A Pilot Evaluation of Educational Game Media on Pregnant Women’s Knowledge and Readiness for Safe Childbirth

Authors

DOI:

https://doi.org/10.58545/jrcnp.v4i2.948

Abstract

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 topic

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Author Biographies

Nila Trisna Yulianti, Politeknik Borneo Medistra, Balikpapan, Indonesia

Diploma III in Midwifery Program

Heni Elmiani Sari, Politeknik Borneo Medistra, Balikpapan, Indonesia

Diploma III in Midwifery Program

Endras Amirta Hanum, Politeknik Borneo Medistra, Balikpapan, Indonesia

Diploma III in Midwifery Program

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Published

2026-09-21

How to Cite

Yulianti, N. T., Sari, H. E., & Hanum, E. A. (2026). A Pilot Evaluation of Educational Game Media on Pregnant Women’s Knowledge and Readiness for Safe Childbirth . Journal of Rural Community Nursing Practice, 4(2), 305–323. https://doi.org/10.58545/jrcnp.v4i2.948

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