Effect of ASI Smart Game on Knowledge and Breastfeeding Self-Efficacy in Primiparous Mothers
DOI:
https://doi.org/10.58184/miki.v4i2.992Keywords:
exclusive breastfeeding, ASI smart game, breastfeeding self-efficacy, primiparous mothers, knowledgeAbstract
Exclusive breastfeeding (EBF) is a crucial strategy for improving infant health and preventing stunting. However, the coverage of exclusive breastfeeding remains low across various regions in Indonesia. The success of EBF is influenced by several factors, particularly maternal knowledge and Breastfeeding Self-Efficacy (BSE). Primiparous mothers are more vulnerable to breastfeeding challenges due to limited experience and low self-confidence. ASI Smart Game is a game-based health promotion tool designed to improve knowledge and BSE among primiparous mothers. This study aimed to evaluate the effect of ASI Smart Game on knowledge and BSE in primiparous mothers. A pre-experimental design using a one-group pretest–posttest approach was employed. The sample consisted of 33 primiparous mothers with infants aged 0–6 months in the working area of Kandang Public Health Center, selected through purposive sampling. Research instruments included an EBF knowledge questionnaire and the Breastfeeding Self-Efficacy Scale–Short Form (BSES-SF). Data were analyzed using the Wilcoxon signed-rank test with a significance level of p < 0.05. The results indicated an increase in knowledge and BSE scores after the ASI Smart Game intervention (p = 0.001). ASI Smart Game was effective in enhancing both knowledge and BSE among primiparous mothers.
Downloads
References
Aktürk, N. B. K., & Kolcu, M. (2023). The effect of postnatal breastfeeding education given to women on breastfeeding self-efficacy and breastfeeding success. Revista da Associacao Medica Brasileira, 69(8), e20230217. https://doi.org/10.1590/1806-9282.20230217
Amin, S. M., Mahrous, E. S., Alrimawi, I., & Elbialy, A. A. (2022). The effectiveness of an interactive digital-based educational program in improving breastfeeding knowledge, attitudes and self-efficacy among primiparous women in Egypt. African Journal of Reproductive Health/La Revue Africaine de la Santé Reproductive, 26(11), 79–91.
Bandura, A. (1997). Self-efficacy: The exercise of control. W. H. Freeman and Company; Macmillan.
Brockway, M., Benzies, K., & Hayden, K. A. (2017). Interventions to improve breastfeeding self-efficacy and resultant breastfeeding rates: a systematic review and meta-analysis. Journal of Human Lactation, 33(3), 486–499. https://doi.org/10.1177/0890334417707957
Brown, D. R. (2024). Exploring Teachers’ Perceptions of the Impact of Digital Game-Based Learning on Student Engagement, Motivation, and Learning Outcomes in K-12 Social Studies (Master's thesis, Florida Atlantic University). Florida Atlantic University ProQuest Dissertations & Theses, 31332677.
Dennis, C. L. (1999). Theoretical underpinnings of breastfeeding confidence: a self-efficacy framework. Journal of human lactation, 15(3), 195–201. https://doi.org/10.1177/089033449901500303
Fallah-Karimi, S., Robabi, H., & Khalilzadeh-Farsangi, Z. (2025). Impact of web-based breastfeeding education on breastfeeding self-efficacy and exclusive breastfeeding rates among primiparous mothers in iran: a quasi-experimental study. BMC Pregnancy and Childbirth, 25(1), 797. https://doi.org/10.1186/s12884-025-07955-9
Gayatri, M. (2021). Exclusive breastfeeding practice in Indonesia: A population-based study. Korean Journal of family medicine, 42(5), 395–402. https://doi.org/10.4082/kjfm.20.0131
Kapti, R. E., Arief, Y. S., & Azizah, N. (2023). Mother’s knowledge as a dominant factor for the success of exclusive breastfeeding in Indonesia. Healthcare in Low-Resource Settings, 11. https://doi.org/10.4081/hls.2023.11209
Kehinde, J., O'Donnell, C., & Grealish, A. (2023). The effectiveness of prenatal breastfeeding education on breastfeeding uptake postpartum: A systematic review. Midwifery, 118, 103579. https://doi.org/10.1016/j.midw.2022.103579
Kementerian Kesehatan. (2024). Profil kesehatan Indonesia Tahun 2023. Kementerian Kesehatan RI. https://kemkes.go.id/id/profil-kesehatan-indonesia-2023
Nurkhasanah, W. (2024). Faktor-Faktor yang Memengaruhi Breastfeeding Self-Effiacy pada Ibu Menyusui di Wilayah Kerja Puskesmas Bandarharjo Kota Semarang [Undergraduate thesis, Universitas Islam Sultan Agung Semarang]. Universitas Islam Sultan Agung Semarang Repository. https://repository.unissula.ac.id/33554/
Rolantika, W., Nurrachmawati, A., & Anggraeni, I. (2024). The Associated Factors with Breastfeeding Self-Efficacy Among Breastfeeding Women in Kalimantan Utara. EMBRIO: Jurnal Kebidanan, 16(1), 1–6. https://doi.org/10.36456/embrio.v16i1.7984
Sousa, J. L. de, Martins, I. M., Vasconcelos, F. X., Torquato, R. C., Lima, L. de O. C., Silva, N. V. da, Arruda, M. D. I. S., Sales, J. M. R., França, D. F. de, Melo, R. C. de O., Almeida, P. C. de, & Barbosa, L. P. (2025). Effect of educational program on maternal breastfeeding self-efficacy: A randomized controlled trial. International Journal of Community Based Nursing & Midwifery, 13(3), 168–179. https://doi.org/10.30476/ijcbnm.2025.104707.2660. https://doi.org/10.30476/ijcbnm.2025.104707.2660
United Nations Children's Fund. (2022). Infant and young child feeding programming guide. UNICEF. https://data.unicef.org/topic/nutrition/infant-and-young-child-feeding/
World Health Organization. (2023). Exclusive breastfeeding for optimal growth, development and health of infants. World Health Organization (WHO). https://www.who.int/tools/elena/interventions/exclusive-breastfeeding
World Health Organization. (2024). Global nutrition targets 2025: Breastfeeding policy brief. World Health Organization (WHO). https://www.who.int/publications/i/item/WHO-NMH-NHD-14.7
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Lissa Ervina, Linda, Reka Lagora Marsofely, Ade Febryanti
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
1.png)
