MEDIA CONVERGENCE USING LOCAL FOOD (TINUTUAN) TO IMPROVE MOTHERS’ KNOWLEDGE, ATTITUDES, AND BEHAVIORS FOR STUNTING PREVENTION IN KEMA, NORTH MINAHASA
DOI:
https://doi.org/10.37771/kjn.v7i2.1408Keywords:
Booklet, Media Convergence, Stunting Prevention, Tinutuan, VideoAbstract
Stunting is a health issue in children that can be avoided by providing appropriate nutrition intervention and improving nutritious locally sourced meals. Manado porridge, known as tinutuan, is a nourishing traditional cuisine from North Sulawesi, Indonesia. It can be used as a supplementary diet to reduce stunting in children under the age of five. However, due to a lack of information among mothers, tinutuan is primarily taken by adults. Media Convergence is an effective way to increase knowledge, attitude, and behavior related to stunting prevention. The purpose of this study was to analyze the effect of media convergence based on local foods on mothers' knowledge, attitudes, and behaviors of stunting prevention in children under the age of five. A quasi-experimental design with a control group, pre, and posttest was used. The purposive sampling technique was used to recruit 30 respondents. The intervention was carried out by education using media convergence of booklet dan videos that contain about stunting and how to prevent it using locally sourced food, also how to cook the tinutuan. Mann-Whitney tests were used to analyze the effect on the treatment group before the intervention. The result shows that there is significant effect of media convergence based on local foods on mothers' knowledge, attitudes, and behaviors of stunting prevention (p < 0.005).
Stunting adalah masalah kesehatan pada anak-anak yang dapat dicegah dengan memberikan intervensi gizi yang tepat dan meningkatkan kualitas makanan bergizi yang berasal dari pangan lokal. Bubur Manado, yang dikenal sebagai tinutuan, adalah masakan tradisional bergizi dari Sulawesi Utara, Indonesia. Bubur ini dapat digunakan sebagai makanan tambahan untuk mengurangi stunting pada anak di bawah usia lima tahun. Namun, karena kurangnya informasi di kalangan ibu, tinutuan umumnya dikonsumsi oleh orang dewasa. Konvergensi media merupakan cara efektif untuk meningkatkan pengetahuan, sikap, dan perilaku terkait pencegahan stunting. Tujuan studi ini adalah menganalisis pengaruh konvergensi media berbasis pangan lokal terhadap pengetahuan, sikap, dan perilaku ibu dalam pencegahan stunting pada anak di bawah usia lima tahun. Desain quasi-eksperimental dengan kelompok control menggunakan pretest dan posttest. Teknik purposive sampling digunakan untuk merekrut 30 responden. Intervensi dilakukan melalui edukasi menggunakan konvergensi media berupa booklet dan video yang berisi informasi tentang stunting dan cara mencegahnya menggunakan makanan lokal, serta cara memasak tinutuan. Uji Mann-Whitney digunakan untuk menganalisis pengaruh pada kelompok perlakuan sebelum intervensi. Hasil menunjukkan bahwa terdapat pengaruh yang signifikan dari konvergensi media berbasis makanan lokal terhadap pengetahuan, sikap, dan perilaku ibu dalam pencegahan stunting (p < 0.005).
References
1. Adiguna, P., & Santoso, O. (2017). Pengaruh Ekstrak Daun Serai (Cymbopogon Citratus) Pada Berbagai Konsentrasi Terhadap Viabilitas Bakteri Streptococcus Mutans. Diponegoro Medical Journal (Jurnal Kedokteran Diponegoro), 6(4), 1543–1550.
2. Akseer, N., Tasic, H., Nnachebe Onah, M., Wigle, J., Rajakumar, R., Sanchez-Hernandez, D., Akuoku, J., Black, R. E., Horta, B. L., Nwuneli, N., Shine, R., Wazny, K., Japra, N., Shekar, M., & Hoddinott, J. (2022). Economic costs of childhood stunting to the private sector in low- and middle-income countries. EClinicalMedicine, 45, 101320. https://doi.org/10.1016/j.eclinm.2022.101320
3. Alam, M. A., Richard, S. A., Fahim, S. M., Mahfuz, M., Nahar, B., Das, S., Shrestha, B., Koshy, B., Mduma, E., Seidman, J. C., Murray-Kolb, L. E., Caulfield, L. E., Lima, A. A. M., Bessong, P., & Ahmed, T. (2020). Erratum: Impact of early-onset persistent stunting on cognitive development at 5 years of age: Results from a multi-country cohort study (PLoS One (2020) 15:1 (e0227839) DOI: 10.1371/journal.pone.0227839). PLoS ONE, 15(2), 1–16. https://doi.org/10.1371/journal.pone.0229663
4. Anggraini, S., Utami, W., & Zairina, E. (2019). Factors affecting community pharmacist’s service for women with chronic diseases during pregnancy and breastfeeding: application of the Health Belief Model. Journal of Basic and Clinical Physiology and Pharmacology, 30(6). https://doi.org/10.1515/jbcpp-2019-0347
5. BKKBN. (2023). Keluarga Beresiko Stunting. BKKBN Sulawesi Utara.
6. Buksh, S. M., Hay, P., & de Wit, J. B. F. (2023). Perceptions on Healthy Eating Impact the Home Food Environment: A Qualitative Exploration of Perceptions of Indigenous Food Gatekeepers in Urban Fiji. Nutrients, 15(18). https://doi.org/10.3390/nu15183875
7. Carin, V., Juwandhi, A. R., Anwar, K., Setyowati, A., & Fitri, Y. P. (2024). Pengaruh Edukasi Pencegahan Stunting dengan Media Buku Saku Digital dan Video Animasi Terhadap Tingkat Pengetahuan dan Sikap Ibu Balita di Posyandu Merah Delima, Kota Tangerang. Jurnal Abdi Masyarakat Indonesia, 4(1), 163–170. https://doi.org/10.54082/jamsi.1047
8. Crookston, B. T., Penny, M. E., Alder, S. C., Dickerson, T. T., Merrill, R. M., Stanford, J. B., Porucznik, C. A., & Dearden, K. A. (2010). Children Who Recover from Early Stunting and Children Who Are Not Stunted Demonstrate Similar Levels of Cognition. The Journal of Nutrition, 140(11), 1996–2001. https://doi.org/10.3945/jn.109.118927
9. Effendy, D. S., Prangthip, P., Soonthornworasiri, N., Winichagoon, P., & Kwanbunjan, K. (2020). Nutrition education in Southeast Sulawesi Province, Indonesia: A cluster randomized controlled study. Maternal and Child Nutrition, 16(4). https://doi.org/10.1111/mcn.13030
10. Fadyllah, M. I., & Prasetyo, Y. B. (2021). Pendidikan Kesehatan Menggunakan Metode Audiovisual dalam Meningkatkan Pengetahuan Ibu Merawat Anak dengan Stunting. Jurnal Promosi Kesehatan Indonesia, 16(1), 23–30. https://doi.org/10.14710/jpki.16.1.23-30
11. Fikawati, S., Syafiq, A., Ririyanti, R. K., & Gemily, S. C. (2021). Energy and protein intakes are associated with stunting among preschool children in Central Jakarta, Indonesia: a case-control study. Malaysian Journal of Nutrition, 27(1), 81–91. https://doi.org/10.31246/MJN-2020-0074
12. Ghanny, A. T. A., Firdaus, S. S., Fitri, D. E. W., Susanto, D. W. C., Maswonggo, A. S., & Abdullah, S. S. (2022). Alternative Food Processing Technology, Instant Tinutuan of Stunting Solitions and Quality Assurance of Nutritional Levels. PHARMACON, 11, 1381–1388.
13. Glorioso, I. G., Gonzales, M. S., & Malit, A. M. P. (2020). School-based nutrition education to improve children and their mothers’ knowledge on food and nutrition in rural areas of the Philippines. Malaysian Journal of Nutrition, 26(2), 189–201. https://doi.org/10.31246/mjn-2020-0004
14. Goudet, S. M., Bogin, B. A., Madise, N. J., & Griffiths, P. L. (2019). Nutritional interventions for preventing stunting in children (Birth to 59 months) living in urban slums in low-and middle-income countries (LMIC). Cochrane Database of Systematic Reviews, 2019(6). https://doi.org/10.1002/14651858.CD011695.pub2
15. Gumelar, W. R., & Tangpukdee, J. (2022). The Effect of Nutrition Education based on Local Foods on Mothers’ Knowledge and Anthropometry of Malnutrition Children Aged 6 to 21 Months. Malaysian Journal of Nursing, 14(1), 53–58. https://doi.org/10.31674/MJN.2022.V14I01.008
16. Handley, M. A., Lyles, C. R., McCulloch, C., & Cattamanchi, A. (2018). Selecting and Improving Quasi-Experimental Designs in Effectiveness and Implementation Research. Annual Review of Public Health, 39, 5–25. https://doi.org/10.1146/annurev-publhealth-040617-014128
17. Herawati, H. D., Putri, A. G., Purnamasari, Y., Rahayu, H. K., Triastanti, R. K., Purnamasari, S. D., & Lestari, P. (2022). Nutrition Education using Booklet Media with and Without Counseling and the Association with Home Food Availability and Parent Feeding Practices in Preschool Children. Open Access Macedonian Journal of Medical Sciences, 10(T8), 160–166. https://doi.org/10.3889/oamjms.2022.9490
18. Hidayati, N., Rosawanti, P., Yusuf, F., & Hanafi, N. (2017). Kajian Penggunaan Nutrisi Anorganik terhadap Pertumbuhan Kangkung (Ipomoea reptans Poir) Hidroponik Sistem Wick. Daun: Jurnal Ilmiah Pertanian Dan Kehutanan, 4(2), 75–81. https://doi.org/10.33084/daun.v4i2.81
19. Hirani, S. A. A., Pearce, M., & Lanoway, A. (2021). Knowledge mobilization tool to promote, protect, and support breastfeeding during COVID-19. Canadian Journal of Public Health = Revue Canadienne de Sante Publique, 112(4), 599–619. https://doi.org/10.17269/s41997-021-00532-5
20. Huicho, L., Vidal-Cárdenas, E., Akseer, N., Brar, S., Conway, K., Islam, M., Juarez, E., Rappaport, A., Tasic, H., Vaivada, T., Wigle, J., & Bhutta, Z. A. (2020). Drivers of stunting reduction in Peru: A country case study. American Journal of Clinical Nutrition, 112, 816S-829S. https://doi.org/10.1093/ajcn/nqaa164
21. Ichsan, M., Hasnah, R., Faiz, M., & Musi, S. (2024). Analisis Konvergensi Media: Studi Transformasi Dari Media Analog ke Media Digital. Triwikrama: Jurnal Ilmu Sosial, 4(4), 19–30. http://ejournal.warunayama.org/index.php/triwikrama/article/view/4422%0Ahttp://ejournal.warunayama.org/index.php/triwikrama/article/download/4422/4097
22. Islam, M. S., Zafar Ullah, A. N., Mainali, S., Imam, M. A., & Hasan, M. I. (2020). Determinants of stunting during the first 1,000 days of life in Bangladesh: A review. Food Science and Nutrition, 8(9), 4685–4695. https://doi.org/10.1002/fsn3.1795
23. Kirana, R., Aprianti, & Niken Widyastuti, H. (2022). Pengaruh Media Promosi Kesehatan Terhadap Perilaku Ibu Dalam Pencegahan Stunting Di Masa Pandemi Covid-19 (Pada Anak Sekolah Tk Kuncup Harapan Banjarbaru). Jurnal Inovasi Penelitian, 2(9), 2899–2906.
24. Kuswanti, I., & Azzahra, S. K. (2022). Jurnal Kebidanan Indonesia. Hubungan Pengetahuan Ibu Tentang Pemenuhan Gizi Seimbang Dengan Perilaku Pencegahan Stunting Pada Balita, 13(1), 15–22.
25. Lalujan, L. E., Djarkasi, G. S. S., Tuju, T. J. ., Rawung, D., & Sumual, M. F. (2017). Komposisi kimia dan gizi jagung lokal varietas manado kuning sebagai bahan pangan pengganti beras. Jurnal Teknologi Pertanian, 8(1), 47–54.
26. Langi, G. K., Kereh, P. S., & Domili, I. (2021). Instant of tinutuan (Manado porridge) for pregnant women in north sulawesi and gorontalo province. International Journal of Agriculture and Nutrition, 3(2), 10–13. https://doi.org/10.33545/26646064.2021.v3.i2a.44
27. Manalu, M., & Hasibuan, M. A. (2024). The effect of nutrition education with booklet media on knowledge about diet in patients with hypertension. Jurnal Prima Medika Sains, 6(2), 165–168.
28. Manoppo, M. W. (2023). Pengaruh Video Edukasi Pencegahan Stunting Berbasis Kearifan Lokal di Daerah Pedesaan. Universitas Muhammadiyah Yogyakarta.
29. Manoppo, M. W. (2024). Pencegahan dan Penanggulangan Stunting Melalui Edukasi dan Gizi. Klabat Journal of Nursing, 6(1), 69–80. https://r.search.yahoo.com/_ylt=Awrxw_53QaJhPmUA3w_LQwx.;_ylu=Y29sbwNzZzMEcG9zAzQEdnRpZAMEc2VjA3Ny/RV=2/RE=1638052344/RO=10/RU=http%3A%2F%2Feprints.undip.ac.id%2F80670%2F1%2FBuku_EPIDEMIOLOGI_STUNTING_KOMPLIT.pdf/RK=2/RS=BFSY8aq0Lx1bha7MtII8PgwQwYU-
30. Manoppo, M. W., & Huriah, T. (2022). Nutrition intervention to prevent stunting in children aged 6-59 months. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 7, 147–154. https://doi.org/10.30604/jika.v7iS2.1422
31. Mbogori, T., & Murimi, M. (2019). Effects of a nutrition education intervention on maternal nutrition knowledge , dietary intake and nutritional status among food insecure households in Kenya. 6(5), 1831–1837.
32. Meidiana, R., Simbolon, D., & Wahyudi, A. (2018). Pengaruh Edukasi melalui Media Audio Visual terhadap Pengetahuan dan Sikap Remaja Overweight. Jurnal Kesehatan, 9(3), 478. https://doi.org/10.26630/jk.v9i3.961
33. Miller, C. J., Smith, S. N., & Pugatch, M. (2020). Experimental and quasi-experimental designs in implementation research. Psychiatry Research, 283(5), 112452. https://doi.org/10.1016/j.psychres.2019.06.027
34. Mulyani, A. T., Khairinisa, M. A., Khatib, A., & Chaerunisaa, A. Y. (2025). Understanding Stunting: Impact, Causes, and Strategy to Accelerate Stunting Reduction—A Narrative Review. Nutrients , 17(9). https://doi.org/10.3390/nu17091493
35. Nuraini, A., Sari, P., Astuti, S., Gumilang, L., & Didah, D. (2021). Effect of Health Education Video on Knowledge about among Women in Childbearing Age. Althea Medical Journal, 8(1), 7–12. https://doi.org/10.15850/amj.v8n1.2150
36. Roediger, R., Taylor Hendrixson, D., & Manary, M. J. (2020). A roadmap to reduce stunting. American Journal of Clinical Nutrition, 112, 773S-776S. https://doi.org/10.1093/ajcn/nqaa205
37. Said, I., Hadi, A. J., Manggabarani, S., Tampubolon, I. L., Maryanti, E., & Ferusgel, A. (2020). The Effectivity of Nutrition Education Booklet on Knowledge, Fast-food Consumption, Calorie Intake, and Body Mass Index in Adolescents. Journal of Health Promotion and Behavior, 5(1), 11–17. https://doi.org/10.26911/thejhpb.2020.05.01.02
38. Sančanin, B. (2018). The impact of media convergence on the development of integrated corporate communication in tourism. Bizinfo Blace, 9(2), 81–102. https://doi.org/10.5937/bizinfo1802081s
39. Santoso, P., & Pujianto, T. (2024). The Analysis of Factors that Influence Stunting. Jurnal Ners Dan Kebidanan (Journal of Ners and Midwifery), 11(2), 200–208. https://doi.org/10.26699/jnk.v11i2.ART.p200-208
40. Sari, G. M. (2021). Early Stunting Detection Education as an Effort to Increase Mother’s Knowledge about Stunting Prevention. Folia Medica Indonesiana, 57(1), 70. https://doi.org/10.20473/fmi.v57i1.23388
41. Sastroasmoro, S., & Ismael, S. (2014). Dasar-dasar Metodologi Penelitian Klinis (5th ed.). Sagung Seto.
42. Sukmawati, S., Hermayanti, Y., Fadlyana, E., & Mediani, H. S. (2021). Stunting prevention with education and nutrition in pregnant women: A review of literature. Open Access Macedonian Journal of Medical Sciences, 9(T6), 12–19. https://doi.org/10.3889/oamjms.2021.7314
43. Susiloretni, K. A., Smith, E. R., Suparmi, Marsum, Agustina, R., & Shankar, A. H. (2021). The psychological distress of parents is associated with reduced linear growth of children: Evidence from a nationwide population survey. PLoS ONE, 16(10 October), 1–23. https://doi.org/10.1371/journal.pone.0246725
44. Syihab, S., & Kumalasari, I. (2020). Nutrition Education for Preventing Stunting in Elementary Schools: A Systematic Review. TEGAR: Journal of Teaching Physical Education in Elementary School, 4(1), 5–10. https://doi.org/10.17509/tegar.v4i1.28639
45. Tarigan, H. (2021). Relationship between Education , Mother ’ s Knowledge and Environmental Sanitation with Stunting for Toddlers in the Sarudik Primary Care Area Central Tapanuli Regency in 2020. 10(1), 92–97.
46. Tendean, A. F., Sutantri, S., Alhalawi, Z., & Muhammad, C. (2022). Strategi Pencegahan Dan Penanggulangan Stunting Pada Anak Usia 6-59 Bulan. Klabat Journal of Nursing, 4(2), 1. https://doi.org/10.37771/kjn.v4i2.825
47. TNP2K. (2018). Strategi Nasional Percepatan Pencegahan Stunting 2018-2024 (National Strategy for Accelerating Stunting Prevention 2018-2024). Tim Nasional Percepatan Penanggulangan Kemiskinan (TNP2K) Sekretariat Wakil Presiden Republik Indonesia, November, 1–32. http://tnp2k.go.id/filemanager/files/Rakornis 2018/Sesi 1_01_RakorStuntingTNP2K_Stranas_22Nov2018.pdf
48. UNICEF, WHO, & GROUP, W. B. (2018). Levels and Trends in Child Malnutrition. 1–16.
49. Venn, B. J. (2020). Macronutrients and Human Health for The 21st Century. About Science, Myself and Others, 12, 1–3. https://doi.org/10.1201/9780367801618-17
50. Wahyono, A., Kurniawati, E., & Park, K. (2018). Optimasi Proses Pembuatan Tepung Labu Kuning Menggunakan Response Surface Methodology Untuk Meningkatkan Aktivitas Antioksidannya [ Optimization of Pumpkin Flour Manufacturing Using Response Surface Methodology to Enhance its Antioxidant Activities ]. 29(1), 29–38. https://doi.org/10.6066/jtip.2018.29.1.29
51. Walker, S. P., Chang, S. M., Powell, C. A., Simonoff, E., & Grantham-McGregor, S. M. (2007). Early Childhood Stunting Is Associated with Poor Psychological Functioning in Late Adolescence and Effects Are Reduced by Psychosocial Stimulation. The Journal of Nutrition, 137(11), 2464–2469. https://doi.org/10.1093/jn/137.11.2464
52. Wardani, L. K., Aulia, V., Hadhikul, M., & Kardila, M. (2023). Risks of Stunting and Interventions to prevent Stunting. Journal of Community Engagement in Health, 6(2), 79–83. https://doi.org/10.30994/jceh.v6i2.528
53. WHO. (2022). Wasting prevalence among children under 5 years of age (% weight-for-height <-2 SD). The Global Health Observatory.
54. Widhyasari, L. M., Putri, N. L. N. D. D., & Parwati, P. A. (2017). Determination Carbohydrate Level of White Rice in the Rice Cooker Heating Process With Time Variation. Bali Medika Jurnal, 4(2), 115–125. https://doi.org/10.36376/bmj.v4i2.9
55. Wulandary, W., & Sudiarti, T. (2021). Nutrition Intake and Stunting of Under-Five Children in Bogor West Java, Indonesia. Food Science and Nutrition, 7(3), 1–7. https://doi.org/10.24966/fsn-1076/100104
56. Yolanda, Z. W., & Iskandar. (2024). The Influence Of Growth Disorders In Stunting Children On Development. Jurnal Publikasi Kesehatan Masyarakat Indonesia, 10(3). https://doi.org/10.20527/jpkmi.v10i3.18977
57. Yorganci, S. (2022). The interactive e-book and video feedback in a multimedia learning environment: Influence on performance, cognitive, and motivational outcomes. Journal of Computer Assisted Learning, 38(4), 1005–1017. https://doi.org/10.1111/jcal.12658
58. Yuan, Y., & Yang, J. (2024). An Investigation of the Effects of Using Audio-Visual Language Education Integrated Art Teaching on Students’ Learning Motivation and Outcome. Revista de Cercetare Si Interventie Sociala, 87, 252–264. https://doi.org/10.33788/rcis.87.15
59. Zaidi, S., Das, J. K., Khan, G. N., Najmi, R., Shah, M. M., & Soofi, S. B. (2020). Food supplements to reduce stunting in Pakistan: a process evaluation of community dynamics shaping uptake. BMC Public Health, 20(1), 1046. https://doi.org/10.1186/s12889-020-09103-8
2. Akseer, N., Tasic, H., Nnachebe Onah, M., Wigle, J., Rajakumar, R., Sanchez-Hernandez, D., Akuoku, J., Black, R. E., Horta, B. L., Nwuneli, N., Shine, R., Wazny, K., Japra, N., Shekar, M., & Hoddinott, J. (2022). Economic costs of childhood stunting to the private sector in low- and middle-income countries. EClinicalMedicine, 45, 101320. https://doi.org/10.1016/j.eclinm.2022.101320
3. Alam, M. A., Richard, S. A., Fahim, S. M., Mahfuz, M., Nahar, B., Das, S., Shrestha, B., Koshy, B., Mduma, E., Seidman, J. C., Murray-Kolb, L. E., Caulfield, L. E., Lima, A. A. M., Bessong, P., & Ahmed, T. (2020). Erratum: Impact of early-onset persistent stunting on cognitive development at 5 years of age: Results from a multi-country cohort study (PLoS One (2020) 15:1 (e0227839) DOI: 10.1371/journal.pone.0227839). PLoS ONE, 15(2), 1–16. https://doi.org/10.1371/journal.pone.0229663
4. Anggraini, S., Utami, W., & Zairina, E. (2019). Factors affecting community pharmacist’s service for women with chronic diseases during pregnancy and breastfeeding: application of the Health Belief Model. Journal of Basic and Clinical Physiology and Pharmacology, 30(6). https://doi.org/10.1515/jbcpp-2019-0347
5. BKKBN. (2023). Keluarga Beresiko Stunting. BKKBN Sulawesi Utara.
6. Buksh, S. M., Hay, P., & de Wit, J. B. F. (2023). Perceptions on Healthy Eating Impact the Home Food Environment: A Qualitative Exploration of Perceptions of Indigenous Food Gatekeepers in Urban Fiji. Nutrients, 15(18). https://doi.org/10.3390/nu15183875
7. Carin, V., Juwandhi, A. R., Anwar, K., Setyowati, A., & Fitri, Y. P. (2024). Pengaruh Edukasi Pencegahan Stunting dengan Media Buku Saku Digital dan Video Animasi Terhadap Tingkat Pengetahuan dan Sikap Ibu Balita di Posyandu Merah Delima, Kota Tangerang. Jurnal Abdi Masyarakat Indonesia, 4(1), 163–170. https://doi.org/10.54082/jamsi.1047
8. Crookston, B. T., Penny, M. E., Alder, S. C., Dickerson, T. T., Merrill, R. M., Stanford, J. B., Porucznik, C. A., & Dearden, K. A. (2010). Children Who Recover from Early Stunting and Children Who Are Not Stunted Demonstrate Similar Levels of Cognition. The Journal of Nutrition, 140(11), 1996–2001. https://doi.org/10.3945/jn.109.118927
9. Effendy, D. S., Prangthip, P., Soonthornworasiri, N., Winichagoon, P., & Kwanbunjan, K. (2020). Nutrition education in Southeast Sulawesi Province, Indonesia: A cluster randomized controlled study. Maternal and Child Nutrition, 16(4). https://doi.org/10.1111/mcn.13030
10. Fadyllah, M. I., & Prasetyo, Y. B. (2021). Pendidikan Kesehatan Menggunakan Metode Audiovisual dalam Meningkatkan Pengetahuan Ibu Merawat Anak dengan Stunting. Jurnal Promosi Kesehatan Indonesia, 16(1), 23–30. https://doi.org/10.14710/jpki.16.1.23-30
11. Fikawati, S., Syafiq, A., Ririyanti, R. K., & Gemily, S. C. (2021). Energy and protein intakes are associated with stunting among preschool children in Central Jakarta, Indonesia: a case-control study. Malaysian Journal of Nutrition, 27(1), 81–91. https://doi.org/10.31246/MJN-2020-0074
12. Ghanny, A. T. A., Firdaus, S. S., Fitri, D. E. W., Susanto, D. W. C., Maswonggo, A. S., & Abdullah, S. S. (2022). Alternative Food Processing Technology, Instant Tinutuan of Stunting Solitions and Quality Assurance of Nutritional Levels. PHARMACON, 11, 1381–1388.
13. Glorioso, I. G., Gonzales, M. S., & Malit, A. M. P. (2020). School-based nutrition education to improve children and their mothers’ knowledge on food and nutrition in rural areas of the Philippines. Malaysian Journal of Nutrition, 26(2), 189–201. https://doi.org/10.31246/mjn-2020-0004
14. Goudet, S. M., Bogin, B. A., Madise, N. J., & Griffiths, P. L. (2019). Nutritional interventions for preventing stunting in children (Birth to 59 months) living in urban slums in low-and middle-income countries (LMIC). Cochrane Database of Systematic Reviews, 2019(6). https://doi.org/10.1002/14651858.CD011695.pub2
15. Gumelar, W. R., & Tangpukdee, J. (2022). The Effect of Nutrition Education based on Local Foods on Mothers’ Knowledge and Anthropometry of Malnutrition Children Aged 6 to 21 Months. Malaysian Journal of Nursing, 14(1), 53–58. https://doi.org/10.31674/MJN.2022.V14I01.008
16. Handley, M. A., Lyles, C. R., McCulloch, C., & Cattamanchi, A. (2018). Selecting and Improving Quasi-Experimental Designs in Effectiveness and Implementation Research. Annual Review of Public Health, 39, 5–25. https://doi.org/10.1146/annurev-publhealth-040617-014128
17. Herawati, H. D., Putri, A. G., Purnamasari, Y., Rahayu, H. K., Triastanti, R. K., Purnamasari, S. D., & Lestari, P. (2022). Nutrition Education using Booklet Media with and Without Counseling and the Association with Home Food Availability and Parent Feeding Practices in Preschool Children. Open Access Macedonian Journal of Medical Sciences, 10(T8), 160–166. https://doi.org/10.3889/oamjms.2022.9490
18. Hidayati, N., Rosawanti, P., Yusuf, F., & Hanafi, N. (2017). Kajian Penggunaan Nutrisi Anorganik terhadap Pertumbuhan Kangkung (Ipomoea reptans Poir) Hidroponik Sistem Wick. Daun: Jurnal Ilmiah Pertanian Dan Kehutanan, 4(2), 75–81. https://doi.org/10.33084/daun.v4i2.81
19. Hirani, S. A. A., Pearce, M., & Lanoway, A. (2021). Knowledge mobilization tool to promote, protect, and support breastfeeding during COVID-19. Canadian Journal of Public Health = Revue Canadienne de Sante Publique, 112(4), 599–619. https://doi.org/10.17269/s41997-021-00532-5
20. Huicho, L., Vidal-Cárdenas, E., Akseer, N., Brar, S., Conway, K., Islam, M., Juarez, E., Rappaport, A., Tasic, H., Vaivada, T., Wigle, J., & Bhutta, Z. A. (2020). Drivers of stunting reduction in Peru: A country case study. American Journal of Clinical Nutrition, 112, 816S-829S. https://doi.org/10.1093/ajcn/nqaa164
21. Ichsan, M., Hasnah, R., Faiz, M., & Musi, S. (2024). Analisis Konvergensi Media: Studi Transformasi Dari Media Analog ke Media Digital. Triwikrama: Jurnal Ilmu Sosial, 4(4), 19–30. http://ejournal.warunayama.org/index.php/triwikrama/article/view/4422%0Ahttp://ejournal.warunayama.org/index.php/triwikrama/article/download/4422/4097
22. Islam, M. S., Zafar Ullah, A. N., Mainali, S., Imam, M. A., & Hasan, M. I. (2020). Determinants of stunting during the first 1,000 days of life in Bangladesh: A review. Food Science and Nutrition, 8(9), 4685–4695. https://doi.org/10.1002/fsn3.1795
23. Kirana, R., Aprianti, & Niken Widyastuti, H. (2022). Pengaruh Media Promosi Kesehatan Terhadap Perilaku Ibu Dalam Pencegahan Stunting Di Masa Pandemi Covid-19 (Pada Anak Sekolah Tk Kuncup Harapan Banjarbaru). Jurnal Inovasi Penelitian, 2(9), 2899–2906.
24. Kuswanti, I., & Azzahra, S. K. (2022). Jurnal Kebidanan Indonesia. Hubungan Pengetahuan Ibu Tentang Pemenuhan Gizi Seimbang Dengan Perilaku Pencegahan Stunting Pada Balita, 13(1), 15–22.
25. Lalujan, L. E., Djarkasi, G. S. S., Tuju, T. J. ., Rawung, D., & Sumual, M. F. (2017). Komposisi kimia dan gizi jagung lokal varietas manado kuning sebagai bahan pangan pengganti beras. Jurnal Teknologi Pertanian, 8(1), 47–54.
26. Langi, G. K., Kereh, P. S., & Domili, I. (2021). Instant of tinutuan (Manado porridge) for pregnant women in north sulawesi and gorontalo province. International Journal of Agriculture and Nutrition, 3(2), 10–13. https://doi.org/10.33545/26646064.2021.v3.i2a.44
27. Manalu, M., & Hasibuan, M. A. (2024). The effect of nutrition education with booklet media on knowledge about diet in patients with hypertension. Jurnal Prima Medika Sains, 6(2), 165–168.
28. Manoppo, M. W. (2023). Pengaruh Video Edukasi Pencegahan Stunting Berbasis Kearifan Lokal di Daerah Pedesaan. Universitas Muhammadiyah Yogyakarta.
29. Manoppo, M. W. (2024). Pencegahan dan Penanggulangan Stunting Melalui Edukasi dan Gizi. Klabat Journal of Nursing, 6(1), 69–80. https://r.search.yahoo.com/_ylt=Awrxw_53QaJhPmUA3w_LQwx.;_ylu=Y29sbwNzZzMEcG9zAzQEdnRpZAMEc2VjA3Ny/RV=2/RE=1638052344/RO=10/RU=http%3A%2F%2Feprints.undip.ac.id%2F80670%2F1%2FBuku_EPIDEMIOLOGI_STUNTING_KOMPLIT.pdf/RK=2/RS=BFSY8aq0Lx1bha7MtII8PgwQwYU-
30. Manoppo, M. W., & Huriah, T. (2022). Nutrition intervention to prevent stunting in children aged 6-59 months. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 7, 147–154. https://doi.org/10.30604/jika.v7iS2.1422
31. Mbogori, T., & Murimi, M. (2019). Effects of a nutrition education intervention on maternal nutrition knowledge , dietary intake and nutritional status among food insecure households in Kenya. 6(5), 1831–1837.
32. Meidiana, R., Simbolon, D., & Wahyudi, A. (2018). Pengaruh Edukasi melalui Media Audio Visual terhadap Pengetahuan dan Sikap Remaja Overweight. Jurnal Kesehatan, 9(3), 478. https://doi.org/10.26630/jk.v9i3.961
33. Miller, C. J., Smith, S. N., & Pugatch, M. (2020). Experimental and quasi-experimental designs in implementation research. Psychiatry Research, 283(5), 112452. https://doi.org/10.1016/j.psychres.2019.06.027
34. Mulyani, A. T., Khairinisa, M. A., Khatib, A., & Chaerunisaa, A. Y. (2025). Understanding Stunting: Impact, Causes, and Strategy to Accelerate Stunting Reduction—A Narrative Review. Nutrients , 17(9). https://doi.org/10.3390/nu17091493
35. Nuraini, A., Sari, P., Astuti, S., Gumilang, L., & Didah, D. (2021). Effect of Health Education Video on Knowledge about among Women in Childbearing Age. Althea Medical Journal, 8(1), 7–12. https://doi.org/10.15850/amj.v8n1.2150
36. Roediger, R., Taylor Hendrixson, D., & Manary, M. J. (2020). A roadmap to reduce stunting. American Journal of Clinical Nutrition, 112, 773S-776S. https://doi.org/10.1093/ajcn/nqaa205
37. Said, I., Hadi, A. J., Manggabarani, S., Tampubolon, I. L., Maryanti, E., & Ferusgel, A. (2020). The Effectivity of Nutrition Education Booklet on Knowledge, Fast-food Consumption, Calorie Intake, and Body Mass Index in Adolescents. Journal of Health Promotion and Behavior, 5(1), 11–17. https://doi.org/10.26911/thejhpb.2020.05.01.02
38. Sančanin, B. (2018). The impact of media convergence on the development of integrated corporate communication in tourism. Bizinfo Blace, 9(2), 81–102. https://doi.org/10.5937/bizinfo1802081s
39. Santoso, P., & Pujianto, T. (2024). The Analysis of Factors that Influence Stunting. Jurnal Ners Dan Kebidanan (Journal of Ners and Midwifery), 11(2), 200–208. https://doi.org/10.26699/jnk.v11i2.ART.p200-208
40. Sari, G. M. (2021). Early Stunting Detection Education as an Effort to Increase Mother’s Knowledge about Stunting Prevention. Folia Medica Indonesiana, 57(1), 70. https://doi.org/10.20473/fmi.v57i1.23388
41. Sastroasmoro, S., & Ismael, S. (2014). Dasar-dasar Metodologi Penelitian Klinis (5th ed.). Sagung Seto.
42. Sukmawati, S., Hermayanti, Y., Fadlyana, E., & Mediani, H. S. (2021). Stunting prevention with education and nutrition in pregnant women: A review of literature. Open Access Macedonian Journal of Medical Sciences, 9(T6), 12–19. https://doi.org/10.3889/oamjms.2021.7314
43. Susiloretni, K. A., Smith, E. R., Suparmi, Marsum, Agustina, R., & Shankar, A. H. (2021). The psychological distress of parents is associated with reduced linear growth of children: Evidence from a nationwide population survey. PLoS ONE, 16(10 October), 1–23. https://doi.org/10.1371/journal.pone.0246725
44. Syihab, S., & Kumalasari, I. (2020). Nutrition Education for Preventing Stunting in Elementary Schools: A Systematic Review. TEGAR: Journal of Teaching Physical Education in Elementary School, 4(1), 5–10. https://doi.org/10.17509/tegar.v4i1.28639
45. Tarigan, H. (2021). Relationship between Education , Mother ’ s Knowledge and Environmental Sanitation with Stunting for Toddlers in the Sarudik Primary Care Area Central Tapanuli Regency in 2020. 10(1), 92–97.
46. Tendean, A. F., Sutantri, S., Alhalawi, Z., & Muhammad, C. (2022). Strategi Pencegahan Dan Penanggulangan Stunting Pada Anak Usia 6-59 Bulan. Klabat Journal of Nursing, 4(2), 1. https://doi.org/10.37771/kjn.v4i2.825
47. TNP2K. (2018). Strategi Nasional Percepatan Pencegahan Stunting 2018-2024 (National Strategy for Accelerating Stunting Prevention 2018-2024). Tim Nasional Percepatan Penanggulangan Kemiskinan (TNP2K) Sekretariat Wakil Presiden Republik Indonesia, November, 1–32. http://tnp2k.go.id/filemanager/files/Rakornis 2018/Sesi 1_01_RakorStuntingTNP2K_Stranas_22Nov2018.pdf
48. UNICEF, WHO, & GROUP, W. B. (2018). Levels and Trends in Child Malnutrition. 1–16.
49. Venn, B. J. (2020). Macronutrients and Human Health for The 21st Century. About Science, Myself and Others, 12, 1–3. https://doi.org/10.1201/9780367801618-17
50. Wahyono, A., Kurniawati, E., & Park, K. (2018). Optimasi Proses Pembuatan Tepung Labu Kuning Menggunakan Response Surface Methodology Untuk Meningkatkan Aktivitas Antioksidannya [ Optimization of Pumpkin Flour Manufacturing Using Response Surface Methodology to Enhance its Antioxidant Activities ]. 29(1), 29–38. https://doi.org/10.6066/jtip.2018.29.1.29
51. Walker, S. P., Chang, S. M., Powell, C. A., Simonoff, E., & Grantham-McGregor, S. M. (2007). Early Childhood Stunting Is Associated with Poor Psychological Functioning in Late Adolescence and Effects Are Reduced by Psychosocial Stimulation. The Journal of Nutrition, 137(11), 2464–2469. https://doi.org/10.1093/jn/137.11.2464
52. Wardani, L. K., Aulia, V., Hadhikul, M., & Kardila, M. (2023). Risks of Stunting and Interventions to prevent Stunting. Journal of Community Engagement in Health, 6(2), 79–83. https://doi.org/10.30994/jceh.v6i2.528
53. WHO. (2022). Wasting prevalence among children under 5 years of age (% weight-for-height <-2 SD). The Global Health Observatory.
54. Widhyasari, L. M., Putri, N. L. N. D. D., & Parwati, P. A. (2017). Determination Carbohydrate Level of White Rice in the Rice Cooker Heating Process With Time Variation. Bali Medika Jurnal, 4(2), 115–125. https://doi.org/10.36376/bmj.v4i2.9
55. Wulandary, W., & Sudiarti, T. (2021). Nutrition Intake and Stunting of Under-Five Children in Bogor West Java, Indonesia. Food Science and Nutrition, 7(3), 1–7. https://doi.org/10.24966/fsn-1076/100104
56. Yolanda, Z. W., & Iskandar. (2024). The Influence Of Growth Disorders In Stunting Children On Development. Jurnal Publikasi Kesehatan Masyarakat Indonesia, 10(3). https://doi.org/10.20527/jpkmi.v10i3.18977
57. Yorganci, S. (2022). The interactive e-book and video feedback in a multimedia learning environment: Influence on performance, cognitive, and motivational outcomes. Journal of Computer Assisted Learning, 38(4), 1005–1017. https://doi.org/10.1111/jcal.12658
58. Yuan, Y., & Yang, J. (2024). An Investigation of the Effects of Using Audio-Visual Language Education Integrated Art Teaching on Students’ Learning Motivation and Outcome. Revista de Cercetare Si Interventie Sociala, 87, 252–264. https://doi.org/10.33788/rcis.87.15
59. Zaidi, S., Das, J. K., Khan, G. N., Najmi, R., Shah, M. M., & Soofi, S. B. (2020). Food supplements to reduce stunting in Pakistan: a process evaluation of community dynamics shaping uptake. BMC Public Health, 20(1), 1046. https://doi.org/10.1186/s12889-020-09103-8
Downloads
Published
2025-10-20
How to Cite
Manoppo, M. W., & Padaunan, E. (2025). MEDIA CONVERGENCE USING LOCAL FOOD (TINUTUAN) TO IMPROVE MOTHERS’ KNOWLEDGE, ATTITUDES, AND BEHAVIORS FOR STUNTING PREVENTION IN KEMA, NORTH MINAHASA. Klabat Journal of Nursing, 7(2), 251–263. https://doi.org/10.37771/kjn.v7i2.1408
Issue
Section
Articles
