Development of Game Application-Based Education Towards Adolescents' Knowledge Level: Mixed Methods
DOI:
https://doi.org/10.37287/ijghr.v7i6.224Keywords:
adolescent, diabetes mellitus, educational games, knowledge, teenagersAbstract
Diabetes mellitus (DM) is a chronic disease whose prevalence continues to increase, including in adolescents. Knowledge about DM prevention in adolescents remains low, so innovative and engaging educational media are needed. This study aims to evaluate the effectiveness of educational games based on crossword puzzles and word searches in increasing the knowledge of adolescents at risk of DM. The study employed a Research and Development (R&D) design, comprising stages of application design, expert validation, and limited trials, conducted on 35 adolescents aged 12–18 years using purposive sampling. Community nurses and psychiatric nurses carried out validation. Knowledge was measured using the Diabetes Knowledge Questionnaire-24 (DKQ-24) through pre-test and post-test, and then analysed using the Wilcoxon Signed-Rank Test. The results showed a significant increase in knowledge scores from 11.0 ± 1.8 in the pre-test to 18.4 ± 1.7 in the post-test (p < 0.05). Expert validation confirmed that the application is suitable for use as an educational medium, with satisfaction scores > 4.0 in most aspects. Respondents found the game to be interactive, fun, and helpful in understanding important concepts related to diabetes, although some felt that the difficulty level needed adjustment. This educational game effectively increases the knowledge of adolescents at risk of diabetes and has the potential to be integrated into adolescent health promotion programs. Interactive technology-based media can serve as an engaging educational alternative, supporting community efforts to prevent diabetes.
References
Abdillah, M. I., Luqna Hunaida, W., & Muqit, A. (2024). Implementasi Game Edukasi Untuk Meningkatkan Pemahaman Siswa Dalam Pembelajaran PAI Di Era Digital. In Jurnal Al-Mau’izhoh E-ISSN (Vol. 6, Issue 2). Desember.
Al-Shorman, N. A. D., Atiyeh, H., Kassab, M., & Al-Rjoub, S. F. (2023). Effects of an educational program on self-efficacy towards type 1 diabetes mellitus disease among parents and adolescents in Jordan. Journal of Pediatric Nursing, 71, 66–72. https://doi.org/10.1016/j.pedn.2023.03.011
Azizati Salmas Marsiami. (2021). THE EFFECT OF THE IMPLEMENTATION OF THE REPRODUCTIVE HEALTH EDUCATION GAME (KEPO) ON THE SKILLS OF ADOLESCENTS (Vol. 10, Issue 2). https://ejournal.umpri.ac.id/index.php/JIK|77
Badan Pusat Statistik Kabupaten Tulungagung. (2021, April 16). Jumlah Penduduk Menurut Kecamatan dan Kelompok Umur Generasi (Perempuan) di Kabupaten Tulungagung.
Cano-Cano, F., Gómez-Jaramillo, L., Ramos-García, P., Arroba, A. I., & Aguilar-Diosdado, M. (2022). IL-1β Implications in Type 1 Diabetes Mellitus Progression: Systematic Review and Meta-Analysis. Journal of Clinical Medicine, 11(5). https://doi.org/10.3390/jcm11051303
Eberle, C., & Stichling, S. (2021). Impact of COVID-19 lockdown on glycemic control in patients with type 1 and type 2 diabetes mellitus: a systematic review. Diabetology & Metabolic Syndrome, 13(1), 95. https://doi.org/10.1186/s13098-021-00705-9
Guo, K., Li, Y., & Bian, H. (2023). Development of an electrochemical sensor for simultaneous determination of glucose and insulin: Application for accurate classification of diabetes mellitus. International Journal of Electrochemical Science, 18(7), 100212. https://doi.org/10.1016/j.ijoes.2023.100212
IDF. (2020). Diabetes facts & figures.
Karingga, D. D., Efendi, F., Indarwati, R., & Bushy, A. (2023a). Effect of mobile structured educational applications on self-care management in diabetes mellitus patients. Gaceta Medica de Caracas, 131(2), 278–286. https://doi.org/10.47307/GMC.2023.131.2.3
Karingga, D. D., Efendi, F., Indarwati, R., & Bushy, A. (2023b). Structured educational app in improving self-care management in diabetes mellitus patients: systematic review. International Journal of Public Health Science, 12(3), 1218–1225. https://doi.org/10.11591/ijphs.v12i3.22772
KemenkesRI. (2020). Infodatin 2020 Diabetes Melitus.pdf.
Kent, D., Melkus, G. D., Stuart, P. M. W., & McKoy, J. M. (2013). Reducing the Risks of Diabetes Complications Through Diabetes Self-Management Education and Support. Population Health Management, 16(2), 74–81.
Nassar, M., Nso, N., Baraka, B., Alfishawy, M., Mohamed, M., Nyabera, A., & Sachmechi, I. (2021). The association between COVID-19 and type 1 diabetes mellitus: A systematic review. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 15(1), 447–454. https://doi.org/https://doi.org/10.1016/j.dsx.2021.02.009
Nevo-Shenker, M., Phillip, M., Nimri, R., & Shalitin, S. (2020). Type 1 diabetes mellitus management in young children: implementation of current technologies. Pediatric Research, 87(4), 624–629. https://doi.org/10.1038/s41390-019-0665-4
Nina Rohmatul Fauziyah, Muhammad Firman Fatah, & Rif’atul Mahmudah. (2025). TRANSFORMASI PEMBELAJARAN DENGAN GAMIFIKASI STRATEGI UNTUK MENINGKATKAN MOTIVASI BELAJAR SISWA.
Radhakrishnan, K., Julien, C., Baranowski, T., O’Hair, M., Lee, G., de Main, A. S., Allen, C., Viswanathan, B., Thomaz, E., & Kim, M. (2021). Feasibility of a sensor-controlled digital game for heart failure self-management: Randomized controlled trial. JMIR Serious Games, 9(4). https://doi.org/10.2196/29044
Ramachandra Bhat, L., Vedantham, S., Krishnan, U. M., & Rayappan, J. B. B. (2019). Methylglyoxal – An emerging biomarker for diabetes mellitus diagnosis and its detection methods. Biosensors and Bioelectronics, 133, 107–124. https://doi.org/https://doi.org/10.1016/j.bios.2019.03.010
Ratnasari, N. Y. (2019). Upaya pemberian penyuluhan kesehatan tentang diabetes mellitus dan senam kaki diabetik terhadap pengetahuan dan keterampilan masyarakat desa Kedungringin, Wonogiri. Indonesian Journal of Community Services, 1(1), 105. https://doi.org/10.30659/ijocs.1.1.105-115
Sassen, B. (2017). Nursing: Health education and improving patient self-management. In Nursing: Health Education and Improving Patient Self-Management. https://doi.org/10.1007/978-3-319-51769-8
Simbolon, P., Sinurat, S., & Simbolon, N. (2021). Pendidikan Kesehatan Pencegahan Diabetes Melitus pada Masyarakat Tanjung Anom. Jurnal Inovasi, Pemberdayaan Dan Pengabdian Masyarakat, 1(2), 49–52. https://doi.org/10.36990/jippm.v1i2.407
Sun, L., Kangas, M., Ruokamo, H., & Siklander, S. (2023). A systematic literature review of teacher scaffolding in game-based learning in primary education. In Educational Research Review (Vol. 40). Elsevier Ltd. https://doi.org/10.1016/j.edurev.2023.100546
WHO. (2023, June 24). Adolescent health.
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