The effects of using mother tongue in delivering health protocol messages on health attitudes and behaviors: Do gender, age, and education level make any difference?

Fathiaty Murtadho


This study aimed to investigate the effects of using the mother tongue in delivering audiovisual health protocol messages on health attitudes and behavior during the Covid-19 pandemic. The measurement of the investigation into the variables of gender, age, and education level relied on the use of a 2X2X4 factorial design. Following the design, this study involved 240 volunteer participants randomly selected from 34 provincial clusters in the Indonesian territory. The data on the participants’ health attitudes and behaviors were collected through an online questionnaire formulated on five (5) scales. The questionnaire was given to 240 participants as a sample group after receiving health protocol messages conveyed in their mother tongue in a video. The collected data were analyzed by using SPSS and an additional syntax design. The analysis shows that the use of the mother tongue in conveying health protocol messages simultaneously had a significant effect on changes in attitudes and behavior by attending to gender, age, and education levels as contributing factors to the study results. The significant impact on attitude was partially seen from gender and age level factors, while the considerable influence on behavior was seen from gender factors. The other important findings, such as the interaction between factors and the proposed concept of direct persuasive perlocutionary, were also discussed.


Attitudinal change; behavioral change; health protocol; mother tongue

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Ajzen, I. (2005). Attitudes, personality, and behavior (2nd ed.). Open University Press

Ares, G., Bove, I., Vidal, L., Brunet, G., Fuletti, D., Arroyo, A., & Blanc, M. V. (2021). The experience of social distancing for families with children and adolescents during the coronavirus (COVID-19) pandemic in Uruguay: Difficulties and opportunities. Children and Youth Services Review, 121, 105906.

Arnold, J., Silvester, J., Patterson, F., Robertson, I., Cooper, C., & Burnes, B. (2005). Work psychology: Understanding human behavior in the workplace. Prentice-Hall.

Ashcroft, S., Meeking, K., & Price, P. (2021). Flash survey on the effect of COVID-19 on radiotherapy services in the UK – The benefit of social media for rapid information gathering for the radiotherapy community and government. Clinical Oncology, 33(1), e88.

Bartsch, S. M., O'Shea, K. J, Wedlock, P. T., Strych, U., Ferguson, M. C., Bottazzi, M. E., Randall, S. L., Siegmund, S. S., Cox, S. N., Hotez, P. J., & Lee, B. Y. (2021). The benefits of vaccinating with the first available COVID-19 Coronavirus vaccine, American Journal of Preventive Medicine, 6(5), 605-613.

Bühmann, D. & Trudell, B. (2008). Mother tongue matters: Local language as a key to effective learning. UNESCO.

Cato, S., Iida, T., Ishida, K., Ito, A., Katsumata, H., McElwain, K. M., & Shoji, M. (2021). The bright and dark sides of social media usage during the COVID-19 pandemic: Survey evidence from Japan. International Journal of Disaster Risk Reduction, 54, 102034.

Chen, Q., Min, C., Zhang, W., Wang, G., Ma, X., & Evans, R. (2020). Unpacking the black box: How to promote citizen engagement through government social media during the COVID-19 crisis. Computers in Human Behavior, 110, 106380.

Cortez, R. M. & Johnston, W. J. (2020). The Coronavirus crisis in B2B settings: Crisis uniqueness and managerial implications based on social exchange theory. Industrial Marketing Management, 88, 125-135.

Costa, C. B. P., Martins, F. J., Cunha, L. E. R., Ratcliffe, N. A., Paula, R. C., & Castro, H. C. (2021). COVID-19 and Hyperimmune sera: A feasible plan B to fight against coronavirus. International Immunopharmacology, 90, 107220.

Ghisi, G. L. D. M., Aultman, C., Konidis, R., Foster, E., Tahsinul, A., Sandison, N., Sarin, M., & Oh, P. (2020). Effectiveness of an education intervention associated with an exercise program in improving disease-related knowledge and health behaviours among diabetes patients. Patient Education and Counseling, 103(9), 1790-1797.

Delaney, C., Quick, V., & Byrd-Bredbenner, C. (2021). Weight-related behaviors of mothers with young children differ by maternal education level. Journal of the Academy of Nutrition and Dietetics, 121(9), A65.

Feng, Y. Y., Chaves, G. S., Shi, W., Pakosh, M., Zhang, L., Gallagher, R., Oh, P., & Ghisi, G. L. D. M. (2021). Education interventions in Chinese cardiac patients on health behaviours, disease-related knowledge, and health outcomes: A systematic review and meta-analysis. Patient Education and Counseling, 104(5), 1018-1029.

González-Blanco, L., Dal Santo, F., García-Álvarez, L., de la Fuente-Tomás, L., Lacasa, C. M., Paniagua, G., Sáiz, P. A., García-Portilla, M. P. & Bobes, J. (2020). COVID-19 lockdown in people with severe mental disorders in Spain: Do they have a specific psychological reaction compared with other mental disorders and healthy controls? Schizophrenia Research, 223,192-198.

Gupta, P. (2020). A review: Epidemiology, pathogenesis and prospect in developing vaccines for Novel Coronavirus (COVID-19). Indian Journal of Tuberculosis, 68(1), 92-98.

Ita, K. (2021). Coronavirus disease (COVID-19): Current status and prospects for drug and vaccine development. Archives of Medical Research, 52(1), 15-24.

Japutra, A. & Situmorang, R. (2021). The repercussions and challenges of COVID-19 in the hotel industry: Potential strategies from a case study of Indonesia. International Journal of Hospitality Management, 95, 102890.

Li, L., Xu, W., Wagner, A. L., Dong, X., Yin, J., Zhang, Y., & Boulton, M. L. (2018). Evaluation of health education interventions on Chinese factory workers' knowledge, practices, and behaviours related to infectious disease. Journal of Infection and Public Health, 12(1), 70-76.

Li, T., Zhang, T., Gu, Y., Li, S., & Xia, N. (2021). Current progress and challenges in the design and development of a successful COVID-19 vaccine. Fundamental Research, 1(2), 139-150.

Liu, H., Liu, W., Yoganathan, V., & Osburg, V-S. (2021). COVID-19 information overload and generation Z's social media discontinuance intention during the pandemic lockdown. Technological Forecasting and Social Change, 166, 120600.

McPhee, R. D. & Cushman, D. P. (1980). Attitudes, behaviors, and messages: An introductory overview. In, P. R. Monge. Message-attitude-behavior: Theory, methodology, and application. Academic Press

Megatsari, H., Laksono, A. D., Ibad, M., Herwanto, Y. T., Sarweni, K. P., Geno, R. A. P., & Nugraheni. E. (2020). The community psychosocial burden during the COVID-19 pandemic in Indonesia. Heliyon, 6(10), e05136.

Mendolia, S., Stavrunova, O., Yerokhin, O. (2021). Determinants of the community mobility during the COVID-19 epidemic: The role of government regulations and information. Journal of Economic Behavior & Organization, 184, 199-231.

Michels, M., Glöckner, A., & Giersch, D. (2021). Personality psychology in times of crisis: Profile-specific recommendations on how to deal with COVID-19. Personality and Individual Differences, 174, 110676.

Mitra, R., Moore, S. A., Gillespie, M., Faulkner, G., Vanderloo, L. M., Chulak-Bozzer, T., Rhodes, R. E., Brussoni, M., & Tremblay, M. S. (2020). Healthy movement behaviours in children and youth during the COVID-19 pandemic: Exploring the role of the neighbourhood environment. Health & Place, 65, 102418.

Nair, P. P., Nair, P. G., & Shankar, K. M. P. (2021). An Ayurvedic personalized prophylactic protocol in COVID-19. Journal of Ayurveda and Integrative Medicine, 13(1), 100351.

Pothisiri, W., Prasitsiriphon, O., Saikia, N., & Aekplakorn, W. (2021). Education and grip strength among older Thai adults: A mediation analysis on health-related behaviours. SSM - Population Health, 15, 100894.

Radwan, E., Radwan, A., & Radwan, W. (2020). The role of social media in spreading panic among primary and secondary school students during the COVID-19 pandemic: An online questionnaire study from the Gaza Strip, Palestine. Heliyon, 6(12), e05807.

Ray, K. N., Ettinger, A. K., Dwarakanath, N., Mistry, S. V., Bey, J., Chaves-Gnecco, D., Alston, K. A., Ripper, L., Lavage, D. R., Landsittel, D. P., & Miller, E. (2020). Rapid-cycle community assessment of health-related social needs of children and families during coronavirus disease 2019. Academic Pediatrics. 21(4), 677-683.

Sallard, E., Belhadi, D., Lescure, F.-X., Yazdanpanah, Y., & Peiffer-Smadja, N. (2021). Clinical trial protocols of repurposed prophylaxis for COVID-19: A review. Infectious Diseases Now, 51(1), 7-13.

Satuan Tugas Penanganan COVID-19. (2021). Peta sebaran COVID-19 [COVID-19 distribution map].

Su, Y. (2020). It doesn’t take a village to fall for misinformation: Social media use, discussion heterogeneity preference, worry of the virus, faith in scientists, and COVID-19-related misinformation beliefs. Telematics and Informatics, 58, 101547

Tang, Z., Miller, A. S., Zhou, Z., & Warkentin, M. (2021). Does government social media promote users' information security behaviour towards COVID-19 scams? Cultivation effects and protective motivations. Government Information Quarterly, 38(2), 101572.

Tsao, S-F., Chen, H., Tisseverasinghe, T., Yang, Y., Li, L., & Butt, Z. A. (2021). What social media told us in the time of COVID-19: a scoping review. The Lancet Digital Health, 3(3), e175-e194.

Towse, A., Chalkidou, K., Firth, I., Kettler, H., & Silverman, R. (2021). How should the world pay for a Coronavirus disease (COVID-19) vaccine? Value in Health, 24(5), 625-631.

Vicary, S., Stone, K., McCusker, P., Davidson, G., & Spencer-Lane, T. (2020). “It's about how much we can do, and not how little we can get away with”: Coronavirus-related legislative changes for social care in the United Kingdom. International Journal of Law and Psychiatry, 72, 101601.

World Health Organization. (2021, 26 February). WHO coronavirus disease (COVID-19) dashboard. WHO.

Yildiz, Y. (2012). Beyond the mother tongue: The postmonolingual condition. Fordham Univ Press.

Zarrabi, M., Yazdanfar, S.-A., & Hosseini, S.-B. (2021). COVID-19 and healthy home preferences: The case of apartment residents in Tehran. Journal of Building Engineering, 35, 102021.

Zhong, B., Huang, Y., & Liu, Q. (2020). Mental health toll from the coronavirus: Social media usage reveals Wuhan residents’ depression and secondary trauma in the COVID-19 outbreak. Computers in Human Behavior, 114, 106524.



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