Effectiveness Of Animation-Based Psychoeducation On Adolescent Mental Health And Risk Behavior: A Quasi-Experimental Study
DOI:
https://doi.org/10.55018/janh.v8i1.575Keywords:
Adolescent, Mental Health, Psychoeducation, Animation, Risk Behavior, School DropoutsAbstract
Background: Adolescent mental health and risky behaviors, including the KRR TRIAD (Risky Sexual Behavior, Drug Abuse, and HIV/AIDS), remain significant public health challenges in Indonesia that contribute to school dropout rates. This study aimed to evaluate the effectiveness of PENA (Education and Animation)-based psychoeducation in improving knowledge and behavior related to mental health, TRIAD KRR, and dropout prevention.
Methods: This quasi-experimental study with a pretest-posttest control group followed the TREND (Transparent Reporting of Evaluations with Nonrandomized Designs) reporting guideline. A sample of 124 students was selected using a simple random sampling technique. The intervention group received PENA-based psychoeducation for a duration of 4 weeks (two sessions per week), while the control group received leaflets. Data were collected using a questionnaire that had been tested for validity and reliability. Data were analyzed using the Mann-Whitney test.
Results: The intervention group showed a significant increase in knowledge (Median 80, IQR: 75–85) compared to the control group (Median 45, IQR: 40–50) with $p = 0.015$. Furthermore, the intervention group demonstrated better behavior in preventing TRIAD KRR and school dropout with p < 0.001.
Conclusion: PENA-based psychoeducation is more effective than traditional leaflets in improving knowledge and fostering positive behavioral changes among adolescents.
Downloads
References
Adi Rahayuni, I. G. A. (2020). Metode Membentuk Kesehatan Mental Siswa Melalui Kegiatan Ice Breaking. Cetta: Jurnal Ilmu Pendidikan, 3(2). https://doi.org/10.37329/cetta.v3i2.459
Agyei, F. B., Kaura, D. K., & Bell, J. D. (2025). Parent ‑ adolescent sexual and reproductive health information communication in Ghana. Reproductive Health. https://doi.org/10.1186/s12978-025-01961-y
Ahi, G. G., Rahman, M., Ramli, R., Safii, R., Minoi, J. L., Chua, S., … Choi, L. J. (2025). Adolescent Sexual and Reproductive Health Knowledge and Behavior : A Scoping Review of Interventions, 11(4), 22–32.
Arroisi, J. (2018). Spiritual Healing dalam Tradisi Sufi. TSAQAFAH, 14(2). https://doi.org/10.21111/tsaqafah.v14i2.2459
Basha, S. M., & Al-Shammari, N. K. (2023). Knowledge representation and reasoning (KRR). In Explainable Artificial Intelligence (XAI): Concepts, enabling tools, technologies and applications. https://doi.org/10.1049/pbpc062e_ch9
Costa-Cordella, S., Vivanco-Carlevari, A., Rossi, A., Arévalo-Romero, C., & Silva, J. R. (2022). Social Support and Depressive Symptoms in the Context of COVID-19 Lockdown: The Moderating Role of Attachment Styles. International Journal of Public Health, 67. https://doi.org/10.3389/ijph.2022.1604401
Dewi, E. U., Nursalam, Mahmudah, & Yunitasari, E. (2023). The effect of peer support psychoeducation based on experiential learning on self-care demands among breast cancer patients with post-chemotherapy. Journal of Public Health Research, 12(1). https://doi.org/10.1177/22799036221146901
Dixon, L., Adams, C., & Lucksted, A. (2000). Update on family psychoeducation for schizophrenia. In Schizophrenia Bulletin (Vol. 26, Issue 1). https://doi.org/10.1093/oxfordjournals.schbul.a033446
Fadjriah, R. N., Arifuddin, A., & Rahman, A. (2025). Determinants of HIV / AIDS Prevention Behavior Among Men Who Have Sex with Men : A Mixed-Methods Study in Palu , Indonesia, 11(4), 111–120.
Garcia-Carrion, R., Villarejo, B. C., & Villardón-Gallego, L. (2019). Children and adolescents mental health: A systematic review of interaction-based interventions in schools and communities. In Frontiers in Psychology (Vol. 10, Issue APR). https://doi.org/10.3389/fpsyg.2019.00918
Godfrey, C., & Nkengasong, J. (2023). Prioritizing Mental Health in the HIV/AIDS Response in Africa. New England Journal of Medicine, 389(7). https://doi.org/10.1056/nejmp2305399
Hahm, H. C., Lee, J., Chiao, C., Valentine, A., & Cook, B. Le. (2016). Use of mental health care and unmet needs for health care among lesbian and bisexual Chinese-, Korean-, and Vietnamese-American women. Psychiatric Services, 67(12). https://doi.org/10.1176/appi.ps.201500356
Indonesia, U. (n.d.). Adolescent health profile. UNICEF.
Indonesia National Adolescent Mental Health Survei. (2022). National Adolescent Mental Health Survey (I-NAMHS) Laporan Penelitian. Mental Health, xviii. Retrieved from https://qcmhr.org/outputs/reports/12-i-namhs-report-bahasa-indonesia
Lai, K., Guo, S., Ijadi-Maghsoodi, R., Puffer, M., & Kataoka, S. H. (2016). Bringing wellness to schools: Opportunities for and challenges to mental health integration in school-based health centers. Psychiatric Services, 67(12). https://doi.org/10.1176/appi.ps.201500401
Nasional., B. K. dan K. B. (2021). The relationship between family functions and risky sexual behavior in Indonesia in 2018: A PMA data analysis. Biometrika Dan Kependudukan, 1–10.
Oliveira, P., Porfírio, C., Pires, R., Silva, R., Carvalho, J. C., Costa, T., & Sequeira, C. (2023). Psychoeducation Programs to Reduce Preoperative Anxiety in Adults: A Scoping Review. International Journal of Environmental Research and Public Health, 20(1). https://doi.org/10.3390/ijerph20010327
Rosyad, S. R., Wulandatika, D., & Fatimah, S. (2024). Effectiveness of video versus leaflet education on anemia prevention knowledge among young women: A comparative study. Journal of Health Technology Assessment in Midwifery, 7(1), 50–55. https://doi.org/10.31101/jhtam.3561
Sawalma, M., Shalash, A., Wahdan, Y., Nemer, M., Khalawi, H., Hijazi, B., & Abu-rmeileh, N. (2023). Sexual and reproductive health interventions geared toward adolescent males : A scoping review. Journal of Pediatric Nursing, 73, e19–e26. https://doi.org/10.1016/j.pedn.2023.07.004
Setyowibowo, H., Yudiana, W., Hunfeld, J. A. M., Iskandarsyah, A., Passchier, J., Arzomand, H., Sadarjoen, S. S., de Vries, R., & Sijbrandij, M. (2022). Psychoeducation for breast cancer: A systematic review and meta-analysis. In Breast (Vol. 62). https://doi.org/10.1016/j.breast.2022.01.005
van Langen, M. J. M., Szőke, R., Rijkelijkhuizen, D. N. J., Durston, S., & van Hulst, B. M. (2022). Lost in explanation: Internal conflicts in the discourse of ADHD psychoeducation. BMC Psychiatry, 22(1). https://doi.org/10.1186/s12888-022-04327-x
Virta, E., Sam, D. L., & Westin, C. (2004). Adolescents with Turkish background in Norway and Sweden : Scandinavian Journal of Psychology, 45.
Wilkins, N. J., Rasberry, C., Liddon, N., Szucs, L. E., Johns, M., Leonard, S., … Oglesby, H. (2023). Addressing HIV/sexually transmitted diseases and pregnancy prevention through schools: An approach for strengthening education, health services, and school environments that promote adolescent sexual health and well-being, 70(4), 540–549. https://doi.org/10.1016/j.jadohealth.2021.05.017.Addressing
Xia, J., Merinder, L. B., & Belgamwar, M. R. (2011). Psychoeducation for schizophrenia. Schizophrenia Bulletin, 37(1). https://doi.org/10.1093/schbul/sbq138
Zulu, I. Z., Zulu, J. M., Svanemyr, J., Michelo, C., & Mutale, W. (2022). Application of community dialogue approach to prevent adolescent pregnancy , early marriage and school dropout in Zambia : a case study. Reproductive Health, 1–9. https://doi.org/10.1186/s12978-022-01335-8
Downloads
Additional Files
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Rosmani Sinaga, Ingka Kristina Pangaribuan, Isyos Sari Sembiring, Marlina Lasmawati Simbolon, Indra Septiady Manurung, Lidia Widarni Hia, Fransiska Gulo

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














