{"id":"https://openalex.org/W7166445877","doi":"https://doi.org/10.31004/jn.v10i2.56093","title":"The Effectiveness of Multimedia and Educational Games on Children\u2019s Knowledge and Attitudes Toward Diabetes Mellitus","display_name":"The Effectiveness of Multimedia and Educational Games on Children\u2019s Knowledge and Attitudes Toward Diabetes Mellitus","publication_year":2026,"publication_date":"2026-04-15","ids":{"openalex":"https://openalex.org/W7166445877","doi":"https://doi.org/10.31004/jn.v10i2.56093"},"language":"en","primary_location":{"id":"doi:10.31004/jn.v10i2.56093","doi":"https://doi.org/10.31004/jn.v10i2.56093","is_oa":true,"landing_page_url":"https://doi.org/10.31004/jn.v10i2.56093","pdf_url":"https://journal.universitaspahlawan.ac.id/index.php/ners/article/download/56093/34730","source":{"id":"https://openalex.org/S4210233240","display_name":"Jurnal Ners","issn_l":"2580-2194","issn":["2580-2194","2088-0030"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310315283","host_organization_name":"Universitas Pahlawan Tuanku Tambusai","host_organization_lineage":["https://openalex.org/P4310315283"],"host_organization_lineage_names":["Universitas Pahlawan Tuanku Tambusai"],"type":"journal"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Jurnal Ners","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://journal.universitaspahlawan.ac.id/index.php/ners/article/download/56093/34730","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5099061603","display_name":"Mercy Nafratilova","orcid":"https://orcid.org/0000-0002-8012-1448","observed_orcids":["https://orcid.org/0000-0002-8012-1448"]},"institutions":[{"id":"https://openalex.org/I4405276375","display_name":"Poltekkes Kemenkes Bengkulu","ror":"https://ror.org/059j5x642","country_code":"ID","type":"education","lineage":["https://openalex.org/I4405276375"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Mercy Nafratilova","raw_affiliation_strings":["Poltekkes Kemenkes Bengkulu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Poltekkes Kemenkes Bengkulu","institution_ids":["https://openalex.org/I4405276375"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5139534871","display_name":"Andra Saferi Wijaya","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405276375","display_name":"Poltekkes Kemenkes Bengkulu","ror":"https://ror.org/059j5x642","country_code":"ID","type":"education","lineage":["https://openalex.org/I4405276375"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Andra Saferi Wijaya","raw_affiliation_strings":["Poltekkes Kemenkes Bengkulu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Poltekkes Kemenkes Bengkulu","institution_ids":["https://openalex.org/I4405276375"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5044080787","display_name":"Rahma Annisa","orcid":"https://orcid.org/0009-0008-9876-8638","observed_orcids":["https://orcid.org/0009-0008-9876-8638"]},"institutions":[{"id":"https://openalex.org/I4405276375","display_name":"Poltekkes Kemenkes Bengkulu","ror":"https://ror.org/059j5x642","country_code":"ID","type":"education","lineage":["https://openalex.org/I4405276375"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Rahma Annisa","raw_affiliation_strings":["Poltekkes Kemenkes Bengkulu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Poltekkes Kemenkes Bengkulu","institution_ids":["https://openalex.org/I4405276375"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4405276375"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"10","issue":"2","first_page":"5225","last_page":"5229"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10731","display_name":"Educational Games and Gamification","score":0.6689000129699707,"subfield":{"id":"https://openalex.org/subfields/3204","display_name":"Developmental and Educational Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10731","display_name":"Educational Games and Gamification","score":0.6689000129699707,"subfield":{"id":"https://openalex.org/subfields/3204","display_name":"Developmental and Educational Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.2736999988555908,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12831","display_name":"School Health and Nursing Education","score":0.02459999918937683,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/diabetes-mellitus","display_name":"diabetes mellitus","score":0.9900000095367432},{"id":"https://openalex.org/keywords/children","display_name":"children","score":0.6840000152587891},{"id":"https://openalex.org/keywords/multimedia","display_name":"multimedia","score":0.5},{"id":"https://openalex.org/keywords/educational-games","display_name":"game-based learning","score":0.9990000128746033},{"id":"https://openalex.org/keywords/health-education","display_name":"health education","score":0.871999979019165},{"id":"https://openalex.org/keywords/knowledge","display_name":"knowledge","score":0.6439999938011169},{"id":"https://openalex.org/keywords/attitudes","display_name":"attitudes","score":0.9819999933242798},{"id":"https://openalex.org/keywords/elementary-school-students","display_name":"elementary school students","score":0.8790000081062317},{"id":"https://openalex.org/keywords/childhood-obesity","display_name":"childhood obesity","score":0.47999998927116394}],"concepts":[{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.666100025177002},{"id":"https://openalex.org/C206041023","wikidata":"https://www.wikidata.org/wiki/Q1751970","display_name":"Wilcoxon signed-rank test","level":3,"score":0.6243000030517578},{"id":"https://openalex.org/C2780586474","wikidata":"https://www.wikidata.org/wiki/Q332428","display_name":"Overweight","level":3,"score":0.6025999784469604},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5856000185012817},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.5742999911308289},{"id":"https://openalex.org/C113807197","wikidata":"https://www.wikidata.org/wiki/Q60894","display_name":"Health education","level":3,"score":0.5218999981880188},{"id":"https://openalex.org/C2777267654","wikidata":"https://www.wikidata.org/wiki/Q3519023","display_name":"Test (biology)","level":2,"score":0.49129998683929443},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.44780001044273376},{"id":"https://openalex.org/C3018023364","wikidata":"https://www.wikidata.org/wiki/Q425265","display_name":"Significant difference","level":2,"score":0.4357999861240387},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.4165000021457672},{"id":"https://openalex.org/C2776291881","wikidata":"https://www.wikidata.org/wiki/Q6423378","display_name":"Knowledge level","level":2,"score":0.40639999508857727},{"id":"https://openalex.org/C3019615273","wikidata":"https://www.wikidata.org/wiki/Q60894","display_name":"Health educators","level":4,"score":0.3930000066757202},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3799000084400177},{"id":"https://openalex.org/C2777458711","wikidata":"https://www.wikidata.org/wiki/Q5341296","display_name":"Educational program","level":2,"score":0.36059999465942383},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.35420000553131104},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.3296000063419342},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.3221000134944916},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.32190001010894775},{"id":"https://openalex.org/C2983876825","wikidata":"https://www.wikidata.org/wiki/Q9332","display_name":"Health behavior","level":2,"score":0.2858999967575073},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.2809000015258789},{"id":"https://openalex.org/C198531522","wikidata":"https://www.wikidata.org/wiki/Q485146","display_name":"Sample (material)","level":2,"score":0.27219998836517334},{"id":"https://openalex.org/C30772137","wikidata":"https://www.wikidata.org/wiki/Q5164762","display_name":"Consumption (sociology)","level":2,"score":0.2667999863624573},{"id":"https://openalex.org/C2777220311","wikidata":"https://www.wikidata.org/wiki/Q6423340","display_name":"Knowledge acquisition","level":2,"score":0.26600000262260437},{"id":"https://openalex.org/C2777929519","wikidata":"https://www.wikidata.org/wiki/Q7144988","display_name":"Patient education","level":2,"score":0.2635999917984009},{"id":"https://openalex.org/C2984404570","wikidata":"https://www.wikidata.org/wiki/Q1140363","display_name":"Educational game","level":2,"score":0.2533999979496002}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.31004/jn.v10i2.56093","doi":"https://doi.org/10.31004/jn.v10i2.56093","is_oa":true,"landing_page_url":"https://doi.org/10.31004/jn.v10i2.56093","pdf_url":"https://journal.universitaspahlawan.ac.id/index.php/ners/article/download/56093/34730","source":{"id":"https://openalex.org/S4210233240","display_name":"Jurnal Ners","issn_l":"2580-2194","issn":["2580-2194","2088-0030"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310315283","host_organization_name":"Universitas Pahlawan Tuanku Tambusai","host_organization_lineage":["https://openalex.org/P4310315283"],"host_organization_lineage_names":["Universitas Pahlawan Tuanku Tambusai"],"type":"journal"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Jurnal Ners","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.31004/jn.v10i2.56093","doi":"https://doi.org/10.31004/jn.v10i2.56093","is_oa":true,"landing_page_url":"https://doi.org/10.31004/jn.v10i2.56093","pdf_url":"https://journal.universitaspahlawan.ac.id/index.php/ners/article/download/56093/34730","source":{"id":"https://openalex.org/S4210233240","display_name":"Jurnal Ners","issn_l":"2580-2194","issn":["2580-2194","2088-0030"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310315283","host_organization_name":"Universitas Pahlawan Tuanku Tambusai","host_organization_lineage":["https://openalex.org/P4310315283"],"host_organization_lineage_names":["Universitas Pahlawan Tuanku Tambusai"],"type":"journal"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Jurnal Ners","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.7567999958992004,"id":"https://metadata.un.org/sdg/4","display_name":"Quality education"}],"study_designs":[{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7166445877.pdf","grobid_xml":"https://content.openalex.org/works/W7166445877.grobid-xml"},"referenced_works_count":3,"referenced_works":["https://openalex.org/W305080865","https://openalex.org/W4205298624","https://openalex.org/W4382918396"],"related_works":["https://openalex.org/W4406092933","https://openalex.org/W7163154511","https://openalex.org/W7219000113","https://openalex.org/W7218873655","https://openalex.org/W2762125380","https://openalex.org/W7125145041","https://openalex.org/W7218913935","https://openalex.org/W7220155890","https://openalex.org/W7167475306","https://openalex.org/W4406092893"],"abstract_inverted_index":{"The":[0,119,147],"incidence":[1],"of":[2,27,34,48,68,99],"Diabetes":[3,70,184],"Mellitus":[4,71,185],"(DM)":[5],"in":[6,18,124,156],"children":[7,49,103],"has":[8],"increased":[9],"substantially,":[10],"reaching":[11],"nearly":[12],"seventy":[13],"times":[14],"compared":[15],"to":[16,64,133,145],"reports":[17],"2010.":[19],"This":[20,61],"trend":[21],"is":[22],"associated":[23],"with":[24],"high":[25],"consumption":[26],"sugary":[28],"foods":[29],"and":[30,36,38,58,77,85,110,115,160,172,181],"beverages,":[31],"rising":[32],"rates":[33],"overweight":[35],"obesity,":[37],"unhealthy":[39],"lifestyle":[40],"patterns":[41],"among":[42],"children.":[43],"However,":[44],"more":[45],"than":[46],"half":[47],"demonstrate":[50,169],"limited":[51],"knowledge":[52,84,127,157,180],"regarding":[53],"DM,":[54],"its":[55],"risk":[56],"factors,":[57],"preventive":[59],"strategies.":[60],"study":[62],"aimed":[63],"examine":[65],"the":[66,117,125,138,162],"effectiveness":[67],"a":[69,152],"health":[72,175],"education":[73,176],"intervention":[74,163],"using":[75,106],"multimedia":[76],"educational":[78,173],"games":[79],"on":[80],"elementary":[81,101],"school":[82,102],"children\u2019s":[83,179],"attitudes":[86,111,182],"toward":[87,183],"DM.":[88],"A":[89,97],"quantitative":[90],"pre-experimental":[91],"one-group":[92],"pretest\u2013posttest":[93],"design":[94],"was":[95],"applied.":[96],"total":[98],"127":[100],"were":[104,112],"selected":[105],"purposive":[107],"sampling.":[108],"Knowledge":[109],"measured":[113],"before":[114,159],"after":[116,161],"intervention.":[118],"results":[120],"showed":[121],"an":[122],"increase":[123],"mean":[126,139],"score":[128,141],"from":[129,143],"67.87":[130],"at":[131,135],"pretest":[132],"78.43":[134],"posttest,":[136],"while":[137],"attitude":[140],"improved":[142],"33.13":[144],"34.96.":[146],"Wilcoxon":[148],"signed-rank":[149],"test":[150],"indicated":[151],"statistically":[153],"significant":[154],"difference":[155],"scores":[158],"(p":[164],"<":[165],"0.05).":[166],"These":[167],"findings":[168],"that":[170],"multimedia-":[171],"game\u2013based":[174],"effectively":[177],"improves":[178]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-06-29T00:00:00"}