Jurnal Abdimas Indonesia
PEMBERDAYAAN KADER REMAJA UNIT KESEHATAN SEKOLAH BERBASIS EDUGAME MOLECULER DALAM MENINGKATKAN KESADARAN BAHAYA KANKER DI SURABAYA
Abstract
Abstract
Cancer is one of the leading causes of mortality worldwide, including in Indonesia, necessitating promotive and preventive interventions from an early age. However, adolescents’ awareness of cancer remains low due to limited access to engaging and comprehensible information. This community service program aimed to enhance adolescents’ knowledge and awareness of cancer through the empowerment of School Health Unit (UKS) cadres using molecular edugame media. The activity was conducted at SMP Negeri 40 Surabaya and SMP IT Ustman Bin Affan from June until October 2025, involving 50 UKS adolescent cadres selected through total sampling. An educational-participatory approach was applied, utilizing molecular edugames Monocancer, Word Puzzle Game, and Flash Cards as the primary learning instruments. Data were collected using pre- and post-tests to measure knowledge improvement and observation to evaluate participation and media effectiveness. The findings demonstrated a significant increase in participants’ knowledge and awareness of cancer, with 60% achieving a high level, 30% a moderate level, and 10% a low level. These results indicate that molecular edugames are effective, interactive tools for adolescent cancer education. The program concludes that educational games represent an innovative strategy for school-based health promotion and recommends broader adoption through collaboration among schools, health professionals, and communities.
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Abraham O, Szela L, Khan M, Geddam A
Exploring Middle School Students’ Perspectives on Using Serious Games for Cancer Prevention Education: Focus Group Study
JMIR Serious Games 2022;10(1):e31172
doi: 10.2196/31172
Andrew, L., Barwood, D., Boston, J. et al. Serious games for health promotion in adolescents – a systematic scoping review. Educ Inf Technol 28, 5519–5550 (2023). https://doi.org/10.1007/s10639-022-11414-9
Aresi, G., Chiavegatti, B., Marta, E. 2020. Participants’ Experience with Gamification Elements of a School-Based Health Promotion Intervention in Italy: A Mixed Methods Study. Journal of Prevention (2025) 46:299–316 https://doi.org/10.1007/s10935-024-00820-z
Banerjee, A., et al. (2022). School-based peer education interventions for adolescent health: A systematic review. BMC Public Health, 22(1), 1483. https://doi.org/10.1186/s12889-022-13762-9
Bas-Sarmiento, P., Julián-López, C., Fernández-Gutiérrez, M. et al. Gamified eHealth interventions for health promotion and disease prevention in children and adolescents: a scoping review. Humanit Soc Sci Commun 12, 397 (2025). https://doi.org/10.1057/s41599-025-04670-w
Biro, A. V. de S., Fernandes, J. A. de S., Fernandes, S. M. P. dos S., Ribeiro, L. C. S., de Almeida, G. C., & de Almeida, G. C. (2024). Serious game as an educational tool to promote the health of children and adolescents with cancer. Investigación y Educación en Enfermería, 43(1), Article e02. https://doi.org/10.17533/udea.iee.v43n1e02
Chen, L., et al. (2022). Empowering student health cadres through digital peer education: A randomized controlled trial. Journal of Adolescent Health, 70(2), 247–255. https://doi.org/10.1016/j.jadohealth.2021.08.012
Dadczynski, K., Krah, V., Frank, D., Zugel-Hintsz, E., Pohlmann, F. 2021. Promoting Navigation Health Literacy at the Intersection of Schools and Communities. Development of the Game-Based Intervention Nebolus. Front. Public Health, Sec. Public Health Education and Promotion. Volume 9. https://doi.org/10.3389/fpubh.2021.752183
Diao, H., Pu, Y., Yang, L., Li, T., Jin, F., & Wang, H. (2020). The impacts of peer education based on adolescent health education on the quality of life in adolescents: a randomized controlled trial.
Dodd, S., Widnall, E., Russell, A. E., & Curtin, E. L. (2022). School-based peer education interventions to improve health: a global systematic review of effectiveness.
Dos Santos TT, Ríos MP, de Medeiros GCBS, Mata ÁNdS, Silva Junior DdN, Guillen DM, et al. (2023) Gamification as a health education strategy of adolescents at school: Protocol for a systematic review and meta-analysis. PLoS ONE 18(11): e0294894. https://doi.org/10.1371/journal.pone.0294894
Fresty Africia, Wiseno, B., Susetiyanto Atmojo, D., Tria Jaya, S., & Dwi Cahyono, A. (2023). Peningkatan peran kader kesehatan remaja (KKR) pada pelaksanaan UKS: enhancing the role of adolescent health cadres (KKR) in implementation school health units (UKS). Jurnal Abdimas Pamenang, 1(2), 142. https://doi.org/10.53599/jap.v1i2.142
Gkintoni, E., Vantaraki, F., Skoulidi, C., Anastassopoulos, P., & Vantarakis, A. (2024). Promoting Physical and Mental Health among Children and Adolescents via Gamification—A Conceptual Systematic Review. Behavioral Sciences, 14(2), 102. https://doi.org/10.3390/bs14020102
GLOBOCAN. International Agency for Research on Cancer. 2022.
Grant-Alfieri, A., Burke, K., & Zeinomar, N. (2022). Cancer education interventions in adolescents: a systematic review of scope and content.
Haruna, H., Zainuddin, Z., Okoye, K., Mellecker, R., Hu, X., Chu, S., Hosseini, S. 2024. Improving instruction and sexual health literacy with serious games and gamification interventions: an outlook to students’ learning outcomes and gender differences. 2392-2410. Taylor & Francis.
Huang, Y., et al. (2023). Digital health interventions in Asian schools: Effects on cancer awareness among adolescents. Asian Pacific Journal of Cancer Prevention, 24(5), 1583–1590. https://doi.org/10.31557/APJCP.2023.24.5.1583
Igwilo, S. N., Ujuagu, A. N., Alozie, C. P., Anyaeji, E. N., & Okoye, C. A. (2024). Influence of Gamification on Students’ Motivation, Attitude, Knowledge and Engagement in Sexual Health Education among undergraduate Adolescents in Awka, Anambra State. NIGERIAN JOURNAL OF HEALTH PROMOTION, 17(1). Retrieved from https://journals.aphriapub.com/index.php/NJHP/article/view/2707
Ilic, I., et al. (2020). Adolescent awareness and risk factors of cancer: A cross-sectional study. European Journal of Public Health, 30(6), 1123–1129. https://doi.org/10.1093/eurpub/ckaa127
Ingersgaard, M. V., & Fridh, M. K. (2021). A qualitative study of adolescent cancer survivors perspectives on social support from healthy peers – A RESPECT study.
Johnson, D., Deterding, S., Kuhn, K. A., Staneva, A., Stoyanov, S., & Hides, L. (2020). Gamification for health and wellbeing: A systematic review of the literature. Internet Interventions, 25, 100-327.
Kemenkes RI. Laporan Surveillans Kanker pada Remaja di Indonesia. 2023.
Kemenkes RI. Profil Kesehatan Indonesia 2022. Jakarta; 2023.
Kementerian Kesehatan. Rencana Kanker Nasional 2024-2034: Strategi Indonesia dalam Upaya Melawan Kanker. Jakarta Selatan: Kemenkes; 2024.
Kim S, Wilson P, Abraham O
Investigating the Use of Serious Games for Cancer Control Among Children and Adolescents: Scoping Review
JMIR Serious Games 2024;12:e58724
doi: 10.2196/58724
Mancone S, Corrado S, Tosti B, Spica G and Diotaiuti P (2024) Integrating digital and interactive approaches in adolescent health literacy: a comprehensive review. Front. Public Health 12:1387874. doi: 10.3389/fpubh.2024.1387874
Moreira R, Silveira A, Sequeira T, Durão N, Lourenço J, Cascais I, Cabral RM, Taveira Gomes T
Gamification and Oral Health in Children and Adolescents: Scoping Review
Interact J Med Res 2024;13:e35132
doi: 10.2196/35132
Ning, Y., Jia, Z., Zhu, R. et al. Effect and feasibility of gamification interventions for improving physical activity and health-related outcomes in cancer survivors: an early systematic review and meta-analysis. Support Care Cancer 31, 92 (2023). https://doi.org/10.1007/s00520-022-07550-0
Sadoh, A. E., Osime, C., Nwaneri, D. U., & Ogboghodo, B. C. (2021). Improving knowledge about breast cancer and breast self examination in female Nigerian adolescents using peer education: a pre-post interventional study.
Sana Nazmi, Atefeh Omrani, Fereshteh Behmanesh, Hossein-Ali Nikbakht, Manoosh Mehrabi, Romina Hamzehpour. (2025). Improving Pubertal Health Education for Adolescent Girls Through a Gamified Learning Approach, Journal of Pediatric and Adolescent Gynecology, Volume 38, Issue 3, 320-327, https://doi.org/10.1016/j.jpag.2025.01.003.
Santrock, J. W. (2019). Adolescence (17th ed.). New York: McGraw-Hill.
Sawyer, S. M., Afifi, R. A., Bearinger, L. H., Blakemore, S. J., Dick, B., Ezeh, A. C., & Patton, G. C. (2012). Adolescence: A foundation for future health. The Lancet, 379(9826), 1630–1640.
Sawyer, S. M., et al. (2020). The age of adolescence. The Lancet Child & Adolescent Health, 4(3), 223–228. https://doi.org/10.1016/S2352-4642(20)30022-1
Silva, R. B., et al. (2021). Serious games for cancer prevention and care: A scoping review. Frontiers in Psychology, 12, 642746. https://doi.org/10.3389/fpsyg.2021.642746
Tan, A. S. L., et al. (2021). Digital games for health promotion: Systematic review of effectiveness. JMIR Serious Games, 9(3), e27239. https://doi.org/10.2196/27239
Tang, Y., Diao, H., Jin, F., Pu, Y., & Wang, H. (2022). The effect of peer education based on adolescent health education on the resilience of children and adolescents: A cluster randomized controlled trial.
World Health Organization. (2020). Cancer. Retrieved from https://www.who.int/news-room/fact-sheets/detail/cancer
Yoshida-Montezuma Y, Ahmed M, Ezezika O. Does gamification improve fruit and vegetable intake in adolescents? a systematic review. Nutrition and Health. 2020;26(4):347-366. doi:10.1177/0260106020936143
Zeiler M, Vögl S, Prinz U, Werner N, Wagner G, Karwautz A, Zeller N, Ackermann L, Waldherr K
Game Design, Effectiveness, and Implementation of Serious Games Promoting Aspects of Mental Health Literacy Among Children and Adolescents: Systematic Review
JMIR Ment Health 2025;12:e67418
doi: 10.2196/67418
Zikra. 2023. The impact of gamified interventions on youth health literacy: A Systematic Review of Effectiveness and Implementation Challenges. Jurnal Riset Kualitatif dan Promosi Kesehatan. 2: 2. https://doi.org/10.61194/jrkpk.v2i2.666
DOI: https://doi.org/10.26751/jai.v8i1.3178
Jurnal Abdimas Indonesia indexed by
Jl. Ganesha Raya No.I, Purwosari, Kec. Kota Kudus, Kabupaten Kudus, Jawa Tengah 59316
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