Development of A Digital-Based Dental Health Activity Books as An Educational Media to Improve Cognitive and Psychomotor for Diabetes Mellitus Patients

Rena Setiana Primawati; Anie Kristiani; Hilmiy Ila Robbihi; Rida Khoerunisa; Ulfah Utami

doi:10.36082/jdht.v7i2.3409

Authors

Rena Setiana Primawati
[email protected]
Jurusan Kesehatan Gigi, Politekkes Kemenkes Tasikmalaya
Anie Kristiani Jurusan Kesehatan Gigi, Politekkes Kemenkes Tasikmalaya
Hilmiy Ila Robbihi Jurusan Kesehatan Gigi, Politekkes Kemenkes Tasikmalaya
Rida Khoerunisa Jurusan Kesehatan Gigi, Politekkes Kemenkes Bandung
Ulfah Utami Jurusan Kesehatan Gigi, Politekkes Kemenkes Bandung

Keywords:

Activity Books, Cognitive, Psychomotor, Diabetes Mellitus

Abstract

Diabetes mellitus (DM) is the main non-communicable disease (NCD) in Indonesia which is referred to as the mother of disease. The prevalence of DM in Indonesia continues to increase and one of the impacts that is often overlooked is dental and oral health disorders. Digital-based dental health education through the Activity Books is expected to improve the cognitive and psychomotor abilities of DM patients in maintaining dental and oral health. Objective: To develop a digital-based activity books that is suitable for use, as well as to analyze the cognitive and psychomotor of DM patients in the maintenance of dental and oral health. Methods: This study uses Research and Development (R&D) design with experts and users, product design drafting, design revision, small group trials, and large group trials. The research sample consisted of media experts, health promotion experts, dental health promotion experts, NCD program holders, and DM patients who were selected using purposive sampling based on inclusion and exclusion criteria. Data analysis was carried out in a qualitative descriptive manner for product development data, the Likert scale for validation data, and the Wilcoxon test to assess cognitive and psychomotor differences before and after intervention. Results: Expert validation results showed an average feasibility score of 94.01 and user validation of 91.91, both of which were in the very feasible category. The cognitive category of good increased from 6% to 76%, the psychomotor category of good increased from 56% to 74%. The Wilcoxon test showed a value of p = 0.000 on cognitive and psychomotor variables. Conclusion: The digital-based dental health activity books is stated to be suitable for use as a dental and oral health education media and has been proven to be effective in improving the cognitive and psychomotor of diabetes mellitus patients in maintaining dental and oral health in Tasikmalaya City.

Downloads

Download data is not yet available.

References

de Miguel-Infante A, & et al. (2019). Periodontal Disease in Adults with Diabetes: Prevalence and Risk Factors. Results of an Observational Study. Int J Clin Pract, 73. https://doi.org/https://doi.org/10.1111/ijcp.13294

Hardianto, D. (2021). Telaah Komprehensif Diabetes Melitus: Klasifikasi, Gejala, Diagnosis, Pencegahan, dan Pengobatan. Jurnal Bioteknologi & Biosains Indonesia (JBBI), 7(2), 304.

Hasnasari Heningtyas, A., Dian Puspita, A., & Femillian, A. (2020). The Behaviour of Dental and Oral Health and Risk of Caries in the Prolanis Group of Klinik Pratama Firdaus Yogyakarta. 70–75. http://ejournal.poltekkes-smg.ac.id/ojs/index.php/jkg/index

Heningtyas, D. A. H., & Zahradina Fatihah, S. K. G. (2024). Lansia dengan Hipertensi dan Diabetes: Meninjau Kualitas Hidup yang Berhubungan dengan Kesehatan Mulut. Deepublish.

Isnaeni, N. (2018). Tingkat Pendidikan, Pengetahuan Gizi dan Kepatuhan Diet pada Pasien Diabetes Mellitus (DM) Rawat Jalan di RSUD Karanganyar. MPPKI (Media Publikasi Promosi Kesehatan Indonesia): The Indonesian Journal of Health Promotion.

Kemenkes. (2014). Panduan Praktik Prolanis. BPJS Kesehatan.

Kemenkes. (2018). Laporan Riskesdas 2018 Nasional.

Kusnoto, J., Djamil, M. S., Nofrizal, R., Maitimu, F. C., & Kusnadi, S. J. (2024). Cara Menjaga Kesehatan Gigi dan Mulut untuk Mengatasi Kegoyangan Gigi pada Lansia. Jurnal Abdi Masyarakat Indonesia (JAMIN), 6(2), 128–135.

Lansang, M. C. (2022). Diabetes: Clinician’s Desk Reference. CRC Press.

Marlina. (2025). Manajemen Perawatan Gigi pada Pasien Diabetes Mellitus. USK Press.

Marludia, M. A., Fauziah, R., Putri, S., Dumonda Silitonga, V., Yunior, F. S., & Nurwanti, W. (2023). Animation-Based Interactive Media Education on Reducing Personal Hygiene Performance (PHP) Scores in Adolescents. Journal CoE: Health Assistive Technology, 1(1), 34–40. https://doi.org/10.36082/jchat.v1i1.1010

Mian, R. I., & et al. (2020). Oral Health-Related Knowledge and Assessment of Oral Health Status of Diabetic Patients Attending Dental Clinics at College of Dentistry, Hail, Saudi Arabia. Journal of Contemporary Dental Practice.

Nisa, K., & Navlia, R. (2025). Evaluasi Efektivitas Penggunaan Learning Management System (LMS) dalam Meningkatkan Kualitas Pembelajaran Daring. Urnal Psikososial Dan Pendidikan, 1(3), 1769–1782.

Nuraisyah, F., Purnama, S. J., Nuryanti, Y., Agustin, R. D., Desriani, R., & Putri, M. U. (2022). Edukasi Pengetahuan Penyakit Tidak Menular dan GERMAS pada Usia Produktif di Dusun Karangbendo. PANRITA_ABDI Jurnal Pengabdian Kepada Masyarakat, 6(1). http://journal.unhas.ac.id/index.php/panritaabdi

Nurwanti, W., Santoso, B., Fatmasari, D., & Djamil, M. (2019). Widi’s Puzzle Development towards Improvement in Oral Hygiene Behaviour of Special School Teacher. Int. J. of Allied Med. Sci. and Clin. Research, 7(2), 522–527. www.ijamscr.com

Puspasari, S., Nurdina, G., & Dwilestari, W. (2023). Gambaran Oral Health Status pada Pasien dengan Diabetes Mellitus: Literature Review: Description of Oral Health Status in Patients with Diabetes Mellitus: Literature review. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 9(1), 44–52.

Puspitawati, Y., Ulliana, U., Sulistiani, S., Fadliyah, N. K., & Nurwanti, W. (2022). Promosi Kesehatan Gigi Menggunakan Media Fliphchart terhadap Pengetahuan Siswa Sekolah Dasar. JDHT Journal of Dental Hygiene and Therapy, 3(1), 21–25. https://doi.org/10.36082/jdht.v3i1.486

Rosdiana, A. I., Raharjo, B. B., & Indarjo, S. (2017). Implementasi Program Pengelolaan Penyakit Kronis (Prolanis). HIGEIA (Journal of Public Health Research and Development), 1(3), 140–150.

Sari, M., & Jannah, N. F. (2021). Gambaran Pengetahuan Kesehatan Gigi Mulut, Perilaku Kesehatan Gigi Mulut, dan Status Gigi Lansia di Panti Wreda Surakarta. Jurnal Surya Masyarakat, 3(2), 86–94.

Selano, M. K. (2021). Hubungan Lama Menderita dengan Kejadian Neuropati Diabetikum pada Pasien Diabetes Melitus The Relationship of Long Suffering with The Event of Diabetic Neuropaty in Diabetes Mellitus Patients. Jurnal Smart Keperawatan, 8(2), 129–134.

Sofian, J., & Karjatin, A. (2025). Media Edukasi Video sebagai Upaya Promotif pada Keluarga Pasien Diabetes Melitus Tipe 2 di Wilayah Kerja Puskesmas Baleendah. Jurnal Kesehatan Siliwangi, 6(1), 66–71.

Sugiyono. (2018). Metode Penelitian Kuantitatif, Kualitatif, R&D. Alfabeta.

Sulistiani, S., Fauziah, R., Putri, S., Nurwanti, W., Sinta, M., Kesehatan, A. A., & Ditkesad, G. (2022). Dental Health Promotion as Student Knowledge Improvement Effort. International Journal of Advanced Research in Science, Engineering and Technology, 9(2). https://doi.org/10.53350/pjmhs2115103103Nurwanti

Ulliana, Nurwanti, W., & Setyawati, B. P. (2024). Pemanfaatan Google Site sebagai Media Edukasi Kesehatan Gigi dan Mulut pada Siswa. GEMAKES: Jurnal Pengabdian Kepada Masyarakat, 4(3), 312–316.

Ulliana, Santoso, B., Utami, U., Nurwanti, W., & Nurrochman, A. (2021). Brief Motivational Interviewing Counseling to Improve Oral Hygiene Behavior Among Adolescent. Pakistan Journal of Medical and Health Sciences, 15(10), 3103–3108. https://doi.org/10.53350/pjmhs2115103103

Wahidin, & et al. (2023). Beban Penyakit dan Program Pencegahan dan Pengendalian Penyakit Tidak Menular di Indonesia. Jurnal Epidemiologi Kesehatan Indonesia, 6(2), 105.