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Midwifery-led education and training on safe supplementary food processing: effects on mothers’ knowledge, attitudes, and motivation toward stunting prevention in Indonesia† Cover

Midwifery-led education and training on safe supplementary food processing: effects on mothers’ knowledge, attitudes, and motivation toward stunting prevention in Indonesia†

Open Access
|Sep 2026

Figures & Tables

Table 1.

Characteristics of respondents (n = 30).

Variablesn%
Age (years)
  <2000
  20–352170
  >35930
The number of children
  1 child1240
  2–4 children1653
  >4 children27
Education level
  Primary516.7
  Secondary (junior and senior high school)2170
  University413.3
Occupation
  Employed1756.7
  Unemployed1343.3
Table 2.

Variable mean and standard deviation values

VariablenMinimumMaximumMeanSDVariance
Knowledge3071610.332.2795.195
Attitude30346148.176.29839.661
Motivation30244534.035.01425.137
Figure 1.

The average value of improvement in knowledge, attitudes, motivation, and implementation of food safety before and after the intervention.

Table 3.

Normality test.

VariableSigResult
Pretest knowledge0.002Not normal
Posttest knowledge0.152Normal
Pretest attitude0.746Normal
Posttest attitude0.005Not normal
Pretest motivation0.710Normal
Posttest motivation0.007Not normal
Table 4.

Results of the bivariate test of knowledge, attitude, and motivation before and after the intervention (n = 30).

VariableMinMaxMean ± SDZ scoreP-value*
Knowledge−4.72<0.001
  Before intervention71610.33 ± 2.27
  After intervention111813.83 ± 1.66
Attitude−4.46<0.001
  Before intervention345248.17 ± 6.29
  After intervention616862.37 ± 4.06
Motivation−3.380.001
  Before intervention244534.03 ± 5.01
  After intervention284838.77 ± 6.05

Note:

* Wilcoxon-test.

Table 5.

Robustness check.

Variablet-scoreP-value95% CI
Knowledge
  Handling of raw food and contamination risks−2.1120.043−0.262, −0.004
  Cleanliness and hygiene in food preparation−2.4080.023−0.308, −0.025
  Safe food storage−3.2470.003−0.435, −0.099
  Safe cooking techniques−2.6930.012−0.352, −0.048
  Food safety in toddler consumption−3.8080.001−0.474, −0.126
  Prevention of choking risks−1.7950.083−0.214, 0.014
  Use of harmful substances in food processing−2.9710.006−0.394, −0.073
Attitude
  Beliefs and perceptions regarding food safety11.298<0.0012.020, 2.913
  Behavior in food product safety checks11.937<0.0012.066, 3.001
  Safe food handling and processing practices12.740<0.0012.132, 2.934
  Attitudes toward potential food contamination risks12.9170.0142.212, 3.055
  Attitudes toward food source and purchase locations17.7500.0042.507, 3.160
  Attitudes toward increasing knowledge of food safety16.078<0.0012.647, 3.419
Motivation
  Value motivation−6.151<0.001−1.954, −0.979
  Action motivation−2.1400.041−0.978, −0.200
  Cognitive motivation−3.0840.004−0.942, −0.191

[i] Note: CI, confidence interval.

DOI: https://doi.org/10.2478/fon-2026-0037 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 333 - 343
Submitted on: Dec 22, 2025
Accepted on: Jan 5, 2026
Published on: Sep 25, 2026
Published by: Shanxi Medical Periodical Press
In partnership with: Paradigm Publishing Services

© 2026 Wahyu Ersila, Nina Zuhana, Nur Chabibah, Siti Khuzaiyah, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.