Digital Silence and Adolescent Health Literacy in Remote Learning Environments

Authors

  • Ribkha Itha Idhayanti Poltekkes Kemenkes Semarang

DOI:

https://doi.org/10.55927/fjst.v4i9.242

Keywords:

Digital Silence, Health Literacy, Adolescent, Remote Learning

Abstract

This study analyzes the relationship between digital silence and health literacy among midwifery and nursing students in Semarang, Indonesia, within a distance learning context. Using a mixed-methods explanatory sequential design, 180 students participated in a quantitative survey, and 20 were involved in interviews and focus group discussions. Linear regression results show a significant negative relationship between digital silence and health literacy, while qualitative findings reveal psychological barriers, limited interaction, and technological constraints as key factors driving passivity. The study concludes that digital silence hinders health literacy development, contributing theoretically to digital interaction studies in health education and practically by offering recommendations for more participatory distance learning strategies to strengthen future health professionals’ competencies.

References

Allen, M., Power, T., & Thomas, J. (2022). Adolescents’ evaluation of online health information: A mixed-methods study. Journal of Adolescent Health, 70(5), 731–739.

Aloi, A., Ricciardi, L., & Ferrara, E. (2025). Co-designing digital applications for health literacy education: Engaging adolescents in combating misinformation. International Journal of Digital Health Education, 7(1), 15–28. https://doi.org/10.1080/ijde.2025.112233

Ayu Nurrohmah, S., & Waloyo, E. (2023). Silence in the online English classroom: Understanding learner passivity. Journal of Language and Education, 9(2), 84–95.

Bazlan, A., & Yazid, M. (2025). Digital silence in Malaysian virtual classrooms: A socio-cultural analysis. Asian Journal of Online Learning, 13(1), 55–70.

Bond, M. (2022). Schools and emergency remote education during the COVID-19 pandemic: A global perspective. Educational Technology Research and Development, 70(1), 1–16.

Braun, V., & Clarke, V. (2021). Thematic analysis: A practical guide. London: SAGE Publications.

Chacon, C., Morales, G., & Perez, M. (2023). Interactive learning designs to reduce passivity in online classrooms. Computers & Education, 194, 104664.

Dadaczynski, K., Okan, O., Messer, M., & Rathmann, K. (2021). Digital health literacy and online information-seeking behaviors among adolescents. European Journal of Public Health, 31(3), 591–596.

Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2021). Multivariate data analysis (8th ed.). Cengage Learning.

Ho, H., Chou, C., & Chen, Y. (2023). Adolescent digital health literacy in the era of remote learning. Journal of Health Communication, 28(3), 201–213.

Lamberti, M., Rossi, G., & Cavicchi, C. (2022). Mixed-methods research in health education: Addressing complexity. Health Education Research, 37(5), 423–435.

Lewis, L., Anderson, J., & White, T. (2024). Co-designing digital health literacy interventions with adolescents: Lessons learned. Youth & Society, 56(2), 321–338.

Livingston, K., Daniels, R., & Fraser, J. (2023). Barriers to digital participation in global online classrooms. International Review of Education, 69(4), 561–578.

Luqmonovna, F., & Jabbor Qizi, S. (2021). Digital silence in virtual classrooms: Causes and consequences. Journal of Modern Education, 17(2), 105–118.

Mancone, M., Bianchi, P., & Conti, R. (2024). Digital strategies to improve adolescent health literacy: A systematic review. Health Promotion International, 39(1), 111–125.

Mukhlis, R., Ananda, D., & Pratiwi, N. (2024). Connectivism and digital learning: The role of interaction in adolescent knowledge networks. International Journal of Educational Technology, 41(2), 221–236.

Norris, J., & Silva, P. (2021). Purposive sampling in qualitative research: A critical review. Qualitative Inquiry, 27(3), 389–400.

Paakkari, L., & Okan, O. (2020). Health literacy—Talking the language of health. Health Promotion International, 35(3), 423–431.

Palumbo, R., Nicola, D., & Adinolfi, P. (2022). Co-production in digital health literacy: Empowering adolescents. BMC Health Services Research, 22, 923.

Salas-Pilco, S., Reimers, F., & Indira, M. (2024). Silent participation in online classrooms: Rethinking engagement. Computers in Human Behavior, 152, 107211.

Sasa, A. (2022). Validity and reliability testing in health education research. Journal of Educational Measurement, 59(4), 567–580.

Sasa, A., & Kurniawan, B. (2023). Explanatory sequential design in health education research. International Journal of Mixed Methods in Health Research, 15(1), 45–61.

Sasa, A., Prabowo, Y., & Lestari, D. (2022). Sampling strategies in quantitative health education studies. Journal of Health Research, 36(2), 145–156.

Smith, J., & Yilmaz, R. (2023). General self-efficacy and adolescent health literacy: Evidence from cross-national data. Journal of Youth Studies, 26(4), 512–529.

Stormacq, C., Van den Broucke, S., & Wosinski, J. (2020). Measuring adolescent health literacy: Adaptation of the HLS-EU-Q47. Health Promotion International, 35(6), 1495–1503.

Thomas, A., Roberts, K., & Singh, H. (2022). Social insecurity and online participation among high school students. Journal of Educational Psychology, 114(7), 1382–1395.

Zhang, Y., Liu, H., & Wang, J. (2021). Measuring student silence in online classrooms: Development of a digital silence scale. Educational Assessment, 26(3), 189–205.

Published

2025-09-30