The Effectiveness of Snake and Ladder Game-Based Education in Increasing Knowledge About Anemia Prevention in Teenage Girls: A Pre-Experimental Study
DOI:
https://doi.org/10.30994/jhsc.v7i1.387Keywords:
anemia, health education, snakes and ladders game, knowledge, teenage girlsAbstract
Anemia is one of the health issues still commonly experienced by young girls and can affect their health, learning concentration, and productivity. Low knowledge about the factors, effects, and prevention of anemia is one aspect that contributes to the high incidence of anemia. One effort that can be made to develop adolescents' knowledge is through health education using interactive learning media, such as the snakes and ladders game. This study aims to analyze the effectiveness of snakes and ladders-based education on knowledge of anemia prevention among teenage girls at SMPN 1 Banyakan, Kediri Regency. This study uses a quantitative method with a pre-experimental design using a one-group pretest-posttest approach. The study sample consisted of 79 eighth-grade students selected using proportional random sampling techniques. Data collection was carried out using knowledge questionnaires before and after education, then analyzed using the Paired Sample t-test with a 95% confidence level. The results showed that the average knowledge score before the intervention was 9.43 ± 3.003 and increased to 15.33 ± 2.147 after the intervention. The Paired Sample t-test results showed a p-value < 0.001, indicating a difference in average knowledge scores before and after education based on the snakes and ladders game. Thus, education based on the snakes and ladders game is considered effective in increasing knowledge about anemia prevention among adolescent girls. The snakes and ladders game can be used as one of the alternative health promotion media in schools to improve knowledge about anemia prevention.
References
Astuti, E. R. (2023). LITERATURE REVIEW: FAKTOR-FAKTOR PENYEBAB ANEMIA PADA REMAJA PUTRI LITERATURE REVIEW: FACTORS CAUSES ANEMIA IN ADOLESCENT WOMEN the license CC BY-SA 4.0. Jambura Journal of Health Science and Research, 5(2), 550–561. https://ejurnal.ung.ac.id/index.php/jjhsr/index
Astuti, Y., Asgiani, P., & Artini, D. (2024). Effectiveness of GEMARA Game on Adolescents’ Knowledge and Attitudes Toward Anemia Prevention. Jurnal Riset Kesehatan, 14(2). https://doi.org/10.31983/jrk.v14i2.13969
Devriany, A., Ramadani, F. S., Amin, W., & Suriani. (2026). The “Prevent Anemia” Board Game Increases Adolescent Knowledge. Napande: Jurnal Bidan, 5(1), 34–41. https://doi.org/10.33860/njb.v5i1.4310
Fauzi, I., Kumboyono, & Fevriasanty, F. I. (2024). Effectiveness of Game Health Education Anemia (GHEA) Guided by the Health Belief Model on Improving Knowledge and Attitudes Toward Iron-Deficiency Anemia Prevention Among Adolescent Girls: A Quasi-Experimental Study. Journal of Applied Nursing and Health, 7(3). https://doi.org/10.55018/janh.v7i3.448
Ghadam, O. S., Sohrabi, Z., Mehrabi, M., Fararouei, M., Shahraki, M., Hejazi, NClark, C. C. T., Mehrabani, S., Gerami, S., & Nouri, M. (2023). Evaluating the effect of digital game-based nutrition education on anemia indicators in adolescent girls: A randomized clinical trial. Food Science & Nutrition, 11(2), 863–871. https://doi.org/10.1002/fsn3.3120
Handayani et al. (2023). Edukasi kesehatan tentang anemia terhadap sikap remaja putri dalam konsumsi tablet tambah darah. Jurnal Kesehatan Masyarakat, 12(2), 145–152.
Hisanah, R., Nuryanto, Rahadiyanti, A., & Wijayanti, H. S. (2023). Pengaruh edukasi gizi melalui permainan ular tangga dan booklet terhadap pengetahuan, sikap, dan praktik pencegahan anemia pada remaja putri. Journal of Nutrition College, 12(4), 301–310. https://doi.org/10.14710/jnc.v12i4.39995
Laporan Puskesmas Tiron. (2025). Data Obesitas di Wilayah Kerja Puskesmas Tiron Tahun 2025.
Maulina, K., Yusni, Y., Usman, S., Saputra, I., & Zaman, N. (2024). The Effect of Health Education on Improving Knowledge About Anemia Among Adolescent Girls in MTsN VI Pidie. International Journal of Public Health, 2(2). https://doi.org/10.62951/ijph.v2i2.453
Notoatmodjo, S. (2020). Ilmu Perilaku Kesehatan. Jakarta: Rineka Cipta.
Panjaitan, W. S., Kusnandar, K., Hikmayani, N. H., & Sudikno. (2023). Pendidikan anemia gizi melalui games ular tangga meningkatkan asupan gizi pada remaja putri. Media Penelitian Dan Pengembangan Kesehatan, 33(3).
Permatasari, R. D., Arestiningsih, E. S., & Gresik, U. M. (2025). Desain dan Pengembangan Game Ular Tangga untuk Edukasi Meningkatkan Pengetahuan dan Kepatuhan Konsumsi Tablet Tambah Darah pada. 5(1), 62–70.
Silitonga, H. T. H., Salim, L. A., & Nurmala, I. (2024). A systematic review of iron supplementation’s effects on adolescent girls. Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition), 12(2), 60–69. https://doi.org/https://doi.org/10.14710/jgi.12.2.60-69
Solehah, S., N. Z., Dewi, N. T., Lastyana, W., Rahmiati, B. F., Naktiany, W. C., & Jauhari, T. (2023). Edukasi melalui Media Ular Tangga sebagai Upaya Pencegahan Anemia pada Remaja di Mts Nurul Qur’an Pagutan. ADMA : Jurnal Pengabdian Dan Pemberdayaan Masyarakat, 3(2), 239–244. https://doi.org/10.30812/adma.v3i2.2566
Triana, W., Irfan, A., & Ryoca, M. A. (2025b). Edukasi Kesehatan dengan Ular Tangga Sebagai Upaya Pencegahan Anemia Pada Remaja Putri di Kelurahan Legok Kota Jambi. 4(2), 287–292.
World Health Organization. (2023). Anemia. https://www.who.int/news-room/fact-sheets/detail/anaemia
Yusuf, N. S., Untari, P., Lubis, S. K., Putri, I. M., Firdausiyah, A., & Rahmawati, L. A. (2025). Pendidikan Gizi Menggunakan Permainan Ular Tangga Anemia pada Remaja di Surau Duta Munzalan Jakarta Selatan. Prosiding Seminar Nasional Pemberdayaan Masyarakat (SENDAMAS), 4(1), 198. https://doi.org/10.36722/psn.v4i1.3142
