Pantobet education and changes in diabetes prevention knowledge and attitudes among islamic boarding school students

Abstract

Abstract

Background: Adolescence is a strategic period for establishing diabetes-preventive behavior, but conventional health messages may not sustain attention. Pantobet is an interactive pocket-board medium that combines picture cards, group discussion, categorization, feedback, and game points. Objective: To evaluate changes in diabetes-prevention knowledge and attitudes after Pantobet education among grade VIII Islamic boarding school students. Methods: A pre-experimental one-group pretest-posttest study involved all 54 eligible students at Tahfizul Quran Hadiqotu Qozahul Jamil Islamic Boarding School, Merangin, in May 2026. Participants completed 15-item knowledge and 15-item attitude questionnaires before and immediately after a 15–20-minute Pantobet session. Paired analyses used the paired t test and Wilcoxon signed-rank test, with sensitivity analyses based on the distribution of paired differences. Results: Participants were predominantly aged 15 years (83.3%) and female (61.1%). Mean knowledge increased from 5.50 (SD 2.31) to 10.11 (SD 2.29), with a mean change of 4.61 points (95% CI 4.33–4.89; p<0.001). Median attitude increased from 51.0 (IQR 41.25–55.0) to 60.0 (IQR 54.5–65.0); all 54 participants had higher posttest scores (Wilcoxon Z=−6.398; p<0.001; r=0.87). Conclusion: Knowledge and preventive attitudes were higher immediately after Pantobet education. Because the study lacked a control group and follow-up, the findings indicate short-term pre-post change rather than definitive causal effectiveness.