Digital mental health education: the impact of e-book intervention on anxiety knowledge among adolescent girls

Authors

  • Irmawati S Department of Midwifery, Universitas Megarezky, South Sulawesi, Indonesia
  • Fanny Fatimah Mayasari Masdar Department of Midwifery, Universitas Megarezky, South Sulawesi, Indonesia
  • Rosdianah Department of Midwifery, Universitas Megarezky, South Sulawesi, Indonesia
  • Muh.Yunus Department of Midwifery, Universitas Megarezky, South Sulawesi, Indonesia

DOI:

https://doi.org/10.35816/jiksh.v14i2.278

Keywords:

Adolescent girls, Anxiety disorders, Digital education, E-health, Mental health literacy

Abstract

Introduction: Adolescence is a critical developmental stage often accompanied by psychological challenges, with anxiety being one of the most prevalent mental health issues among young people. Limited awareness and ineffective learning strategies contribute to poor understanding of anxiety, particularly among adolescent girls. This study aimed to examine the effect of e-book media on improving knowledge about anxiety and mental health among adolescent girls.

Methods: A pre-experimental study with a one-group pretest–posttest design was conducted among 62 female students at Madrasah Aliyah Muhammadiyah Salaka, South Sulawesi, Indonesia. Data were collected using a validated questionnaire assessing knowledge of anxiety before and after the intervention. The educational e-book contained comprehensive information on the definition, causes, symptoms, prevention, and coping strategies related to anxiety. Data were analyzed using the Wilcoxon Signed Rank Test with SPSS version 29.0.

Results: Before the intervention, 54.8% of respondents demonstrated low knowledge, while 4.8% had high knowledge. After exposure to the e-book, 74.2% reached the high knowledge level, and none remained in the low category. Statistical analysis revealed a significant difference between the pretest and posttest results (Z = -6.997, p < 0.0001), confirming the effectiveness of e-book media in enhancing mental health knowledge.

Conclusion: E-book media proved to be an effective and innovative educational tool for improving adolescents’ understanding of anxiety and mental health. Integrating digital learning materials into school-based programs can promote mental health literacy and support early prevention among youth populations.

Downloads

Download data is not yet available.

References

Aghabozorgi, K. et al. (2024) ‘How university blue and green space affect students’ mental health: A scoping review’, Urban Forestry & Urban Greening, 97, p. 128394. doi: https://doi.org/10.1016/j.ufug.2024.128394.

Andrews, J. G. et al. (2025) ‘A mixed methods exploratory study assessing youth knowledge, self-efficacy and mental health outcomes in transition to adult healthcare’, Health Care Transitions, 3, p. 100096. doi: https://doi.org/10.1016/j.hctj.2025.100096.

Costa e Silva, M. R. do V. et al. (2025) ‘Interventions to improve parental mental health and psychological well-being in parents of adolescents with a diagnosis of ASD and/or ADHD: A systematic review’, Research in Autism, 126, p. 202649. doi: https://doi.org/10.1016/j.reia.2025.202649.

Crane, M. E. et al. (2025) ‘Children’s Literature on Anxiety: A Systematic Review and Content Analysis’, Behavior Therapy. doi: https://doi.org/10.1016/j.beth.2025.05.003.

Danese, A. et al. (2025) ‘Scoping Review: Digital Mental Health Interventions for Children and Adolescents Affected by War’, Journal of the American Academy of Child & Adolescent Psychiatry, 64(2), pp. 226–248. doi: https://doi.org/10.1016/j.jaac.2024.02.017.

Jin, Y. et al. (2025) ‘The Applications of Large Language Models in Mental Health: Scoping Review’, Journal of Medical Internet Research, 27. doi: https://doi.org/10.2196/69284.

Limpanopparat, S., Gibson, E. and Harris, D. A. (2024) ‘User engagement, attitudes, and the effectiveness of chatbots as a mental health intervention: A systematic review’, Computers in Human Behavior: Artificial Humans, 2(2), p. 100081. doi: https://doi.org/10.1016/j.chbah.2024.100081.

Lin, X. et al. (2025) ‘Quality and Privacy Policy Compliance of Mental Health Care Apps in China: Cross-Sectional Evaluation Study’, Journal of Medical Internet Research, 27. doi: https://doi.org/10.2196/66762.

Lisa De Panfilis et al. (2025) ‘“When you’re in the office, it means you managed to get somewhere”: An interpretive descriptive study of the perceptions of adolescents accessing primary care for mental health services’, Health Care Transitions, 3, p. 100093. doi: https://doi.org/10.1016/j.hctj.2024.100093.

Manning, N. (2024) ‘Affordances, mental health and psychiatry’, SSM - Mental Health, 6, p. 100376. doi: https://doi.org/10.1016/j.ssmmh.2024.100376.

McKellar, L. et al. (2024) ‘Evaluation of a pilot online education program to develop midwives’ knowledge, skill and confidence in perinatal mental health in rural South Australia’, Women and Birth, 37(2), pp. 355–361. doi: https://doi.org/10.1016/j.wombi.2023.11.005.

McLane, L. et al. (2024) ‘Examining the value of mental health awareness training for soccer coaching license candidates’, Apunts Sports Medicine, 59(224), p. 100459. doi: https://doi.org/10.1016/j.apunsm.2024.100459.

Okumu, M. et al. (2025) ‘eHealth literacy and digital health interventions: Key ingredients for supporting the mental health of displaced youth living in the urban slums of kampala, Uganda’, Computers in Human Behavior, 162, p. 108434. doi: https://doi.org/10.1016/j.chb.2024.108434.

Pennacchia, J. M. et al. (2025) ‘Assessing mental health of people with complex communication needs: A systematic review.’, Journal of Communication Disorders, 113, p. 106494. doi: https://doi.org/10.1016/j.jcomdis.2025.106494.

Pineault, J. et al. (2025) ‘Gentrification and mental health inequities: a scoping review’, Social Science & Medicine, 384, p. 118547. doi: https://doi.org/10.1016/j.socscimed.2025.118547.

Putri, S. Z., Bachtiar, S. M. and Suprapto, S. (2025) ‘A Descriptive Case Series on Combined Education, Breast Care, and Oxytocin Massage for Lactation Support in Indonesia’, Journal of Public Health Sciences, 4(02), pp. 165–179. doi: https://doi.org/10.56741/IISTR.jphs.001030.

Qu, D. et al. (2024) ‘School mental health prevention and intervention strategies in China: a scoping review’, The Lancet Regional Health - Western Pacific, 53, p. 101243. doi: https://doi.org/10.1016/j.lanwpc.2024.101243.

Ramos Miguel, R. et al. (2024) ‘Effectiveness of mental-health interventions for children and adolescents placed in residential care by the welfare services: A systematic review’, Children and Youth Services Review, 166, p. 107929. doi: https://doi.org/10.1016/j.childyouth.2024.107929.

Reinhart, A. et al. (2025) ‘Barriers to accessing and using preventive mental health services for psychosocially strained children and families in Germany: Perspectives of professionals from different sectors’, Preventive Medicine, 200, p. 108392. doi: https://doi.org/10.1016/j.ypmed.2025.108392.

Ruiz-Ranz, E. and Asín-Izquierdo, I. (2025) ‘Physical activity, exercise, and mental health of healthy adolescents: A review of the last 5 years’, Sports Medicine and Health Science, 7(3), pp. 161–172. doi: https://doi.org/10.1016/j.smhs.2024.10.003.

Stewart, E. et al. (2025) ‘Mental health needs and wants of younger first responders: Identifying vulnerabilities and opportunities for developing a targeted mental health toolkit for surf lifesavers aged 13–25 years’, Journal of Safety Research, 92, pp. 437–447. doi: https://doi.org/10.1016/j.jsr.2024.12.009.

Szota, K. et al. (2025) ‘Let’s talk about mental health! – Pilot study on school-based mental health literacy interventions for adolescents in Germany’, Mental Health & Prevention, 38, p. 200416. doi: https://doi.org/10.1016/j.mhp.2025.200416.

Tahir, C. and Arniyanti, A. (2023) ‘Application of Play Therapy to Children’s Anxiety Levels Due to Hospitalization’, Jurnal Ilmiah Kesehatan Sandi Husada, 12(1 SE-Book Review). doi: https://doi.org/10.35816/jiskh.v12i1.860.

Wang, C. and Havewala, M. (2025) ‘Cultural adaptation of youth mental health first aid training for Asian American parents’, Journal of School Psychology, 110, p. 101448. doi: https://doi.org/10.1016/j.jsp.2025.101448.

Yılmaz, İ. S., Yılmaz-Özdemir, İ. and Woodhead, C. (2025) ‘Examining factors influencing forcibly displaced children and youth’s access to mental health support: An overview of reviews’, Children and Youth Services Review, 176, p. 108431. doi: https://doi.org/10.1016/j.childyouth.2025.108431.

Zeiler, M. et al. (2025) ‘Game Design, Effectiveness, and Implementation of Serious Games Promoting Aspects of Mental Health Literacy Among Children and Adolescents: Systematic Review’, JMIR Mental Health, 12. doi: https://doi.org/10.2196/67418.

Zhu, S., Wang, Y. and Hu, Y. (2025) ‘Facilitators and Barriers to Digital Mental Health Interventions for Depression, Anxiety, and Stress in Adolescents and Young Adults: Scoping Review’, Journal of Medical Internet Research, 27. doi: https://doi.org/10.2196/62870.

Downloads

Published

12-12-2025

How to Cite

Irmawati S, Fanny Fatimah Mayasari Masdar, Rosdianah, & Muh.Yunus. (2025). Digital mental health education: the impact of e-book intervention on anxiety knowledge among adolescent girls. Jurnal Ilmiah Kesehatan Sandi Husada, 14(2), 323–330. https://doi.org/10.35816/jiksh.v14i2.278

Similar Articles

1 2 3 4 5 6 7 8 9 10 11 12 13 > >> 

You may also start an advanced similarity search for this article.