Enhancing Readiness for Preeclampsia–Eclampsia among Pregnant Women and Their Husbands through Family-Based Digital Education: A Quasi-Experimental Study
https://doi.org/10.33860/jik.v20i2.4273
Keywords:
Application, Family-based approach, Preeclampsia, EclampsiaAbstract
Background: Preeclampsia–eclampsia remains a major contributor to maternal morbidity and mortality, highlighting the need for early recognition and family involvement. Family-based digital education may support preparedness by improving knowledge and behavioral responses. This study aimed to evaluate the association between a family-based digital education application (Si PaPa GaSi) and changes in knowledge, attitudes, and motivation regarding preeclampsia–eclampsia.
Methods: A quasi-experimental study with a pre–post test control group design was conducted among 100 pregnant women–husband pairs (50 intervention, 50 control) at Berakit Primary Health Center in November 2024. The intervention group received standard health education plus access to the application, while the control group received health education only. Outcomes were assessed using structured questionnaires before and two weeks after the intervention. Data were analyzed using Wilcoxon signed-rank tests for within-group comparisons and Mann–Whitney U tests for between-group comparisons.
Results: Within-group analysis showed significant improvements in knowledge, attitudes, and motivation in both groups (p < 0.05). However, between-group analysis revealed no significant difference in knowledge (U = 1119.5; p = 0.214; r = 0.12), while significant differences were observed in attitudes (U = 957.5; p = 0.028; r = 0.22) and motivation (U = 887.0; p = 0.005; r = 0.28), indicating small to moderate effect sizes.
Conclusion: The Si PaPa GaSi application was associated with improvements in attitudes and motivation, but not additional gains in knowledge compared to standard education alone. These findings suggest that family-based digital education may enhance behavioral readiness and partner involvement in maternal health, although further research with longer follow-up and randomized designs is needed.
References
Alsabi FA, Orabi AM, Bajamal EZ. Knowledge and attitude of pregnant women about preeclampsia in King Abdulaziz Medical City, Western Region: A cross-sectional study. PLoS One 2025;20:e0312304. https://doi.org/10.1371/journal.pone.0312304.
Ameyaw EK, Amoah PA, Ezezika O. Effectiveness of mHealth Apps for Maternal Health Care Delivery: Systematic Review of Systematic Reviews. J Med Internet Res 2024;26:e49510. https://doi.org/10.2196/49510.
Aminin F, Kristianto J, Rianda DP, Haryadi H, Cintiani JC. Development of “No Anemia No Stunting” (Si NaNing) Modules and Application in Efforts to Prevent Stunting in Archipelago Regions. Jurnal Ilmu Dan Teknologi Kesehatan 2022;10:108–23. https://doi.org/10.32668/jitek.v10i1.898.
Arias López M del P, Ong BA, Borrat Frigola X, Fernández AL, Hicklent RS, Obeles AJT, et al. Digital literacy as a new determinant of health: A scoping review. PLOS Digital Health 2023;2:e0000279. https://doi.org/10.1371/journal.pdig.0000279.
Asadollahi F, Zagami SE, Roudsari RL. Understanding pregnant women’s intention to use mobile health apps and its determinants: applying the UTAUT model in a mixed-methods study. BMC Primary Care 2025;26:252. https://doi.org/10.1186/s12875-025-02950-7.
Babatunde AO, Ayede AI, Colangelo A, Nguyen TD, Aborode AT, Umeh C, et al. Development of an educational and monitoring mobile application for pregnant women in Nigeria. Front Public Health 2025;12. https://doi.org/10.3389/fpubh.2024.1368631.
Bashir S, Ansari AH, Sultana A. Knowledge, Attitude, and Practice on Antenatal Care Among Pregnant Women and its Association With Sociodemographic Factors: A Hospital-Based Study. J Patient Exp 2023;10. https://doi.org/10.1177/23743735231183578.
Bisson C, Dautel S, Patel E, Suresh S, Dauer P, Rana S. Preeclampsia pathophysiology and adverse outcomes during pregnancy and postpartum. Front Med (Lausanne) 2023;10. https://doi.org/10.3389/fmed.2023.1144170.
Derbew J, Yesuf A, Mihrete A, Abdallah A, Mohammed A, Sirage N, et al. Knowledge of obstetric danger signs and its associated factors among husbands residing in the Raya Kobo district, Ethiopia. Front Public Health 2024;12. https://doi.org/10.3389/fpubh.2024.1466218.
Dewi AT. Hubungan Dukungan Suami dengan Motivasi Ibu dalam Menjaga Kesehatan. Jurnal Kesehatan Ar Rahma 2023;1.
Dimitriadis E, Rolnik DL, Zhou W, Estrada-Gutierrez G, Koga K, Francisco RP V., et al. Pre-eclampsia. Nat Rev Dis Primers 2023;9:8. https://doi.org/10.1038/s41572-023-00417-6.
Dinas Kesehatan Provinsi Kepulauan Riau. Laporan Tahunan Kesehatan Ibu di Provinsi Kepulauan Riau. Tanjungpinang: 2023.
Dinas Kesehatan Provinsi Kepulauan Riau. Laporan Tahunan Kesehatan Ibu di Provinsi Kepulauan Riau. Tanjungpinang: 2022.
Emagneneh T, Mulugeta C, Ejigu B, Alamrew A, Mislu E, Abebe W, et al. Men’s knowledge of obstetrics danger sign and associated factors in low-income countries: a systematic review and meta-analysis. Sci Rep 2025;15:6560. https://doi.org/10.1038/s41598-025-89541-9.
Fishel Bartal M, Sibai BM. Eclampsia in the 21st century. Am J Obstet Gynecol 2022;226:S1237–53. https://doi.org/10.1016/j.ajog.2020.09.037.
Gayesa RT, Ngai FW, Xie YJ. The effects of mHealth interventions on improving institutional delivery and uptake of postnatal care services in low-and lower-middle-income countries: a systematic review and meta-analysis. BMC Health Serv Res 2023;23:611. https://doi.org/10.1186/s12913-023-09581-7.
Gholami K, Norouzkhani N, Kargar M, Ghasemirad H, Ashtiani AJ, Kiani S, et al. Impact of Educational Interventions on Knowledge About Hypertensive Disorders of Pregnancy Among Pregnant Women: A Systematic Review. Front Cardiovasc Med 2022;9. https://doi.org/10.3389/fcvm.2022.886679.
Haryadi H, Aminin F, Damayani AD, Jannah R. Development of the Si PaPa Gasi Module (First Aid for Preeclampsia/Eclampsia) with a Family Approach in the Archipelago Region. Jurnal Kesehatan 2024;15:9–14. https://doi.org/10.26630/jk.v15i1.4217.
Karrar SA, Hong PL, Martingano DJ. Preeclampsia. Treasure Island (FL): StatPearls Publishing 2024. https://www.ncbi.nlm.nih.gov/books/NBK570611/ (accessed September 10, 2025).
Kementerian Kesehatan RI. Profil Kesehatan Indonesia 2022. Https://KemkesGoId/App_asset/File_content_download/1702958336658115008345c553299420Pdf 2023. https://kemkes.go.id/app_asset/file_content_download/1702958336658115008345c5.53299420.pdf (accessed September 10, 2025).
Leonita E, Jalinus N. Peran Media Sosial Dalam Upaya Promosi Kesehatan: Tinjauan Literatur. INVOTEK: Jurnal Inovasi Vokasional Dan Teknologi 2018;18:25–34. https://doi.org/10.24036/invotek.v18i2.261.
Litasari R, Sunarni N. Literature Review: Active Role of Husband in Care During Pregnancy. Genius Midwifery Journal 2025;4:1–12. https://doi.org/10.56359/genmj.v4i1.523.
Lyimo A, Mmbaga B, Mahmoud A, Eliamini WS, Ngowi NB, Mitao M, et al. Efficacy of mobile phone intervention to increase male partner antenatal care attendance for HIV testing in Moshi municipal, Tanzania: a randomized controlled trial. BMC Pregnancy Childbirth 2024;24:306. https://doi.org/10.1186/s12884-024-06337-x.
Magley M, Hinson MR. Eclampsia. Treasure Island (FL): StatPearls Publishing 2024. https://www.ncbi.nlm.nih.gov/books/NBK554392/ (accessed September 10, 2025).
Mamat M, Sansuwito T, Pertiwi R, Dwikanthi R. The effectiveness of telehealth in improving the knowledge, attitude, and practice of eclampsia prevention among preeclampsia mothers. Healthc Low Resour Settings 2025. https://doi.org/10.4081/hls.2025.13106.
Morgan AK, Awafo BA, Quartey T, Cobbold J. Husbands’ involvement in antenatal-related care in the Bosomtwe District of Ghana: inquiry into the facilitators and barriers. Reprod Health 2022;19:216. https://doi.org/10.1186/s12978-022-01506-7.
Souza FM de LC, Santos WN dos, Santos RS da C, Silva VLM da, Abrantes RM de, Soares VFR, et al. Effectiveness of mobile applications in pregnant women’s adherence to prenatal consultations: randomized clinical trial. Rev Bras Enferm 2021;74. https://doi.org/10.1590/0034-7167-2019-0599.
Sutan R, Aminuddin NA, Mahdy ZA. Prevalence, maternal characteristics, and birth outcomes of preeclampsia: A cross-sectional study in a single tertiary healthcare center in greater Kuala Lumpur Malaysia. Front Public Health 2022;10. https://doi.org/10.3389/fpubh.2022.973271.
Yang M, Al Mamun A, Gao J, Rahman MK, Salameh AA, Alam SS. Predicting m-health acceptance from the perspective of unified theory of acceptance and use of technology. Sci Rep 2024;14:339. https://doi.org/10.1038/s41598-023-50436-2.
Yuen E, Winter N, Savira F, Huggins CE, Nguyen L, Cooper P, et al. Digital Health Literacy and Its Association With Sociodemographic Characteristics, Health Resource Use, and Health Outcomes: Rapid Review. Interact J Med Res 2024;13:e46888. https://doi.org/10.2196/46888.
Published
How to Cite
Issue
Section
License
Authors who publish with Poltekita : Jurnal Ilmu Kesehatan agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
This work is licensed under a Creative Commons Attribution-ShareAlike 2.0 Generic License.
Poltekita : Jurnal Ilmu Kesehatan is licensed under a Creative Commons Attribution-Share Alike 4.0 International License
You are free to:
- Share, copy and redistribute the material in any medium or format
- Adapt, remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
