The Effectiveness of Peer Education vs. Leaflets on Basic Life Support Knowledge among High School Students

Authors

  • Muhammad Wirandi STIKES Intan Martapura
  • Insana Maria STIKES Intan Martapura
  • Taufik Hidayat STIKES Intan Martapura
  • Martini Nur Sukmawaty STIKES Intan Martapura

DOI:

https://doi.org/10.51143/jksi.v11i1.1043

Keywords:

Basic Life Support Health Education Peer Education Student Knowledge

Abstract

Equipping high school students with Basic Life Support (BLS) skills is crucial for managing out-of-hospital cardiac emergencies, yet the comparative effectiveness of peer education versus conventional leaflet-based instruction in Indonesia remains underexplored. This quasi-experimental pretest-posttest study involved 60 twelfth-grade students at Senior High School 3 Banjarbaru. Participants were equally divided into an intervention group receiving peer-supported BLS training (n=30) and a control group receiving leaflet-based education (n=30). Knowledge was assessed using a validated 15-item questionnaire. While both interventions significantly improved BLS knowledge (Wilcoxon Signed-Rank Test: intervention, p < 0.001; control, p = 0.003), the peer-supported group demonstrated a greater score increase (from 1.83 ± 0.38 to 3.00 ± 0.00) compared to the control group (from 1.93 ± 0.25 to 2.23 ± 0.43). Furthermore, post-test knowledge scores were significantly higher in the intervention group (Mann-Whitney U = 36.000, p = 0.030). In conclusion, peer-supported BLS training is significantly more effective than leaflet-based education. Integrating peer-led or hybrid approaches into school curricula is recommended to optimize students' emergency preparedness.

References

Ambarika, R., Anggraini, N. A., & Amroyan, A. S. (2024). The Effect of Basic Life Support Health Education on Increasing Knowledge and Skills in Cardiac Arrest. Journal of Nursing Practice (JNP), 8(1), 220–228. https://doi.org/10.30994/jnp.v8i1.685

Asma, A. (2025). Efektivitas Media Leaflet Dan Video Terhadap Pengetahuan Dan Sikap Pencegahan Seks Bebas. Jurnal Kesehatan Tambusai, 6(4), 18518–18524. https://doi.org/10.31004/jkt.v6i4.52899

Astawa, N. P. A. P. (2022). Gambaran Tingkat Pengetahuan Dan Sikap Siswa Tentang Bantuan Hidup Dasar Di Sma Negeri 5 Denpasar. Institut Teknologi dan Kesehatan Bali.

Baklola, M., Elnemr, M., Ghazy, M., Omar, Y., Darwish, N. E., Ahmed, B., Alkalla, E., Reda, R., Elmimy, H., Mohamed, T., Sherif, A., Al-Bawah, N., & Shaheen, D. G. (2025). No Title Assessing basic life support awareness, and knowledge among university undergraduates: a cross-sectional study. Annals of Medicine and Surgery, 87(3), 1251–1258. https://doi.org/10.1097/MS9.0000000000003076

Begjani, J., Hosseini, A. S. S., Saneifard, H., & Hasanabad, V. R. (2024). Social learning-based health literacy promotion on the self efficacy and social anxiety of adolescents with type 1 diabetes. Clinical Diabetes and Endocrinology, 10(1), 14. https://doi.org/10.1186/s40842-024-00167-8

Dodd, S., Widnall, E., Russell, A. E., Curtin, E. L., Simmonds, R., Limmer, M., & Kidger, J. (2022). School-based peer education interventions to improve health: a global systematic review of effectiveness. BMC Public Health, 22(1), 2247. https://doi.org/10.1186/s12889-022-14688-3

Kusumawardhany, R., Dharianta, R., Santoso, B., & Nugroho, D. T. W. (2024). Basic Life Support (BLS) Training in Increasing Knowledge of Helping Cardiac Arrest Patient at Senior High School 1 Puri Mojokerto. Jurnal Pengabdian Kepada Masyarakat Nusantara, 5(4), 5808–5816. https://doi.org/10.55338/jpkmn.v5i4.4730

Maria, I., & Wardhani, A. (2024). Empowering Youth: the Impact of Basic Life Support (BLS) Training on Knowledge, Skills, and Attitude Development in Adolescents. Indonesian Journal of Global Health Research, 6(S6), 33–40. https://doi.org/10.37287/ijghr.v6iS6.4172

Maria, I., & Wardhani, A. (2025). Efektivitas Pendidikan Kesehatan Tentang Bantuan Hidup Dasar Menggunakan Media Audio Visual Terhadap Peningkatan Pengetahuan, Sikap Dan Keterampilan Kader. Jurnal Keperawatan Suaka Insan (JKSI), 10(1), 139–147. https://doi.org/10.51143/jksi.v10i1.847

Marisa, M., Sobirin, M., Darsono, P. V., & Mahdiyah, D. (2025). Analisis Dukungan Keluarga Terhadap Kepatuhan Pembatasan Cairan Pada Pasein Gagal Jantung. Jurnal of Language and Health, 6(3), 49–58. https://doi.org/10.37287/jlh.v6i3.184

Mathar, I., Klevina, M. D., Sebtalesy, C. Y., & Deviga, L. (2024). Pembentukan Peer Educator Untuk Meningkatkan Personal Hygiene Dalam Mencegah Scabies di Panti Asuhan. APMa Jurnal Pengabdian Masyarakat, 4(1), 1–8. https://doi.org/10.47575/apma.v4i1.490

Ndruru, A., Sitindaon, S. R., & Mendrofa, D. S. (2025). Knowledge of Basic Life Support (BLS) for High School Students. Jurnal EduHealth, 16(03), 1003–1008. https://ejournal.seaninstitute.or.id/index.php/healt/article/view/6689

Nguyen, D. D., Spertus, J. A., Kennedy, K. F., Gupta, K., Uzendu, A. I., McNally, B. F., & Chan, P. S. (2024). Association Between Delays in Time to Bystander CPR and Survival for Witnessed Cardiac Arrest in the United States. Circulation. Cardiovascular Quality and Outcomes, 17(2), e010116. https://doi.org/10.1161/CIRCOUTCOMES.123.010116

O’Keefe, E. L., Abdel Jawad, M., Kennedy, K. F., Nguyen, D., Ikemura, N., & Chan, P. S. (2025). Time to bystander CPR and survival for witnessed out-of-hospital cardiac arrest. Resucitation, 209, 110566. https://doi.org/10.1016/j.resuscitation.2025.110566

Pangestika, W., Susanto, A., & Jerau, E. E. (2024). Edukasi dan Pelatihan Bantuan Hidup Dasar pada Siswa Palang Merah Remaja dalam Kasus Gawat Darurat. Journal Of Human And Education (JAHE), 4(5), 44–51. https://doi.org/10.31004/jh.v4i5.1395

Ramadia, A., Redho, A., & Nofa, F. S. (2021). Pelatihan Bantuan Hidup Dasar terhadap Pengetahuan dan Keterampilan Anggota PMR. Jurnal Keperawatan Silampari, 5(1), 584–590. https://doi.org/10.31539/jks.v5i1.2972

Spartinou, A., Karageorgos, V., Sorokos, K., Darivianaki, P., Petrakis, E., Papapanagiotou, M., Fraidakis, O., Nyktari, V., & Papaioannou, A. (2024). Effects of peer-education training on cardiopulmonary resuscitation knowledge and skill retention of secondary school students: a feasibility study. BMJ Open, 14, e075961. https://doi.org/10.1136/bmjopen-2023-075961

Sujana, T., Nikmah, B. A., & Ginting, M. (2024). Pengaruh Pemberian Pelatihan Bantuan Hidup Dasar (BHD) Terhadap Pengetahuan Dan Tindakan Bhd Pada Siswa Sma Karya Pembangunan Margahayu. Jurnal Kesehatan Kusuma Husada, 15(1), 106–112. https://doi.org/10.34035/jk.v15i1.1238

Tabi, M., Perel, N., Taha, L., Amsalem, I., Hitter, R., Maller, T., Manassra, M., Karmi, M., Zacks, N., Levy, N., Shrem, M., Marmor, D., Gavriel, D., Jarjoui, A., Shuvy, M., Asher, E., & Group, F. the J. P. T. and I. in C. (JUPITER-9) S. (2024). Out of hospital cardiac arrest - new insights and a call for a worldwide registry and guidelines. BMC Emergency Medicine, 24(1), 140. https://doi.org/10.1186/s12873-024-01060-4

Wicaksono, M. G., Burahman, H., & Lestari, Y. D. (2025). Assessment of Coronary Heart Disease Risk Among Medical Faculty Members Using The Jakarta Cardiovascular Score (JAKVAS). Journal of Health and Nutrition Research, 4(2), 616–625. https://doi.org/0.56303/jhnresearch.v4i2.440

Zenani, N. E., Bello, B., Molekodi, M., & Useh, U. (2022). Effectiveness of school-based CPR training among adolescents to enhance knowledge and skills in CPR: A systematic review. Curationis, 45(1), e1–e9. https://doi.org/10.4102/curationis.v45i1.2325

Downloads

Published

2026-07-04

How to Cite

Muhammad Wirandi, Maria, I., Taufik Hidayat, & Martini Nur Sukmawaty. (2026). The Effectiveness of Peer Education vs. Leaflets on Basic Life Support Knowledge among High School Students. JURNAL KEPERAWATAN SUAKA INSAN (JKSI), 11(1), 123–132. https://doi.org/10.51143/jksi.v11i1.1043

Issue

Vol. 11 No. 1 (2026): Jurnal Keperawatan Suaka Insan (JKSI)

Section

Articles

License

Copyright (c) 2026 Muhammad Wirandi, Insana Maria, Taufik Hidayat, Martini Nur Sukmawaty

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

All articles published in Jurnal Keperawatan Suaka Insan (JKSI) are licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).

Under this open-access license, users are free to:

  • Share: Copy and redistribute the material in any medium or format.

  • Adapt: Remix, transform, and build upon the material for any purpose, even commercially.

Under the following terms:

  • Attribution: You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor (author or JKSI) endorses you or your use.

  • No Additional Restrictions: You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Copyright: Authors retain the full copyright of their published work without restrictions and grant JKSI the right of first publication.

For the complete legal code of this license, please visit: https://creativecommons.org/licenses/by/4.0/legalcode.id

References

Ambarika, R., Anggraini, N. A., & Amroyan, A. S. (2024). The Effect of Basic Life Support Health Education on Increasing Knowledge and Skills in Cardiac Arrest. Journal of Nursing Practice (JNP), 8(1), 220–228. https://doi.org/10.30994/jnp.v8i1.685

Asma, A. (2025). Efektivitas Media Leaflet Dan Video Terhadap Pengetahuan Dan Sikap Pencegahan Seks Bebas. Jurnal Kesehatan Tambusai, 6(4), 18518–18524. https://doi.org/10.31004/jkt.v6i4.52899

Astawa, N. P. A. P. (2022). Gambaran Tingkat Pengetahuan Dan Sikap Siswa Tentang Bantuan Hidup Dasar Di Sma Negeri 5 Denpasar. Institut Teknologi dan Kesehatan Bali.

Baklola, M., Elnemr, M., Ghazy, M., Omar, Y., Darwish, N. E., Ahmed, B., Alkalla, E., Reda, R., Elmimy, H., Mohamed, T., Sherif, A., Al-Bawah, N., & Shaheen, D. G. (2025). No Title Assessing basic life support awareness, and knowledge among university undergraduates: a cross-sectional study. Annals of Medicine and Surgery, 87(3), 1251–1258. https://doi.org/10.1097/MS9.0000000000003076

Begjani, J., Hosseini, A. S. S., Saneifard, H., & Hasanabad, V. R. (2024). Social learning-based health literacy promotion on the self efficacy and social anxiety of adolescents with type 1 diabetes. Clinical Diabetes and Endocrinology, 10(1), 14. https://doi.org/10.1186/s40842-024-00167-8

Dodd, S., Widnall, E., Russell, A. E., Curtin, E. L., Simmonds, R., Limmer, M., & Kidger, J. (2022). School-based peer education interventions to improve health: a global systematic review of effectiveness. BMC Public Health, 22(1), 2247. https://doi.org/10.1186/s12889-022-14688-3

Kusumawardhany, R., Dharianta, R., Santoso, B., & Nugroho, D. T. W. (2024). Basic Life Support (BLS) Training in Increasing Knowledge of Helping Cardiac Arrest Patient at Senior High School 1 Puri Mojokerto. Jurnal Pengabdian Kepada Masyarakat Nusantara, 5(4), 5808–5816. https://doi.org/10.55338/jpkmn.v5i4.4730

Maria, I., & Wardhani, A. (2024). Empowering Youth: the Impact of Basic Life Support (BLS) Training on Knowledge, Skills, and Attitude Development in Adolescents. Indonesian Journal of Global Health Research, 6(S6), 33–40. https://doi.org/10.37287/ijghr.v6iS6.4172

Maria, I., & Wardhani, A. (2025). Efektivitas Pendidikan Kesehatan Tentang Bantuan Hidup Dasar Menggunakan Media Audio Visual Terhadap Peningkatan Pengetahuan, Sikap Dan Keterampilan Kader. Jurnal Keperawatan Suaka Insan (JKSI), 10(1), 139–147. https://doi.org/10.51143/jksi.v10i1.847

Marisa, M., Sobirin, M., Darsono, P. V., & Mahdiyah, D. (2025). Analisis Dukungan Keluarga Terhadap Kepatuhan Pembatasan Cairan Pada Pasein Gagal Jantung. Jurnal of Language and Health, 6(3), 49–58. https://doi.org/10.37287/jlh.v6i3.184

Mathar, I., Klevina, M. D., Sebtalesy, C. Y., & Deviga, L. (2024). Pembentukan Peer Educator Untuk Meningkatkan Personal Hygiene Dalam Mencegah Scabies di Panti Asuhan. APMa Jurnal Pengabdian Masyarakat, 4(1), 1–8. https://doi.org/10.47575/apma.v4i1.490

Ndruru, A., Sitindaon, S. R., & Mendrofa, D. S. (2025). Knowledge of Basic Life Support (BLS) for High School Students. Jurnal EduHealth, 16(03), 1003–1008. https://ejournal.seaninstitute.or.id/index.php/healt/article/view/6689

Nguyen, D. D., Spertus, J. A., Kennedy, K. F., Gupta, K., Uzendu, A. I., McNally, B. F., & Chan, P. S. (2024). Association Between Delays in Time to Bystander CPR and Survival for Witnessed Cardiac Arrest in the United States. Circulation. Cardiovascular Quality and Outcomes, 17(2), e010116. https://doi.org/10.1161/CIRCOUTCOMES.123.010116

O’Keefe, E. L., Abdel Jawad, M., Kennedy, K. F., Nguyen, D., Ikemura, N., & Chan, P. S. (2025). Time to bystander CPR and survival for witnessed out-of-hospital cardiac arrest. Resucitation, 209, 110566. https://doi.org/10.1016/j.resuscitation.2025.110566

Pangestika, W., Susanto, A., & Jerau, E. E. (2024). Edukasi dan Pelatihan Bantuan Hidup Dasar pada Siswa Palang Merah Remaja dalam Kasus Gawat Darurat. Journal Of Human And Education (JAHE), 4(5), 44–51. https://doi.org/10.31004/jh.v4i5.1395

Ramadia, A., Redho, A., & Nofa, F. S. (2021). Pelatihan Bantuan Hidup Dasar terhadap Pengetahuan dan Keterampilan Anggota PMR. Jurnal Keperawatan Silampari, 5(1), 584–590. https://doi.org/10.31539/jks.v5i1.2972

Spartinou, A., Karageorgos, V., Sorokos, K., Darivianaki, P., Petrakis, E., Papapanagiotou, M., Fraidakis, O., Nyktari, V., & Papaioannou, A. (2024). Effects of peer-education training on cardiopulmonary resuscitation knowledge and skill retention of secondary school students: a feasibility study. BMJ Open, 14, e075961. https://doi.org/10.1136/bmjopen-2023-075961

Sujana, T., Nikmah, B. A., & Ginting, M. (2024). Pengaruh Pemberian Pelatihan Bantuan Hidup Dasar (BHD) Terhadap Pengetahuan Dan Tindakan Bhd Pada Siswa Sma Karya Pembangunan Margahayu. Jurnal Kesehatan Kusuma Husada, 15(1), 106–112. https://doi.org/10.34035/jk.v15i1.1238

Tabi, M., Perel, N., Taha, L., Amsalem, I., Hitter, R., Maller, T., Manassra, M., Karmi, M., Zacks, N., Levy, N., Shrem, M., Marmor, D., Gavriel, D., Jarjoui, A., Shuvy, M., Asher, E., & Group, F. the J. P. T. and I. in C. (JUPITER-9) S. (2024). Out of hospital cardiac arrest - new insights and a call for a worldwide registry and guidelines. BMC Emergency Medicine, 24(1), 140. https://doi.org/10.1186/s12873-024-01060-4

Wicaksono, M. G., Burahman, H., & Lestari, Y. D. (2025). Assessment of Coronary Heart Disease Risk Among Medical Faculty Members Using The Jakarta Cardiovascular Score (JAKVAS). Journal of Health and Nutrition Research, 4(2), 616–625. https://doi.org/0.56303/jhnresearch.v4i2.440

Zenani, N. E., Bello, B., Molekodi, M., & Useh, U. (2022). Effectiveness of school-based CPR training among adolescents to enhance knowledge and skills in CPR: A systematic review. Curationis, 45(1), e1–e9. https://doi.org/10.4102/curationis.v45i1.2325