Animated Videos and Bundled Care Concepts in Health Education: A Scoping Review of Integration, Outcomes, and Implementation Gaps

Main Article Content

  Nita Kardilah
  Laili Rahayuwati
  Raini Diah Susanti

Abstract

Background: Conventional health education media such as leaflets and oral lectures are often limited in reaching patients with low health literacy, while animated videos and bundled care have each been shown to improve understanding and care outcomes. However, evidence regarding their integration remains scattered and has not been systematically mapped.
Aims: To map the evidence regarding the integration forms, measured outcomes, intervention designs, effectiveness, and implementation barriers of animated videos combined with bundled care in health education.
Methods: This scoping review was conducted following Arksey and O'Malley's framework and was reported according to PRISMA ScR guidelines.
Results: From 108 initial records, 99 records were screened after removing duplicates and ineligible records. Six studies met inclusion criteria (two RCTs, two quasi-experimental studies, one case-control study, and one systematic review). Animated videos consistently improved short-term knowledge, but only one study truly integrated videos into multicomponent bundled care with objective clinical outcomes. Effects on attitudes, satisfaction, and behaviors varied far more than effects on knowledge.
Conclusion: The combination of animated videos and bundled care is promising for health education, but the term "bundled care" is still used loosely, measurement instruments are generally unvalidated across populations, and evidence on behavioral change and long term clinical outcomes remains very limited. Standardization of bundle components and research designs capable of isolating video contributions from other bundle components are needed.


 

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How to Cite
Kardilah, N., Rahayuwati, L., & Susanti, R. D. (2026). Animated Videos and Bundled Care Concepts in Health Education: A Scoping Review of Integration, Outcomes, and Implementation Gaps. Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan (Abdigermas), 4(2), 262–278. https://doi.org/10.58723/abdigermas.v4i2.837
Section
Literature Review

References

Adam, M., Kwinda, Z., Dronavalli, M., Leonard, E., Nguyễn, V. K., Tshivhase, V., Bärnighausen, T., & Pillay, Y. (2023). Effect Of Short, Animated Video Storytelling On Maternal Knowledge And Satisfaction In The Perinatal Period In South Africa: Randomized Controlled Trial. Journal of Medical Internet Research, 25, e47266. https://doi.org/10.2196/47266

Arksey, H., & O'Malley, L. (2005). Scoping Studies: Towards A Methodological Framework. International Journal of Social Research Methodology, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616

Astrid, M., Wihardja, H., & Suhaid, D. N. (2023). The Utilization Of Animated Video Technology On Family Resilience In Facing The COVID-19 Pandemic. The Malaysian Journal of Nursing, 15(1), 3–13. https://doi.org/10.31674/mjn.2023.v15i01.001

Cavalcante, F. M. L., Silva, N. O., Silva, A. A. O., Oliveira, S. I. G., de Oliveira, P. M. P., Neto, N. M. G., Pinto, C. M. C. B., & Barros, L. M. (2025). Animated Infographics For Health Education: Scoping Review. Research Square, 3(1). https://doi.org/10.21203/rs.3.rs-8029050/v1

Chaiyakunapruk, N., Asavanon, P., & Srichai, P. (2024). Educational Animation Video Improves Knowledge And Health-Seeking Behavior In Women With Urinary Incontinence: A Randomized Controlled Trial. Neurourology and Urodynamics, 45(2), 359–366. https://doi.org/10.1002/nau.70193

Chenoweth, C. E. (2021). CAUTI Prevention: Current Strategies And Future Directions. Current Infectious Disease Reports, 23(5), 8. https://doi.org/10.1007/s11908-021-00749-2

Colquhoun, H. L., Levac, D., O'Brien, K. K., Straus, S., Tricco, A. C., Perrier, L., Kastner, M., & Moher, D. (2014). Scoping Reviews: Time For Clarity In Definition, Methods, And Reporting. Journal of Clinical Epidemiology, 67(12), 1291–1294. https://doi.org/10.1016/j.jclinepi.2014.03.013

Deshpande, N., Wu, M., Kelly, C., Woodrick, N., Werner, D. A., Volerman, A., & Press, V. G. (2023). Video-Based Educational Interventions for Patients With Chronic Illnesses: Systematic Review. Journal of Medical Internet Research, 25. https://doi.org/10.2196/41092

Feeley, T. H., Keller, M., & Kayler, L. K. (2022). Using Animated Videos to Increase Patient Knowledge: A Meta-Analytic Review. Health Education & Behavior, 50(2), 240–249. https://doi.org/10.1177/10901981221116791

Green, L. W., & Kreuter, M. W. (2005). Health Program Planning: An Educational And Ecological Approach (4th Ed.). New York, NY: McGraw-Hill.

Gilhooly, D., Green, S. A., McCann, C., Black, N., & Moonesinghe, R. (2019). Barriers and facilitators to the successful development, implementation and evaluation of care bundles in acute care in hospital: a scoping review. Implementation Science, 14(1), 47. https://doi.org/10.1186/s13012-019-0894-2

Hansen, M. L., Bech, V. S., & Overgaard, C. (2024). The Effectiveness Of Video Animations As A Tool To Improve Health Information Recall For Patients: Systematic Review. Journal of Medical Internet Research, 26, e58306. https://doi.org/10.2196/58306

Hoffmann, T. C., Glasziou, P. P., Boutron, I., Milne, R., Perera, R., Moher, D., Altman, D. G., Barbour, V., Macdonald, H., Johnston, M., Lamb, S. E., Dixon-Woods, M., McCulloch, P., Wyatt, J. C., Chan, A. W., & Michie, S. (2014). Better reporting of Interventions: Template For Intervention Description And Replication (TIDieR) Checklist And Guide. BMJ, 348, g1687. https://doi.org/10.1136/bmj.g1687

Institute for Healthcare Improvement. (2023). How-To Guide: Prevent Catheter-Associated Urinary Tract Infections. https://www.ihi.org/resources/Pages/Tools/HowtoGuidePreventCAUTI

Kim, M. H., Tembo, T., Mazenga, A., Yu, X., Myer, L., Sabelli, R. A., Flick, R. J., Hartig, M., Wetzel, E., Simon, K., Ahmed, S., Nyirenda, R., Kazembe, P. N., Mphande, M., Mkandawire, A., Chitani, M., Markham, C., Ciaranello, A., & Abrams, E. J. (2020). The Video intervention to Inspire Treatment Adherence for Life (VITAL Start): protocol for a multisite randomized controlled trial of a brief video-based intervention to improve antiretroviral adherence and retention among HIV-infected pregnant women in Malawi. Trials, 21(1), 207. https://doi.org/10.1186/s13063-020-4131-8

Levac, D., Colquhoun, H., & O'Brien, K. K. (2010). Scoping studies: Advancing the methodology. Implementation Science. Implementation Science, 5, 69. https://doi.org/10.1186/1748-5908-5-69

Lilley, S. H., & Anderson, C. (2023). Evidence-Based Bundles For Infection Prevention: A Systematic Review. American Journal of Infection Control, 51(3), 245–253. https://doi.org/10.1016/j.ajic.2022.08.015

Luo, W., Liu, Y., Wen, C., Chen, X., & Zhang, J. (2024). Bundled Care Combined With Animated Educational Videos Can Promote The Recovery Of Severe Pneumonia In Children: A Case-Control Study. Medicine, 103(22), e38437. https://doi.org/10.1097/MD.0000000000038437

Martinez-Reviejo, R., Tejada, S., Jansson, M., et al. (2023). Prevention Of Ventilator-Associated Pneumonia Through Care Bundles: A Systematic Review And Meta-Analysis. Journal of Intensive Medicine, 3(4), 352–364. https://doi.org/10.1016/j.jointm.2023.04.004

Mayer, R. E. (2009). Multimedia learning (2nd ed.). Cambridge University Press. https://doi.org/10.1017/CBO9780511811678

Meppelink, C. S., van Weert, J. C. M., Haven, C. J., & Smit, E. G. (2015). The Effectiveness Of Health Animations In Audiences With Different Health Literacy Levels: An Experimental Study. Journal of Medical Internet Research, 17(1), e11. https://doi.org/10.2196/jmir.3979

Moe Byrne, T., Evans, E., Benhebil, N., & Knapp, P. (2022). The Effectiveness Of Video Animations As Information Tools For Patients And The General Public: A Systematic Review. Frontiers in Digital Health, 4, 1010779. https://doi.org/10.3389/fdgth.2022.1010779

Munn, Z., Peters, M. D. J., Stern, C., Tufanaru, C., McArthur, A., & Aromataris, E. (2018). Systematic Review Or Scoping Review? Guidance For Authors When Choosing Between A Systematic Or Scoping Review Approach. BMC Medical Research Methodology, 18, 143. https://doi.org/10.1186/s12874-018-0611-x

Nintao, N., Manonai, J., Wattanayingcharoenchai, R., Bumrungphuet, S., Hansahiranwadee, W., Dulyaphat, W., Somchit, W., Wattanasirichaigoon, D., Prakobpanich, M., & Tangshewinsirikul, C. (2023). Effects Of An Animated Educational Video On Knowledge Of Cell-Free DNA Screening Among Thai Pregnant Women: A Randomized Control Trial. BMC Pregnancy And Childbirth, 23, 853. https://doi.org/10.1186/s12884-023-06170-8

Nutbeam, D. (2000). Health Literacy As A Public Health Goal: A Challenge For Contemporary Health Education And Communication Strategies Into The 21st Century. Health Promotion International, 15(3), 259–267. https://doi.org/10.1093/heapro/15.3.259

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., & Moher, D. (2021). The PRISMA 2020 Statement: An Updated Guideline For Reporting Systematic Reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71

Paivio, A. (1986). Mental Representations: A Dual Coding Approach. Oxford University Press.

Peters, M. D. J., Godfrey, C. M., Khalil, H., McInerney, P., Parker, D., & Soares, C. B. (2015). Guidance For Conducting Systematic Scoping Reviews. International Journal of Evidence-Based Healthcare, 13(3), 141–146. https://doi.org/10.1097/XEB.0000000000000050

Pham, M. T., Rajić, A., Greig, J. D., Sargeant, J. M., Papadopoulos, A., & McEwen, S. A. (2014). A Scoping Review Of Scoping Reviews: Advancing The Approach And Enhancing The Consistency. Research Synthesis Methods. Research Synthesis Methods, 5(4), 371–385. https://doi.org/10.1002/jrsm.1123

Resar, R., Griffin, F. A., Haraden, C., & Nolan, T. W. (2012). Using Care Bundles To Improve Health Care Quality (IHI Innovation Series White Paper). Institute for Healthcare Improvement. https://www.ihi.org/library/white-papers/using-care-bundles-improve-health-care-quality

Resar, R., Pronovost, P., Haraden, C., Simmonds, T., Rainey, T., & Nolan, T. (2005). Using A Bundle Approach To Improve Ventilator Care Processes And Reduce Ventilator-Associated Pneumonia. Joint Commission Journal on Quality and Patient Safety, 31(5), 243–248. https://doi.org/10.1016/S1553-7250(05)31031-2

Saudi, L., Nurhaeni, N., & Hayati, H. (2020). The Effectiveness Of Health Education Using Mobile Phone-Based Audiovisual On Knowledge And Attitude Among Mother In Treating Toddler With Pneumonia. International Journal of Nursing and Health Services, 3(2), 305–315. https://doi.org/10.35654/ijnhs.v3i2.305

Sudore, R. L., & Schillinger, D. (2009). Interventions To Improve Care For Patients With Limited Health Literacy. Journal of Clinical Outcomes Management, 16(1), 20-29. PMID: 20046798. https://api.semanticscholar.org/CorpusID:38723797

Sweller, J., van Merriënboer, J. J. G., & Paas, F. (2019). Cognitive Architecture And Instructional Design: 20 Years Later. Educational Psychology Review, 31(2), 261–292. https://doi.org/10.1007/s10648-019-09465-5

Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., & Straus, S. E. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850

Weiner-Lastinger, L. M., Abner, S., & Edwards, J. R. (2019). Healthcare-Associated Infections In The United States. New England Journal of Medicine, 381(15), 1463–1471. https://doi.org/10.1056/NEJMp1905842

Wilson, E. A. H., & Wolf, M. S. (2009). Working Memory And The Design Of Health Materials: A Cognitive Factors Perspective. Patient Education and Counseling, 74(3), 318–322. https://doi.org/10.1016/j.pec.2008.11.005