A Pilot Evaluation of Educational Game Media on Pregnant Women’s Knowledge and Readiness for Safe Childbirth
DOI:
https://doi.org/10.58545/jrcnp.v4i2.948Abstract
Background: Interactive digital education may strengthen childbirth preparation by presenting clinically relevant information in an engaging and repeatable format. Purpose: This study evaluated the effectiveness of educational game media in improving pregnant women’s knowledge and readiness for safe childbirth. Methods: A quasi-experimental one-group pretest–posttest study was conducted with 35 pregnant women receiving antenatal care in Balikpapan, Indonesia. Knowledge was measured with five dichotomous items, and childbirth readiness with five Likert-type items. Descriptive statistics, validity and reliability screening, Shapiro–Wilk tests, paired t-tests, Wilcoxon signed-rank sensitivity tests, effect-size analysis, and Spearman correlation were applied. Results: Mean knowledge increased from 2.43 (standard deviation 0.95) to 3.54 (standard deviation 0.92), with a mean change of 1.11 points and p < .001. Mean readiness increased from 15.46 (standard deviation 2.12) to 21.31 (standard deviation 1.88), with a mean change of 5.86 points and p < .001. Wilcoxon tests confirmed significant improvements in both outcomes. The mean game-use score was 22.49/25, and the association between game-use score and post-intervention readiness was not significant. Internal consistency was limited across the three brief scales. Conclusions: The educational game was associated with significant short-term improvements in knowledge and childbirth readiness. It may complement antenatal education, although the one-group design, small sample, and limited internal consistency of the instruments require cautious interpretation and further controlled validation.
Keywords:
Pregnancy, Health education, Educational technology, Parturition, Patient education as topicDownloads
References
Afaya, A., Azongo, T. B., Dzomeku, V. M., Afaya, R. A., Salia, S. M., Adatara, P., Alhassan, R. K., Amponsah, A. K., Atakro, C. A., Adadem, D., Asiedu, E. O., Amuna, P., & Ayanore, M. A. (2020). Women’s knowledge and its associated factors regarding optimum utilisation of antenatal care in rural Ghana: A cross-sectional study. PLOS ONE, 15(7), e0234575. https://doi.org/10.1371/journal.pone.0234575
Aksoy Derya, Y., Altiparmak, S., Akça, E., Gökbulut, N., & Yilmaz, A. N. (2021). Pregnancy and birth planning during COVID-19: The effects of tele-education offered to pregnant women on prenatal distress and pregnancy-related anxiety. Midwifery, 92, 102877. https://doi.org/10.1016/j.midw.2020.102877
Ariyani, N. W., Wirawan, I. M. A., Pinatih, G. N. I., & Kusuma, A. A. N. J. (2022). The effect of an application-based educational intervention with a social cognitive theory model on pregnant women in Denpasar, Bali, Indonesia: A randomized controlled trial. Osong Public Health and Research Perspectives, 13(2), 153–161. https://doi.org/10.24171/j.phrp.2021.0209
Chae, J., & Kim, H. K. (2021). Internet-based prenatal interventions for maternal health among pregnant women: A systematic review and meta-analysis. Children and Youth Services Review, 127, 106079. https://doi.org/10.1016/j.childyouth.2021.106079
D’Avila, C. G., Oliveira, K. L. B. S., Castro, R. M., Pina-Oliveira, A. A., Freitas, N. O., & Fernandes, R. A. Q. (2022). Effectiveness of an educational game for pregnant women: Aggregated knowledge and the women’s experience. Escola Anna Nery, 26, e20210078. https://doi.org/10.1590/2177-9465-EAN-2021-0078
D’Avila, C. G., Puggina, A. C., & Fernandes, R. A. Q. (2018). Construction and validation of an educational game for pregnant women. Escola Anna Nery, 22(3), e20170300. https://doi.org/10.1590/2177-9465-EAN-2017-0300
Downer, T., McMurray, A., & Young, J. (2020). The role of antenatal education in promoting maternal and family health literacy. International Journal of Childbirth, 10(1), 52–64. https://doi.org/10.1891/IJCBIRTH-D-20-00012
Fathi Najafi, T., Andaroon, N., Bolghanabadi, N., Sharifi, N., & Dashti, S. (2025). Gamification in midwifery education: A systematic review. BMC Medical Education, 25, 297. https://doi.org/10.1186/s12909-025-06880-x
Gentry, S. V., Gauthier, A., L’Estrade Ehrstrom, B., Wortley, D., Lilienthal, A., Tudor Car, L., Dauwels-Okutsu, S., Nikolaou, C. K., Zary, N., Campbell, J., & Car, J. (2019). Serious gaming and gamification education in health professions: Systematic review. Journal of Medical Internet Research, 21(3), e12994. https://doi.org/10.2196/12994
Ghiasi, A. (2021). Health information needs, sources of information, and barriers to accessing health information among pregnant women: A systematic review of research. Journal of Maternal-Fetal & Neonatal Medicine, 34(8), 1320–1330. https://doi.org/10.1080/14767058.2019.1634685
Girma, D., Waleligne, A., & Dejene, H. (2022). Birth preparedness and complication readiness practice and associated factors among pregnant women in Central Ethiopia, 2021: A cross-sectional study. PLOS ONE, 17(10), e0276496. https://doi.org/10.1371/journal.pone.0276496
Graseck, A., & Leitner, K. (2021). Prenatal education in the digital age. Clinical Obstetrics and Gynecology, 64(2), 345–351. https://doi.org/10.1097/GRF.0000000000000608
Hooper, E., Mechkaroff, O., Upitis, A., Schofield, E., Carland, J. E., & Henry, A. (2025). The effectiveness of antenatal education on improving labour and birth outcomes—A systematic review and meta-analysis. Women and Birth, 38(1), 101843. https://doi.org/10.1016/j.wombi.2024.101843
Hughson, J. A. P., Daly, J. O., Woodward-Kron, R., Hajek, J., & Story, D. (2018). The rise of pregnancy apps and the implications for culturally and linguistically diverse women: Narrative review. JMIR mHealth and uHealth, 6(11), e189. https://doi.org/10.2196/mhealth.9119
Lisnawati, L., Widiyanti, R., & Hapitria, P. (2022). Gembil (Game Ibu Hamil) application based on Android in increasing knowledge of primigravida during the COVID-19 pandemic in 2022. Jurnal Kebidanan Kestra, 5(1), 142–148. https://doi.org/10.35451/jkk.v5i1.1369
Mohamed, H., Ismail, A., Sutan, R., Rahman, R. A., & Juval, K. (2025). A scoping review of digital technologies in antenatal care: Recent progress and applications of digital technologies. BMC Pregnancy and Childbirth, 25, 153. https://doi.org/10.1186/s12884-025-07209-8
Spiby, H., Stewart, J., Watts, K., Hughes, A. J., & Slade, P. (2022). The importance of face to face, group antenatal education classes for first time mothers: A qualitative study. Midwifery, 109, 103295. https://doi.org/10.1016/j.midw.2022.103295
van den Heuvel, J. F. M., Groenhof, T. K., Veerbeek, J. H. W., van Solinge, W. W., Lely, A. T., Franx, A., & Bekker, M. N. (2018). eHealth as the next-generation perinatal care: An overview of the literature. Journal of Medical Internet Research, 20(6), e202. https://doi.org/10.2196/jmir.9262
Vogels-Broeke, M., Daemers, D., Budé, L., de Vries, R., & Nieuwenhuijze, M. (2022). Sources of information used by women during pregnancy and the perceived quality. BMC Pregnancy and Childbirth, 22, 109. https://doi.org/10.1186/s12884-022-04422-7
Wallace, H. J., Bayes, S., Davenport, C., & Grant, M. (2023). How should online antenatal and parenting education be structured according to parents? Qualitative findings from a mixed-methods retrospective study. Women’s Health, 19, 17455057221150098. https://doi.org/10.1177/17455057221150098
Whitworth, K., Donnellan-Fernandez, R., & Fleet, J. A. (2024). Digital transformation of antenatal education: A descriptive exploratory study of women’s experiences of online antenatal education. Women and Birth, 37(1), 188–196. https://doi.org/10.1016/j.wombi.2023.08.008
Wu, H., Sun, W., Huang, X., Yu, S., Wang, H., Bi, X., Sheng, J., Chen, S., Akinwunmi, B., Zhang, C. J. P., & Ming, W.-K. (2020). Online antenatal care during the COVID-19 pandemic: Opportunities and challenges. Journal of Medical Internet Research, 22(7), e19916. https://doi.org/10.2196/19916
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