Keywords
Diabetes mellitus
Diabetamon games
How to Cite
Abstract
Diabetes is not solely an adult health issue—it has also become a growing concern among school-age children. The rise in childhood obesity has contributed to an increasing incidence of type 2 diabetes in children and adolescents, which now parallels and sometimes surpasses that of type 1 diabetes. Parents need to take proactive steps to prevent this disease by providing accurate information to their children. Children can also gain knowledge through educational approaches aimed at enhancing their cognitive abilities, including through games. This study aims to analyze the effectiveness of the Diabetamon game in improving cognitive skills related to diabetes mellitus prevention among school-age children. This research used a quasi-experimental design with a control group. A total sample of 99 school-age children was divided into an intervention group (47 students) and a control group (52 students), selected using proportional random sampling. The study was conducted over a one-month period, with the intervention delivered twice a week for 60 minutes over three weeks. Data collection instruments included a questionnaire and an observation checklist to assess children’s snack habits. Statistical analysis was performed using paired t-tests to examine within-group changes and independent samples t-tests to compare between-group differences, with a significance level of p<0.05. The results showed that the cognitive abilities of the intervention group improved significantly compared to the control group. The Diabetamon game was proven effective in enhancing school-aged children's knowledge about the importance of consuming fruits and vegetables, in line with the pillars of balanced nutrition and physical activity.
References
Aboul-Enein, F. H. (2017). Game-Based Teaching and Simulation in Nursing and Healthcare by Eric Bauman PhD, RN. Clinical Simulation in Nursing, 8(9), e483. https://doi.org/10.1016/j.ecns.2012.09.002
Afkarian, M. (2017). Diabetic kidney disease in children and adolescents. Pediatric Nephrology, 30(1), 65–74. https://doi.org/10.1007/s00467-014-2796-5
Andriyanto, A., & Hidayati, R. N. (2018). Literature Review: Pemanfaatan Media Promosi Kesehatan (Smartphone) Dalam Mencegah Dan Mengendalikan Kadar Gula Diabetes Tipe 2. Jurnal Ners Dan Kebidanan, 5(2), 172–177. https://doi.org/10.26699/jnk.v5i2.ART.p172-177
Blumberg, F. C., & Pagnotta, J. N. (2019). Gameplay and Educational Outcomes: Reminders for Educational Game Development. Games for Health Journal, 3(2), 115–116. https://doi.org/10.1089/g4h.2014.0012
Cheng, Y., & Milikich, N. (2023). An Analysis of How Covid-19 Shaped the Realm of Online Gaming and Lesson Delivery. Cornell University, 1–10. https://arxiv.org/abs/2304.06102
Devine, L. D., Gallagher, A. M., Briggs, S., & Hill, A. J. (2023). Factors that influence food choices in secondary school canteens: a qualitative study of pupil and staff perspectives. Frontiers in Public Health, 11(July). https://doi.org/10.3389/fpubh.2023.1227075
Fitrizah, M. K., Raksanagara, A. S., & Agoes, R. (2020). the Effect of Snakes and Ladders Game To Improve Knowledge and Attitudes of Elementary School Students To Stop Open Defication in Bandung City. Indonesian Journal of Public Health, 15(2), 173–180. https://doi.org/10.20473/ijph.v15i2.2020.173-180
Flood, D., Geldsetzer, P., Agoudavi, K., Aryal, K. K., Brant, L. C. C., Brian, G., Dorobantu, M., Farzadfar, F., Gheorghe-Fronea, O., Gurung, M. S., Guwatudde, D., Houehanou, C., Jorgensen, J. M. A., Kondal, D., Labadarios, D., Marcus, M. E., Mayige, M., Moghimi, M., Norov, B., … Manne-Goehler, J. (2022). Rural-Urban Differences in Diabetes Care and Control in 42 Low-and Middle-Income Countries: A Cross-sectional Study of Nationally Representative Individual-Level Data. Diabetes Care, 45(9), 1961–1970. https://doi.org/10.2337/dc21-2342
Fradianto, I., Andriyanto, A., Yuniarti, E. V., & Prameswari, V. E. (2023). Differences in Glucose Control of Diabetic Patients with Family Care Support Interventions. Malaysian Journal of Nursing, 14(03), 110–115. https://doi.org/10.31674/mjn.2023.v14i03.013
Goodman, W., McFerran, E., Purves, R., Redpath, I., & Beeken, R. J. (2018). The untapped potential of the gaming community: Narrative review. JMIR Serious Games, 20(9), 1–10. https://doi.org/10.2196/10161
Halim, M. R., Budiardjo, H., & Y, S. P. (2016). Perancangan Papan Permainan Tentang Pentingnya Sayuran Berbasis Family Games Sebagai Sarana Pendidikan Anak-anak Usia 6-12 Tahun. Jurnal Art Nouveau, 5(2). https://www.neliti.com/id/publications/244657/perancangan-papan-permainan-tentang-pentingnya-sayuran-berbasis-family-games-seb
Hodder, R. K., O’Brien, K. M., Tzelepis, F., Wyse, R. J., & Wolfenden, L. (2020). Interventions for increasing fruit and vegetable consumption in children aged five years and under. Cochrane Database of Systematic Reviews, 2020(5). https://doi.org/10.1002/14651858.CD008552.pub7
Hsu, Y. J., & Shih, J. L. (2018). Developing computer adventure education games on mobile devices for conducting cooperative problem-solving activities. International Journal of Mobile Learning and Organisation, 7(2), 81–98. https://doi.org/10.1504/IJMLO.2013.055616
Islam, M. S. A. D., Mulyono, S., & Sukihananto. (2019). Improving Food Safety Behavior through Mind Map Methods in School-Age Children. Comprehensive Child and Adolescent Nursing, 42(sup1), 97–107. https://doi.org/10.1080/24694193.2019.1578301
Kirginas, S. (2023). Digital Game-Based L1 Language Learning Outcomes for Preschool Through High-School Students: A Literature Review. International Journal of Gaming and Computer-Mediated Simulations, 15(1), 1–16. https://doi.org/10.4018/IJGCMS.320228
Lucas, F. M. M. (2017). The Game as an Early Childhood Learning Resource for Intercultural Education. Procedia - Social and Behavioral Sciences, 237(June 2016), 908–913. https://doi.org/10.1016/j.sbspro.2017.02.127
Manuntung, A. (2018). Analisis Keyakinan Diri Pasien Diabetes Mellitus Tipe 2 Dalam Pengelolaan Diabetes Mellitus [Analysis of Self-Confidence of Type 2 Diabetes Mellitus Patients in Managing Diabetes Mellitus]. Jurnal Kesehatan Manarang, 3(1), 31. https://doi.org/10.33490/jkm.v3i1.32
Martos-Cabrera, M. B., Membrive-Jiménez, M. J., Suleiman-Martos, N., Mota-Romero, E., Cañadas-De la Fuente, G. A., Gómez-Urquiza, J. L., & Albendín-García, L. (2020). Games and health education for diabetes control: A systematic review with meta-analysis. Healthcare (Switzerland), 8(4), 1–12. https://doi.org/10.3390/healthcare8040399
Nakao, M. (2019). Special series on “effects of board games on health education and promotion” board games as a promising tool for health promotion: A review of recent literature. BioPsychoSocial Medicine, 13(1), 3–9. https://doi.org/10.1186/s13030-019-0146-3
Nørlev, J., Sondrup, K., Derosche, C., Hejlesen, O., & Hangaard, S. (2022). Game Mechanisms in Serious Games That Teach Children with Type 1 Diabetes How to Self-Manage: A Systematic Scoping Review. Journal of Diabetes Science and Technology, 16(5), 1253–1269. https://doi.org/10.1177/19322968211018236
Pem, D., & Jeewon, R. (2017). Fruit and vegetable intake: Benefits and progress of nutrition education interventions-narrative review article. Iranian Journal of Public Health, 44(10), 1309–1321. https://pubmed.ncbi.nlm.nih.gov/26576343/
Pinto, J. (2023). The Role of Nutrition in Children’s Growth and Development at Early Age: Systematic Review. International Journal of Research in Science and Technology, 13(4), 23–30. https://doi.org/10.37648/ijrst.v13i04.004
Popil, I., & Dillard-Thompson, D. (2017). A game-based strategy for the staff development of home health care nurses. Journal of Continuing Education in Nursing, 46(5), 205–207. https://doi.org/10.3928/00220124-20150420-14
Roberts, M., Tolar-Peterson, T., Reynolds, A., Wall, C., Reeder, N., & Rico Mendez, G. (2022). The Effects of Nutritional Interventions on the Cognitive Development of Preschool-Age Children: A Systematic Review. Nutrients, 14(3), 1–15. https://doi.org/10.3390/nu14030532
Saavedra, J. M., & Prentice, A. M. (2023). Nutrition in school-age children: a rationale for revisiting priorities. Nutrition Reviews, 81(7), 823–843. https://doi.org/10.1093/nutrit/nuac089
Santoso, B., Anwar, M. C., & Muliadi, M. (2019). Monopoly Game As Android-Based Dental Health Education Media. Journal of Applied Health Management and Technology, 1(1), 7–15. https://doi.org/10.31983/jahmt.v1i1.5305
Sartika, Z., Purnomo, E., & Hamid, A. Y. S. (2023). The Readiness For Enhancement Of School-Age Children Development With Therapeutic Group Therapy: A Systematic Review. Jurnal Kesehatan Manarang, 9(2), 81. https://doi.org/10.33490/jkm.v9i2.572
Shree, A., & Shukla, P. C. (2016). Play: World of Children. Educational Quest- An International Journal of Education and Applied Social Sciences, 7(2), 71. https://doi.org/10.5958/2230-7311.2016.00021.0
Srinivasan, K. (2019). Snake and Ladder Games in Cognition Development on Students with Learning Difficulties. Indian Journal of Dental Advancements, 10(4), 160–170. https://doi.org/10.5866/2018.10.10160
Vargianniti, I., & Karpouzis, K. (2019). Effects of game-based learning on academic performance and student interest. Lecture Notes in Computer Science (Including Subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics), 11899 LNCS(November 2019), 332–341. https://doi.org/10.1007/978-3-030-34350-7_32
Zahed, B. T., White, G., & Quarles, J. (2019). Play it safe: An educational cyber safety game for children in elementary school. 11th International Conference on Virtual Worlds and Games for Serious Applications, VS-Games 2019 - Proceedings. https://doi.org/10.1109/VS-Games.2019.8864594
Zappas, M. P., & Granger, T. A. (2017). Managing Adolescents With Type 2 Diabetes Mellitus. Journal for Nurse Practitioners, 13(4), e171–e176. https://doi.org/10.1016/j.nurpra.2016.11.020
Zhou, W. J., Xu, X. L., Li, G., Sharma, M., Qie, Y. L., & Zhao, Y. (2016). Effectiveness of a school-based nutrition and food safety education program among primary and junior high school students in Chongqing, China. Global Health Promotion, 23(1), 37–49. https://doi.org/10.1177/1757975914552914
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