Key result
Leaflet education improves healthy eating knowledge over video education, but attitudes and actions do not differ.
Why the study?
Dietary habits linked to cardiovascular risk can begin in adolescence, necessitating educational media that deliver practical and understandable information. This study evaluated the effectiveness of leaflet versus educational video media on adolescents' knowledge, attitudes, and actions regarding healthy eating for heart disease prevention.
Does health education via leaflet media improve knowledge, attitudes, and actions regarding healthy eating for heart disease prevention compared to educational video media in high school adolescents?
Does health education via leaflet media improve knowledge, attitudes, and actions regarding healthy eating for heart disease prevention compared to educational video media in high school adolescents?
Both leaflet and video educational interventions significantly improved adolescents' knowledge and attitudes regarding heart-healthy eating, though neither single-session intervention was sufficient to significantly alter short-term dietary actions.
Leaflet education may enhance knowledge more than video in adolescents; leaves open effects on attitudes or actions for heart disease prevention.
Heart disease remains an important public health problem, while dietary habits associated with cardiovascular risk can begin to develop during adolescence. Health education therefore needs media that can deliver practical and understandable information. This study aimed to determine the effectiveness of leaflet and educational video media on adolescents’ knowledge, attitudes, and actions regarding healthy eating as an effort to prevent heart disease. A quantitative quasi-experimental study with a two-group pretest-posttest design was conducted among 36 grade XI students of SMA Negeri 22 Palembang in February–June 2026. Participants were divided into a leaflet group and an educational video group, with 18 respondents in each group. Data were collected using a validated and reliable questionnaire covering knowledge, attitudes, and actions. Within-group changes were analyzed using the Wilcoxon Signed Rank test, while differences between media were analyzed using the Mann-Whitney U test. The leaflet group showed significant changes in knowledge (p<0.001) and attitudes (p<0.001), but not actions (p=0.471). The video group showed significant changes in knowledge (p=0.001) and attitudes (p=0.001), but not actions (p=0.059). Comparison between media showed a significant difference in knowledge (p=0.020), while attitudes (p=0.168) and actions (p=0.392) did not differ significantly. These findings indicate that both media can support health education, with a statistically significant difference between media observed only for knowledge in this study.
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Azzahra et al. (2026) studied Heart disease prevention (healthy eating education) (n=36). Leaflet media education on healthy eating vs. Educational video media on healthy eating was evaluated on Knowledge score regarding healthy eating for heart disease prevention (Mann-Whitney U mean rank) (Z -2.336, p=0.020). Leaflet education resulted in a significantly higher mean rank for healthy eating knowledge compared to video education (22.50 vs 14.50; p=0.020), while attitudes and actions did not differ.
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