LUCEMUS: An Innovative Educational Ludo Game for Enhancing Self-Efficacy in Musculoskeletal Injury First Aid among Rural School-Settings
DOI:
https://doi.org/10.54832/phj.v7i2.1520Keywords:
Musculosceletal injury, First aid education, Self-efficacy, game-based learning, ruralAbstract
Introduction:Musculoskeletal injuries are among the most common injuries experienced by school-age children, particularly in rural areas where environmental risks are higher and access to healthcare services and health education is limited. Low self-efficacy in providing first aid may hinder appropriate initial injury management, highlighting the need for innovative educational approaches to improve students’ confidence and preparedness
Objectives: This study focused on evaluate effect of LUCEMUS, an educational Ludo-based board game incorporating musculoskeletal injury scenarios and first aid management using the Rest, Ice, Compression, and Elevation method, on students’ self-efficacy in providing first aid in rural school-settings
Methods: A one-group pretest-posttest framewoek was employed within a quasi-experimental research design involving 32 students from a rural area. Partisipants’ self-efficacy was evaluated using General Self-Efficacy Scale used Likert scale. Participants completed a pretest, engaged in the LUCEMUS game in small groups under facilitator guidance, and completed a posttest. A paired-sample t-test was employed to analyse data. Results: The mean self-efficacy score increased from 28.24 before the intervention to 33.07 after the intervention. The Statistical analysis demonstrated significant improvement between pretest and posttest (p < 0.000), indicating that the LUCEMUS game demonstrated significant effect students’ self-efficacy in providing first aid for musculoskeletal injuries. Conclusions: LUCEMUS, an educational board game integrating Ludo with musculoskeletal injury first aid scenarios, effectively enhanced students’ self-efficacy in rural settings. This game-based learning approach has the potential to serve as an engaging and innovative health education strategy to strengthen adolescents’ confidence and preparedness in managing musculoskeletal injuries.
Downloads
References
Ayu, D., Putri, A., Astutik, L. S., & Mwakapemba, J. L. (2026). Vocational : Journal of Educational Technology The Influence of Ludo Game Learning Media on the Learning Motivation of Fifth Grade Elementary School Students. 2(2), 62–79.
Balakrishnan, K., & Velusamy, D. (2025). Artificial Intelligence in Rural Healthcare Delivery : Bridging Gaps and Enhancing Equity through Innovation. 1–42.
Bandura, A. (2013). Self Efficacy Theory. University of New England.
Dubois, B. (2020). Soft- tissue injuries simply need PEACE and LOVE. 54(2), 3–5.
Farooq, F., Ishaq, K., Alvi, A., Rosdi, F., & Nawaz, N. A. (2025). Transforming Healthcare Training : Personalized and Gamified First Aid Education. 2025. https://doi.org/10.1155/hbe2/8256881
Hendrawan, A., Setiyawati, D., Mahuri, A. S., Aqiene, E. D., Ramadani, A. N., Ni’mah, A. A., & Ramaniya, F. I. (2024). Melangkah Bersama Fisioterapi. UNAIC Press Cilacap.
IFRC. (2016). International first aid and resuscitation guidelines 2016.
Kemenkes RI. (2018). Hasil Riset Kesehatan Dasar Tahun 2018. In Kementrian Kesehatan RI (Vol. 53, Issue 9).
Maadleh, L. Z., Ali, N. Al, Shahrour, G., Maadleh, L. Z., & Ali, N. Al. (2025). Enhancing physical activity , knowledge , and self- efficacy in adolescents : a social cognitive theory – based school intervention social cognitive theory – based school intervention. 3843. https://doi.org/10.1080/02673843.2025.2586613
Melo, V., Sigaud, L., Neilson, E., & Bjoerkheim, M. (2024). R URAL H EALTHCARE A CCESS AND S UPPLY C ONSTRAINTS : A C AUSAL A NALYSIS *.
Nadira, K., Wardiyah, A., & Setiawati. (2025). HUBUNGAN PENGETAHUAN GURU DENGAN UPAYA PENCEGAHAN TENTANG CEDERAPADA ANAKUSIA 6-12 TAHUN DI 3 SD SUMBEREJO. Manuju : Malahayati Nursing Journal, 7, 267–278.
Nastiti, E. M., Ekaprasetia, F., & Darotin, R. (2023). PENGARUH MEDIA FILM DOKUMENTER TERHADAP PENINGKATAN PENGETAHUAN DAN SIKAP SISWA DALAM PERTOLONGAN PERTAMA CEDERA MUSKULOSKELETAL. Jurnal Keperawatan Dirgahayu, 5(2), 21–27.
Pawazah, R., Sururuddin, M., Alwi, M., Fadilah, D., & Kudsiah, M. (2023). Pengembangan media pembelajaran permainan ludo pada muatan ipa untuk siswa kelas iv sd it suralaga. 11(1), 152–158. https://doi.org/10.46368/jpd.v11i1.864
Putri, T. D. A. A., & Nastiti, E. M. (2025). Innovation of Ludo Cedera Muskuloskeletal ( LUCAS ): An Educational Strategy to Improve Musculosceletal First Aid Skills. Jurnal Sains Kesehatan, 32(3), 357–363.
Puvanachandra, P., Mugeere, A., Ssemugoba, C., & Kobusingye, O. (2024). Voices from the Ground: Community Perspectives on Preventing Unintentional Child Injuries in Low-Income Settings. Int J Environ Res Public Health, 21(3). https://doi.org/10.3390/ijerph21030272.
Usman, Almumtahanah, Kawuryan, U., Kartika, W., Halwa, A. S., & Wariani. (2021). Kejadian Cedera Pada Anak Usia Sekolah Dasar. Jurnal Ilmu Keperawatan Dan Kebidanan, 12(1), 58–62. https://ejr.stikesmuhkudus.ac.id/index.php/jikk/article/download/831/579
Vancini, R. L., Russomano, T., Andrade, M. S., Lira, C. A. B. De, & Knechtle, B. (2023). Gamification vs. Teaching First Aid: What is Being Produced by Science in the Area. 1(2), 71–82.
Zhang, Y., & Hsu, T. (2023). The Impact of an Educational Board Game on Students ’ Learning Achievement and Flow State in Media and Information Literacy. 31st International Conference on Computers in Education, ICCE 2023 - Proceedings, 690–698.










