Google Forms. Instrument validity was examined through a readability test with 10 adolescents and face validity by four experts. Thirty pregnant adolescents participated. Reliability was tested using Cronbach’s alpha. The empowerment construct produced 40 statements; the Item-Total Correlation test revealed one invalid self-efficacy item, two knowledge items, two skill items, one action item, and three impact items. The overall Cronbach’s alpha was 0.92, with subscales: meaningful goals (0.84), self-efficacy (0.58), knowledge (0.70), skills (0.52), action (0.77), and impact (0.83). This study concludes that the empowerment instrument is valid and reliable, and further research is recommended to revalidate it through content validity and factor analysis with larger samples</dc:description>
	<dc:publisher xml:lang="en">Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)</dc:publisher>
	<dc:date>2026-07-09</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">Peer-reviewed Article</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://journal.unnes.ac.id/journals/kemas/article/view/42339</dc:identifier>
	<dc:identifier>10.15294/kemas.v21i4.42339</dc:identifier>
	<dc:source xml:lang="en">Jurnal Kesehatan Masyarakat; Vol. 21 No. 4 (2026); 1004-1015</dc:source>
	<dc:source>2355-3596</dc:source>
	<dc:source>1858-1196</dc:source>
	<dc:source>10.15294/kemas.v21i4</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://journal.unnes.ac.id/journals/kemas/article/view/42339/10618</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2026 Jurnal Kesehatan Masyarakat</dc:rights>
</oai_dc:dc>