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Peer-reviewedCC BY 4.0AJOG Global Reports

Educational videos vs interactive e-modules: adolescents’ menstrual hygiene knowledge, attitudes, and practices

  • Josi Noviani, M.Keb, Bd., S.Keb1
  • Dwi Prasetyo, Sp.A (K) M.Kes2
  • Dini Pusianawati, Sp.O.G, Subsp. Obginsos3
  • Qorinah Estiningtyas Sakilah Adnani, PhD, M.Keb, SST.4
  • Dzulfikar Djalil Lukmanul Hakim, Sp.A, Subsp. ETIA (K), M.Kes, MMRS2
  • Setyorini Irianti, Sp.O.G., Subsp. K.Fm3
  • Isabella Garti, PhD, MN, BSc, RM5
5 affiliations
  1. 1Master’s Program in Midwifery, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia (Noviani)
  2. 2Department of Child Health, Faculty of Medicine, Padjadjaran University, Dr. Hasan Sadikin General Hospital, Bandung, West Java, Indonesia (Prasetyo, Hakim)
  3. 3Department of Obstetric and Gynaecology, Universitas Padjadjaran, Bandung, West Java, Indonesia (Pusianawati and Irianti)
  4. 4Department 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)
  5. 5Molly 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.
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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.

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Cite

BibTeXRIS
BibTeX
@article{josinoviani2026educational,
  title = {{Educational videos vs interactive e-modules: adolescents’ menstrual hygiene knowledge, attitudes, and practices}},
  author = {Josi Noviani, M.Keb, Bd., S.Keb and Dwi Prasetyo, Sp.A (K) M.Kes and Dini Pusianawati, Sp.O.G, Subsp. Obginsos and Qorinah Estiningtyas Sakilah Adnani, PhD, M.Keb, SST. and Dzulfikar Djalil Lukmanul Hakim, Sp.A, Subsp. ETIA (K), M.Kes, MMRS and Setyorini Irianti, Sp.O.G., Subsp. K.Fm and Isabella Garti, PhD, MN, BSc, RM},
  journal = {AJOG Global Reports},
  year = {2026},
  month = sep,
  doi = {10.1016/j.xagr.2026.100699},
  url = {https://doi.org/10.1016/j.xagr.2026.100699},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Educational videos vs interactive e-modules: adolescents’ menstrual hygiene knowledge, attitudes, and practices
AU  - Josi Noviani, M.Keb, Bd., S.Keb
AU  - Dwi Prasetyo, Sp.A (K) M.Kes
AU  - Dini Pusianawati, Sp.O.G, Subsp. Obginsos
AU  - Qorinah Estiningtyas Sakilah Adnani, PhD, M.Keb, SST.
AU  - Dzulfikar Djalil Lukmanul Hakim, Sp.A, Subsp. ETIA (K), M.Kes, MMRS
AU  - Setyorini Irianti, Sp.O.G., Subsp. K.Fm
AU  - Isabella Garti, PhD, MN, BSc, RM
PY  - 2026
DA  - 2026/09/26
JO  - AJOG Global Reports
DO  - 10.1016/j.xagr.2026.100699
UR  - https://doi.org/10.1016/j.xagr.2026.100699
AB  - 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.
SN  - 2666-5778
ER  -