Strengthening Health Literacy Using Social Media: A Quasi-Experimental Study on Rice Farmers’ Heat Stroke Risk in Rural Agricultural Areas of Indonesia
نویسندگان
1 Department of Emergency and Critical Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia
2 Department of Medical and Surgical Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia
3 Department of Agricultural Extension, Faculty of Agriculture, Universitas Jember, Jember, Indonesia
4 Faculty of Nursing, Universitas Jember, Jember, Indonesia
5 Department of Emergency and Critical Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia
6 Department of Emergency and Critical Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia
doi
10.22038/jhl.2025.89831.1821چکیده
Background and Objective: Heat stroke is an emergency condition that can cause death. Heat stroke is prone to occur in agricultural workers. This condition of vulnerability is related to rice farmers' knowledge of exposure to extreme environmental heat. This research aims to determine the effect of increasing health literacy through social media on rice farmers' knowledge, attitude, and first aid practice regarding heat stroke emergencies. Materials and Methods: We used a quasi-experimental design with a pretest-posttest control group design. A cluster randomized trial sampling technique was used to select the participants. The education carried out sends visuals, audio, and narrative text via WhatsApp groups. Data were collected using a heat stroke knowledge, attitude, and first aid practice questionnaire, with a Cronbach's Alpha value of 0.73. Data was analyzed using the Wilcoxon test and the Mann-Whitney test to determine the differences within or between groups. Result: The results showed no significant change in knowledge, attitude, or first aid practice in the control group (p-values: 0.793, 0.491, and 1.000, respectively, all > 0.05). In contrast, the intervention group showed significant improvements in all three aspects (all p-values = 0.001 < 0.05). The intervention group showed significant improvements in knowledge, attitude, and first aid practice related to heatstroke compared to the control group (all p = 0.001), with the greatest increase observed in knowledge.Conclusion: This research concludes that increasing health literacy via social media is effective in increasing knowledge, attitude, and first aid practice about heat stroke emergencies among farmers. It is recommended that future studies explore the long-term retention of knowledge, attitude, and practice, and the impact of social media education on behavioral changes in preventing heat stroke among farmers.