{
  "abstract": "BACKGROUND: Poor menstrual hygiene knowledge and practices among adolescent girls remain a major public health concern in resource-limited settings, where access to comprehensive reproductive health education is often limited. OBJECTIVE: To evaluate the effectiveness of interactive e-modules against educational videos in improving menstrual hygiene knowledge, attitudes, and practices among adolescent females. STUDY DESIGN: A quasi-experimental pretest-posttest two-group design was conducted at a public junior high school in the Pulau Punjung District of Indonesia. Seventy adolescent girls were recruited via purposive selection and assigned to either an interactive e-module group or a video group ( n =35 each group). Knowledge, attitudes, and practices were assessed utilizing validated questionnaires. The data analysis comprised the Wilcoxon signed-rank test and the Mann–Whitney U test, with effectiveness evaluated by N-gain scores. RESULTS: Both interventions led to substantial improvements in knowledge, attitudes, and practices ( P <.001). The interactive e-module demonstrated greater effectiveness than the video intervention across all areas, including knowledge ( P <.001), attitudes ( P =.022), and practices ( P <.001). Elevated N-gain scores further validated the interactive e-module’s superiority. CONCLUSION: Interactive e-modules surpass educational videos in enhancing menstrual hygiene knowledge, attitudes, and practices among adolescent girls, suggesting that they may be a preferred strategy for delivering menstrual health education in schools and other adolescent health programs.",
  "abstract_shown": true,
  "affiliations": [
    "Master’s Program in Midwifery, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia (Noviani)",
    "Department of Child Health, Faculty of Medicine, Padjadjaran University, Dr. Hasan Sadikin General Hospital, Bandung, West Java, Indonesia (Prasetyo, Hakim)",
    "Department of Obstetric and Gynaecology, Universitas Padjadjaran, Bandung, West Java, Indonesia (Pusianawati and Irianti)",
    "Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia (Adnani); Midwifery Working Group, Center for Health System Studies and Health Workforce Education Innovation, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia (Adnani)",
    "Molly Wardaguga Institute for First Nations Birth Rights, Faculty of Health Charles Darwin University, Brinkin, Northern Territory, Australia (Garti); Corresponding author: Isabella Garti, PhD, MN, BSc, RM."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Josi Noviani, M.Keb, Bd., S.Keb"
    },
    {
      "affs": [
        1
      ],
      "name": "Dwi Prasetyo, Sp.A (K) M.Kes"
    },
    {
      "affs": [
        2
      ],
      "name": "Dini Pusianawati, Sp.O.G, Subsp. Obginsos"
    },
    {
      "affs": [
        3
      ],
      "name": "Qorinah Estiningtyas Sakilah Adnani, PhD, M.Keb, SST."
    },
    {
      "affs": [
        1
      ],
      "name": "Dzulfikar Djalil Lukmanul Hakim, Sp.A, Subsp. ETIA (K), M.Kes, MMRS"
    },
    {
      "affs": [
        2
      ],
      "name": "Setyorini Irianti, Sp.O.G., Subsp. K.Fm"
    },
    {
      "affs": [
        4
      ],
      "name": "Isabella Garti, PhD, MN, BSc, RM"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/dtbrmmbmjeyaj.bib",
  "cited_by": 0,
  "doi": "10.1016/j.xagr.2026.100699",
  "fulltext_url": "http://www.sciencedirect.com/science/article/pii/S2666577826000973",
  "id": "dtbrmmbmjeyaj",
  "issns": [
    "2666-5778"
  ],
  "landing_url": "https://doi.org/10.1016/j.xagr.2026.100699",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Research"
    ],
    [
      "lcc",
      "RG1-991"
    ],
    [
      "openalex",
      "2739|Menstrual Health and Disorders"
    ]
  ],
  "openalex": "W7214483916",
  "pdf_url": null,
  "pmcid": null,
  "pmid": "42965069",
  "published": "2026-09-26",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/dtbrmmbmjeyaj.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:44:51Z",
      "native_id": "16c0ccd3079248989e9bc131bea4a09a",
      "source": "doaj",
      "url": "https://doi.org/10.1016/j.xagr.2026.100699"
    },
    {
      "first_seen": "2026-11-03T12:21:50Z",
      "native_id": "PMC13721087",
      "source": "pmc",
      "url": "https://doi.org/10.1016/j.xagr.2026.100699"
    }
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2739|Menstrual Health and Disorders",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Educational videos vs interactive e-modules: adolescents’ menstrual hygiene knowledge, attitudes, and practices",
  "title_text": "Educational videos vs interactive e-modules: adolescents’ menstrual hygiene knowledge, attitudes, and practices",
  "type": "peer-reviewed",
  "updated_at": "2026-11-03T12:21:50Z",
  "url": "https://research.draconitic.com/paper/dtbrmmbmjeyaj",
  "venue": "AJOG Global Reports",
  "versions": []
}