Effect of Animated Video Education on Elementary School Students Knowledge, Attitudes, and Smoking Intentions

Nita Dewi Novitasari; Zahroh Shaluhiyah; Antono Suryoputro; Rahmatullah Nazari

doi:10.14710/jpki.21.3.215-222

DOI: https://doi.org/10.14710/jpki.21.3.215-222

Effect of Animated Video Education on Elementary School Students Knowledge, Attitudes, and Smoking Intentions

*Nita Dewi Novitasari - Magister Promosi Kesehatan, Universitas Diponegoro, Jl. Prof. Jacub Rais, Tembalang, Semarang, Jawa Tengah 50275|Universitas Diponegoro, Indonesia

Zahroh Shaluhiyah

- Department of Health Promotion, Diponegoro University, Jawa Tengah 50275, Indonesia, Indonesia

Antono Suryoputro - Department of Health Administration and Policy, Faculty of Public Health, Diponegoro University, Jawa Tengah 50275, Indonesia, Indonesia

Rahmatullah Nazari

- Medical Research Center, Cheragh Medical University, Kabul, Afghanistan, Afghanistan

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

BibTex Citation Data :

@article{JPKI80361,
    author = {Nita Novitasari and Zahroh Shaluhiyah and Antono Suryoputro and Rahmatullah Nazari},
    title = {Effect of Animated Video Education on Elementary School Students Knowledge, Attitudes, and Smoking Intentions},
    journal = {Jurnal Promosi Kesehatan Indonesia},
  volume = {21},
    number = {3},
    year = {2026},
    keywords = {Animation video, Smoking behavior. Knowledge ,Attitude, Intention},
    abstract = {   Background:      Smoking behavior in school-age children is an urgent public health problem in Indonesia due to the high prevalence of first-time smokers and the lack of interesting and easy-to-understand health education for children. One of the widely used educational media is animated videos, which are considered effective in attracting attention, increasing understanding, and changing children's behavior related to the dangers of smoking. This study aimed to analyze the influence of animation video-based education on the knowledge, attitudes, and intentions of smoking among elementary school students in Batealit District.     Method:    This quasi-experimental study used a pretest–posttest with a control group design. The study was conducted on 184 students in grades IV–VI, who were divided into an intervention group (receiving education through four animated videos) and a control group (without intervention). The research instrument is in the form of a questionnaire of knowledge, attitudes, and intentions, which have been tested for validity and reliability. Data analysis included Wilcoxon and Mann–Whitney tests, as well as the Linear Mixed Model to control confounding variables, such as pocket money.     Result:    The results showed a significant improvement in knowledge, attitudes, and smoking intentions in the intervention group, by 13.56%, 7.02%, and 4.25%, respectively, after adjustment. The overall difference between the intervention and control groups was significant (p < 0.05). Education through animated videos is effective in increasing knowledge, attitudes, and negative intentions toward smoking in elementary school students. This method can be widely implemented as a strategy to prevent smoking from an early age.  },
   issn = {2620-4053},   pages = {215--222}  doi = {10.14710/jpki.21.3.215-222},
    url = {https://ejournal.undip.ac.id/index.php/jpki/article/view/80361}
}

Citation Format:

Abstract

Background: Smoking behavior in school-age children is an urgent public health problem in Indonesia due to the high prevalence of first-time smokers and the lack of interesting and easy-to-understand health education for children. One of the widely used educational media is animated videos, which are considered effective in attracting attention, increasing understanding, and changing children's behavior related to the dangers of smoking. This study aimed to analyze the influence of animation video-based education on the knowledge, attitudes, and intentions of smoking among elementary school students in Batealit District.

Method: This quasi-experimental study used a pretest–posttest with a control group design. The study was conducted on 184 students in grades IV–VI, who were divided into an intervention group (receiving education through four animated videos) and a control group (without intervention). The research instrument is in the form of a questionnaire of knowledge, attitudes, and intentions, which have been tested for validity and reliability. Data analysis included Wilcoxon and Mann–Whitney tests, as well as the Linear Mixed Model to control confounding variables, such as pocket money.

Result: The results showed a significant improvement in knowledge, attitudes, and smoking intentions in the intervention group, by 13.56%, 7.02%, and 4.25%, respectively, after adjustment. The overall difference between the intervention and control groups was significant (p < 0.05). Education through animated videos is effective in increasing knowledge, attitudes, and negative intentions toward smoking in elementary school students. This method can be widely implemented as a strategy to prevent smoking from an early age.

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Keywords: Animation video, Smoking behavior. Knowledge ,Attitude, Intention

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Section: Research Article

Language : EN

In Vol 21 No 3: July 2026

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