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All Journal International Journal of Public Health Science (IJPHS) Indonesian Journal of Global Health Research
Rommy David Watuseke
Poltekkes Kemenkes Manado
Health Professions

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Community-based turmeric tea intervention for hyperuricemic elderly in Manado, Indonesia Ellen Pesak; Ni Luh Jayanthi Desyani; Tinneke A. Tololiu; Jane Annita Kolompoy; Herlina P. Memah; Bongakaraeng Bongakaraeng; Rommy David Watuseke; Yanni Karundeng; Lorrien Grace Runtu; Debora Yuriska Rau
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.v15i2.27073

Abstract

Hyperuricemia, with a global prevalence of approximately 14.0% in the general population and rising to 24.0% among the elderly, represents the second most prevalent metabolic disease after diabetes and constitutes a significant public health burden. This study aimed to determine the effectiveness of turmeric tea in reducing blood uric acid levels in hyperuricemic elderly. A quasi-experimental design with a pretest-posttest control group approach was employed, involving 140 respondents equally divided into an intervention group (n = 70) receiving 1000 mg/day of turmeric tea and a control group (n = 70) receiving standard health education. Blood uric acid levels were measured using a portable uric acid meter. Data were analyzed using the Paired Sample t-test, the Independent Sample t-test, and multiple linear regression. The intervention group demonstrated a significant reduction in mean uric acid levels from 8.46 ± 1.32 mg/dL to 6.78 ± 1.18 mg/dL (mean difference = 1.68 mg/dL; p = 0.000), while the control group showed no significant change (8.39 ± 1.28 to 8.21 ± 1.25 mg/dL; p = 0.137). The effect size was large (Cohen's d = 1.23). Multiple regression confirmed turmeric tea as the strongest predictor of uric acid reduction (B = 1.472; p = 0.000). Turmeric tea effectively reduces blood uric acid levels in hyperuricemic elderly and holds potential for integration into community-based elderly health programs as an accessible and affordable complementary therapy for hyperuricemia management.
WhatsApp-Facilitated Empowerment of Health Cadres to Improve Knowledge and Blood Pressure Control among Adults with Hypertension: A Quasi-Experimental Study Maitha Annthonette Wulan Keloay; Ni Luh Jayanthi Desyani; Rommy David Watuseke; Semuel Tambuwun; Ellen Pesak; Ferry Efendi
Indonesian Journal of Global Health Research Vol. 8 No. 5 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i5.2207

Abstract

Hypertension constitutes a major public health concern and serves as a primary risk factor for cardiovascular disease, stroke, renal failure, and premature mortality. Successful hypertension control necessitates a comprehensive approach that relies not only on pharmacological therapy but also on enhancing patient health literacy. The sustainable empowerment of health cadres through WhatsApp-based education represents an effective strategy for improving patient knowledge, thereby promoting behavioral change and enhancing blood pressure control. To analyze the effect of health cadre empowerment via WhatsApp on the level of knowledge and hypertension control. Methods: This study employed a quasi-experimental design with a pretest-posttest control group approach. Data were collected using a purposive sampling method with specified inclusion and exclusion criteria, a total of 60 respondents were involved, consisting of a control group (n = 30) and an experimental group (n = 30). Knowledge levels and blood pressure were assessed in both groups at baseline and following the intervention. To evaluate the intervention effect, the pre-post change scores of both groups were analyzed using the Wilcoxon signed-rank test. The significance level was set at p < 0.05 for all analyses. Prior to the intervention, the majority of respondents in the control group (73.3%) and the experimental group (60.0%) had a sufficient level of knowledge. Following the intervention, all respondents in the experimental group (100%) achieved a good level of knowledge. The mean reduction in systolic blood pressure was (Δ = 14.10 mmHg), and diastolic blood pressure decreased by (Δ = 5.3 mmHg). The Wilcoxon test results indicated a significant difference between blood pressure before and after the intervention, both for systolic (Z = -4.813; p < 0.001) and diastolic (Z = -4.489; p < 0.001) measurements. The empowerment of health cadres through WhatsApp-based health education is effective in improving knowledge and reducing blood pressure among hypertensive patients.
Co-Authors Bongakaraeng Bongakaraeng Debora Yuriska Rau Ellen Pesak Ferry Efendi Herlina P. Memah Jane Annita Kolompoy Lorrien Grace Runtu Maitha Annthonette Wulan Keloay Ni Luh Jayanthi Desyani Semuel Tambuwun Tinneke A. Tololiu Yanni Karundeng