A nutrition diary-book effectively increase knowledge and adherence of iron tablet consumption among adolescent female students

Background: Proper education about nutrition can change adolescent females to have a healthy lifestyle. Innovation of education programs which can motivate female adolescents in finding and consuming iron tablets regularly is highly necessary, so that it can decrease the prevalence of anemia in Indonesia. Objectives: To find out the effect of Nutrition Diary-Book education on nutritional knowledge, effort to find iron tablets and consuming iron tablets in adolescence. Methods: A quasi experimental study (non-randomized group pre–post test) was conducted with 50 subjects divided into two groups. The age of the subjects were 14-16 years old, already had menstruation and were willing to be research subjects for 2 months. Iron tablets and nutrition diary-books were administered to intervention group and were administered to control group without nutrition diary-books. The results were analyzed using chi square and t-test. Results: The level of knowledge who get education about nutrition by having nutrition diary-books is better compared to female students who get the education through elucidation (p<0.05). The female students Jurnal Gizi dan Dietetik I donesia (Indonesian Journal of Nutrition and Dietetics) Vol. 8, No. 2, 2020: 87-92 Av ilable online at: http://ejournal.almaata. ac.id/index.php/IJND DOI : http://dx.doi. org/10.21927/ijnd.2020. 8(2). 87-92 A nutrition diary-book effectively increase knowledge and adherence of iron tablet consumption among adolescent female . 88 Several studies stated that nutritional education was effective in increasing knowledge about nutrition (13); (14). A study in Semarang nutritional education increases knowledge and students’ attitude of having a balanced diet. The average or knowledge before nutritional education was 66.46% it was increased to 71.61% after intervention. The method of nutritional status can be through elucidation, giving poster, leaflet or booklet to students (12). Nutritional elucidation by using the media of bulletin and mural art was effective to increase knowledge of elementary students about obesity (15). The increase of knowledge through comics is more effective than without comics (16). Novel was effective for healthy life-style promotion among all overweight and obese adolescents (17). Nutritional education using storybooks can improve nutrition knowledge in female adolescents (18). Education through books read by mothers to babies appearing about knowledge from birth to 12 months of age (eg, injury prevention, parenting, nutrition) when the infants were approximately 2, 4, 6, 9, 12, and 18 months of age. Books read by mothers to babies appear to be an effective way to provide anticipatory guidance to new mothers (19). Study in pediatric patients with ALL in a pediatric oncology center in Yogyakarta, Indonesia. Medication diary book might be useful for patients with ALL in resource limited settings, especially with highly educated mothers (20). MATERIALS AND METHODS The design of this study was an experimental equation (non-randomized group pre-posttest). The subjects of the research were 50 female students from the intervention group were proven to be more obedient in consuming iron tablets (p<0.05). Conclusion: The administration of nutrition diary-book and activity of writing nutrition diary-book can be used to increase knowledge and adherence in consuming iron tablets among adolescent female students.