Developing the Indonesian Student Health Index as an Instrument for Monitoring and Evaluating Student Health in Physical Education
DOI:
https://doi.org/10.17309/tmfv.2025.5.05Keywords:
health index, physical education, monitoring and evaluatingAbstract
Objectives. This study aimed to develop the Indonesian Student Health Index (ISHI), a valid, reliable, and practical instrument to comprehensively assess student health conditions in Indonesia, covering physical health, mental well-being, healthy lifestyle behaviors, and emotional-social functioning.
Materials and Methods. A Research and Development (R&D) design was employed using the ADDIE model (Analysis, Design, Development, Implementation, Evaluation). The instrument development involved literature review, nominal group technique (NGT) with teachers, and field observations. Five experts validated the blueprint. The instrument underwent trials in two sports disciplines and was implemented in five school settings across educational levels. Data were analyzed using Pearson correlation for validity, Cronbach’s Alpha for reliability, inter-rater correlation for objectivity, and exploratory factor analysis.
Results. The instrument showed good internal consistency (α = 0.88), sufficient validity (r = 0.62), and high objectivity (r = 0.91). Practicality and effectiveness scored 88% and 84%, respectively. KMO (0.782) and Bartlett’s Test (p < 0.001) confirmed the factorability of the data. Field implementation involving 1,300 respondents (teachers and students) yielded highly positive responses (90–95%). Expert validation rated the blueprint as “Highly Valid” (average score = 4.41).
Conclusions. The findings indicate that the ISHI instrument is scientifically robust and field-ready for nationwide implementation. It enables early identification of student health issues and supports integrating health and education policies. ISHI is expected to serve as a strategic tool for health monitoring, data-driven interventions, and developing holistic educational environments in Indonesia.
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Song, X., & Hu, Q. (2024). The relationship between Freshman students’ mental health and academic achievement: chain mediating effect of learning adaptation and academic self-efficacy. BMC Public Health, 24(1), 3207. https://doi.org/10.1186/s12889-024-20738-9 DOI: https://doi.org/10.1186/s12889-024-20738-9
Lederer, A.M., Oswalt, S.B., Parise, I.M., Rosenthal, M.N., & Horlick, R. (2024). U.S. postsecondary students’ health and academic outcomes: A comprehensive scoping review. Preventive Medicine, 187, 108059. https://doi.org/10.1016/j.ypmed.2024.108059 DOI: https://doi.org/10.1016/j.ypmed.2024.108059
Carter-Pokras, O. D., Bugbee, B. A., Gold, R. S., Lauver, P. E., Aiken, R., & Arria, A. M. (2021). Utilizing Student Health and Academic Data: A County-Level Demonstration Project. Health Promotion Practice, 22(2), 193-203. https://doi.org/10.1177/1524839919862796 DOI: https://doi.org/10.1177/1524839919862796
Shaw, S.R., Gomes, P., Polotskaia, A., & Jankowska, A.M. (2015). The relationship between student health and academic performance: Implications for school psychologists. School Psychology International, 36(2), 115–134. https://doi.org/10.1177/0143034314565425 DOI: https://doi.org/10.1177/0143034314565425
Soenyoto, T., Adi, S., Darmawan, A., Aliriad, H., & Utama, M.B. R. (2025). Smart physical education: Integrating flipped classroom with IoT and android for enhanced learning. Journal of Human Sport and Exercise, 20(4), 1122-1132. https://doi.org/10.55860/ydz9ex90 DOI: https://doi.org/10.55860/ydz9ex90
Morinaj, J., & Hascher, T. (2022). On the Relationship Between Student Well-Being and Academic Achievement. Zeitschrift Für Psychologie, 230(3), 201-214. https://doi.org/10.1027/2151-2604/a000499 DOI: https://doi.org/10.1027/2151-2604/a000499
Kilroy, S., O’Connor, S., Hackett, F., & Gregory, N. (2024). 39 Are you well? An investigation into the health-related behaviours and wellbeing of Dundalk Institute of Technology (DKIT) students. A pilot study. European Journal of Public Health, 34(Suppl 2). https://doi.org/10.1093/eurpub/ckae114.040 DOI: https://doi.org/10.1093/eurpub/ckae114.040
S., A., Ks., S., Rohidi, T. R., & Rustiadi, T. (2023). Digital literacy of physical education teachers in the 5.0 era. SPORT TK-Revista EuroAmericana de Ciencias Del Deporte, 12(SE-), 13. https://doi.org/10.6018/sportk.562941 DOI: https://doi.org/10.6018/sportk.562941
Anser, M.K., Sharif, M., Khan, M.A., Nassani, A.A., Zaman, K., Abro, M.M. Q., & Kabbani, A. (2021). Demographic, psychological, and environmental factors affecting student’s health during the COVID-19 pandemic: on the rocks. Environmental Science and Pollution Research International, 28(24), 31596-31606. https://doi.org/10.1007/s11356-021-12991-x DOI: https://doi.org/10.1007/s11356-021-12991-x
Aliriad, H., Adi S, Manullang, J. G., Endrawan, I. B., & Satria, M. H. (2024). Improvement of Motor Skills and Motivation to Learn Physical Education Through the Use of Traditional Games. Physical Education Theory and Methodology, 24(1), 32-40. https://doi.org/10.17309/tmfv.2024.1.04 DOI: https://doi.org/10.17309/tmfv.2024.1.04
Sanci, L., Williams, I., Russell, M., Chondros, P., Duncan, A.-M., Tarzia, L., Peter, D., Lim, M.S. Y., Tomyn, A., & Minas, H. (2022). Towards a health promoting university: descriptive findings on health, wellbeing and academic performance amongst university students in Australia. BMC Public Health, 22(1), 2430. https://doi.org/10.1186/s12889-022-14690-9 DOI: https://doi.org/10.1186/s12889-022-14690-9
Sudikno, S., Mubasyiroh, R., Rachmalina, R., Arfines, P.P., & Puspita, T. (2023). Prevalence and associated factors for prehypertension and hypertension among Indonesian adolescents: a cross-sectional community survey. BMJ Open, 13(3), e065056. https://doi.org/10.1136/bmjopen-2022-065056 DOI: https://doi.org/10.1136/bmjopen-2022-065056
Ramadianto, A.S., Kusumadewi, I., Agiananda, F., & Raharjanti, N.W. (2022). Symptoms of depression and anxiety in Indonesian medical students: association with coping strategy and resilience. BMC Psychiatry, 22(1), 92. https://doi.org/10.1186/s12888-022-03745-1 DOI: https://doi.org/10.1186/s12888-022-03745-1
Lili, R., Molodynski, A., Farrell, S.M., Citraningtyas, T., & Kloping, N.A. (2022). Wellbeing and mental health among medical students in Indonesia: A descriptive study. International Journal of Social Psychiatry, 68(6), 1277-1282. https://doi.org/10.1177/00207640211057709 DOI: https://doi.org/10.1177/00207640211057709
Azzopardi, P.S., Willenberg, L., Wulan, N., Devaera, Y., Medise, B., Riyanti, A., Ansariadi, A., Sawyer, S., Wiguna, T., Kaligis, F., Fisher, J., Tran, T., Agius, P.A., Borschmann, R., Brown, A., Cini, K., Clifford, S., Kennedy, E.C., Pedrana, A., … Luchters, S. (2020). Direct assessment of mental health and metabolic syndrome amongst Indonesian adolescents: a study design for a mixed-methods study sampled from school and community settings. Global Health Action, 13(1), 1732665. https://doi.org/10.1080/16549716.2020.1732665 DOI: https://doi.org/10.1080/16549716.2020.1732665
Gagliano, K.M., Yassa, M.O., & Winsler, A. (2023). Stop the shame and the hunger: The need for school meal program reform. Children and Youth Services Review, 155, 107245. https://doi.org/10.1016/j.childyouth.2023.107245 DOI: https://doi.org/10.1016/j.childyouth.2023.107245
Vik, F.N., Heslien, K.E. P., Van Lippevelde, W., & Øverby, N.C. (2020). Effect of a free healthy school meal on fruit, vegetables and unhealthy snacks intake in Norwegian 10- to 12-year-old children. BMC Public Health, 20(1), 1369. https://doi.org/10.1186/s12889-020-09470-2 DOI: https://doi.org/10.1186/s12889-020-09470-2
Tang, K., Yuan, J., & Luo, L. (2024). Validity evaluation of the Health Information Preferences Questionnaire among college students. Frontiers in Public Health, 12, 1249621. https://doi.org/10.3389/fpubh.2024.1249621 DOI: https://doi.org/10.3389/fpubh.2024.1249621
Tomyn, A.J., Stokes, M.A., Cummins, R.A., & Dias, P.C. (2020). A Rasch Analysis of the Personal Well-Being Index in School Children. Evaluation & the Health Professions, 43(2), 110-119. https://doi.org/10.1177/0163278718819219 DOI: https://doi.org/10.1177/0163278718819219
Linden, B., & Ecclestone, A. (2024). Preliminary evidence for the validity of the Brief Post-Secondary Student Stressors Index (Brief-PSSI): A cross-sectional psychometric assessment. PloS One, 19(1), e0297171. https://doi.org/10.1371/journal.pone.0297171 DOI: https://doi.org/10.1371/journal.pone.0297171
Fiore, M., Lorini, C., Bonaccorsi, G., Paoli, S., Vaccaro, G., Verani, M., Federigi, I., Ferrante, M., & Carducci, A. (2024). Development and validation of the Environmental Health Literacy Index: a new tool to assess the environmental health literacy among university students. European Journal of Public Health, 34(5), 1001-1007. https://doi.org/10.1093/eurpub/ckae120 DOI: https://doi.org/10.1093/eurpub/ckae120
Gómez-Chacón, R., Fernández-Martínez, N., & Gálvez-Ruiz, P. (2021). Healthy Students: Adaptation and Validation of the Instrument from the Workplace to the Educational Field. Sustainability, 13(3). https://doi.org/10.3390/su13031134 DOI: https://doi.org/10.3390/su13031134
Adi S, Soenyoto, T., Yuwono, C., & Nurharsono, T. (2025). Exploring physical literacy, physical activity, motivation, and learning outcomes in elementary school PE . Edu Sportivo: Indonesian Journal of Physical Education, 6(1), 67–77. https://doi.org/10.25299/esijope.2025.vol6(1).17879 DOI: https://doi.org/10.25299/esijope.2025.vol6(1).17879
Hammoudi Halat, D., Hallit, S., Younes, S., AlFikany, M., Khaled, S., Krayem, M., El Khatib, S., & Rahal, M. (2023). Exploring the effects of health behaviors and mental health on students’ academic achievement: a cross-sectional study on lebanese university students. BMC Public Health, 23(1), 1228. https://doi.org/10.1186/s12889-023-16184-8 DOI: https://doi.org/10.1186/s12889-023-16184-8
Riziq A’mir, O. A., Almobasher, Z. M., & Abbas, I. M. (2023). Health-Related Physical Fitness and its Relationship to the Level of Academic Achievement among A Sample of Secondary School Students in the City of Amman. International Journal of Membrane Science and Technology, 10(2), 112-120. https://doi.org/10.15379/ijmst.v10i2.1176 DOI: https://doi.org/10.15379/ijmst.v10i2.1176
Teferi, G. (2020). The Effect of Physical Activity on Academic Performance and Mental Health: Systematic Review. American Journal of Science, Engineering and Technology, 5, 131. https://doi.org/10.11648/j.ajset.20200503.12 DOI: https://doi.org/10.11648/j.ajset.20200503.12
Rosmalina, R., & Elfrianto, E. (2024). Evaluation And Monitoring as An Effort to Improve the Quality of Education. Indonesian Journal Education, 3, 8-15. https://doi.org/10.56495/ije.v3i1.567 DOI: https://doi.org/10.56495/ije.v3i1.567
Gustiani, F., Barus, I., & Elfrianto, E. (2023). Monitoring and Evaluation to Improve School Quality. Indonesian Journal Education, 2, 99-103. https://doi.org/10.56495/ije.v2i4.564 DOI: https://doi.org/10.56495/ije.v2i4.564
Hidayati, H.N., Hayat, B., & Rahayu, W. (2021). Assessment of the Validity and Reliability of Mental Health Instruments of High School Student in Indonesia . Başlık, 10(2), 729-742. https://doi.org/10.12973/eu-jer.10.2.729 DOI: https://doi.org/10.12973/eu-jer.10.2.729
Ramadhana, M.R. (2023). Psychometric Evaluation of the Warwick-Edinburgh Mental Well-Being Scale on Indonesian Students. Journal An-Nafs: Kajian Penelitian Psikologi, 8(2), 182-198. https://doi.org/10.33367/psi.v8i2.3817 DOI: https://doi.org/10.33367/psi.v8i2.3817
Widodo, W., Degeng, I.N. S., Pali, M., & Hitipeuw, I. (2024). Development and Validation of the Student Well-Being Scale for Elementary School Using Rasch Model Analysis. Journal of Educational, Health and Community Psychology, 13(2), 454-479. https://doi.org/10.12928/jehcp.v13i2.28768 DOI: https://doi.org/10.12928/jehcp.v13i2.28768
Retnowati, R., Siregar, K., Nuridzin, D., & Ilyas, A. (2023). Towards Digital Health Transformation: The Urgency of Electronic-Based Student Health Records. Jurnal Biostatistik, Kependudukan, Dan Informatika Kesehatan, 4. https://doi.org/10.51181/bikfokes.v4i1.7327 DOI: https://doi.org/10.51181/bikfokes.v4i1.7327
Wang, H., Wang, N., Li, M., Mi, S., & Shi, Y. (2021). Student Physical Health Information Management Model under Big Data Environment. Scientific Programming, 2021(1), 5795884. https://doi.org/https://doi.org/10.1155/2021/5795884 DOI: https://doi.org/10.1155/2021/5795884
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Copyright (c) 2025 Widya Hary Cahyati, Adi S, Luh Nik Armini, Made Agus Dharmadi, Made Satya Nugraha Gautama, Risti Nurfadhila, Yudik Prasetyo, Rifky Riyandi Prastyawan, Mahenderan Appukutty

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