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A Quasi-Experimental Study of Mobile Health Intervention: Measuring the Impact of Android-Based Prenatal Classes on Knowledge and Attitudes of First-Time Mothers in Indonesia
Introduction: Maternal mortality remains a critical global health challenge,
with approximately 287,000 pregnancy-related deaths recorded in 2020
(WHO, 2024). In Indonesia, where maternal healthcare access varies
significantly, digital interventions may offer scalable solutions. This quasi-
experimental study evaluates the effectiveness of an Android-based
prenatal education application in improving knowledge and attitudes
among first-time mothers in Cimahi, West Java. By comparing app-based
learning with traditional methods, we assess whether mobile technology
can help bridge gaps in maternal health education and contribute to safer
pregnancy outcomes. Methods: This quasi-experimental study involved
120 first-trimester primigravida women (60 intervention, 60 control) in
Cimahi City. The independent variable was the use of an Android-based
prenatal education application; the dependent variables were maternal
knowledge and attitudes. Instruments included a validated 20-item
knowledge test and a 10-item attitude Likert scale. Data were analyzed
using paired and independent t-tests, as well as SmartPLS path
modeling. Results: In the intervention group, knowledge scores increased
from 19.8 ± 2.1 to 34.3 ± 2.0, and attitude scores improved from 8.2 ± 1.2
to 13.3 ± 2.8 (p < 0.001). The control group showed smaller, non-significant
changes (knowledge: 19.5 ± 2.2 to 21.5 ± 2.6; attitude: 7.3 ± 1.5 to 8.3 ±
1.6). Post-test differences between groups were statistically significant (p
< 0.001). Conclusion: The Android-based prenatal education application
significantly enhanced the knowledge and attitudes of first-time pregnant
women. These findings support the integration of digital education into
routine antenatal care services.
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