• Neni W Selamat Faculty of Health & Life Sciences, Management & Science University, Shah Alam, Selangor
  • Jagathisswary G. School Of Graduate Studies, Management and Science University, 40100, Shah Alam, Malaysia
  • Anderson A.E. Faculty of Information Sciences and Engineering, Management andScience University, Shah Alam, Selangor, Malaysia
  • Norshafarina S.K. Faculty of Health and Life Sciences, Management andScience University, 40100, Shah Alam, Malaysia
  • Muhammad Afiq Z. Centre of Environmental Health and Safety, Faculty of Health Sciences, Universiti Teknologi MARA Cawangan Selangor, Kampus Puncak Alam, 42300 Bandar Puncak Alam, Selangor, Malaysia
  • Irwanto Department of Child Health, Faculty of Medicine, Airlangga University/RSUD Dr. Soetomo. Jl. Mayjen Prof. Dr. Moestopo 6-8 Surabaya 60286, East Java, Indonesia
  • Ariafandi S. Department of Cell Technology Research & Development, Hanwha Q Cells Malaysia Sdn Bhd, 63000 Cyberjaya, Malaysia
  • Afni Isnaeni S. Faculty of Business Management and Professional Studies, Management andScience University, Shah Alam, Selangor, Malaysia
  • engku Idzzan Nadzirah T.I. Faculty of Health and Life Sciences, Management andScience University, 40100, Shah Alam, Malaysia
  • Haliza B. Faculty of Health and Life Sciences, Management andScience University, 40100, Shah Alam, Malaysia



Depression, Knowledge, Jigsaw Puzzles, Intervention, Adolescents


Informative puzzles can provide knowledge to the adolescents effectively as it was current trend nowadays.  According to World Health Organization (WHO), globally it was found that 300 million people of all ages were suffering from depression. Their knowledge about its causes was inaccurate, lacking of understanding about depression and its healing makes this mental health issue remain unnoticed and untreated where they do not seek for any treatment. Therefore, introducing depression education through jigsaw puzzles gain more benefits together enhanced the knowledge and attitude level towards depression. This was a development study focusing on formulating and developing puzzle as an interventional approach to improve knowledge and attitude level on depression. Feasibility and acceptability of the puzzles has face validity by respondents and content validity by experts. The r=.81 which was high consider having high validity. Eight modules of puzzles developed named as (Knowledge, Depression Adolescents [KDA]-Puzzle) which consisted of Module 1 Sign and symptoms, Module 2 Types of depression, Module 3 Causes of depression, Module 4 Risk factors, Module 5 (Pharmacotherapy & medication) Medical treatment A, Module 6 Medical treatment B, Module 7 Alternative treatment and Module 8 Prevention of depression. Respondents and experts commented the puzzles really beneficial for the adolescents to learn and gain knowledge about depression. KDA-Puzzles gained positive feedback from the assessment. Newly develop KDA-Puzzles were feasible and acceptable among adolescents. This puzzles can be alternative game while staying at home during Movement Control Order (MCO) due to pandemic COVID 19, and create awareness towards depression. 


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How to Cite

Selamat, N. W., Jagathisswary G., Anderson A.E., Norshafarina S.K., Muhammad Afiq Z., Irwanto, … Haliza B. (2021). DEVELOPMENT OF PUZZLES BASED INTERVENE FOR ADOLESCENTS TO ENHANCE THE KNOWLEDGE ON DEPRESSION MANAGEMENT. Malaysian Journal of Public Health Medicine, 21(2), 149–161.