EFFECTIVENESS OF A SCHOOL-BASED EDUCATIONAL INTERVENTION IN IMPROVING FIRST AID COMPETENCY FOR INJURY MANAGEMENT AMONG SCHOOLCHILDREN

Rufaida Nur Fitriana; Erlina Windyastuti; Hanugrah Ardya Crisdian Saraswati; Rolando Rahardjoputro

doi:10.34035/jk.v17i2.2120

Authors

Rufaida Nur Fitriana Nursing Bachelor Study Program, Faculty of Health Science, Universitas Kusuma Husada Surakarta, Surakarta, Indonesia
Erlina Windyastuti Nursing Third Diploma Study Program, Faculty of Health Science, Universitas Kusuma Husada Surakarta, Surakarta, Indonesia
Hanugrah Ardya Crisdian Saraswati Pharmacy Bachelor Study Program, Faculty of Health Science, Universitas Kusuma Husada Surakarta, Surakarta, Indonesia
Rolando Rahardjoputro Pharmacy Bachelor Study Program, Faculty of Health Science, Universitas Kusuma Husada Surakarta, Surakarta, Indonesia

DOI:

https://doi.org/10.34035/jk.v17i2.2120

Keywords:

first aid, first aid competency, injury management, school-based education, school children, school health

Abstract

Background: Childhood injuries remain a leading public health concern worldwide and frequently occur in school environments. The ability to provide appropriate first aid immediately after an injury is essential for reducing complications and improving recovery outcomes. This study investigated the effectiveness of a structured, school-based educational intervention in improving first-aid competency among elementary school students.
Methods: A quasi-experimental study employing a pretest-posttest nonequivalent control group design was conducted among 144 elementary school students selected through purposive sampling. Participants were allocated into an intervention group (n = 72) and a control group (n = 72). Students in the intervention group received a structured first aid education program delivered over three consecutive days using a validated learning module, while the control group continued routine school health activities. First aid competency was assessed before and after the intervention using a validated questionnaire. Data were analyzed using paired-samples and independent-samples t-tests, with statistical significance established at p < 0.05.
Results: The intervention and control groups demonstrated comparable baseline competency scores prior to the educational program. Following the intervention, the intervention group exhibited a marked improvement in first aid competency, whereas no meaningful change was observed among students in the control group. Comparative analysis confirmed that post-intervention competency scores were significantly higher in the intervention group than in the control group (p < 0.001).
Conclusion: Educational programs in schools effectively enhance children's skills in providing first aid for injuries.

References

Abdelrahman, H., El-Menyar, A., Al-Thani, H., & Zarour, A. (2021). Knowledge and attitudes of school students toward first aid: A cross-sectional study. BMC Public Health, 21(1), 1–9. https://doi.org/10.1186/s12889-021-XXXXX

Abdelmalik, M. A., Mohammaed, M. O., Mohammed, A. M., Abdalla, A. M., Saeed, A. A., Sambu, B. M., Abbakr, I. A., & Beraima, M. A. (2022). Effects of Education Programs on School Students ’ Knowledge , Attitude , and Practice Regarding First Aid for a Choking Per- son in Saudi Arabia. Preprints.Org 2022, March, 1–8. https://doi.org/10.20944/preprints202203.0352.v1

Alaçam, N., & Olgan, R. (2021). Pedagogical documentation in early childhood education: A systematic review of the literature. Elementary Education Online, 20(1), 172–191. https://doi.org/10.17051/ilkonline.2021.01.021

Alkhamis, K., & Abdulkader, R. (2020). Assessment of unintentional childhood injuries and associated factors in the pediatric clinics of a tertiary care hospital in Riyadh, Saudi Arabia. Journal of Family and Community Medicine, 27(3), 168–177. https://doi.org/10.4103/jfcm.JFCM_75_20

Anggraini, I. R., Alifatin, A., Aini, N., & Handayani, T. L. (2024). Penguatan unit kesehatan sekolah sebagai dasar peningkatan kesadaran kesehatan remaja. Jurnal Pembelajaran Pemberdayaan Masyarakat (JP2M), 5(4), 740–754. https://doi.org/10.33474/jp2m.v5i4.22234

Beyer, M., Lenz, R., & Kuhn, K. A. (2006). Health Information Systems. In IT - Information Technology (Vol. 48, Issue 1). https://doi.org/10.1524/itit.2006.48.1.6

García-Blaya, J. Á., Abraldes, J. A., & Vaquero-Cristóbal, R. (2025). Assessment of First Aid Knowledge at Different Stages of Education. Healthcare (Switzerland), 13(13). https://doi.org/10.3390/healthcare13131507

León-Guereño, P., Cid-Aldama, L., Galindo-Domínguez, H., & Amezua-Urrutia, A. (2023). Effectiveness of an Intervention to Enhance First Aid Knowledge among Early Childhood Education Students: A Pilot Study. Children, 10(7). https://doi.org/10.3390/children10071252

Li, Z., Li, Z., Heng, J., Jiang, S., & Chen, X. (2026). Knowledge, attitudes, and practices toward basic first aid skills among university students in China: a cross-sectional study. BMC Public Health, 26(1). https://doi.org/10.1186/s12889-026-26345-0

Markenson, D., Vandekerckhove, P., & Cassan, P. (2016). International first aid and resuscitation guidelines 2020. 192. https://www.globalfirstaidcentre.org/resource/international-first-aid-resuscitation-and-education-guidelines-2020-2/

Mukhalalati, B., Elshami, S., Eljaam, M., Hussain, F. N., & Bishawi, A. H. (2022). Applications of social theories of learning in health professions education programs: A scoping review. Frontiers in Medicine, 9. https://doi.org/10.3389/fmed.2022.912751

Nabavi, R. T., & Bijandi, M. S. (2024). A Literature Review on Bandura’s Social Learning Theory & Social Cognitive Learning Theory. Ministry of Science, Research and Technology, December, 1–23. https://www.researchgate.net/publication/267750204

Peden, M., & Oyegbite, K. (n.d.). World report on child injury prevention World report on child injury prevention.

Rekleiti, M., Saridi, M., Toska, A., Kyriazis, I., Kyloudis, P., Souliotis, K., & Wozniak, G. (2013). The effects of a first-aid education program for middle school students in a Greek urban area. Archives of Medical Science, 9(4), 758–760. https://doi.org/10.5114/aoms.2012.30957

Roland, D., Ashman, V., Patel, A., Blake-Smith, K., Hiams, L., Keating, S., Traynor, A., Islam, Z., Miah, N., Arshad, Q., & Postavaru, G.-I. (2026). The Importance of Health Education in Schools: Reflections, Representation and Recommendations. Future, 4(1), 9. https://doi.org/10.3390/future4010009

Safwa Salsabila, S., & Apriliani, A. (2025). The Effectiveness of Health Administration in Improving Student Health through the School Health Program (UKS). Golden Ratio of Data in Summary, 6(1), 01–16. https://doi.org/10.52970/grdis.v6i1.1895

Smith, C., Goss, H. R., Issartel, J., & Belton, S. (2021). Health literacy in schools? A systematic review of health-related interventions aimed at disadvantaged adolescents. Children, 8(3). https://doi.org/10.3390/children8030176

Soni, P., & Agrawal, A. (2025). Pediatric emergency care: Determinants and systematic barriers. World Journal of Clinical Pediatrics, 14(3), 1–9. https://doi.org/10.5409/wjcp.v14.i3.108140

Syabariyah, S., & Jehsoh, A. (2025). Empowering Middle School Students with First Aid Knowledge for Everyday Injuries. Journal of Social and Community Development, 2(03), 130–139. https://doi.org/10.56741/jscd.v2i03.1333

Timmins, F. (2013). Nursing Research Generating and Assessing Evidence for Nursing Practice. In Nurse Education in Practice (Vol. 13, Issue 6, p. e29). https://doi.org/10.1016/j.nepr.2013.04.001

Tse, E., Plakitsi, K., Voulgaris, S., & Alexiou, G. A. (2023). The Role of a First Aid Training Program for Young Children: A Systematic Review. Children, 10(3), 1–11. https://doi.org/10.3390/children10030431

World Health Organization. (2021). Injuries and violence. In World Health Organization (WHO). https://www.who.int/news-room/fact-sheets/detail/injuries-and-violence

Yadav, M. K., Sahoo, S., Ghosh, C. K., Ashokan, V., & Goswami, M. (2026). Impact of first aid training through experiential based learning among middle stage students. Discover Education, 5(1). https://doi.org/10.1007/s44217-026-01419-8