Educational approaches to improving knowledge and attitude towards dental hygiene among elementary school children

Nenny Wuri Prabawati(1), Lisdrianto Hanindriyo(2), Sri Widiati(3*)

(1) Pantai Indah Kapuk Hospital, Jakarta Master in Dental Science, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
(2) Department of Public Health Dentistry, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
(3) Department of Public Health Dentistry, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
(*) Corresponding Author


The selection of appropriate dental health education methods will be beneficial in promoting dental health. This study aimed to determine the difference in the effect of role-playing method and storytelling method on knowledge and attitudes towards oral hygiene among elementary school students. The research subjects were 112 students in grade 5. The subjects were divided into 2 different treatment groups, namely 56 students in grade 5 at SD Negeri Tegalrejo I with the storytelling method and 56 students in grade 5 at SD Negeri Tegalrejo II using the role-playing method. The measuring instrument in this research was a questionnaire. The data analysis used the Mann-Whitney test and Wilcoxon Signed Ranks test because the data were not normally distributed. The results of the analysis showed that there was a significant increase over time in knowledge and attitudes carried out in 3 assessments. The mean rank for delta values between the pre-test and posttest 2 for the knowledge variable using the role-playing method was 51.29 while that using the storytelling method was 61.71. Meanwhile, the mean rank for delta values for the attitude variable using the role-playing method was 49.93, while that using the storytelling method was 63.07. The results of the delta analysis from pre-test to post-test 1 and pre-test to post-test 2 showed that the storytelling group experiences a higher increase in knowledge and attitudes than the role-playing group (p<0.05). Provision of education using a storytelling method shows better improvement in students’ knowledge and attitudes towards oral hygiene than using a role-playing method.


attitude; knowledge; oral health education; role-playing method; storytelling method

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1. Bolisani E, Bratianu C. The elusive definition of knowledge. In: emergent knowledge strategies. knowledge management and organizational learning. Cham: Springer International Publishing; 2018. 1-22. doi: 10.1007/978-3-319-60656_1

2. Chaiklin H. Attitudes, behavior, and social practice. The Journal of Sociology & Social
Welfare. 2011; 38(1): 3.

3. Ahmad M, Hussain M, Afzal M, Gilani SA. Effectiveness of health education to improve
oral care of primary school children in a rural community of Pakistan. Journal of Education
and Practice. 2020: 11(7): 25-31.

4. Kusumawardhani FW, Salimo H, Pamungkasari EP. Biopsychosocial determinants of dental
and oral health behavior in elementary school children in Ponorogo, Indonesia: Application
of Health Belief Model. Journal of HealthPromotion and Behavior. 2020; 05(02): 135-
146. doi:10.26911/thejhpb.2020.05.02.08

5. Lopez-Nunez B, Aleksejuniene J, Villanueva- Vilchis MdC. School-Based dental education
for improving oral self-care in Mexican Elementary School–Aged Children. Health Promot Pract. 2019; 20(5): 684-696. doi: 10.1177/1524839919840342

6. Willox AC, Harper SL, Edge VL. Storytelling in digital age: digital storytelling as an emerging narrative method for preserving and promotion indigenous oral wisdom. Qualitative Research. 2012; 13(2): 127-147. doi: 10.1177/1468794112446105

7. Shilpa PM, Swamy PGN. A Study to evaluate the effectiveness of role play on knowledge
regarding oral hygiene among higher primary school children in selected school at tumkur.
Journal of Nursing and Health Science. 2015; 2(4): 37-42.

8. Keshta AS. Using storytelling in teaching english in palestinian schools: perception
and difficulties. Education Journal. 2013; 2(2): 16-26.

9. Kemenkes RI. Riset Kesehatan Dasar, Badan Penelitian dan Pengembangan Kesehatan.
Jakarta: Kementerian Kesehatan RI; 2013.

10. Kemenkes RI. Riset Kesehatan Dasar, Badan Penelitian dan Pengembangan Kesehatan.
Jakarta: Kementerian Kesehatan RI; 2018.

11. Kim H. Statistical notes for clinical researchers: Nonparametric statistical
methods: 1. Nonparametric methods for comparing two groups. Restorative Dentistry
and Endodontics. 2014; 39(3): 235–239.

12. Sharma G. Pros and cons of different sampling techniques. Int J Appl Res. 2017;
3(7): 749-752.

13. Heale R, Twycross A. Validity and realibility in quantitative studies. Evidence-Based
Nursing. 2015; 18(3): 66-67. doi: 10.1136/eb-2015-102129

14. Prado GR, Blaya-Nováková VB, Parkinson ZS, Montero OL, Ayala A, Moreno MF,
Forjaz MJ. Design and validation of an oral health questionnaire for preoperative
anaesthetic evaluation. Brazilian Journal of Anesthesiology. 2017; 67(1): 6–14.
doi: 10.1016/j.bjane.2015.08.007

15. Targhi MG. Storytelling: a preferred strategy in oral health education. Oral Health Dent
Manag. 2015; 14: 2.

16. Kranz MA, Rozier RG. Oral health content of early education and child care regulations and
standards. J Public Health Dent. 2011; 71(2): 81–90. doi: 10.1111/j.1752-7325.2010.00204.x

17. Nair SM, Yusof NM, Hong SC. Comparing the effects of the story telling method and
the conventional method on the interest, motivation and achievement of chinese primary school pupils. Social and Behavioral Sciences. 2014; 116: 3989-3995.
doi: 10.1016/j.sbspro.2014.01.878

18. Balga T, Antala B, Argajova J. Attitudes of elementary school pupils towards physical education and their differentiation from the point of view of age, sporting level and
gender. Journal of Physical Education and Sport. 2019; 19(1): 552-559.
doi: 10.7752/jpes.2019.01081

19. Azwar S. Sikap Manusia Teori dan Pengukurannya, 2nd ed. Yogyakarta: Pustaka
Pelajar; 2015. 3-5.

20. Green MC. Storytelling in Teaching. The Association of Psychological Science.
2004. 17(4). Available at teaching#.WG33MqIoaNI

21. Ediyasair P, Sudana IM, Rahayu SR. Comparison of the effectiveness of movie media and puppet story toward dental and oral hygiene in elementary school students in Semarang. Public Health Perspectives Journal. 2020; 5(2): 170-177.

22. Belet SD, Dal S. The use of storytelling to develop the primary school students’ critical
reading skill: the primary education preservice teachers’ opinions. Procedia Social
and Behavioral Science. 2010; 9: 1830–1834. doi:10.1016/j.sbspro.2010.12.409

23. Smeda N, Dakich E, Sharda N. The effectiveness of digital storytelling in the classrooms: a comprehensive study. Smart Learning Environments. 2014; 1: 6.


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