Effectiveness of Zoom-Based Menstrual Health Education in Improving Adolescents' Knowledge of Dysmenorrhea Management
A Quasi-Experimental Study
DOI:
https://doi.org/10.63120/jise.v4i3.74Keywords:
adolescent girls, dysmenorrhea, menstrual health literacy, online health education, quasi-experimental studyAbstract
Dysmenorrhea is a common menstrual disorder among adolescents that negatively affects daily activities, academic performance, and quality of life. However, many adolescent girls lack adequate knowledge of dysmenorrhea and its evidence-based management. This study evaluated the effectiveness of Zoom-based health education in improving adolescents' knowledge of dysmenorrhea. A quasi-experimental one-group pretest-posttest design was conducted among 41 female high school students selected through purposive sampling. Participants attended a 90-minute synchronous Zoom-based educational session covering menstrual physiology, dysmenorrhea, risk factors, pharmacological and non-pharmacological management, and self-care practices. Knowledge was assessed using a structured questionnaire before and after the intervention, and descriptive statistics were used to summarize the findings. Before the intervention, 30 participants (73.2%) had poor knowledge, 7 (17.1%) had fair knowledge, and 4 (9.7%) had good knowledge. Following the intervention, the proportion of participants with poor knowledge decreased to 11 (26.8%), while those with good knowledge increased to 22 (53.7%). Participants also reported that the interactive online learning environment, multimedia materials, and discussion sessions improved their understanding and corrected misconceptions regarding menstrual pain management. These findings indicate that Zoom-based health education effectively enhances adolescents' knowledge and menstrual health literacy. Integrating digital menstrual health education into school health promotion programs may strengthen self-care practices and improve adolescent reproductive health outcomes.
Downloads
References
Abdelkhalik, W. I., Alshawish, E., Fadel, E. A., Elsaid, T. M., & Elsayed, H. M. (2026). Effect of isometric exercises and self-care activities on primary dysmenorrhea among secondary school students: A quasi-experimental study. Journal of Public Health Research, 15(3). https://doi.org/10.1177/22799036261465943
Abukari, Z. (2021). The Use of Internet for Seeking Health Information Among Narh-Bita College Students: A Cross-sectional Study. Tema, Ghana. Library Philosophy and Practice, 2021, 1–18. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85104729684&partnerID=40&md5=4364d02cdc14ae519891932b1cf2a1ad
Alavi-Arjas, F., Firouzabadi, M., Farnam, F., Balvardi, M., Taheri, M., Riazi, H., Pourramezani, N., & Keshavarz, Z. (2024). Educational interventions for promoting sexual and reproductive health in school counselors: a three-arm, randomized control trial comparing lecturing, buzz group and role-play. Global Health Promotion, 31(3), 70–79. https://doi.org/10.1177/17579759231212436
Armour, M., Smith, C. A., Steel, K. A., & MacMillan, F. (2019). The effectiveness of self-care and lifestyle interventions in primary dysmenorrhea: A systematic review and meta-analysis. BMC Complementary and Alternative Medicine, 19(1). https://doi.org/10.1186/s12906-019-2433-8
Arruda, G. T. de, Barbosa-Silva, J., Driusso, P., Pathmanathan, C., Armijo-Olivo, S., & Avila, M. A. (2025). Worldwide prevalence of dysmenorrhea: a systematic review and meta-analysis across 70 countries. Pain, Publish Ah. https://doi.org/10.1097/j.pain.0000000000003768
Cherenack, E. M., Rubli, J., Melara, A., Ezaldein, N., King, A., Alcaide, M. L., Raccamarich, P., Fein, L. A., & Sikkema, K. J. (2023). Adolescent girls’ descriptions of dysmenorrhea and barriers to dysmenorrhea management in Moshi, Tanzania: A qualitative study. PLOS Global Public Health, 3(7). https://doi.org/10.1371/journal.pgph.0001544
Dobrokhotova, Y. E., Borovkova, E. I., & Zalesskaia, S. A. (2018). Primary dysmenorrhea: Strategy and tactics of treatment. Gynecology, 20(1), 31–34. https://doi.org/10.26442/2079-5696_20.1.31-34
Donayeva, A., Amanzholkyzy, A., Abdelazim, I., Nurgaliyeva, R., Gubasheva, G., Saparbayev, S., Ayaganov, D., Kaldybayeva, A., & Samaha, I. (2023). The impact of primary dysmenorrhea on adolescents’ activities and school attendance. Journal of Medicine and Life, 16(10), 1462–1467. https://doi.org/10.25122/jml-2023-0247
Etemadi Nia, F., Fallah Karimi, S., Khalilzadeh Farsangi, Z., & Qaljaei, F. (2025). Studying the Effect of Multimedia Menstrual Hygiene Educational Intervention on Self-Efficacy of Adolescent Girls in Zahedan City. Iranian Journal of Health Education and Health Promotion, 14(1), 1–11. https://doi.org/10.22034/14.1.2
Harada, T. (2013). Dysmenorrhea and endometriosis in young women. Yonago Acta Medica, 56(4), 81–84. https://www.scopus.com/inward/record.uri?eid=2-s2.0-84888399477&partnerID=40&md5=3c860d1a3aacdbb1618d88d20977c22a
Herviana, C., & Farapti, F. (2023). The Relationship Between Knowledge and Patterns of Herbal Drink Product Consumption with Dysmenorrhea of Female Adolescent. Amerta Nutrition, 7(2), 203–209. https://doi.org/10.20473/amnt.v7i2.2023.203-209
Hewitt, G. (2020). Dysmenorrhea and endometriosis: Diagnosis and management in adolescents. Clinical Obstetrics and Gynecology, 63(3), 536–543. https://doi.org/10.1097/GRF.0000000000000540
Israel, M. P., & Priscilla, K. (2023). A quasi-experimental study to evaluate the effectiveness of a structured teaching programme on knowledge regarding dysmenorrhea among adolescent girls at selected schools in Madurai district. Indian Journal of Forensic and Community Medicine, 10(4), 148–151. https://doi.org/10.18231/j.ijfcm.2023.028
Long, J. L., Haver, J., Mendoza, P., & Vargas Kotasek, S. M. (2022). The More You Know, the Less You Stress: Menstrual Health Literacy in Schools Reduces Menstruation-Related Stress and Increases Self-Efficacy for Very Young Adolescent Girls in Mexico. Frontiers in Global Women’s Health, 3. https://doi.org/10.3389/fgwh.2022.859797
Matsushita, S., Wong, B., Kanumalla, R., & Goldstein, L. (2020). Osteopathic manipulative treatment and psychosocial management of dysmenorrhea. Journal of the American Osteopathic Association, 120(7), 479–482. https://doi.org/10.7556/jaoa.2020.076
McKinnon, K. A., H Y Caldwell, P., & Scott, K. M. (2020). How adolescent patients search for and appraise online health information: A pilot study. Journal of Paediatrics and Child Health, 56(8), 1270–1276. https://doi.org/10.1111/jpc.14918
Park, Y. J., & Bonk, C. J. (2007). Synchronous learning experiences: Distance and residential learners’ perspectives in a blended graduate course. Journal of Interactive Online Learning, 6(3), 245–264. https://www.scopus.com/inward/record.uri?eid=2-s2.0-38149132493&partnerID=40&md5=fbcc6efb8387f8dc3f70a57bb440a863
Pembe, A. B., & Ndolele, N. T. (2011). Dysmenorrhoea and coping strategies among secondary school adolescents in Ilala District, Tanzania. East African Journal of Public Health, 8(3), 232–236. https://www.scopus.com/inward/record.uri?eid=2-s2.0-84871873052&partnerID=40&md5=e520e04c16a6379dafe126049cf42a07
Raut, K. B., Khatry, R. A., & Shrestha, T. (2019). Awareness regarding Menstrual Hygiene among Girl Students of a School in Chitwan. JNMA; Journal of the Nepal Medical Association, 57(220), 449–452. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85084106921&partnerID=40&md5=5f86f769919647e4b50cf2510d71d36f
Raza, N., & Jeve, Y. (2026). An update on primary dysmenorrhoea: what’s new? Obstetrics, Gynaecology and Reproductive Medicine, 36(4), 115–118. https://doi.org/10.1016/j.ogrm.2026.02.003
Rodrigues, J. C., de Arruda, G. T., de Moraes, P. C., Firão, C. B., Avila, M. A., & Driusso, P. (2024). Self-management of primary dysmenorrhea-related pain: cross-sectional study on non-pharmacological interventions. Pain Management, 14(5–6), 265–272. https://doi.org/10.1080/17581869.2024.2376519
Sanctis, V. De, Soliman, A., Bernasconi, S., Bianchin, L., Bona, G., Bozzola, M., Buzi, F., De Sanctis, C., Tonini, G., Rigon, F., & Perissinotto, E. (2016). Definition and self-reported pain intensity in adolescents with dysmenorrhea: A debate report. Rivista Italiana Di Medicina Dell’Adolescenza, 14(2), 41–47. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85040650939&partnerID=40&md5=db0c0f9aa1115cf4dfe2c23c3402f810
Shellasih, N. M., & Ariyanti, F. (2020). Factors of primary dysmenorrhea in junior high school students in south Tangerang City, Indonesia, 2018. Journal of Public Health and Development, 18(1), 73–83. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85089830058&partnerID=40&md5=edba932c7953133454bebba5a870296c
Trianingsih, D., Andriana, N., & Diba, F. (2025). The Effectiveness of Slade 2.0 Game in Increasing the Knowledge of Adolescent Girls about Anemia and Dysmenorrhea. Journal of the Liaquat University of Medical and Health Sciences, 2025-April, 44–49. https://doi.org/10.22442/jlumhs.2025.01319
Walker, R., Fields, J., Gilbert, J., & Leahy, D. (2022). School-Based Education: An Opportunity to Promote Equitable Access to Sexual and Reproductive Health Knowledge. Seminars in Reproductive Medicine, 40(3–4), 193–198. https://doi.org/10.1055/s-0042-1742336
Weng, N., Munro, C., & Grover, S. R. (2026). Parental Understanding of Menstrual Problems in Their Adolescent Child: A Narrative Review✰. Journal of Pediatric and Adolescent Gynecology. https://doi.org/10.1016/j.jpag.2026.02.004
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Adib Fattah Decky Ardhana, Devi Permata Sari
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
