Effectiveness of the “My Body Belongs to Me” Pop-Up Book on Preschool Children’s Understanding of Body Safety

https://doi.org/10.53770/medica.v8i7.1075

Authors

  • Maria Ulfah Kurnia Dewi Department of Midwifery, Universitas Muhammadiyah Semarang, Central Java, Indonesia
  • Ismi Elya Wirdati Department of Public Health, Universitas Muhammadiyah Semarang, Central Java, Indonesia
  • Dewi Puspitaningrum Department of Midwifery, Universitas Muhammadiyah Semarang, Central Java, Indonesia
  • Nuke Devi Indrawati Department of Midwifery, Universitas Muhammadiyah Semarang, Central Java, Indonesia
  • Vilda Hiktiawati Department of Midwifery, Universitas Muhammadiyah Semarang, Central Java, Indonesia
  • Nur Safika Department of Midwifery, Universitas Muhammadiyah Semarang, Central Java, Indonesia
  • Ellyzabeth Sukmawati Department of Midwifery, Universitas Telogorejo Semarang, Central Java, Indonesia

Keywords

Body Saferty Child Sexual Violence Pop-Up book Preschool Children Sex Education

Abstract

Child sexual violence is a major public health concern, emphasizing the need for developmentally appropriate body safety education during early childhood. This study aimed to evaluate the effectiveness of the My Body Belongs to Me Pop-Up Book in improving preschool children's understanding of body safety. A quasi-experimental pretest-posttest control-group study was conducted among 60 preschool children at Al Huda Kindergarten, Semarang, Indonesia. Participants were assigned to an intervention group receiving body safety education through the My Body Belongs to Me Pop-Up Book or a control group receiving conventional leaflet-based education. Children's understanding was assessed using a 10-item picture-based Situational Judgment Test. Data were analyzed using independent-samples and paired-samples t-tests, with Cohen's d used to estimate effect size. Baseline understanding did not differ significantly between groups (p = 0.076). After the intervention, the intervention group achieved significantly higher posttest scores than the control group (8.37 ± 1.40 vs. 5.73 ± 1.11; p < 0.001), with a very large effect size (Cohen's d = 2.08). Significant improvement was observed only in the intervention group (p < 0.001). The My Body Belongs to Me Pop-Up Book was more effective than leaflet-based education in improving preschool children's understanding of body safety, supporting its use as an interactive and developmentally appropriate educational tool for early child sexual violence prevention.

Downloads

Download data is not yet available.

References

Adikusuma, M. P., Purnama, S., Sibawaihi, S., Aulia, Z., & Khoirotin, K. (2025). The influence of knowledge and perception of educators' attitude in early childhood sex education in Yogyakarta. JOYCED: Journal of Early Childhood Education, 5(1), 133-150. https://doi.org/10.14421/joyced.2025.51-12

Aswadi, A., Suriah, S., Stang, S., Jafar, N., Ibrahim, E., Amiruddin, R., & Syahrir, S. (2022). Edutainment as a strategy of child sexual abuse prevention: literatur review. Open Access Macedonian Journal of Medical Sciences, 10(F), 141–145. https://doi.org/10.3889/oamjms.2022.7670

Celik, P. (2024). The effectiveness of school-based child sexual abuse prevention programmes among primary school-aged children: A systematic review. International Journal of Educational Research Open, 7, 100348. https://doi.org/10.1016/j.ijedro.2024.100348

Che Yusof, R., Norhayati, M. N., & Mohd Azman, Y. (2022). Effectiveness of school-based child sexual abuse intervention among school children in the new millennium era: Systematic review and meta-analyses. Frontiers in public health, 10, 909254. https://doi.org/10.3389/fpubh.2022.909254

Craig, E. (2022). Teaching safeguarding through books: A content analysis of child sexual abuse prevention books. Journal of child sexual abuse, 31(3), 257-275. https://doi.org/10.1080/10538712.2021.1985672

Farantika, D., Purwaningrum, D., Nindiya, D. C., Prawinda, R. A., Sofwan, A. M., & Sanjaya, M. S. (2024). Early childhood sex education to prevent sexual abuse. Jurnal Pendidikan Anak Usia Dini, 1(2), 1-8. https://doi.org/10.47134/paud.v1i2.304

Ferragut, M., Cerezo, M. V., Ortiz-Tallo, M., & Rodríguez-Fernandez, R. (2023). Effectiveness of child sexual abuse prevention programs on knowledge acquisition: A meta-analytical study. Child Abuse and Neglect, 146. https://doi.org/10.1016/j.chiabu.2023.106489

Fridler, D., Cahan, L. O. S., Moshe, A. B., Guzner, N., Gross, I., & Hashavya, S. (2025). Cannabinoid exposure in infants and children in the pediatric emergency department—the child protection perspective. European Journal of Pediatrics, 184(5), 310. https://doi.org/10.1007/s00431-025-06129-1

Havnen, K.J.S., Kojan, B.H., Askeland, K.G., Nilsen, S.A., & Storhaug, A.S. (2023). Decision making in child protection emergency cases in Norway. Children and Youth Services Review, 154, 107141. https://doi.org/10.1016/j.childyouth.2023.107141

Hayati, N., & Juherna, E. (2023). Pengembangan media ajar POP-UP book untuk meningkatkan kecerdasan interpersonal anak usia 4-5 tahun. Islamic EduKids: Jurnal Pendidikan Anak Usia Dini, 5(2), 139-150.

Igobula, S. A. S., Muchsin, S., & Musa, A. M. (2025). Policy Implementation Challenges in Addressing Child Sexual Violence. Academia Open, 10(1), 10-21070. https://doi.org/10.21070/acopen.10.2025.11299

Kuo, Y. L., & Chou, Y. J. (2024). Children’s Emotion Recognition Skills and Cue Usage with Masked Peers. Bulletin of Educational Psychology, 56(2). https://doi.org/10.6251/BEP.202412_56(2).0008

Mardhiyah, Z., & Priyatama, A. N. (2023). Interactive book: an alternative tool for educating sexual abuse prevention in early childhood. Jurnal Formil (Forum Ilmiah) Kesmas Respati, 8(1), 54-63.

Mubarak, H. A., Marmoah, S., & Salimi, M. (2025). Body safety and cultural adaptation on preventing child sexual abuse: a literature review of children's stories. Social, Humanities, and Educational Studies (SHES): Conference Series, 8(4), 121-132.

Mutiarani, E., Wulandari, M. D., Sayekti, I. C., & Hidayat, M. T. (2022). Prevention Media of Child Sexual Abuse in Indonesia: A Meta-analysis. Proceedings of the 7th Progressive and Fun Education International Conference (PROFUNEDU 2022), 271–280. https://doi.org/10.2991/978-2-494069-71-8_27

Ningrum, L. O., & Dheasari, A. E. (2024). Pengembangan Media Pop Up Book Untuk Meningkatkan Kecerdasan Interpersonal Anak Usia 5-6 Tahun di TK Kartika IV-69 Kota Probolinggo. DIKLUS: Jurnal Pendidikan Luar Sekolah, 1(8), 1–17.

Nuamphan, R., Singhasai, L., & Patoomwan, A. (2025). Effects of a body safety training program on self-prevention skills against sexual abuse among preschool-aged children: A quasi-experimental study. Pacific Rim International Journal of Nursing Research, 29(3), 591-604. https://doi.org/10.60099/prijnr.2025.272948

Rahmawati, R., Hartiwiningsih, H., Rustamaji, M., Sulistiyanta, S., & Abdillah, M. (2023). Criminal law disparities against perpetrators of sexual violence against children based on Islamic law in Indonesia. Al-Istinbath: Jurnal Hukum Islam, 8(2), 667-696.

Rusady, P., Fitriani, W., & Raza, A. (2025). Development of Pop-Up book media for introducing sexual education to children aged 5–6 years. Journal of Early Childhood Education and Teaching (JECET), 1(1), 37-48. https://doi.org/10.64840/jecet.v1i1.12

Russell, D. H., Trew, S., Harris, L., Dickson, J., Walsh, K., Higgins, D. J., & Smith, R. (2024). Engaging parents in child-focused child sexual abuse prevention education strategies: A systematic review. Trauma, Violence, & Abuse, 25(4), 3082-3098. https://doi.org/10.1177/15248380241235895

Selian, A., & Hashim, N. H. (2022). The development and implementation of health, nutrition, and safety modules for preschool children in rural areas. Jurnal Pendidikan Awal Kanak-kanak Kebangsaan, 11(2), 62-77.

Seth, R., & Greenbaum, J. (2023). The behavioral health sector response to child sexual abuse, exploitation, and trafficking: a call to action. Journal of Indian Association for Child and Adolescent Mental Health, 19(3), 258-262. https://doi.org/10.1177/09731342231220479

Tunc, G. C., Gorak, G., Ozyazicioglu, N., Ak, B., & Vural, P. (2018). Preventing child sexual abuse: Body safety training for young children in Turkey. Journal of child sexual abuse, 27(4), 347-364. https://doi.org/10.1080/10538712.2018.1477001

Wang, L., Tian, J., & Rozelle, S. (2024). Parenting style and child mental health at preschool

age: evidence from rural China. BMC psychiatry, 24, 314. https://doi.org/10.1186/s12888-024-05707-1

Downloads

Published

2026-07-31

How to Cite

Dewi, M. U. K., Wirdati, I. E., Puspitaningrum, D., Indrawati, N. D., Hiktiawati, V., Safika, N., & Sukmawati, E. (2026). Effectiveness of the “My Body Belongs to Me” Pop-Up Book on Preschool Children’s Understanding of Body Safety. MEDICA (International Medical Scientific Journal), 8(7), 723–731. https://doi.org/10.53770/medica.v8i7.1075