Factors associated with a composite outcome measure of the Motor Gigi innovation at community health center: A cross-sectional study
https://doi.org/10.52235/lp.v7i3.893
Keywords:
child, dental care, family support, oral health, patient compliance, primary health careAbstract
Background: The Motor Gigi innovation is a child-friendly dental reminder system combining control cards, miniature motorcycle stickers, and educational videos to encourage scheduled follow-up visits. This study examined factors associated with the composite outcomes of the Motor Gigi innovation among children receiving dental care.
Methods: A cross-sectional study was conducted at Pajar Bulan Community Health Center, Muara Enim Regency, Indonesia, from February to June 2026. A total of 104 child–parent dyads were recruited. Data on oral hygiene behavior, parental knowledge, family support, dental follow-up compliance, and Motor Gigi composite outcomes were collected using questionnaires, interviews, clinical observation sheets, control cards, and clinic registers. Associations were analyzed using the Chi-square or Fisher’s exact test, followed by multiple logistic regression.
Results: Of the 104 participants, 57.7% had favorable composite outcomes, 95.2% demonstrated good oral hygiene behavior, 95.2% had parents with good knowledge, 93.3% received adequate family support, and 96.2% complied with scheduled follow-up visits. Oral hygiene behavior (p = 0.007), parental knowledge (p = 0.007), family support (p = 0.003), and dental follow-up compliance (p = 0.013) were significantly associated with the Motor Gigi composite outcome. Child sex was not significantly associated with the outcome (p = 0.938). The multivariable model produced unstable estimates because of sparse data and complete separation; therefore, no independent dominant factor could be identified.
Conclusion: Oral hygiene behavior, parental knowledge, family support, and dental follow-up compliance were associated with the Motor Gigi composite outcome. However, these findings should be interpreted cautiously because the predictors partially overlapped with the composite outcome and the cross-sectional design precluded causal inference. Future studies should use independent outcome measures, larger samples, and longitudinal or quasi-experimental designs.
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References
Anggreni, D. (2022). Metodologi penelitian kesehatan. Salemba Medika.
Dewi, R., Santoso, B., & Amalia, N. (2024). Peran edukasi kesehatan terhadap perilaku hidup sehat anak usia sekolah. Jurnal Kesehatan Masyarakat, 19(1), 45–53.
Fernandez, M. J., Makhfudli, M., & Fauziningtyas, R. (2025). Applying Social Cognitive Theory to Understand Factors Influencing Adolescent Physical Activity: A Systematic Review. Jurnal Ners, 9(4), 6915–6931. https://doi.org/10.31004/jn.v9i4.50185
Greenhalgh, T., Clingan, N., & Tritter, J. Q. (2023). Implementing change in health systems. Nature Medicine, 29(2), 445–456. https://doi.org/10.1038/s41591-023-01234-8
Hasanah, L., Fitriyah, N., Prastika Sari, R. N., & Prayoga, D. (2024). Factors Influencing Community Decisions in Choosing Community Health Centers for Promotive and Preventive Health Services: Literature Review. Media Publikasi Promosi Kesehatan Indonesia, 7(7). https://doi.org/10.56338/mppki.v7i7.5122
Hidayat, A., Prasetyo, E., & Laily, N. (2025). Faktor dominan yang mempengaruhi kepatuhan kesehatan anak. Jurnal Promosi Kesehatan Indonesia, 20(2), 101–110.
Jaya, I. (2020). Statistik penelitian kesehatan. Andi Offset.
Kassebaum, N. J., Bernabe, E., Dahiya, M., Bhandari, B., Murray, C. J. L., & others. (2023). Global status of oral health in 2023: The global burden of disease study. Lancet Public Health, 11(4), e213–e236. https://doi.org/10.1016/S0140-6736(23)00168-0
Kementerian Kesehatan Republik Indonesia. (2020). Peraturan Pemerintah Republik Indonesia Nomor 28 Tahun 2024 tentang Peraturan Pelaksanaan Undang-Undang Nomor 17 Tahun 2023 tentang Kesehatan. Kemenkes RI.
Kementerian Kesehatan RI. (2023). Survey Kesehatan Indonesia.
Kementerian PPN/Bappenas. (2024). Rencana Pembangunan Jangka Panjang Nasional (RPJPN) 2025–2045.
Koch, N. M., Fione, V. R., Maramis, J. L., & Pasambuna, J. (2024). Perbandingan media leaflet dan audio visual terhadap kesehatan gigi. Jurnal Dunia Keperawatan Holistik Terpadu, 5, 80–86. https://doi.org/10.36082/jdht.v5i1.1517
Lestari, D., Wulandari, R., & Prabowo, A. (2022). Faktor yang mempengaruhi kepatuhan pelayanan kesehatan pada anak. Jurnal Ilmu Kesehatan Anak, 7(2), 88–96.
Li, S. (2025). Beyond health knowledge and behavioural skills: Reimagining health education as autonomy development. Health Education Journal. https://doi.org/10.1177/00178969251358065
Nugroho, A., Rahman, F., & Sulastri, I. (2023). Media edukasi audiovisual dalam promosi kesehatan gigi anak. Jurnal Kedokteran Gigi Masyarakat, 10(1), 33–41.
Pratama, R., & Sulastri, D. (2024). Inovasi pelayanan kesehatan gigi di puskesmas. Jurnal Administrasi Kesehatan Indonesia, 12(1), 55–63.
Puskesmas Pajar Bulan. (2024). Laporan Pelayanan Gigi dan Mulut UPTD Puskesmas Pajar Bulan 2025.
Putri, A. R., & Handayani, S. (2021). Hubungan pengetahuan orang tua dengan kepatuhan kontrol gigi anak. Jurnal Kesehatan Gigi, 8(2), 67–74.
Rahmawati, N., Fadilah, R., & Yuniarti, S. (2022). Efektivitas kartu kontrol terhadap kunjungan ulang pasien gigi. Jurnal Kesehatan Primer, 7(3), 145–152.
Sahar, J., Akbar, M. A., Rekawati, E., Rachmawati, U., & Sartika, R. A. D. (2026). Healthcare professionals’ perceptions of interprofessional collaboration in noncommunicable disease management in Palembang city, Indonesia: A qualitative study. Pacific Rim International Journal of Nursing Research, 30(1), 252-268.
Sari, P., Mulyani, S., & Kurniawan, D. (2020). Pengaruh media visual terhadap perilaku kesehatan gigi anak usia sekolah. Jurnal Kesehatan Masyarakat, 15(3), 201–209.
Suhartik, & Kusumawati, E. (2025). Edukasi kesehatan gigi dan mulut untuk membangun kebiasaan sehat sejak dini di PAUD At-Taqwa Bojonegoro. Jurnal Abdi Masyarakat, 3, 1054–1060.
Utami, L., Prabowo, A., & Siregar, M. (2025). Sistem pengingat dalam pelayanan kesehatan primer. Jurnal Pelayanan Kesehatan, 14(1), 22–30.
Wihyawari, H., Gurning, M., & Mannopposem, I. A. (2025). Relationship of mother's knowledge about exclusive breastfeeding: A literature review. Indonesian Journal of Health Services, 2(1), 11–20. https://doi.org/10.63202/ijhs.v2i1.60
World Health Organization. (2022). Global oral health status report: Towards universal health coverage for oral health by 2030. WHO. https://www.who.int/publications/i/item/9789240061484
World Health Organization. (2025). Oral health (Fact sheet, updated March 2025). WHO. https://www.who.int/news-room/fact-sheets/detail/oral-health
Zampetakis, L. A., & Melas, C. (2021). The health belief model predicts vaccination intentions against COVID-19: A survey experiment approach. Applied Psychology: Health and Well-Being, 13(2), 469–486. https://doi.org/10.1111/aphw.12262
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