The Impact of Anaemia Prevention Apps on Sleep Quality and Learning Concentration Among Female Junior High School Students
DOI:
https://doi.org/10.31674/mjn.2025.v16isupp2.014Abstract
Background: Anaemia, is a global health challenge, that significantly affects adolescent girls, impairing sleep quality and learning concentration. Despite advancements in mobile health (mHealth) applications for anaemia prevention, their impact on these critical outcomes remains underexplored. Objective: The aim of the study is to investigate the impact of anaemia prevention mobile application on sleep quality and learning concentration among female junior high school students. Methods: A quasi-experimental study using a pre- and post-test control group design was implemented. Two hundred female students aged 12 to 15 years were recruited using convenience sampling and evenly allocated into intervention and control groups. The intervention group utilised a mobile application that provided anaemia education and reminders for 12 weeks, whereas the control group received conventional health education materials such as brochures. Sleep quality and learning concentration were assessed using the Pittsburgh Sleep Quality Index (PSQI) and the Learning Concentration Scale (LCS), respectively. Data were analysed using paired t-tests, independent t-tests, and ANCOVA was employed to evaluate pre- and post-intervention differences while controlling for confounding variables. Results: The intervention group showed significant improvements in sleep quality (mean PSQI: 7.4 to 5.2, p < 0.001) and learning concentration (mean LCS: 45.3 to 50.1, p < 0.001) compared to the control group, which exhibited minimal changes. Multivariate analysis confirmed the app’s impact, explaining 35% of the variance in sleep quality (adjusted R² = 0.35) and 40% in learning concentration (adjusted R² = 0.40). Conclusion: The anaemia prevention mobile application effectively enhances sleep quality and learning concentration among female adolescents. Further research should explore long-term and scalable applications of this technology.
Keywords:
Adolescents, Anaemia Prevention, Learning Concentration, Mhealth, Mobile Health Applications, Public Health, Sleep QualityDownloads
References
Al Mahmud, A., Wu, J., & Mubin, O. (2022). A scoping review of mobile apps for sleep management: User needs and design considerations. Frontiers in Psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.1037927
Buysse, D. J., Reynolds, C. F., 3rd, Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4
Espie, C. A., Kyle, S. D., Williams, C., Ong, J. C., Douglas, N. J., Hames, P., & Brown, J. S. (2012). A randomized, placebo-controlled trial of online cognitive behavioral therapy for chronic insomnia disorder delivered via an automated media-rich web application. Sleep, 35(6), 769–781. https://doi.org/10.5665/sleep.1872
Hanifah, W. L., & Permatasari, T. A. E. (2024). Protein Consumption, Anemia, and Sleep Quality as Determinants of Nutritional Status in Adolescent Girls. Muhammadiyah International Public Health and Medicine Proceeding, 4(1), 138-145. https://doi.org/10.61811/miphmp.v4i1.656
Hashem Elsalous, S., El Saied Mahmoud Dawoud, S., Ragab Ahmed Salama, T., & Elsayed Ahmed Shahin, H. (2024). Effectiveness of Dietary Intervention-Based Short Message Service on Pregnant Adolescent Female's Knowledge and Practice Regarding Iron Deficiency Anemia. Egyptian Journal of Health Care, 15(2), 458-475. https://doi.org/10.21608/ejhc.2024.354362
Helmyati, S., Fauziah, L. A., Kadibyan, P., Sitorus, N. L., & Dilantika, C. (2023). Relationship between Anemia Status, Sleep Quality, and Cognitive Ability among Young Women Aged 15-24 Years in Indonesia (Analysis of Indonesian Family Life Survey (IFLS) 5). Amerta Nutrition, 7. Retrieved from: https://ir.lib.ugm.ac.id/id/eprint/1357/ . Accessed on, 14th August, 2024.
Johnson, D. L., Mushquash, A. R., Sinden, K. E., Wachter, L., & Pearson, E. S. (2025). Impact of a virtual workshop on mental health literacy and self-efficacy among Canadian postsecondary educators. Health Promotion International, 40(2), daaf025. https://doi.org/10.1093/heapro/daaf025
Kaiser, S., Rye, M., Jakobsen, R., Martinussen, M., Høgsdal, H., & Kyrrestad, H. (2023). A Universal Mental Health-Promoting Mobile App for Adolescents: Protocol for a Cluster Randomized Controlled Trial. JMIR Research Protocols, 12. https://doi.org/10.2196/42119
Kedir, S., Hassen, K., Mohammed, B., & Ademe, B. W. (2024). Weekly iron-folic acid supplementation and its impact on children and adolescents iron status, mental health and school performance: a systematic review and meta-analysis in sub-Saharan Africa. BMJ Open, 14(6). https://doi.org/10.1136/bmjopen-2024-084033
Kemenkes RI. (2021). . Profil Kesehatan Indonesia 2021. Retrieved from: https://kemkes.go.id/id/profil-kesehatan-indonesia-2021 . Accessed on, 26th July, 2024.
Kim, S. K., Park, S. Y., Hwang, H. R., Moon, S. H., & Park, J. W. (2025). Effectiveness of mobile health intervention in medication adherence: A systematic review and meta-analysis. Journal of Medical Systems, 49(1), 13. https://doi.org/10.21203/rs.3.rs-3440357/v1
Mithra, P., Khatib, M. N., Sinha, A. P., Kumar, N., Holla, R., Unnikrishnan, B., Vijayamma, R., Nair, N. S., Gaidhane, A., & Quazi Zahiruddin, S. (2021). Interventions for Addressing Anemia Among Children and Adolescents: An Overview of Systematic Reviews. Frontiers in Pediatrics, 8, 549549. https://doi.org/10.3389/fped.2020.549549
Munira, L., & Viwattanakulvanid, P. (2024). Knowledge, attitude, and practice towards anemia prevention among female students in Indonesia: A mixed method study. Int J Eval Res Educ, 13, 361-378. http://doi.org/10.11591/ijere.v13i1.25750
Putri, P. H., & Hasanah, L. N. (2023). “Srikandi Health”: Development of a progressive web apps based health information system as a solution for ease of monitoring and management of anemia. In AIP Conference Proceedings (Vol. 2491, No. 1). AIP Publishing. https://doi.org/10.1063/5.0105495
Rahayu, S., Said, S. M., & Sansuwito, T. B. (2024). The effect of mhealth on preventing anemia in adolescent girls: a literature review. International Journal of Health Sciences, 2(1), 281-297. https://doi.org/10.59585/ijhs.v2i1.280
Saju, M., & Mohammed, M. (2025). Enhancing Health: Effective Interventions Addressing Iron-Deficiency Anaemia Among Adolescent Girls And Reproductive-Aged Women In India: A Comprehensive Systematic Review. J Integrated Health, 4(1), 332-350. http://doi.org/10.51219/JIH/muthulekshmi-saju/58
Seiterö, A., Henriksson, P., Thomas, K., Henriksson, H., Löf, M., Bendtsen, M., & Müssener, U. (2025). Effectiveness of a Mobile Phone-Delivered Multiple Health Behavior Change Intervention (LIFE4YOUth) in Adolescents: Randomized Controlled Trial. Journal of Medical Internet Research, 27. https://doi.org/10.2196/69425
Susanto, A. H., Salsabila, J., & Utami, Y. W. (2024). Sleep quality and hemoglobin levels in adolescents. Media Keperawatan Indonesia, 7(4). https://doi.org/10.26714/mki.7.4.2024.297-305
Talens, C., da Quinta, N., Adebayo, F. A., Erkkola, M., Heikkilä, M., Bargiel-Matusiewicz, K., ... & Meinilä, J. (2025). Mobile-and Web-Based Interventions for Promoting Healthy Diets, Preventing Obesity, and Improving Health Behaviors in Children and Adolescents: Systematic Review of Randomized Controlled Trials. Journal of Medical Internet Research, 27. https://doi.org/10.2196/60602
Wang, W., Khalajzadeh, H., Grundy, J., Madugalla, A., McIntosh, J., & Obie, H. O. (2024). Adaptive user interfaces in systems targeting chronic disease: a systematic literature review. User Modeling and User-Adapted Interaction, 34, 853–920. https://doi.org/10.1007/s11257-023-09384-9
Wang, Z., Yang, L., Zhu, Y., Tang, X., Wang, T., Chen, L., ... & Zhou, H. (2024). Innovative behavior and structural empowerment among the Chinese clinical nurses: the mediating role of decent work perception. BMC Nursing, 23(1), 1-13. https://doi.org/10.1186/s12912-024-02554-z
Xu, Y., Hu, T., Ding, H., & Chen, R. (2020). Effects of anemia on the survival of patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis. Expert Review of Respiratory Medicine, 14(12), 1267-1277. https://doi.org/10.1080/17476348.2020.1816468
Xu, Z., Niu, M., Du, W., & Dang, T. (2025). The effect of sleep quality on learning engagement of junior high school students: the moderating role of mental health. Frontiers in Psychology, 16, 1476840. https://doi.org/10.3389/fpsyg.2025.1476840
Yang, X., Li, Z., & Sun, J. (2020). Effects of Cognitive Behavioral Therapy-Based Intervention on Improving Glycaemic, Psychological, and Physiological Outcomes in Adult Patients With Diabetes Mellitus: A Meta-Analysis of Randomized Controlled Trials. Frontiers in Psychiatry, 11, 711. https://doi.org/10.3389/fpsyt.2020.00711
Yeboah, F. A., Bioh, J., Amoani, B., Effah, A., Senu, E., Mensah, O. S. O., Agyei, A., Kwarteng, S., Agomuo, S. K. S., Opoku, S., Agordzo, S. K., Aidoo, E. K., & Sakyi, S. A. (2024). Iron deficiency anemia and its association with cognitive function among adolescents in the Ashanti Region - Ghana. BMC Public Health, 24(1), 3209. https://doi.org/10.1186/s12889-024-20640-4
Yunanci, S., Risma, R., Masrif, M., & Mulianingsih, M. (2023). A literature review of the relation between iron deficiency anaemia, physical activity and cognitive function in adolescent girls. Scripta Medica, 54(4), 405-412. http://dx.doi.org/10.5937/scriptamed54-46534
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 The Malaysian Journal of Nursing (MJN)

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