Enhancing health literacy for child protection: Development and validation of a mobile application for child sexual abuse prevention education
DOI:
https://doi.org/10.56294/saludcyt20252149Keywords:
Early prevention, Child sexual abuse, Mobile application, Education, MediaAbstract
Introduction: child sexual abuse (CSA) is a global issue causing significant physical, psychological, and social impacts, urging the need for effective prevention strategies. Public knowledge about CSA in Indonesia is minimal. While parenting education interventions have proven effective in reducing child maltreatment, digital technology presents a promising yet underexplored avenue. This study aimed to develop and validate a mobile application media for CSA early prevention tailored to the educational needs of teachers and parents.
Methods: this research employed a Research and Development following the ADDIE model (Analysis, Design, Development, Implementation, Evaluation). Qualitative data collection through three Focus Group Discussions and one interview with four teachers and ten parents at Pringsewu Public Kindergarten, Lampung, Indonesia, informed the application content and structure. Subsequently, four experts in the fields of pediatric health, psychology, information technology, and early childhood education validated the app to ensure accuracy and usability. Field testing was then conducted with ten teachers and ten parents, which confirmed that the mobile application was user-friendly, educationally valuable, and well-accepted, based on the Technology Acceptance Model.
Results: the needs assessment identified three main themes: easy-to-understand CSA prevention content, engaging media for children, and educational features for both children and their guardians. The product was named Save d’Kids, a validated and pilot-tested CSA prevention mobile app.
Conclusions: Save d’Kids is a digital mobile application validated by experts that shows promise in improving CSA literacy among children through teachers and parents. Future studies should involve randomized controlled trials to assess the effectiveness of Save d’Kids.
References
1. UNICEF. Over 370 million girls and women globally subjected to rape or sexual assault as children. unicef.org. 2024. https://www.unicef.org/press-releases/over-370-million-girls-and-women-globally-subjected-rape-or-sexual-assault-children
2. KPAI. Data Perlindungan Anak 2024 [Internet]. Jakarta: KPAI (Komisi Perlindungan Anak Indonesia); 2024 [cited 2024 Apr 4]. Available from: https://bankdata.kpai.go.id/tabulasi-data/data-perlindungan-anak-2024
3. Wismayanti YF, O’Leary P, Tilbury C, Tjoe Y. Child sexual abuse in Indonesia: A systematic review of literature, law and policy. Child Abuse & Neglect. 2019 Sep;95:104034. DOI: 10.1016/j.chiabu.2019.104034
4. Piolanti A, Schmid IE, Fiderer FJ, Ward CL, Stöckl H, Foran HM. Global Prevalence of Sexual Violence Against Children: A Systematic Review and Meta-Analysis. JAMA Pediatr. 2025 Mar 1;179(3):264. DOI: 10.1001/jamapediatrics.2024.5326
5. Oktaria A. 196 Anak di Lampung Jadi Korban Kekerasan Seksual Sepanjang 2021 [Internet]. 2021 [cited 2022 Feb 18]. Available from: https://m.lampost.co/berita-196-anak-di-lampung-jadi-korban-kekerasan-seksual-sepanjang-2021.html
6. Cruz MAD, Gomes NP, Campos LM, Estrela FM, Whitaker MCO, Lírio JGDS. Repercussões do abuso sexual vivenciado na infância e adolescência: revisão integrativa. Ciênc saúde coletiva. 2021 Apr;26(4):1369–80. DOI: 10.1590/1413-81232021264.02862019
7. Bestari AP. Psychological Impact of Sexual Violence and Government Efforts in Making Recovery. JCS. 2021 Jul 30;6(2):207–28. DOI: 10.15294/jcs.v6i2.36290
8. Ward CL, Artz L, Leoschut L, Kassanjee R, Burton P. Sexual violence against children in South Africa: a nationally representative cross-sectional study of prevalence and correlates. The Lancet Global Health. 2018 Apr 1;6(4):e460–8. DOI: 10.1016/S2214-109X(18)30060-3
9. Cornejo-Guerra N. Conductas autolíticas suicidas y no suicidas en víctimas de violencia sexual infantil. Apunt Psic [Internet]. 2024 Jan 8 [cited 2025 Apr 4];42(1). Available from: https://www.apuntesdepsicologia.es/index.php/revista/article/view/1542 DOI: 10.55414/ap.v42i1.1542
10. Triyanto AAP. CHILDHOOD SEXUAL ABUSE IMPACT ON ADULTHOOD. JPPBR. 2024 Sep 30;5(2):20–2. DOI: 10.21776/ub.jppbr.2024.005.02.5
11. Martini M. The Psychological Impact of Handling Case of Sex Violence in Children. IJSSRR. 2023 Jan 31;6(2):161–4. DOI: 10.47814/ijssrr.v6i2.965
12. Alves AC, Leitão M, Sani AI, Moreira D. Impact of Sexual Abuse on Post-Traumatic Stress Disorder in Children and Adolescents: A Systematic Review. Social Sciences. 2024 Mar 26;13(4):189. DOI: 10.3390/socsci13040189
13. Nutbeam D, Lloyd JE. Understanding and Responding to Health Literacy as a Social Determinant of Health. Annu Rev Public Health. 2021 Apr 1;42(1):159–73. DOI: 10.1146/annurev-publhealth-090419-102529
14. Chen M, Chan KL. Effects of Parenting Programs on Child Maltreatment Prevention. Trauma, Violence, & Abuse. 2016;17(1):88–104. DOI: 10.1177/1524838014566718
15. Hootsuite. Digital 2019 Indonesia. Canada: Hootsuite; 2019 p. 77.
16. Dewi VNL. Program Pencegahan Kekerasan Seksual pada Anak (KSA) di Era Digital: Literature Review. Jurnal Ilmiah Kesehatan Mandira Cendikia. 2023 Feb;2(1):8–17.
17. Google play (Apps). Sexual abuse prevention in Google play [Internet]. play.google.com. 2025. Available from: https://play.google.com/store/search?q=sexual%20abuse&c=apps&hl=en
18. Rudolph JI, Van Berkel SR, Zimmer-Gembeck MJ, Walsh K, Straker D, Campbell T. Parental Involvement in Programs to Prevent Child Sexual Abuse: A Systematic Review of Four Decades of Research. Trauma, Violence, & Abuse. 2024 Jan;25(1):560–76. DOI: 10.1177/15248380231156408
19. Mendelson T, Letourneau EJ. Parent-Focused Prevention of Child Sexual Abuse. Prev Sci. 2015 Aug;16(6):844–52. DOI: 10.1007/s11121-015-0553-z
20. Rudolph J, Zimmer-Gembeck MJ, Shanley DC, Hawkins R. Child Sexual Abuse Prevention Opportunities: Parenting, Programs, and the Reduction of Risk. Child Maltreat. 2018 Feb;23(1):96–106. DOI: 10.1177/1077559517729479
21. Granić A, Marangunić N. Technology acceptance model in educational context: A systematic literature review. Brit J Educational Tech. 2019 Sep;50(5):2572–93. DOI: 10.1111/bjet.12864
22. ICT Services and System Development and Division of Epidemiology and Global Health. OpenCode 4 [Internet]. Umeå: Umeå University; 2015. Available from: https://www.umu.se/en/department-of-epidemiology-and-global-health/research/open-code2/
23. Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006 Jan;3(2):77–101. DOI: 10.1191/1478088706qp063oa
24. Lee D, Moon J, Kim YJ, Yi MY. Antecedents and consequences of mobile phone usability: Linking simplicity and interactivity to satisfaction, trust, and brand loyalty. Information & Management. 2015 Apr;52(3):295–304. DOI: 10.1016/j.im.2014.12.001
25. Lu M, Barlow J, Meinck F, Walsh K, Wu Y. School-based Child Sexual Abuse Interventions: A Systematic Review and Meta-analysis. Research on Social Work Practice. 2023 May;33(4):390–412. DOI: 10.1177/10497315221111393
26. Clemensen J, Rothmann MJ, Smith AC, Caffery LJ, Danbjorg DB. Participatory design methods in telemedicine research. J Telemed Telecare. 2017 Oct;23(9):780–5. DOI: 10.1177/1357633X16686747
27. Schneider S, Beege M, Nebel S, Schnaubert L, Rey GD. The Cognitive-Affective-Social Theory of Learning in digital Environments (CASTLE). Educ Psychol Rev. 2022 Mar;34(1):1–38. DOI: 10.1007/s10648-021-09626-5
28. Roike Mambrasar, Ismail Marzuki, Yolan Marjuk, Neng Sih Sri Wahyuni. Application of Animation Media in Improving the Language of Children Age 5 - 6 Years Elim Sawinggrai Kindergarten, Raja Ampat District. IJSAS. 2023 Dec 29;1(6):799–812. DOI: 10.59890/ijsas.v1i6.1067
29. Ghofur EH, Nurhayati S. Multimedia-Based Learning Media Development to Improve Early Childhood Expressive Language Ability. J Obs J Pendidik Anak Usia Dini. 2023 May 7;7(2):2373–82. DOI: 10.31004/obsesi.v7i2.4416
30. Desfita M. Learning, Listening, and Reading Based on Child Worksheets Interactive Multimedia in Early Childhood of 5–6 Years. In: Proceedings of the 1st International Conference on Lifelong Learning and Education for Sustainability (ICLLES 2019) [Internet]. Padang, Indonesia: Atlantis Press; 2020 [cited 2025 May 4]. Available from: https://www.atlantis-press.com/article/125934853 DOI: 10.2991/assehr.k.200217.019
31. Lin Z. A Study on the Effects of Multimedia on Childrens Second Language Acquisition Take Childrens Song, Picture Book, and Animation as Examples. LNEP. 2023 Oct 26;18(1):216–21. DOI: 10.54254/2753-7048/18/20231322
32. Sari NPM, Widyasari C. Animated Video Media as An Alternative to Developing Early Childhood Pre-Literacy. iseth. 2024 Jan 30;1011–9. DOI: 10.23917/iseth.4070
33. Sukiman. Pengembangan media pembelajaran. 2012.
34. Adawiyah ER, Kurniati E, Romadona NF. Efektivitas Pendidikan Gizi Melalui Media Video dalam Meningkatkan Pengetahuan Gizi Anak Usia Dini. Edusentris. 2019 May 21;4(1):46. DOI: 10.17509/edusentris.v4i1.369
35. Ansadena N, Tarma T, Doriza S. Pengembangan Media Pembelajaran Pola Asuh Kecerdasan Moral Anak Berbasis Video. JKKP. 2015 Oct 12;2(2):114–21. DOI: 10.21009/JKKP.022.09
36. Statista. Number of mobile internet users in Indonesia 2020-2029 [Internet]. Statista; 2024 [cited 2025 May 4]. Available from: https://www.statista.com/statistics/558642/number-of-mobile-internet-user-in-indonesia/
37. Walsh K, Zwi K, Woolfenden S, Shlonsky A. School-based education programmes for the prevention of child sexual abuse. Cochrane Developmental, Psychosocial and Learning Problems Group, editor. Cochrane Database of Systematic Reviews [Internet]. 2015 Apr 16 [cited 2020 Nov 23]; Available from: http://doi.wiley.com/10.1002/14651858.CD004380.pub3 DOI: 10.1002/14651858.CD004380.pub3
38. Sidiq R, Najuah N, Syarifah S, Saragih A. Development Of Interactive E-Modules Based On Animated Videos To Improve Critical Thinking Skills In History Learning Media Courses. IJERSC. 2023 Oct 31;4(5):953–61. DOI: 10.51601/ijersc.v4i5.714
39. Asma FN, Fitriyawany F, Mustika CR. Development of Project Based Learning Modules On Materials Static Fluids for Class of XI Senior High School. AJSE. 2022 Oct 31;4(2):28–36. DOI: 10.24815/ajse.v4i2.28342
40. Astuti S, Bado B, Rakib M, Najamuddin N, Sanusi DA. Android-Based Economic Learning Media for Senior Secondary Education Students: A Development Research. IJRSI. 2024;XI(IV):514–22. DOI: 10.51244/IJRSI.2024.1104037
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Copyright (c) 2025 Vivian Nanny Lia Dewi, Komalasari, Sri Rahayu, Kanittha Nakkliang, Agus Wantoro, Yunita Anggriani, Nur Aminudin (Author)

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