Effectiveness of the Ayocenting website on maternal knowledge, attitude, and motivation to prevent stunting
DOI:
https://doi.org/10.47197/retos.v78.118932Keywords:
Growth disorders , health education, health knowledge, attitudes, practice, internet-based interventionAbstract
Introduction: Stunting remains a critical global health challenge requiring innovative educational strategies to improve maternal awareness. Digital platforms offer a potential alternative to traditional media for delivering nutritional health information to caregivers.
Objective: The study aimed to evaluate the effectiveness of the ayocenting website compared to conventional physical infographics in enhancing maternal knowledge, attitudes, and motivation toward stunting prevention.
Methodology: A quasi-experimental study with a non-equivalent control group design was conducted involving 252 mothers of toddlers. Participants were divided into an intervention group (n=126) using the website and a control group (n=126) receiving physical infographics. Data were analyzed using Wilcoxon signed-rank and Mann-Whitney U tests.
Results: The intervention group achieved a significantly higher proportion of good knowledge (61.2%) compared to the control group (29.4%). Post-test scores showed significant improvements in supportive attitudes (p=0.003) and strong motivation (p=0.001) only in the intervention group. The Mann-Whitney U test confirmed that the ayocenting website was significantly more effective than physical infographics in increasing knowledge (p=0.001), attitudes (p=0.002), and motivation (p=0.018).
Discussion: The findings indicated that interactive digital features provided a more engaging learning experience than static infographics. The results contrasted with previous studies by highlighting that web-based accessibility facilitated better information retention and psychological readiness than traditional printed materials.
Conclusions: The ayocenting website is a significantly more powerful educational tool than traditional physical media for stunting prevention.
References
Alyafei A, E.-C. R. (2024). he Health Belief Model of Behavior Change. Treasure Island (FL): StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK606120/
Andayani, S. A., Hasim, E., Eka, N., & Dewi, C. (2024). Pengaruh Edukasi Berbasis Web Terhadap Pengetahuan Dan Sikap Ibu Dalam Pencegahan Stunting. Journal of Nursing Care, 7(2), 105–112. https://doi.org/https://doi.org/10.24198/jnc.v7i2.54015
Arqam, M. L., Firdaus, A. A., Atmojo, A. M., Saputri, G. Z., Furizal, Palahuddin, & Sirnopati, R. (2026). Integrating education-based interventions and machine learning for stunting prevention: A case study in East Lombok, Indonesia. Dialogues in Health, 8, 100264. https://doi.org/10.1016/j.dialog.2025.100264
Azriani, D., Masita, Qinthara, N. S., Yulita, I. N., Agustian, D., Zuhairini, Y., & Dhamayanti, M. (2024). Risk factors associated with stunting incidence in under five children in Southeast Asia: a scoping review. Journal of Health, Population, and Nutrition, 43(1), 174. https://doi.org/10.1186/s41043-024-00656-7
Azwar, S. (2022). Sikap Manusia : Teori dan Pengukurannya (3rd ed.). Pustaka Pelajar.
Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal & Child Nutrition, 14(4), e12617. https://doi.org/10.1111/mcn.12617
CIOMS. (2016). International Ethical Guidelines for Health-related Research Involving Human (4th ed.). Council for International Organizations of Medical Sciences (CIOMS). https://doi.org/https://doi.org/10.56759/rgxl7405
Dale, E. (1969). Audio Visual Methods in Teaching (3rd ed.). Holt, Rinehart and Winston, New York: The Dryden Press.
Desweni, E. (2025). Faktor Risiko Stunting Pada Balita Di Indonesia : Literature Review. Jurnal Kesehatan Saintika Meditory, 8(1), 328–338.
Elsatria, G., Poy, D., Lerik, M. D. C., Roga, A. U., Nayoan, C., & Marni, M. (2025). Health Belief Model-Based Intervention for Stunting Prevention Among Toddlers in the Sikumana Health Centre Area Kupang City. Jurnal Pangan Gizi Dan Kesehatab, 14(1), 9–13. https://doi.org/https://doi.org/10.51556/ejpazih.v14i1.405
Er, Y. T., Chan, Y. M., Lim, S. Y., Mohd Shariff, Z., Mat Daud, Z. ’Azuan, & Abdul Hamid, H. (2026). Effectiveness of mobile health applications with behaviour change techniques in improving maternal health outcomes: a systematic review. BMC Public Health. https://doi.org/10.1186/s12889-025-25973-2
Faridah, F., Anies, A., Kartasurya, M. I., & Widjanarko, B. (2024). Online educational intervention: Improving maternal knowledge and attitudes in providing developmental stimulation for stunting toddlers. Narra J, 4(1), e591. https://doi.org/10.52225/narra.v4i1.591
Global Nutiriton Report. (2025). Country Nutrition Profiles. Global Nutiriton Report. https://globalnutritionreport.org/resources/nutrition-profiles/asia/south-eastern-asia/
Hamzah. (2019). Teori Motivasi dan Pengukurannya: Analisis di Bidang Pendidikan (10th ed.). Bumi Aksara. https://doi.org/979-010-004-3
Handayani, L., Trisnowati, H., Novianti, T. N., Fitriani, I., Vergawita, T., Suryana, A. A., Nasir, A. J., & Saputri, M. E. (2025). Enhancing Knowledge , Attitudes , and Motivation in Stunting Prevention by Community-Based Education. Jurnal Ilmiah Kesehatan Masyarakat: Media Komunikasi Komunitas Kesehatan Masyarakat, 17(2), 71–77. https://doi.org/https://doi.org/10.52022/jikm.v17i1.731
Hendrawati, S., Rahayuwati, L., Agustina, H. S., & Rahayu, E. (2023). Penggunaan Media Edukasi Online Untuk Pencegahan Stunting Pada Masyarakat Umum Di Era Pandemi Covid-19. Jurnal Vokasi Keperawatan (JVK), 6(1), 77–87.
I Made Sudarma Adiputra, N. W. T., Ni Putu Wiwik Oktaviani, S. A. M., Victor Trismanjaya Hulu, Indah Budiastutik, A. F., Radeny Ramdany, Rosmauli Jerimia Fitriani, P. O. A. T., Baiq Fitria Rahmiati, S. A. L., & Andi Susilawaty, Efendi Sianturi, S. (2018). Metodologi Penelitian Kesehatan. In Medical Research Archives (Vol. 6, Issue 11).
Khotimah, K. (2022). Dampak Stunting dalam Perekonomian di Indonesia. Jurnal Inovasi Sektor Publik, 2(1), 113–132.
Laksono, A. D., Wulandari, R. D., Amaliah, N., & Wisnuwardani, R. W. (2022). Stunting among children under two years in Indonesia: Does maternal education matter? PLOS ONE, 17(7), 1–11. https://doi.org/10.1371/journal.pone.0271509
Lemeshow, St., Hosmer, D. W., Klar, J., Lwanga, S. K. (1990). Adequacy of Sample Size in Health Studies. J. Wiley & Sons.
Li, B., Jin, N., Wang, Y., Hou, X., Meng, J., & Zhang, Y. (2025). Perinatal Women’s Perception of Maternal Health Information Quality on Digital Media: Scoping Review. J Med Internet Res, 27(e67620), 1–19. https://doi.org/10.2196/67620
Masmuri, Nurul Hidayah, D. L. (2025). The Effectiveness of Website-Based Educational Media on the Knowledge and Skills of Cadres in Stunting Prevention in the Kapuas River Border Region. Jurnal Keperawatan Suaka Insan (JKSI), 10(2), 247–261.
Miranda, A. V., Sirmareza, T., Nugraha, R. R., Rastuti, M., Syahidi, H., Asmara, R., & Petersen, Z. (2023). Towards stunting eradication in Indonesia: Time to invest in community health workers. Public Health Challenges, 2(3), e108. https://doi.org/10.1002/puh2.108
Notoatmodjo, S. (2014). Ilmu Perilaku Kesehatan (2nd Editio). Rineka Cipta.
P2PTM Kemenkes RI. (2018). Cegah Stunting dengan Perbaikan Pola Makan, Pola Asuh dan Sanitasi - Direktorat P2PTM. In Kemkes.Go.Id. http://p2ptm.kemkes.go.id/kegiatan-p2ptm/subdit-penyakit-diabetes-melitus-dan-gangguan-metabolik/cegah-stunting-dengan-perbaikan-pola-makan-pola-asuh-dan-sanitasi
Puskesmas Kota Gajah. (2023). Laporan Tahunan Stunting.
Putri, A., Dewi, S., Qomar, U. L., & Muflih, G. Z. (2025). Digital Education Innovation to Accelerate Stunting Reduction : An Experimental Study of Nutrition Class Mentoring Through SIGINTING. Media Kesehatan Poltikenik Kesehatan Makasar, 20(2), 374–380. https://doi.org/https://doi.org/10.32382/medkes.v20i2 374
Rahmania Ambarika, Indasah, H. R. A. (2025). Pengembangan Media Edukasi Digital : Website Promosi Kesehatan sebagai Strategi Pencegahan Stunting pada Pengguna (Siswa) di Kabupaten Sumbawa. Jurnal Pengabdian Ilmu Kesehatan (JPIKes), 5(3), 13–25. https://doi.org/https://doi.org/10.55606/jpikes.v5i3.5831
Salma, W. O., Mutmaina, W. O., & Fahira, J. N. (2026). The impact of nutrition counseling on maternal knowledge , dietary intake , and motor development among stunted toddlers How to cite in APA Keywords Resumen Palabras clave Stunting remains a major public health and nutrition challenge affecting children u. Retos, 76, 874–883. https://doi.org/https://doi.org/10.47197/retos.v76.118701
Sastroasmoro, S. (2014). Dasar-Dasar Metodologi Penelitian Klinis (5th ed.). Sagung Seto.
Schnitman, G., Wang, T., Kundu, S., Turkdogan, S., Gotlieb, R., How, J., & Gotlieb, W. (2022). The role of digital patient education in maternal health: A systematic review. Patient Education and Counseling, 105(3), 586–593. https://doi.org/https://doi.org/10.1016/j.pec.2021.06.019
Senanda, B., Firma, S., Istikhomah, H., & Suryani, E. (2025). The Effect of Stunting Early Detection ( Stulytion ) Website on The Level of Balanced Nutritional Knowledge In Mothers of Toddlers Aged 12-59 Months At The Kebonarum Klaten Health Center. PLACENTUM Jurnal Ilmiah Kesehatan Dan Aplikasinya, 13(1), 90–96.
Shakerinejad, G., Navak, T., Hatemzadeh, N., Haghi, M., & Haghigizadeh, M. H. (2023). Investigating the effect of multimedia education based on the health belief model in preventing COVID-19 in pregnant women. BMC Public Health, 23(1), 681. https://doi.org/10.1186/s12889-022-14965-1
Shaluhiyah, Z., Qatrannada, S. A., Kusumawati, A., & Miah, M. S. (2025). The effect of digital health intervention in promoting healthy behavior: A systematic scoping review on strategies to prevent non-communicable diseases. Dialogues in Health, 7(100258), 1–12. https://doi.org/10.1016/j.dialog.2025.100258
Sidabutar, S., Pelawi, A., Adelina, M., & Efarina, U. (2023). Studi Perbandingan Model Pendidikan Kesehatan Comparative Study Of Traditional And Interactive Health. Jurnal Pengabdian Masyarakat Hablum Minannas, 2(2), 117–126. https://doi.org/10.47652/hablumminannas.v2i2.831
Siti Masdah, Ayu Diana Meilantik, Cau Kim Jiu, Amelyadi, S. A. (2025). Mapping The Needs Of Digital Information Services For Children With Special Needs. International Journal of Health Sciences ( IJHS ), 3(2), 386–412. https://doi.org/https://doi.org/10.59585/ijhs
SKI. (2023). Survei Kesehatan Indonesia Tahun 2023. In Badan Kebijakan Pembangunan Kesehatan Kemenkes. https://www.badankebijakan.kemkes.go.id/ski-2023-dalam-angka/
Tanjaya, N., Hakim, R. I., & Rusliani, D. M. (2025). Pengaruh Media Edukasi Berbasis Video terhadap Tingkat Pengetahuan Remaja Mengenai Kesehatan Reproduksi di SMA Muhammadiyah Pontianak STIKES Guna Bangsa Yogyakarta , Indonesia. Jurnal Ilmu Keperawatan Dan Kebidanan, 3(2), 09–20. https://doi.org/https://doi.org/10.61132/protein.v3i2.1097
UNICEF. (2020). Conceptual Framework Child Nutrition. UNICEF Nutrition and Child Development Section, Programme Group. https://www.unicef.org/media/113291/file/UNICEFConceptualFramework.pdf
Vaivada, T., Akseer, N., Akseer, S., Somaskandan, A., Stefopulos, M., & Bhutta, Z. A. (2020). Stunting in childhood: An overview of global burden, trends, determinants, and drivers of decline. American Journal of Clinical Nutrition, 112, 777S-791S. https://doi.org/10.1093/ajcn/nqaa159
WHO. (2011). Standards and operational guidance for ethics review of health-related research with human participants (1st ed.). World Health Organization.
WHO. (2024). Malnutrition. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/malnutrition#:~:text=Scope of the problem,- and middle-income countries.
Zhou, Y., Xu, J., Wang, R., & Guan, X. (2025). Understanding how digital health literacy affects health self-management behaviors: The mediating role of self-efficacy in college students. Scientific Reports, 15(1), 27230. https://doi.org/10.1038/s41598-025-12726-9
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Sadiman Sadiman, Islamiyati Islamiyati, Prasetyowati Prasetyowati, Wahyu Dwi Ari Wibowo

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and ensure the magazine the right to be the first publication of the work as licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of authorship of the work and the initial publication in this magazine.
- Authors can establish separate additional agreements for non-exclusive distribution of the version of the work published in the journal (eg, to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Is allowed and authors are encouraged to disseminate their work electronically (eg, in institutional repositories or on their own website) prior to and during the submission process, as it can lead to productive exchanges, as well as to a subpoena more Early and more of published work (See The Effect of Open Access) (in English).
This journal provides immediate open access to its content (BOAI, http://legacy.earlham.edu/~peters/fos/boaifaq.htm#openaccess) on the principle that making research freely available to the public supports a greater global exchange of knowledge. The authors may download the papers from the journal website, or will be provided with the PDF version of the article via e-mail.