EFFECTS OF WEB-BASED EDUCATION MODEL ON KNOWLEDGE REGARDING REPRODUCTIVE AND SEXUAL HEALTH AMONG PRE-MARITAL COUPLE IN WEST SUMATRA PROVINCE INDONESIA: A FEASIBILITY STUDY

: Lack of knowledge about sexual and reproductive health is still a problem that needs to be addressed among premarital couples.The use of online education method can provide an effective option for increasing knowledge and awareness of how to maintain reproductive health and prevent the transmission of sexual diseases post-marriage. The purpose of this study is to investigate the feasibility of developing web based education model and to examine knowledge about sexual and reproductive health among premarital couple. A quasi experimental design with two group pre test-post test was conducted in the population of premarital couple in Bukittinggi City West Sumatera Province Indonesia from January to December 2021. All participant received Web-based education method named RHAPS focused on sexual and reproductive health. The participants invited to complete the intervention during the marital registration process using an individualised log-in process. A random sample of 60 persons was selected. Data collection was done in 5 stages, namely media needs analysis, expert test, small scale test, small scale test and website effectiveness test. Data were collected by a questionnaire used in two stages of pre and post program implementation. The results of the feasibility test by media and material experts showed the S-CVI score was .83. The acceptability of the RHAPS showed 85,5% of the participants were very agree to use the website model. The average pre-test and post score regarding knowledge about sexual and reproductive health of the participants in the intervention group showed significant difference after received the program (p< .05). Premarital education program was successful in attaining its aim of positively changing the knowledge regarding sexual and reproductive health. The RHAPS model can be used as a medium in the implementation of sexual and reproductive health for future brides.


INTRODUCTION
Reproductive health refers to the physical and social well-being of a person associated with their function and reproductive processes, including the absence of diseases or disorders that may affect reproductive activities.In 2019, 36.6% of teenagers in Indonesia were married at the age of less than 15 years (Dinengsih & Hakim, 2020).This situation may increase the prevalence of Chronic Energy Deficiency (CED) among pregnant women aged 15-49 years by 24.2%, and the prevalence of anemia by 18.4%, which can exacerbate pregnancy and the safety of mothers and infants (Farsi, 2014;Riantini, 2018).One of the reasons for CED among adolescents is a lack of knowledge regarding reproductive health.Recently, the utilization of reproductive health services, such as quality to access problems and differences, remains difficult (Ninsiima et al., 2021).Amalia (2018) found that 62.5% of pregnant adolescents had low levels of knowledge about premarital reproductive health.Similarly, Irawati (2019) also found low knowledge of prospective brides (70%) and unsupportive attitudes toward reproductive health (30%) (Amalia & Siswantara, 2018).
The Indonesian Ministry of Religion mandates that prior to a wedding, insight into the meaning of a household must be provided through premarital couples.The duration of this course is 24 hours, including reproductive health, for 3 hours (Nurasiah, 2016) (Huriah et al., 2023).A study by Novaeni et al. (2017) found that 94.3% of the respondents had androids.
An application is a program created and used by users to determine the required information processing activities for the completion of a particular task from the user (Novaeni et al., 2018).Similarly, Darmayanti et al. (2021)

Study Design
The feasibility study utilised a pretest posttest quasi-experimental design with a control group to evaluate the acceptability, demand, implementation and practicality (Bowen et al., 2009)   Based Education in this study are presented in Table 1.

Outcomes and Measurements
The

Website Testing on a Small Scale
Website trials on a small scale were conducted with six respondents.This trial is useful for providing an overview of the suitability of the website for potential users, namely, prospective brides and grooms.This small-scale trial was assessed with a website quality measurement instrument using Google Forms.Before the assessment, respondents were asked to log in to the RHAPS Model website and then asked to answer the questions on the Google form objectively.

Website Trial on a Large Scale
A large-scale website trial for 60 prospective brides registered with the KUA.The large-scale media suitability test by prospective brides and grooms aims to determine the final response and assessment of suitability levels by prospective brides and grooms to the

RHAPS Model website
The Effectiveness of RHAPS The effectiveness of RHAPS on respondents' knowledge of reproductive and sexual health before and after using the website showed that the average pretest knowledge score was 5.7 and the average post-test knowledge score was 7.65.There was a 1.95% increase in the average knowledge of pre-marital couples.
The results of the paired sample t-test obtained a p-value of 0.000, which means that there is a significant change in the knowledge of the pre-marital couple before and after intervention.

Website Effectiveness
The effectiveness of a website can be assessed by evaluating the increase in respondents' knowledge before and after using the website.Effectiveness is the relationship between output and goals; The participants received online education to promote knowledge on reproductive and sexual health, based on the RHAPS model and integrated with the website of the Ministry of Health.The recruitment of the participants in the study started in March 2022 and the collection of the data was completed in November 2022.Recruitment and Eligibility Participants have been recruited through notices posted in offices of religious affairs.Prospective participants provided informed consent regarding the research aims, requirements, procedures, benefits and other information related to the study.The eligibility of potential participants was assessed prior to the baseline survey.Inclusion criteria were (1) female gender; (2) registration with the religious office at least one week before the wedding; (3) and access to computers or smartphones.The RHAPS Model-Internet Based Education The RHAPS model was developed by the research team.It was uploaded and distributed through the website of the Religious Affairs Office.During the intervention period, we provided topics related to reproductive and sexual health for the participants to read and learn according to their ability to learn.The forms, content, and corresponding purposes of the RHAPS model-Internet internet-based questionnaire surveys were administered at 2 time points (baseline and immediately after the intervention).Participant characteristics, including age, major in college, ethnicity, residence, parental residence, education and marital status, monthly living expenses (RMB), ever received sexual education, currently in a romantic relationship, sexual debut, and attitude toward premarital sex, were measured in media needs needed for the implementation of sexual and reproductive health IEC for pre-marriage couples is carried out by conducting a preliminary study to the Office of Religious Affairs.Based on this preliminary study, information was obtained that marriage screening had been carried out to equip pre-marriage couples to respond to marriage and family problems, as well as health workers regarding reproductive health.This counseling was carried out using the lecture method, and material model created by information technology experts based on material and service flow which outlined by the researchers.The interface design was equipped with seven features: Home, About, Register/Login, Flow, Service Flow, Contact and Administrator.The RHAPS Model is equipped with a Service Flow that users can use as a guide in accessing this website: 1) The RHAPS Model website page can be accessed via the rhapsmodel.comlink, 2) pre-marital couples register on the website by filling in personal identification, visiting plans, and choosing a public health center, 3) The religion office admins enter the RHAPS Model via the administrator page and activate the partner's account pre-marriage that has registered, and 4) pre-marital couples relogin to the RHAPS Model and download the screening introduction to the public health center and get a pin to verify -test and watches the video on the website, 7) Premarrital couple gets health services which include health checks and vaccination for tetanus, 8) public health center administrator inputs pre-marrital couples health service results to the website, 9) Catin downloads part I and part II of the pocket book material every day.Catin can do this download at home via the website, 10) Catin carries out a post test and downloads the health service certificate to then be printed and signed by the Head of the Community Health Center, 11) The prospective bride and groom then submit the health service certificate to the KUA as a marriage administration requirement.
the greater the contribution (contribution) of output to achieving goals, the more effective the organization, program, or activity.The effectiveness of the website can be seen from the increase in the respondents' knowledge before and after using the program.Based on the results of the analysis of changes in the knowledge of prospective brides and grooms before and after the implementation of IEC on reproductive and sexual health, it was found that Catin's knowledge increased by 1.95 and statistical tests obtained a pvalue of 0.000, which means that the difference in knowledge before and after IEC was very significant.This research is in line with the research by Yuliani (2020), who found that the groom's knowledge increased before and after education by 16.3.The statistical test results showed a p-value of 0.000, which means there was a significant change in knowledge before and after education.CONCLUSIONS Based on this, the researchers concluded that there is a need for applications in the implementation of health services for prospective brides and grooms that contain materials about reproductive and sexual health.With this application, prospective brides and grooms can study IEC material on reproductive and sexual health by repeatedly downloading pocket book material and videos.With this application, it is hoped that prospective brides' and grooms' knowledge of reproductive and sexual health can be improved.
. In 2015, the Indonesian a communication tool, smartphones have also become a necessity in modern society, so they are well known among the general public Darmayanti Y 1 Hasrah Murni 2 Arneti 3 1047| Effects of Web-Based Education Model on Knowledge Regarding Reproductive and Sexual Health Among Pre-Marital Couple in West Sumatra Province Indonesia: A Feasibility Study

Table 2 . The Mean of Pretest and posttest scores of Knowledge Within the Intervention Group and Comparison Group (N = 50)
Darmayanti Y 1 Hasrah Murni 2 Arneti 3