Abstract

Background: Major cause of mortality in Indonesia was Cardiovascular diseases including Coronary Heart Disease (CHD) which was linked by common preventable risk factor related to life style that were unhealthy diet and physical inactivity and smoking. Education and promotion healthy life style start from early life will be better to control CHD. Multimedia is a popular way to be implemented in teenage learning model which improve their knowledge and attitude. As part of main research which develop a model to prevent from CHD among Junior high school students, the objective of this study is to analyze the association of the multimedia on health learning model to changes knowledge and attitude of heart disease risk factors among junior high school students in Malang and Yogyakarta cities. Methods: Quasy experiment, interfere students of 8th level with multimedia (Modul and film) to improve knowledge and attitude of students. Two junior high school were chosen in each cities which are running good School health program and provide multimedia equipment (computer and in focus). Training was done, teaching and discussion method through film is implemented. Results: There is significantly association between intervention and knowledge and attitude (p = 0.00) using wilcoxon signed rank test, in Malang and Yogyakarta samples. Implementation of multimedia is fit to junior high school students to improve knowledge and attitude of healthy heart because it help the understanding of heart disease risk factors. Recommendation: further research of comprehensive preventive model using multmedia and compare to other method to be implemented in junior high school students. Key words: Education, multimedia, Heart disease risk factors, junior high school student