Pustaka Ilmiah Universitas Padjadjaran

Abstrak

Effectiveness of Peer Education using a Novel-Styled Book to Improve Post-Menarche Adolescents’ Menstrual Knowledge and Anxiety

Introduction: Specific publications on interventions for anxiety in post-menarche adolescents are still very rare in Indonesia. This study aimed to explore the effectiveness of peer education using a novel-styled book intervention, not only on anxiety but also on menstrual knowledge in post-menarche adolescents. Methods: This quantitative study one group pre- and post-test pre-experimental design involved a population of 376 female students of SMP (Junior High School) Negeri 1 Rancaekek who had experienced menarche in the period of June – July 2017. Of the total population, 40 students were selected as sample using the proportionate stratified random sampling method. The content and design of the novel-styled book were initiated based on results of an action research using in-depth interviews and focus group discussion, respectively. Intervention was delivered twice within 1 week. A menstrual knowledge questionnaire was designed based on the results of the in-depth interviews (Cronbach’s alpha: 0.807), while the anxiety was measured using Taylor Manifest Anxiety Scale (0.708). Data were then analyzed using Wilcoxon signed-rank test with effect size (ES) calculation. Results: Improvement in the scores was seen for both menstrual knowledge and anxiety after intervention. The median score for menstrual knowledge increased from 60 (range: 35-80) to 90 (65-100), and the median score for anxiety decreased from 46.43 (35.71-85.71) to 32.14 (14.29-71.43), with a p-value of 0.000 (p < 0.05) for both. The intervention effect was found to be large (ES = 0.5), which was reflected in increased menstrual knowledge (0.873) and decreased anxiety (0.830). Conclusion: Peer education using a novel-styled book is effective for improving menstrual knowledge and anxiety in post-menarche adolescents.