Effect of the SADIVA Digital Application on Knowledge, Counseling, and Screening Skills of Health Cadres for Early Breast and Cervical Cancer Detection: A Quasi-Experimental Study
DOI:
https://doi.org/10.32382/medkes.v21i1.2190Kata Kunci:
Skrining; kanker; IVA; SADANIS; SADIVAAbstrak
Breast cancer and cervical cancer are among the most common cancers affecting women. Health cadres play an important role in encouraging women to undergo visual inspection with acetic acid (VIA) and clinical breast examination (CBE) at healthcare facilities. The “SADIVA” app was developed as an educational tool to assist health cadres in promoting awareness about the early detection of breast and cervical cancer. This study aimed to determine the effect of the “SADIVA” digital media on improving the knowledge, counseling skills and screening skills of health cadres in conducting education and early detection for breast and cervical cancer among women of reproductive age. This study used a Two Group Pretest-Posttest design. The population included health cadres working in the jurisdiction of the Sesela Community Health Center. A total of 60 participants were selected through purposive sampling and divided into two groups, consisting of 30 participants in the intervention group and 30 participants in the control group. The intervention was conducted for four weeks. The intervention group received training on how to use the SADIVA app, while the control group received a booklet. The training was conducted for approximately 60 minutes. Following the training session, all respondents carried out independent practice at least three times per week and were monitored using a checklist and a WhatsApp group. The results of the Mann–Whitney test for the knowledge variable in the post-test showed a Z-score of -2.317, a p-value of 0.016 (p < 0.05), and an effect size of 0.30. Meanwhile, the screening skills variable demonstrated a Z-value of -6.318, a p-value of < 0.001 (p < 0.05), and an effect size of 0.82. And for the health education skills variable, a Z-value of -3.508 was obtained; p-value < 0.001 (p < 0.05); with an effect size of 0.46. Thus, it can be concluded that there are significant differences in the post-test scores for knowledge, screening skills, and counseling skills between the intervention group and the control group, with the effect sizes for each variable being moderate for the knowledge and counseling skills variables, and having a large effect on the improvement in the respondents’ screening skills. The “SADIVA” digital media significantly enhanced the knowledge, counseling abilities, and screening skills of health cadres in supporting the early detection of breast and cervical cancer among women of reproductive age.
Referensi
1. Globocan. The elimination of cancer. Globocan. 2020. doi:10.1016/S0366-0850(07)80117-7
2. Srinath A, Merode F Van, Rao SV, Pavlova M. Barriers to cervical cancer and breast cancer screening uptake in low- and middle-income countries : a systematic review. Health Policy and Planning. 2023;38(December 2022):509–27. doi:DOI: https://doi.org/10.1093/heapol/czac104
3. Suhaid DN, Wardani DWKK, Aningsih BSD, Manungkalit EM, Kusmiyanti M. Deteksi Dini Kanker Serviks Dan Payudara Dengan Pemeriksaan IVA Serta Sadanis di Perumahan Kartika Sejahtera Kelurahan Sasak Panjang Kecamatan Tajur Halang Kabupaten Bogor Jawa Barat. Jurnal Kreativitas Pengabdian Kepada Masyarakat (Pkm). 2022;5(2):406–13. doi:10.33024/jkpm.v5i2.4630
4. Sulistyowati I, Utami W, Masfufatun J. Deteksi Dini Kanker Payudara Dengan Sadari Dan Sadarnis. Jurnal Implementasi Pengabdian Masyarakat. 2023;4(1):19–21. doi:10.37874/bm.v3i2.821
5. Globocan. Cancer statistics for the year 2022: An overview. WHO. 2022. doi:10.1002/ijc.33588 PubMed PMID: 33818764.
6. Loveloi SP, Sutopo P, Yunila F. Analisis Peran Puskesmas Kedungmundu Kota Semarang Dalam Melaksanakan Program Deteksi Dini Kanker Leher Rahim Dan Kanker Payudara. Jurnal Kesehatan Masyarakat. 2018;6(4):42–50. doi:DOI: 10.14710/jkm.v6i4.21354 PubMed PMID: 25246403.
7. Gusriani, Umami N, Indah Noviyanti N, Fitri G, Kebidanan J, Ilmu Kesehatan F, et al. Deteksi Dini Kanker Payudara dengan Pemeriksaan Payudara Klinis (SADANIS) Early Detection of Breast Cancer with Clinical Breast Examination (SADANIS). Jurnal Pengabdian Masyarakat Borneo. 2023;7(1):51–5. doi:DOI: 10.35334/jpmb
8. Rahmayani D, Widyasih H, ... Aplikasi sidik serviks untuk meningkatkan pengetahuan dan sikap tentang deteksi dini kanker serviks. PUINOVAKESMAS. 2021;2(2):62–8. doi:10.29238/puinova.v2i1.106
9. Mittra I, Mishra GA, Dikshit RP, Gupta S, Kulkarni VY, Shaikh HKA, et al. Effect of screening by clinical breast examination on breast cancer incidence and mortality after 20 years : prospective , cluster randomised controlled trial in Mumbai. The BMJ journal. 2021;2:1–9. doi:10.1136/bmj.n256
10. Rahayu Haryanti Budi. The Influence Of Ivanis Video On Cancer Screening. 2022. doi:https://eprints.poltekkesjogja.ac.id/13146/2/Abstract.pdf.pdf
11. Siskia D, Putri IM, Utami FS. Tingkat Pengetahuan, Keterpaparan Informasi, Dan Dukungan Tenaga Kesehatan Berhubungan Dengan Perilaku Pemeriksaan Payudara Klinis (Sadanis) Pada Wanita Di Kelurahan Bantul Kecamatan Bantul Bantul Yogyakarta. Jurnal Medikes (Media Informasi Kesehatan). 2023;10(1):85–100. doi:10.36743/medikes.v10i1.364
12. Dinkes NTB D. Pemeriksaan Leher Rahim & Payudara Provinsi Nusa Tenggara Barat. 2023.
13. Dikes Lobar DB. Pemeriksaan Leher Rahim & Payudara. Gerung; 2023.
14. Mei Zumaro E, Laksono B, Academy Bhakti Pertiwi Pemalang M. The Effectiveness of Clinical Breast Examination (Sadanis) Application to Breast Self Examination (BSE) in Pemalang. Public Health Perspectives Journal. 2019;4(1):30–6. doi:10.15294/ujph.v0i0.30866 https://journal.unnes.ac.id/nju/phpj/article/view/18127/9165
15. Ayu Titisari I, Riyanti E, Nugraha PP. Aplikasi Teori Helath Belief Model pada Partisipasi Wanita Usia Subur (WUS) dalam Pemeriksaan IVA di Kelurahan Kalibanteng Kulon. Jurnal Kesehatan Masyarakat. 2018;6(5):751–9. doi:10.14710/mkmi.11.1.75-85
16. Artha Sari NPY, Subrata IM. Hubungan Tingkat Pengetahuan Dan Sikap Dengan Perilaku Ibu Rumah Tangga Terkait Pemeriksaan Payudara Klinis (Sadanis) Di Wilayah Kerja Puskesmas Kuta Selatan Saat Pandemi Covid-19. Archive of Community Health. 2022;9(3):439–50. doi:10.24843/ach.2022.v09.i03.p07
17. Hombaiah C, Madhu BM, Gopi A, Murthy MRN. Effects of mobile Health ( mHealth ) application on cervical cancer prevention knowledge and screening among women social support groups with low-socioeconomic status in. Journal PLOS ONE. 2022;22:1–12. doi:10.1371/journal.pone.0273070
18. Id OA, Hong KY, Ayo OS, Alade S, Lawal MA, Somoye IE, et al. Development and feasibility of an mHealth intervention for psychoeducational support of Nigerian women diagnosed with breast cancer undergoing chemotherapy : A pilot randomized controlled trial. PLOS ONE. 2024;1–18. doi:10.1371/journal.pone.0314365
19. Prawesti AD, Ode L, Rahman A. Artikel Review The Effectiveness of Implementing Mobile Health Applications in Cancer Patients : A Literature Review. Jurnal Kesehatan Pasak Bumi Kalimantan. 2023;6(1):19–28. doi:http://dx.doi.org/10.30872/j.kes.pasmi.kal.v6i1.9530
20. Dewi U, Aini N, Saputri S, Ridayani R, Tanjungpinang PK. Optimalisasi Peran Kader Posyandu dalam Deteksi Dini Kanker Serviks dan Payudara. Jurnal Abdidas. 2026;7(1):43–53. doi:10.31004/abdidas.v7i1.1303
21. Sinha N, Sharma A. Digital media intervention for breast cancer awareness among rural women : A quasi-experimental study from Bihar , India. Clinical Epidemiology and Global Health. 2024;28(July):101705. doi:10.1016/j.cegh.2024.101705
22. Putri MI, Suyani, Silmina EP. Skrining faktor resiko dan deteksi dini kanker payudara berbasis aplikasi. Masyarakat Berdaya dan Inovasi. 2022;3(2):123–30. doi:10.33292/madayani.v31l.99
23. Israwati DA, HAbo Abbas H, Arman. Monitoring Deteksi Kanker Payudara Berbasis Aplikasi Ca . Mammae Di Rumah Sakit Ibnu Sina Yw-Umi Kota Makassar Peminatan Epidemiologi , Fakultas Kesehatan Masyarakat , Universitas Muslim Indonesia. Window of Public Health Journal. 2025;6(2):354–69. doi:https://doi.org/10.33096/woph.v6i2.2105
24. Puspasari A, Enis RN, Kusdiyah E, Delfira A, Hasmita D, Amatullah A. Knowledge to practice: enhancing posyandu cadres’ competence in metabolic syndrome screening and education. MEDIC. 2025;8(2):1–9.
25. Chamid A, Santi MW, Rachmawati E, Yunus M. Evaluasi Penggunaan Sistem E-Posyandu dengan Metode. Jurnal Penelitian Kesehatan Suara Forikes. 2022;13(4):1105–12. doi:DOI: http://dx.doi.org/10.33846/sf13442
26. Kapoor A, Baker E. Mobile applications for breast cancer survivorship and self-management : A systematic review. Health Informatics Journal. 2020;26(4):2892–905. doi:10.1177/1460458220950853
27. Dong N, Maynard R. A Tool for Calculating Minimum Detectable Effect Sizes and Minimum Required Sample Sizes for Experimental and Quasi-experimental Design Studies. Journal of Research on Educational Effectiveness,. 2013;6(1):24–67. doi:10.1080/19345747.2012.673143
28. Widiasih R, Sukmawati S, Mamuroh L, Mujahidah G. Edukasi Kesehatan tentang Deteksi Dini Kanker Menggunakan Aplikasi KESTURI. Media Karya Kesehatan. 2022;5(2):127–36. doi:10.24198/mkk.v5i2.29851
29. Sari IR, Yasarah H, Nuriiyah S, Nabila AA, Ruswanti D, Mustajab AA. The Effect of Providing Educational on The Knowledge of Health Cadres. Jurnal Kesehatan Saelmakers PERDANA. 2025;8(1):1–6. doi:10.32524/jksp.v8i1.1330
30. Noman S, Shahar HK, Rahman HA, Ismail S, Al-jaberi MA, Azzani M. The Effectiveness of Educational Interventions on Breast Cancer Screening Uptake , Knowledge , and Beliefs among Women : A Systematic Review. International Journal Of Environmental Research and Public Health. 2021;263(18):1–30. doi:10.3390/ijerph18010263
31. Masmuri, Nurul Hidayah, Dodik Limansyah. Efektivitas Video Pembelajaran Peduli Stunting Terhadap Tingkat Pengetahuan dan Keterampilan pada Kader Kesehatan. Citra Delima Scientific journal of Citra Internasional Institute. 2025;8(2):132–42. doi:10.33862/citradelima.v8i2.506
32. Hand T, Rosseau NA, Stiles CE, Sheih T, Oluwasanu M, Olopade OI, et al. The global role , impact , and limitations of Community Health Workers ( CHWs ) in breast cancer screening : a scoping review and recommendations to promote health equity for all ABSTRACT. Global Health Action. 2021;14(1):1–18. doi:10.1080/16549716.2021.1883336
33. Meilani N, Setiyawati N. Pelatihan Kader Kesehatan untuk Meningkatkan Pengetahuan Tentang Deteksi Dini Kanker Leher Rahim di Kecamatan Sawangan. Jurnal Pelayanan dan Pengabdian Masyarakat. 2025;9(3):221–8. doi:DOI: https://doi.org/10.52643/pamas.v9i3 https://ejournal.urindo.ac.id/index.php/PAMAS/article/view/4203/2277
34. Donovan JO, Donovan CO, Kuhn I, Sachs SE, Winters N. Ongoing training of community health workers in low-income and middle-income countries : a systematic scoping review of the literature. BMJ Open. 2018;8:1–10. doi:10.1136/bmjopen-2017-021467
35. Schunk DH, Dibenedetto MK. Motivation and social cognitive theory. Elsevier. 2020;60(December 2019):101832. doi:https://doi.org/10.1016/j.cedpsych.2019.101832
36. Winters N, Langer L, Geniets A. Scoping review assessing the evidence used to support the adoption of mobile health ( mHealth ) technologies for the education and training of community health workers ( CHWs ) in low-income and middle-income countries. BMJ Open. 2018;8:1–10. doi:10.1136/bmjopen-2017-019827
37. Abreu F.D.L A, Bissaco M.A.S B, S.R.M.S B, Santos MF. The use and impact of mHealth by community health workers in developing and least developed countries: a systematic review. Research on Biomedical Engineering. 2021;3–20. doi:DOI:10.1007/s42600-021-00154-3
38. Khana R, Rizky UF, Wijonarko P, Nainggolan N. Pelatihan dan Edukasi Penggunaan Aplikasi Breast Self Examination Sytem untuk Deteksi Dini terhadap Terjadinya Kanker Payudara di Puskesmas Tanjung Priok Pengalaman Peserta dalam Melakukan. Jurnal Berdikari. 2022;5(1):1–18. doi:: https://doi.org/10.55123/sehatmas.v4i4.6431
39. Rahman F, Pujianti N, Riana A, Azwari S, Laily N, Wulandari A, et al. Analisis faktor yang mempengaruhi kinerja kader posyandu dalam upaya menurunkan aki dan akb di wilayah kerja puskesmas kabupaten banjar. Seminar Nasional. 2024. p. 1–8. doi:https://snllb.ulm.ac.id/prosiding/index.php/snllb-lit/article/view/1267/1255
40. Berkhout C, Berbra O, Favre J, Collins C, Calafiore M, Peremans L, et al. Defining and evaluating the Hawthorne effect in primary care , a systematic review and meta-analysis. frontiers in Medicine. 2022;41(November):1–15. doi:10.3389/fmed.2022.1033486
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