Pathways of Change
Vol. 13 No. s2 (2025): Pathways of Change, Part II
https://doi.org/10.4081/hls.2025.13565

Assessing the effectiveness of rolling ball media on adolescents' knowledge of child marriage

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Received: 31 December 2024
Accepted: 31 March 2025
Published: 7 July 2025
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Child marriage, educational media, knowledge, rolling ball

Authors

Nispi Yulyana
Midwifery Department, Politeknik Kesehatan Kemenkes Bengkulu, Bengkulu, Indonesia.
Desi Widiyanti
Midwifery Department, Politeknik Kesehatan Kemenkes Bengkulu, Bengkulu, Indonesia.
Diyan Indrayani
diyanindrayani@staff.poltekkesbandung.ac.id
Midwifery Department, Politeknik Kesehatan Kemenkes Bandung, Bandung, Indonesia.
Titi Legiati
Midwifery Department, Politeknik Kesehatan Kemenkes Bandung, Bandung, Indonesia.

Child marriage is a form of violation of human rights. Child marriage remains a significant global issue, especially in Indonesia. Bengkulu Province is among the top 10 highest child marriages in Indonesia. Rolling ball is an interactive, interesting, and fun learning medium containing material about child marriage. This study aimed to determine the influence of rolling ball media on the knowledge of child marriage among adolescents in Bengkulu City and Bandung City, Indonesia. This study used an experimental design with a Randomized Controlled Trial (RCT) involving 120 adolescent girls who were divided into two groups (60 participants each). The variables studied were girls’ knowledge. Sampling was performed using block randomization. Data were analyzed using the Wilcoxon test. The respondents in the treatment group received education on rolling ball media for 30 minutes. The control group engaged with the disc as the learning medium for 30 minutes. Knowledge evaluation was conducted both before the start of learning and after one week. The research instrument utilized a questionnaire. The results of the analysis showed that the average knowledge score after intervention increased to 86.50, with a p-value of 0 (Wilcoxon signed rank test), while the average knowledge score in the control group increased to 77.42 with a p-value of 0.024. The results of the Mann-Whitney test showed a p-value of 0.000 ≤ 0.05. There was a significant difference in the effectiveness of rolling balls on knowledge about the impact of child marriage on adolescents. Health promotion activities are expected to use rolling ball media as an alternative health promotion medium to increase adolescent knowledge about the impact of child marriage and reduce the number of child marriages, with the hope of increasing the maturity of the age of marriage.

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1. UNICEF. Towards ending child marriage: Global trends and profiles of progress. 2021.
2. Harvey CM, FitzGerald I, Sauvarin J, et al. Premarital conception as a driver of child marriage and early union in selected countries in Southeast Asia and the Pacific. J Adolesc Heal 2022;70:S43-S46.
3. Sariani NMA, Darmapatni MWG, Somoyani NK. Perbedaan Pengetahuan Mengenai Pendewasaan Usia Perkawinan Sebelum Dan Sesudah Diberikan penyuluhan Pada Siswa Di Sma Negeri 2 Tabanan. Jurnal Ilmiah Kebidanan 2020;8:54-61.
4. Badan Pusat Statistik. Pencegahan Perkawinan Anak Percepatan yang Tidak Bisa Ditunda. Badan Pus Stat 2020;6–10.
5. Hikmah N. Faktor-Faktor Yang Menyebabkan Terjadinya Pernikahan Dini Di Desa Muara Wis Kecamatan Muara Wis Kabupaten Kutai Kartanegara. eJournal Sosiatri-Sosiologi 2019;7:261–72.
6. Kamilah F, Rosa EM. Marriage experience from the girl’s perspective: a scoping review. J PROMKES 2021;9:186.
7. Rofika AM, Hariastuti I. Social-cultural factors affecting child marriage in Sumenep. J PROMKES 2020;8:12.
8. Widowati SW, Ira Nurmala, Devy SR, Aulia Dikmah Kiswahono. Determinant of early marriage adolescent to risk giving birth child in case of stunting. J Promkes 2024;12:195–205.
9. Rhena DP. Education relationship and parents’ income with the incidence of child marriage at the office of religious affairs in Wonosari District Malang. Indones J Public Heal 2020;15:236.
10. Suhariyati S, Haryanto J, Probowati R. Trends of early marriage in developing countries: a systematic review. J Ners 2020;14:277–82.
11. Astuti IN, Multazam AM, Alwi MK. Silariang Dalam Pernikahan Dini dan Dampaknya Terhadap Kesehatan Reproduksi Remaja Perempuan Desa Kareloe Kecamatan Bontoramba Kabupaten Jeneponto. J Muslim Community Heal 2023;4:30–42.
12. Azami B, Dessolina, Kristina E, et al. Pengembangan Media Pembelajaran Rolling Ball untuk Materi Fungsi dan Invers. J Instr Dev Res 2021;2:69–80.
13. Elisabeth Putri Lahitani Tampubolon. Permasalahan Perkawinan Dini di Indonesia. J Indones Sos Sains 2021;2:738–46.
14. Topping KJ. Peer education and peer counselling for health and well-being: a review of reviews. Int J Environ Res Public Health 2022;19:6064.
15. Istawati R. Hubungan Pengetahuan dengan Sikap Remaja Putri tentang Pendewasaan Usia Perkawinan di MA Pondok Pesantren Teknologi. Al-Insyirah Midwifery: Jurnal Ilmu Kebidanan (Journal of Midwifery Sciences) 2019;8:34–49.
16. Harini R, Rahmat I, Nisman WA. Upaya Peningkatan Keterampilan Konseling Kesehatan Reproduksi Mahasiswa Melalui Pelatihan Konselor Sebaya. J Ners 2014;9:173–82.
17. Sharratt K, Nanfuka E, Mason SJ, et al. Evaluation of a serious gaming intervention to prevent child marriage in Uganda. Comput Human Behav 2023;143:107627.
18. Urnia EE, Noor MS, Hartoyo E, et al. Meta analysis: The influence of health education about early marriage to knowledge on teenagers (Review of caution using motion picture, booklet and leaflet). J Adv Heal Med Sci 2020;6:7–13.
19. Jalaludin FW, Abdul Rahim F, Tai LC, Cham TH. Spreading faster than the virus: social media in spreading panic among young adults in Malaysia. In International Conference on Information Systems and Intelligent Applications. Cham Springer Int Publ 2022;163–74.
20. Sheti FS, Arifin M, Al Halim ML. The effectiveness of using rolling ball media on student grammar understanding at eight grade of junior high school: Grammar Understanding, Rolling Ball Media, Simple Past Tense. Horizon 2024;2:43–50. Retrieved from https://journal.univgresik.ac.id/index.php/horizon/article/view/159
21. Sarliana, Admasari Y, Asriwidyayanti. Increasing adolescents’ knowledge of marriage age maturation (pup) through comic media: an experimental study. Indones J Public Heal 2024;19:356–68.
22. Sari I, Nurimani, Zuhriyah A. Implementation of the media-assisted TGT Cooperative model rolling ball to improve capabilities mathematical creative thinking. Proc Int Conf Educ 2024;3:81- 9.
23. Urnia EE, Virawati DI, Haloho CBR. Increasing young women’s knowledge of early marriage issues through audiovisual media intervention. Healthc Low-Resour S 2023;11:11734.
24. Sukmawati S, Jamaluddin J, Sastrawati ATS, et al. Implementasi pemanfaatan media rolling ball games dalam pembelajaran PPK. J Kewarganegaraan 2022;6:685–92.
25. Sari IR, Puspitasari E, Novia R. Pengaruh Media Rolling Ball Terhadap Kemampuan Kerja Sama Anak Usia 5-6 Tahun TK Tri Insani Permata Pekanbaru. IJEDR Indones J Educ Dev Res 2024;2:423–31.
26. Munna AS, Kalam MA. Teaching and learning process to enhance teaching effectiveness: a literature review. Int J Humanit Innov 2021;4:1–4.
27. Abdurrahim, Mukhamad N, Yuli H. Pengaruh penggunaan media rolling ball dalam model pembelajaran predict , observe , explain (POE) terhadap hasil belajar kimia pada materi laju reaksi the effect of using rolling ball media in Predict, Observe, Explain (POE) learning models on chemi. J Zarah 2020;8:44–9.
28. Harwito AP, Iriansyah HS, Barkah AS. Prosiding Seminar Nasional Pendidikan STKIP Kusuma Negara III Pengembangan Media Rolling Ball pada Mata Pelajaran PKn Materi Hak dan Kewajiban. Pros Semin Nas Pendidik STKIP Kusuma Negara III. 2021;794–9.
29. Yulyana N, Destariyani E. The effectiveness of Cakram media on increasing marriage age maturity knowledge in young women. Embrio 2023;15:143–9.
30. Sari SP, Mahmudah U. Penggunaan Media Cakram Gizi terhadap Perilaku Konsumsi Sayur dan Buah Remaja. J Nutr 2020;22:1–7.
31. Viesta A, Dewi N, Kharisma AA, Hidayatul A, Maharani AD, Annisa AC, et al. Nutrition Disc as Media for Increasing Skills of Integrated Health Post Cadres at Jaten II Community Health Center, Karanganyar, Central Java, Indonesia. Indon J Med 2024;9:334–40.
32. Haerudin ATS, Rosita NA. Pengaruh Media Cakram terhadap Pengetahuan Wanita Usia Subur tentang Metode Kontrasepsi Jangka Panjang. J Kesehat Poltekkes Kemenkes RI Pangkalpinang 2024;12:92–9.
33. Molenda M. Cone of experience. Educational technology: An encyclopedia. In 2003. p. 161–5.
34. Elba Farida MW. Pengaruh Pembekalan Materi Kesehatan Reproduksi Tentang Bahaya Pernikahan Dini Untuk Remaja Putri. Dharmakarya J Apl Ipteks untuk Masy 2019;8:33436.
35. Oktavia ER, Agustin FR, Magai NM, Cahyati WH. Pengetahuan Risiko Pernikahan Dini pada Remaja Umur 13-19 Tahun. HIGEIA (Journal Public Heal Res Dev) 2018;2:239–48.

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Assessing the effectiveness of rolling ball media on adolescents’ knowledge of child marriage. (2025). Healthcare in Low-Resource Settings, 13(s2). https://doi.org/10.4081/hls.2025.13565
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