PENGARUH EDUKASI GIZI MELALUI VIDEO POP-UP BOOK DENGAN KETERLIBATAN ORANG TUA TERHADAP FREKUENSI KONSUMSI BUAH DAN SAYUR ANAK: (Studi Kuasi Eksperimen di SD Negeri 4 Wates dan SD Negeri Percobaan 4 Wates, Kecamatan Wates, Kabupaten Kulon Progo)
Kukuh Eko Prabowo, Pembimbing 1: Prof. Dra. Yayi Suryo Prabandari, M.Si., Ph.D. ; Pembimbing 2: Tony Arjuna, M.Nut.Diet., A.N., A.P.D., Ph.D.
2025 | Tesis | S2 Ilmu Kesehatan Masyarakat
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Tujuan: Mengetahui pengaruh edukasi gizi melalui video pop-up book dengan keterlibatan orang tua terhadap frekuensi konsumsi buah dan sayur anak.
Metode: Penelitian kuantitatif dengan desain penelitian quasi experimental menggunakan non-equivalent control group pretest-posttest design dengan kelompok intervensi (n=43) dan kelompok kontrol (n=47). Edukasi diberikan kepada anak menggunakan video pop-up book atau leaflet sebanyak 2 kali secara luring di kelas, sedangkan orang tua mendapatkan edukasi secara daring melalui grup WhatsApp sebanyak 4 kali. Analisis data dilakukan menggunakan Chi-square/fisher exact, Wilcoxon Signed Ranks, Mann Whitney U, Multivariate analysis of variance (Manova) dan Analysis of covariance (Ancova) (p<0>
Hasil: Terdapat perbedaan niat perubahan perilaku pada anak dan orang tua yang lebih tinggi setelah dilakukan edukasi pada kelompok intervensi (p=0,025 dan p=0,029). Rerata skor frekuensi konsumsi buah dan sayur secara keseluruhan menunjukkan kenaikan pada kedua kelompok setelah 14 hari dilakukan edukasi, terdapat perbedaan yang signifikan rerata skor frekuensi konsumsi sayur sebelum dan setelah edukasi pada kelompok intervensi (p=0,001). Tetapi, hasil uji Mann Whitney U Test menunjukkan bahwa tidak terdapat perbedaan yang signifikan pada kedua kelompok. Hasil analisis Manova menunjukkan pengaruh edukasi yang signifikan hanya pada niat perubahan perilaku orang tua dan anak (p=0,037 dan p=0,043), sedangkan dari seluruh variabel luar yang dianalisis, hanya pendidikan ibu yang memiliki pengaruh terhadap pengetahuan orang tua (p=0,021). Terdapat perbedaan pendidikan ibu pada 2 kelompok yang dapat menjadi variabel kovariat. Hasil analisis lanjutan menggunakan uji Ancova menunjukkan bahwa tidak terdapat perbedaan yang signifikan pada skor pengetahuan setelah edukasi antara kelompok intervensi dan kontrol setelah mengontrol skor pengetahuan sebelum edukasi dan pendidikan ibu F (1,86) =0,456; p=0,533).
Kesimpulan: Edukasi gizi melalui video pop-up book pada anak dengan keterlibatan orang tua tidak meningkatkan frekuensi konsumsi buah dan sayur secara statistik pada anak setelah edukasi, tetapi meningkat sebelum dan sesudah edukasi.
Background: Overweight and obesity in children are global health issues that remain a challenge in Indonesia. The prevalence of obesity among children aged 712 years in Kulon Progo Regency reaches 9.53%. One of the causes of obesity in elementary school children is poor eating habits, low consumption of fruits and vegetables, and a lack of nutrition education, as well as the absence of active parental involvement in providing fruits and vegetables at home. Parental involvement plays a crucial role in supporting children's eating habits.
Objective: Assessing the effect of nutrition education through pop-up book videos with parental involvement on the frequency of fruit and vegetable consumption in children.
Method: This quantitative
study used a quasi-experimental research design with a non-equivalent control
group pretest-posttest design with an intervention group (n=43) and a control
group (n=47). Education was provided to children using pop-up book videos or
leaflets twice offline in class, while parents received education online
through a WhatsApp group four times. Data analysis was performed using
Chi-square/Fisher's exact test, Wilcoxon Signed Ranks, Mann-Whitney U, multivariate
analysis of variance (Manova) and analysis of covariance (Ancova) <!--[if gte mso 9]><xml>
Results: There was a higher
difference in behavioral change intentions among children and parents after
education was provided to the intervention group (p=0.025 and p=0.029). The
average frequency scores for fruit and vegetable consumption showed an increase
in both groups after 14 days of education. There was a significant difference
in the average frequency scores for vegetable consumption before and after
education in the intervention group (p=0.001). However, the results of the Mann
Whitney U Test showed that there was no significant difference between the two
groups. The MANOVA analysis results showed that the education had a significant
effect only on the intention to change the behavior of parents and children
(p=0.037 and p=0.043), while among all the external variables analyzed, only
the mother's education had an effect on parental knowledge (p=0.021). There was
a difference in maternal education between the two groups, which could serve as
a covariate. Further analysis using the ANCOVA test showed that there was no
significant difference in knowledge scores after education between the
intervention and control groups after controlling for pre-education knowledge
scores and maternal education (F (1,86) = 0.456; p = 0.533).<!--[if gte mso 10]>
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Conclusion: Nutrition education through pop-up video books for children with parental involvement did not significantly increase the frequency of fruit and vegetable consumption in children after education, but the frequency increased before and after education.
Kata Kunci : edukasi gizi, video pop-up book, keterlibatan orang tua, buah dan sayur, anak sekolah dasar
