Effectiveness of Spotify-Based Health Podcast Intervention on Reproductive Health Perceptions Among Female Vocational School Adolescents: A Pre-Experimental Study
DOI:
https://doi.org/10.62255/mjhp.v4i1.268Abstract
This study investigated the effectiveness of a Spotify-based health education podcast in improving reproductive health perceptions among adolescent girls at a vocational secondary school in Surabaya, Indonesia. Adolescent girls frequently rely on peers as their primary source of reproductive health information, increasing their vulnerability to misinformation and adverse health outcomes. A pre-experimental one-group pre-test–post-test design was conducted involving 42 female students enrolled in the Culinary Arts programme at SMK Kartika IV, selected through total sampling. Participants completed a validated reproductive health perception questionnaire before and 14 days after exposure to a standardized five-episode podcast series delivered via Spotify, covering menstrual health, personal hygiene, sexually transmitted infections, and adolescent reproductive rights. Changes in perception scores were analyzed using the Wilcoxon signed-rank test, while logistic regression was used for subgroup analyses. The mean perception score increased substantially from 61.4 (SD 8.3) at baseline to 86.8 (SD 5.1) following the intervention, representing a mean improvement of 25.4 points (Z = ?5.68; p < 0.001; effect size r = 0.88). The proportion of participants demonstrating positive reproductive health perceptions increased from 90.4% at baseline to 100% after the intervention. Significant improvements were observed across all age groups and information-source categories. These findings indicate that a short-term reproductive health education intervention delivered through a widely accessible digital audio platform can significantly enhance reproductive health perceptions among adolescent girls and may represent a scalable strategy for strengthening adolescent reproductive health promotion programs in Indonesia.
Downloads
Keywords:
reproductive health, adolescent, podcast, health education, digital media, perception, IndonesiaReferences
Akande, O., Muzigaba, M., Igumbor, E., Elimian, K., Bolarinwa, O., Musa, O., & Akande, T. (2024). The effectiveness of an m-Health intervention on the sexual and reproductive health of in-school adolescents: a cluster randomized controlled trial in Nigeria. Reproductive Health, 21. https://doi.org/10.1186/s12978-023-01735-4
Alekhya, G., Chinnadurai, A., Dora, S., Patro, S., Sahu, D. P., & Mourougan, M. (2025). “Sexuality education is a double edge-sword…”: a qualitative study on perceptions of school teachers on sexual and reproductive health of adolescent girls in Eastern India. Reproductive Health, 22. https://doi.org/10.1186/s12978-025-02098-8
Alekhya, G., Parida, S., Giri, P., Begum, J., Patra, S., & Sahu, D. (2023). Effectiveness of school-based sexual and reproductive health education among adolescent girls in Urban areas of Odisha, India: a cluster randomized trial. Reproductive Health, 20. https://doi.org/10.1186/s12978-023-01643-7
Amalia, R. B., Wittiarika, I. D., & Jayanti, R. (2021). Strategies to improve the adolescent’s reproductive health knowledge in the traditional Islamic Boarding School in Sidoarjo, Indonesia. 5, 14–21. https://doi.org/10.25077/jom.5.2.14-21.2020
Astuti, D. A., Kurniati, N., Rasyid, E., & Ningrum, R. (2025). Promoting adolescent reproductive health through PIK-R formation: A case study at SMP Muhdasa Yogyakarta. Community Empowerment. https://doi.org/10.31603/ce.12390
Fernenda, L., Forest, I. O., Hasanah, I., Setiyaningsih, A., Febriani, W., Maharani, R., Putri, S. A., Afrilia, S. N., Astari, N., Gusviani, E. C., & Nurcahyati, C. (2026). Studi Deskriptif Pengetahuan Kesehatan Reproduksi pada Remaja di Sekolah Menengah Kejuruan Negeri 1 Mempura Kabupaten Siak. Solusi Bersama?: Jurnal Pengabdian Dan Kesejahteraan Masyarakat. https://doi.org/10.62951/solusibersama.v3i1.3040
Fitri, R., Syafriani, S., & Oktaviani, Y. (2025). The Role of Adolescent Health Services in Promoting Sexual Health in Indonesia. Journal of Health and Nutrition Research. https://doi.org/10.56303/jhnresearch.v4i1.349
Guo, R., Pan, W., Zhao, W., Zhao, M., & Wang, J. (2025). Effectiveness of an online sexual and reproductive health educational program on knowledge, attitudes, and behaviours among senior primary school students: a cluster randomized controlled trial. Reproductive Health, 22. https://doi.org/10.1186/s12978-025-02071-5
Guo, R., Xie, H., Zhao, W., & Wang, J. (2025). Web-based sexual and reproductive health education for adolescents aged 10–17 years: a systematic review and meta-analysis. BMJ Paediatrics Open, 9. https://doi.org/10.1136/bmjpo-2025-003714
Hastuti, P., Prahesti, Y., & Yunitasari, E. (2021). The Effect of Reproductive Health Education on Knowledge and Attitudes of Adolescent About Premarital Sex in Private Vocational School Surabaya. Pediomaternal Nursing Journal. https://doi.org/10.20473/pmnj.v7i2.27498
Juariah, & Rizkianti, A. (2024). Promoting Reproductive Health: An Experience of Adolescents in West Java, Indonesia. BIO Web of Conferences. https://doi.org/10.1051/bioconf/202413300022
Kistiana, S., Fajarningtiyas, D., & Lukman, S. (2023). Differentials in Reproductive Health Knowledge among Adolescents in Indonesia. Media Kesehatan Masyarakat Indonesia. https://doi.org/10.30597/mkmi.v19i1.23641
Lahope, G., & Fathurrahman, R. (2024). Current State, Challenges, and Opportunities of the School-Based Sexual and Reproductive Health Education in Indonesia: A Systematic Literature Review. Preventia?: The Indonesian Journal of Public Health. https://doi.org/10.17977/um044v9i12024p81-94
Leite, P. L., Torres, F. A. F., Pereira, L. M., De Moraes Bezerra, A., Machado, L. D. S., & Da Silva, M. R. F. (2022). Construction and validation of podcast for teen sexual and reproductive health education. Revista Latino-Americana de Enfermagem, 30. https://doi.org/10.1590/1518-8345.6263.3705
Millanzi, W., Kibusi, S., & Osaki, K. (2022). Effect of integrated reproductive health lesson materials in a problem-based pedagogy on soft skills for safe sexual behaviour among adolescents: A school-based randomized controlled trial in Tanzania. PLoS ONE, 17. https://doi.org/10.1371/journal.pone.0263431
N, H., Rashmi, A., Kundapur, R., Ramamurthy, D., Prabhu, S., Davalagi, S., & Parimitha. (2025). Adolescent Reproductive Health Education: Insights from a Mixed-Methods Evaluation of an Intervention Program. Indian Journal of Community Health. https://doi.org/10.47203/ijch.2025.v37i05.032
Ogul, Z., & Sahin, N. (2024). The effect of an educational peer-based intervention program on sexual and reproductive health behavior. Journal of Adolescence. https://doi.org/10.1002/jad.12371
Pinandari, A., Kågesten, A., Li, M., Moreau, C., Van Reeuwijk, M., & Wilopo, S. (2023). Short-Term Effects of a School-Based Comprehensive Sexuality Education Intervention Among Very Young Adolescents in Three Urban Indonesian Settings: A Quasi-Experimental Study. The Journal of Adolescent Health?: Official Publication of the Society for Adolescent Medicine, 73 1S. https://doi.org/10.1016/j.jadohealth.2023.01.030
Putri, A., & Sansuwito, T. (2025). Developing Knowledge of Sexual and Reproductive Health Among Adolescent Girls Through a Peer Mentoring Approach in Nursing. Malaysian Journal of Nursing. https://doi.org/10.31674/mjn.2025.v16i03.020
Putri, Y., Maryati, I., & Solehati, T. (2025). Interventions to Improve Sexual and Reproductive Health Related Knowledge and Attitudes Among the Adolescents: Scoping Review. Risk Management and Healthcare Policy, 18, 105–116. https://doi.org/10.2147/rmhp.s490395
Rajapakshe, W., Wickramasurendra, A. K., Amarasinghe, R. R., Wijerathne, S. L. M. K. A., Wijesinghe, N. D., & Madhavika, N. (2024). Application of the Health Belief Model (HBM) to Explore the Quality of Sexual and Reproductive Health (SRH) Education in Sri Lanka. International Journal of Environmental Research and Public Health, 21. https://doi.org/10.3390/ijerph21121703
Sari, P., Bestari, A., Martini, N., Nirmala, S., Yasirulhaq, Y., Hartiti, W., Ambarsari, F., Salsabila, N., Lumbanraja, N., Aflah, I., & Siswantari, R. (2025). An Interactive Learning to Increase the Knowledge of Sexual and Reproductive Health Among University Students: A Pilot Study in West Java, Indonesia. Journal of Multidisciplinary Healthcare, 18, 2721–2730. https://doi.org/10.2147/jmdh.s512267
Sikoki, B., Larastiti, C., Suriastini, N., & Pujiastuti, S. (2024). A qualitative study on perceptions of adolescents’ sexual and reproductive health education in Yogyakarta, Indonesia. International Journal of Adolescent Medicine and Health, 36, 425–432. https://doi.org/10.1515/ijamh-2023-0036
Suttor, H., Yamayanti, K. P., Astiti, N. L. E. P., Dewi, T., Chenhall, R., Ansariadi, A., & Hennegan, J. (2025). Seeking and encountering online information for menstrual health: a qualitative study among adolescent schoolgirls in Gianyar Regency and Denpasar City, Bali, Indonesia. Sexual and Reproductive Health Matters, 32. https://doi.org/10.1080/26410397.2024.2445936
Utami, D. R. R. B., Nurwati, I., & Lestari, A. (2024). School-based sexual and reproductive health education among adolescents in developing countries. International Journal of Public Health Science (IJPHS). https://doi.org/10.11591/ijphs.v13i1.23267
Vincent, R., & Krishnakumar, K. (2022). School-Based Interventions for Promoting Sexual and Reproductive Health of Adolescents in India: A Review. Journal of Psychosexual Health, 4, 102–110. https://doi.org/10.1177/26318318221089621
Wani, C., McCann, L., Lennon, M., & Radu, C. (2023). Digital Mental Health Interventions for Adolescents in Low- and Middle-Income Countries: Scoping Review. Journal of Medical Internet Research, 26. https://doi.org/10.2196/51376
Wittiarika, I. D., Jayanti, R., Andriyanti, Setyowati, D., Aprianti, R., Mirasari, N., Sumbawati, M. D., Komariah, S. N., P, D. A., Ultraluana, P., Ngatwati, Idi, Y. R. M., Amin, N. F., Iskandar, M. A. H. B. M., Hamdani, F. N. I. B., & Razak, S. N. B. A. (2025). INTERNATIONAL COLLABORATION: STRENGTHENING ADOLESCENT HEALTH PROGRAMS THROUGH GLOBAL PARTNERSHIPS IN EMPOWERING SCHOOL HEALTH PROGRAM CADRES AND PEER TUTORS. Jurnal Layanan Masyarakat (Journal of Public Services). https://doi.org/10.20473/.v9i1.2025.133-139
Wulandare, R., Solihah, I., & Tutiany, T. (2024). The Effect of Health Education with Audiovisual on Increasing Knowledge, Attitudes, and Practices on Maintaining Reproductive Health in Vocational School Adolescent Girls. International Journal of Current Science Research and Review. https://doi.org/10.47191/ijcsrr/v7-i8-25
Xing, Yang, Y., Chow, K., & Zang, Y. (2021). Chinese adolescents’ sexual and reproductive health education: A quasi?experimental study. Public Health Nursing (Boston, Mass.), 39, 116–125. https://doi.org/10.1111/phn.12914
Yakubu, I., Garmaroudi, G., Sadeghi, R., Tol, A., Yekaninejad, M., & Yidana, A. (2019). Assessing the impact of an educational intervention program on sexual abstinence based on the health belief model amongst adolescent girls in Northern Ghana, a cluster randomised control trial. Reproductive Health, 16. https://doi.org/10.1186/s12978-019-0784-8
Yari, A., Kabiri, B., Harsini, P. A., & Jeihooni, K. (2023). Improving menstrual health knowledge among girls from Iran: the effectiveness of educational health belief model. Women & Health, 64, 65–74. https://doi.org/10.1080/03630242.2023.2294970
Yuliasih, N., Sari, P., Bestari, A., Martini, N., & Sujatmiko, B. (2025). Does Health Education Through Videos and E-Leaflet Have a Good Influence on Improving Students’ Reproductive Health Knowledge, Attitudes, and Practices? an Intervention Study in Jatinangor, Indonesia. Advances in Medical Education and Practice, 16, 29–39. https://doi.org/10.2147/amep.s487338
Yuliza, W. T., Yanti, M., Alkafi, A., & Rahma, G. (2023). Factors Associated With Reproductive Health Knowledge Among Vocational School Students In Padang. Preventia?: The Indonesian Journal of Public Health. https://doi.org/10.17977/um044v8i22023p60-66
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Anisalal Mu’aisyah, Ni Wayan Dwi Rosmalawati, Irma Afifa, Verlina Maya Gita

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.






