Promoting Balanced Nutrition Guidelines among adolescent: evaluation of the nutrition posters and stickers as a nutrition education media


Nutrition education media is one of the solutions to improve adolescent nutritional behavior. The objectives of this research were to develop the nutrition poster and sticker regarding Balanced Nutrition Guidelines for adolescents and do the pilot test to analyze the nutritional behavior of junior high school (SMP) students. The study design was descriptive quantitative-qualitative study and conducted from March 2015-November 2016. The pilot test conducted at three SMP in Medan city. Fourteen dietary guideline messages have been designed into the nutrition posters and stickers as a nutrition education media for adolescents. The nutrition posters and stickers design have been revised based on the suggestions from experts (education, nutrition, and media experts) and FGD results. Pilot test showed that nutrition posters and stickers could increase nutritional behavior of subjects. The results indicate that the nutrition posters and stickers can be used as a nutrition education media to promote Balanced Nutrition Guidelines.


Attitude, Knowledge, Poster, Practice, Sticker


  • [1] Ministry of Health, “National Basic Health Report,” 2013.
  • [2] S. Neal, Z. Matthews, M. Frost, H. Fogstad, A. V. Camacho, and L. Laski, “Childbearing in adolescents aged 12-15 years in low resource countries: A neglected issue. New estimates from demographic and household surveys in 42 countries,” Acta Obstet. Gynecol. Scand., vol. 91, no. 9, pp. 1114–1118, 2012.
  • [3] E. W. Evans and C. Lo, “Adolescents: Nutritional Problems of Adolescents,” Encycl. Hum. Nutr., vol. 1–4, pp. 14–22, 2012.
  • [4] J. Stang and M. T. Story, Guidelines for adolescent nutrition services. Minneapolis: Center for Leadership, Education and Training in Maternal and Child Nutrition, Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, 2005.
  • [5] V. J. B. Matrins et al., “Long-lasting effects of undernutrition,” Int. J. Environ. Res. Public Health, vol. 8, no. 6, pp. 1817–1846, 2011.
  • [6] B. M. Popkin, “The nutrition transition in the developing world,” Dev. Policy Rev., vol. 21, no. 5–6, pp. 581–597, 2003.
  • [7] J. D. Goldhaber-Fiebert, R. E. Rubinfeld, J. Bhattacharya, T. N. Robinson, and P. H. Wise, “The utility of childhood and adolescent obesity assessment in relation to adult health,” Med Decis Mak., vol. 33, no. 2, pp. 163–175, 2013.
  • [8] J. Stang and M. T. Story, nutritional problem of adolescence in indonesia.pdf. .
  • [9] E.-S. Choi, N.-R. Shin, E.-I. Jung, H.-R. Park, H.-M. Lee, and K.-H. Song, “A study on nutrition knowledge and dietary behavior of elementary school children in Seoul,” Nutr. Res. Pract., vol. 2, no. 4, pp. 308–316, 2008.
  • [10] A. Worsley, “Nutrition knowledge and food consumption: can nutrition knowledge change food behaviour?,” Asia Pac. J. Clin. Nutr., vol. 11, pp. S579–S585, 2002.
  • [11] R. Rosário et al., “Impact of an intervention through teachers to prevent consumption of low nutrition, energy-dense foods and beverages: a randomized trial,” Prev. Med. (Baltim)., vol. 57, no. 1, pp. 20–25, 2013.
  • [12] S. Kostanjevec, J. Jerman, and V. Koch, “The Effects of Nutrition Education on 6 th graders Knowledge of Nutrition in Nine-year Primary Schools in Slovenia,” vol. 7, no. 4, pp. 243–252, 2011.
  • [13] I. Spronk, C. Kullen, C. Burdon, and H. O. Connor, “Systematic Review Relationship between nutrition knowledge and dietary intake,” pp. 1713–1726, 2014.
  • [14] E. Emilia, “The floating tool measuring knowledge, attitudes and behavior of nutrition in adolescents,” Bogor Agricultural University, 2008.
  • [15] I. R. Contento, P. A. Koch, H. Lee, and A. Calabrese-Barton, “Adolescents demonstrate improvement in obesity risk behaviors after completion of choice, control & change, a curriculum addressing personal agency and autonomous motivation,” J. Am. Diet. Assoc., vol. 110, no. 12, pp. 1830–1839, 2010.
  • [16] B. J. Wilson, “Designing media messages about health and nutrition: what strategies are most effective?,” J. Nutr. Educ. Behav., vol. 39, pp. S13–S19, 2007.
  • [17] E. Emilia, “Nutrition Education Media Development ICT-based Child Friendly,” in Widyakarya National Food and Nutrition X, 2012.
  • [18] S. Stöckli, A. E. Stämpfli, C. Messner, and T. A. Brunner, “An (un) healthy poster: When environmental cues affect consumers’ food choices at vending machines,” Appetite, vol. 96, pp. 368–374, 2016.
  • [19] O. J. Webb and F. F. Eves, “Promoting stair climbing : effects of message specificity and validation,” vol. 22, no. 1, pp. 49–57, 2018.
  • [20] T. J. Brinker et al., “Photoaging smartphone app promoting poster campaign to reduce smoking prevalence in secondary schools : the Smokerface Randomized Trial : design and baseline characteristics,” 2016.
  • [21] O. Akba, R. Güven, G. Cebeci, and S. Battal, “A study on the effects of seat belt posters on drivers,” vol. 2, pp. 1002–1007, 2010.
  • [22] J. E. Miller, “Preparing and presenting effective research posters,” Health Serv. Res., vol. 42, no. 1p1, pp. 311–328, 2007.
  • [23] E. A. Jenner, F. Jones, B. C. Fletcher, L. Miller, and G. M. Scott, “Hand hygiene posters : motivators or mixed messages ?,” pp. 218–225, 2005.
  • [24] H.-M. Lai and T. T. Chen, “Knowledge sharing in interest online communities: A comparison of posters and lurkers,” Comput. Human Behav., vol. 35, pp. 295–306, 2014.
  • [25] N. P. Hartono, C. S. Wilujeng, and S. Andarini, “Pendidikan Gizi tentang Pengetahuan Pemilihan Jajanan Sehat antara Metode Ceramah dan Metode Komik,” Indones. J. Hum. Nutr., vol. 2, no. 2, pp. 76–84, 2015.
  • [26] J. Kerr, F. Eves, and D. Carroll, “Posters can prompt less active people to use the stairs,” no. May, pp. 942–943, 2000.
  • [27] R. Cooke and A. Papadaki, “Nutrition label use mediates the positive relationship between nutrition knowledge and attitudes towards healthy eating with dietary quality among university students in the UK ☆,” Appetite, vol. 83, pp. 297–303, 2014.
  • [28] A. J. Leonard, K. A. Chalmers, C. E. Collins, and A. J. Patterson, “The effect of nutrition knowledge and dietary iron intake on iron status in young women,” Appetite, vol. 81, pp. 225–231, 2014.