DEVELOPING AN INTERPROFESSIONAL STUNTING PREVENTION MODULE: AN EDUCATIONAL DESIGN RESEARCH STUDY

https://doi.org/10.22146/jpki.110160

Erwin Handoko(1*), Nelly Dameria Sinaga(2), Martha Sutriska Sagala(3), Afnizar Wahyu(4), Jhon Roby Purba(5), Ribka Narwastu Silaban(6), Yanti Maria Nainggolan(7), Irza Haicha Pratama(8), Risti Rosmiati(9), Putranto Manalu(10)

(1) Nursing Department, Universitas Murni Teguh, Deli Serdang
(2) Midwifery Department, Universitas Murni Teguh, Deli Serdang
(3) Physiotherapy Department, Universitas Murni Teguh, Deli Serdang
(4) Nursing Department, Universitas Murni Teguh, Deli Serdang
(5) Physiotherapy Department, Universitas Murni Teguh, Deli Serdang
(6) Nursing Department, Universitas Murni Teguh, Deli Serdang
(7) Nursing Department, Universitas Murni Teguh, Deli Serdang
(8) Public Health Department, Universitas Prima Indonesia, Medan
(9) Nutrition Department, Universitas Negeri Medan
(10) Public Health Department, Universitas Prima Indonesia, Medan
(*) Corresponding Author

Abstract


ABSTRACT

Background: Stunting is a major public health issue in Indonesia, with a prevalence rate of 19.8%. Addressing this challenge requires coordinated action across multiple health disciplines, yet educational resources to promote interprofessional collaboration in stunting prevention remain limited. 

Aims: To develop an interprofessional education (IPE) module for undergraduate students across five health-related disciplines - medicine, nursing, midwifery, nutrition, and physiotherapy - and evaluate its effectiveness.

Methods: Using an Educational Design Research, the study developed and tested the module through an iterative process. Participants' knowledge and collaboration readiness were assessed using pre- and post-tests and the Readiness for Interprofessional Learning Scale (RIPLS). 

Results: Wilcoxon signed-rank tests showed that the IPE module significantly improved students' knowledge about stunting prevention (p < .001, Z = 4.239, r = .80) and readiness for interprofessional collaboration (p = .016, Z = 2.409, r = .46). Thematic analysis of student reflections revealed improved understanding of the roles and contributions of different health professions, better awareness of the value of interdisciplinary collaboration, and an appreciation for community engagement in stunting prevention. Challenges identified included interpersonal and communication issues, time constraints, and overlapping responsibilities among professions. They also provided suggestions for module improvement, such as involving more programs from health and nonhealth disciplines and enhancing content depth. 

Conclusion: The study's findings suggest that IPE is an effective tool for equipping future healthcare professionals to address complex health issues such as stunting, and that the approach should be expanded and refined for broader application in health education.



Keywords


Stunting, Interprofessional Collaboration, Interprofessional Education, Stunting Prevention, Module Development

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References

  1. Kementerian Kesehatan Republik Indonesia. Survei status gizi Indonesia SSGI 2024 dalam angka. 2025.

  2. World Health Organization. Stunting in A Nutshell 2015. https://www.who.int/news/item/19-11-2015-stunting-in-a-nutshell (accessed April 30, 2024).

  3. United Nations Children's Fund. The state of the world's children 2019: Children, food and nutrition 2019. https://www.unicef.org/reports/state-of-worlds-children-2019 (accessed July 11, 2024).

  4. Lestari E, Siregar A, Hidayat AK, Yusuf AA. Stunting and its association with education and cognitive outcomes in adulthood: A longitudinal study in Indonesia. PLoS One 2024;19:1-18. https://doi.org/10.1371/journal.pone.0295380

  5. Soliman A, De Sanctis V, Alaaraj N, Ahmed S, Alyafei F, Hamed N, et al. Early and long-term consequences of nutritional stunting: From childhood to adulthood. Acta Biomedica 2021;92. https://doi.org/10.23750/abm.v92i1.11346

  6. Ministry of Health Republic of Indonesia, UNICEF. Towards a future in Indonesia without child undernutrition: Managing child wasting and reducing the prevalence of child stunting. 2024.

  7. Atmojo JT, Handayani RT, Darmayanti AT, Setyorini C, Widiyanto A. Intervensi Gizi dalam Penanganan dan Pencegahan Stunting di Asia: Tinjauan Sistematis. (JKG) JURNAL KEPERAWATAN GLOBAL 2020;5:26-30. https://doi.org/10.37341/jkg.v5i1.90

  8. Badan Pusat Statistik. Indonesia Poverty Profile in March 2023 2023. https://www.bps.go.id/en/pressrelease/2023/07/17/2016/indonesia-poverty-profile-in-march-2023.html (accessed July 28, 2024).

  9. Rah JH, Cronin AA, Badgaiyan B, Aguayo V, Coates S, Ahmed S. Household sanitation and personal hygiene practices are associated with child stunting in rural India: A cross-sectional analysis of surveys. BMJ Open 2015;5. https://doi.org/10.1136/bmjopen-2014-005180

  10. Laksono AD, Wulandari RD, Amaliah N, Wisnuwardani RW. Stunting among children under two years in Indonesia: Does maternal education matter? PLoS One 2022;17:e0271509. https://doi.org/10.1371/journal.pone.0271509

  11. Tanoto Foundation. Multi-stakeholder approach is key to reducing stunting in Indonesia. Forbes 2022.

  12. Sulistyaningsih S, Aprillia R, Annisa L, Febrianti CP. The Effectiveness of Interprofessional Collaboration Practice to Reduce The Risk of Stunting: An Integrative Review. Jurnal Aisyah : Jurnal Ilmu Kesehatan 2023;8. https://doi.org/10.30604/jika.v8i2.1680

  13. Bogossian F, New K, George K, Barr N, Dodd N, Hamilton AL, et al. The implementation of interprofessional education: a scoping review. Advances in Health Sciences Education 2023;28. https://doi.org/10.1007/s10459-022-10128-4

  14. Shaw L, Kiegaldie D, Heng H, Morris ME. Interprofessional education to implement patient falls education in hospitals: Lessons learned. Nurs Open 2023;10. https://doi.org/10.1002/nop2.1276

  15. Susan McKenney, Thomas Reeves. Conducting Educational Design Research. 2nd ed. Routledge; 2018.

  16. Barab S, Squire K. Design-Based Research: Putting a Stake in the Ground. Journal of the Learning Sciences 2004;13:1-14. https://doi.org/10.1207/s15327809jls1301_1

  17. Susie L Gronseth, Erwin Handoko, Sara McNeil, George Zhao, Haoyue Zhang, Bulent Dogan. Gamifying an Online Instructional Design Course: An Educational Design Research Study. AECT, Las Vegas: 2019, p. 79-91.

  18. Guraya SY, Barr H. The effectiveness of interprofessional education in healthcare: A systematic review and meta-analysis. Kaohsiung Journal of Medical Sciences 2018;34. https://doi.org/10.1016/j.kjms.2017.12.009

  19. Hall LW, Zierler BK. Interprofessional Education and Practice Guide No. 1: Developing faculty to effectively facilitate interprofessional education. J Interprof Care 2015;29. https://doi.org/10.3109/13561820.2014.937483

  20. Reales Chacón LJ, Robalino Morales GE, Peñafiel Luna AC, Cárdenas Medina JH, Cantuña-Vallejo PF. Non-probabilistic intentional sampling: a scientific research tool in health science careers. Universidad y Sociedad 2022;14

  21. Parsell G, Bligh J. The development of a questionnaire to assess the readiness of health care students for interprofessional learning (RIPLS). Med Educ 1999;33. https://doi.org/10.1046/j.1365-2923.1999.00298.x

  22. Tyastuti D, Onishi H, Ekayanti F, Kitamura K. Psychometric item analysis and validation of the Indonesian version of the Readiness for Interprofessional Learning Scale (RIPLS). J Interprof Care 2014;28. https://doi.org/10.3109/13561820.2014.907778

  23. Stephanie Riger, Rannveig Sigurvinsdottir. Thematic Analysis. In: Leonard A Jason, David S Glenwick, editors. Handbook of Methodological Approaches to Community-Based Research, OxfordUniversityPress; 2016, p. 33-41.

  24. Zenani NE, Sehularo LA, Gause G, Chukwuere PC. The contribution of interprofessional education in developing competent undergraduate nursing students: integrative literature review. BMC Nurs 2023;22. https://doi.org/10.1186/s12912-023-01482-8

  25. Hossain M, Choudhury N, Adib Binte Abdullah K, Mondal P, Jackson AA, Walson J, et al. Evidence-based approaches to childhood stunting in low and middle income countries: a systematic review. Arch Dis Child 2017;102:903-9. https://doi.org/10.1136/archdischild-2016-311050

  26. D’Costa MP, Jahan F, Al Shidi A. Health professions students' attitude, perception, and readiness toward interprofessional education and practice in Oman. J Taibah Univ Med Sci 2022;17. https://doi.org/10.1016/j.jtumed.2021.10.004

  27. Fitriahadi E, Suparman YA, Silvia WTA, Wicaksono G K, Syahputra AF, Indriyani A, et al. Meningkatkan Pengetahuan dan Kesadaran Tentang Stunting Sebagai Upaya Pencegahan Terjadinya Stunting. Jurnal Masyarakat Madani Indonesia 2023;2:410-5. https://doi.org/10.59025/js.v2i4.154



DOI: https://doi.org/10.22146/jpki.110160

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Copyright (c) 2026 Erwin Handoko, Nelly Dameria Sinaga, Martha Sutriska Sagala, Afnizar Wahyu, Jhon Roby Purba, Ribka Narwastu Silaban, Yanti Maria Nainggolan, Irza Haicha Pratama, Risti Rosmiati, Putranto Manalu

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