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All Journal International Journal of Public Health Science (IJPHS)
Siti Fatonah
Poltekkes Kemenkes Tanjungkarang
Health Professions

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Effectiveness of Afigel therapy in reducing urinary incontinence among premenopausal women: a quasi-experimental study in rural Indonesia Siti Fatonah; Sulastri Sulastri
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.26945

Abstract

Urinary incontinence (UI) affects millions globally, predominantly women, significantly impacting quality of life. This study evaluated Afigel as a novel intervention for reducing UI symptoms. A quasi-experimental pre-posttest design was employed with 93 premenopausal women randomly assigned to intervention (n = 31) and control (n = 62) groups. Data collection utilized personal data sheets, Afigel therapy standard operating procedures, observation sheets, and the questionnaire for urinary incontinence diagnosis (QUID). Dependent and independent t-tests analyzed the data. Among participants, 43% experienced stress incontinence, 47% experienced urge incontinence, and 10% mixed incontinence. Severity was mild (41%), moderate (45%), and severe (14%). The intervention group demonstrated a significant reduction in incontinence scores from 6.30 to 1.53 (p = 0.000), while the control group showed minimal change from 6.30 to 6.18 (p = 0.21). Afigel demonstrates potential as an effective UI management therapy. These findings suggest Afigel could substantially improve quality of life by reducing UI-related social embarrassment, activity limitations, and psychological distress. For primary health care settings, Afigel offers a potentially accessible, non-invasive treatment option that community health nurses and primary care providers could implement, reducing referral burdens on specialist services while addressing this prevalent yet often underreported condition.
Development of a supportive-educative health education intervention for family caregivers of diabetes mellitus patients: a quasi-experimental study Siti Fatonah; Sulastri Sulastri; Yuniastini Yuniastini
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.27034

Abstract

Despite growing evidence on family involvement in diabetes management, few studies have developed and tested structured educational programs targeting family caregivers as active companions in resource-limited settings. This study aimed to evaluate the effectiveness of a comprehensive family support education program based on the five pillars of diabetes mellitus (DM) management in enhancing family knowledge and educational support capacity. A quasi-experimental design with non-probability sampling was employed, involving 157 respondents (intervention group: 72; control group: 85). Social support was measured using a modified Diabetes Social Support Questionnaire-Family. Data were analyzed using independent and paired t-tests. The intervention group demonstrated a significant increase in mean educational support scores from 61.81 to 90.85 (mean difference = 29.04; p < 0.001; Cohen's d = 1.82), indicating a large effect size. The control group showed negligible changes. Poor knowledge decreased from 45.8% to 26.39% in the intervention group, while intermediate knowledge increased substantially. The structured family education program produced a large and statistically significant improvement in caregiving capacity. These findings underscore the need for public health policies to integrate family-centered educational interventions into routine diabetes care, particularly in settings with limited healthcare infrastructure, to reduce disease burden and improve patient outcomes.
Impact of an empathy-based mental health first aid intervention using the SUFA model on anxiety and depression among adolescents: a quasi-experimental study Sulastri Sulastri; Siti Fatonah; Yuniastini Yuniastini; Giri Udani; Allan Harris
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.26994

Abstract

This study evaluated the effectiveness of an empathy-based mental health first aid (MHFA) intervention through structured SUFA mentoring by peer counselors in reducing symptoms of anxiety and depression in adolescents. The design used was a quasi-experimental, one-group pretest-posttest study conducted over two weeks in middle and high schools. A total of 100 students were trained as peer counselors, and each mentored one adolescent (a 1:1 ratio). Symptoms were measured before and after the intervention using the Mini MINDHEAR Youth Scale V.1. Analysis included descriptive statistics (mean pre–post scores and changes in symptom categories of "mild/none" vs. "moderate") and McNemar test (α = 0.05) to assess changes in categories. Respondents were predominantly female (67%), in late adolescence (58.18%), and high school students (55%). The mean anxiety score decreased from 4.92 to 3.50 (Δ = 1.42), while depression decreased from 5.05 to 3.21 (Δ = 1.84). The proportion of mild/none anxiety increased from 13 to 56, and moderate decreased from 87 to 44 (p = 0.003). A similar pattern occurred for depression: mild/none increased from 13 to 61, while moderate decreased (p = 0.001). SUFA-based peer counseling interventions significantly reduce symptoms of anxiety and depression in adolescents. Schools should integrate structured peer counselor training programs into mental health frameworks, establish systematic early detection protocols, and establish clear referral pathways to professional services within school-based support systems. The limitations of this study were no control group and short duration, which must be addressed in subsequent research.
Co-Authors Allan Harris Sulastri Sulastri Udani, Giri Yuniastini Yuniastini