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All Journal Jurnal Terapi Wicara dan Bahasa
Sunarto Sunarto
Jurusan Keperawatan, Poltekkes Kemenkes Surakarta
Dentistry Medicine & Pharmacology Veterinary

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Faktor Determinan Upaya Promosi Kesehatan Berbasis Choaching untuk Upaya Pencegahan Diabetes Melitus Tipe 2 Sunarto Sunarto; Sudiro Sudiro; Addi Mardi Harnanto
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 2 (2026): Juni 2026
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i2.315

Abstract

Background: Type 2 diabetes mellitus (T2DM) is a growing public health problem, largely driven by modifiable risk factors. Health coaching has emerged as a promising health promotion approach to facilitate healthy behavior change; however, evidence regarding determinants of its success in community-based T2DM prevention remains limited. Objectives: To identify the determinants of health coaching-based health promotion in preventing T2DM among at-risk community members. Methods: A quasi-experimental pretest-posttest control group study was conducted among 52 individuals at risk of T2DM participating in community-based non-communicable disease screening programs in Surakarta, Indonesia. Participants were allocated into an intervention group (n=26) receiving a six-month community-based health coaching program and a control group (n=26) receiving standard health education. T2DM risk was assessed using the Finnish Diabetes Risk Score (FINDRISC). Data were analyzed using Chi-square/Fisher’s Exact Test and multiple logistic regression. Results: Baseline characteristics were comparable between groups. Bivariate analysis showed significantly greater improvements in physical activity (53.8% vs 19.2%; p=0.011) and fruit and vegetable consumption (57.7% vs 23.1%; p=0.012) in the health coaching group compared with the control group. Multivariate analysis identified health coaching as the strongest determinant of successful T2DM risk reduction (OR=6.65; 95%CI=2.12–20.78; p=0.001). Increased physical activity (OR=3.37; p=0.018) and improved fruit and vegetable consumption (OR=2.60; p=0.043) were also significant predictors of risk reduction. Conclusion: Health coaching-based health promotion is an effective strategy for T2DM prevention and represents the strongest determinant of diabetes risk reduction through improvements in physical activity and fruit and vegetable consumption among at-risk populations. Keywords: Type 2 Diabetes Mellitus, Health Coaching, Health Promotion, Determinants, FINDRISC.
Risiko Diabetes Melitus Tipe 2 pada Mahasiswa Keperawatan dalam Perspektif Kesehatan Masyarakat Fina Mahardini; Sudiro Sudiro; Sunarto Sunarto
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 1 (2025): Desember 2025
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i1.272

Abstract

Background: Type 2 diabetes mellitus (T2DM) is a global public health problem with an increasing prevalence among young adults. Nursing students, as future health professionals, have a strategic role in T2DM prevention; therefore, assessing their risk from a public health perspective is essential. Objectives: This study aimed to evaluate the risk of T2DM among nursing students and to compare the risk between early- and final-year students. Methods: A cross-sectional design was employed involving 114 respondents equally divided into two groups. T2DM risk was assessed using the Finnish Diabetes Risk Score (FINDRISC). Data were analyzed using the Mann–Whitney test. Results: The results showed that the mean T2DM risk score among early-year students was 4.16 ± 2.67, while among final-year students it was 3.96 ± 3.05 (p = 0.494), indicating no significant difference between the groups. Most respondents were classified as having a low risk. Conclusion: These findings suggest that T2DM risk among nursing students is relatively low and homogeneous, highlighting the importance of early risk screening, healthy lifestyle education, and promotive–preventive interventions as part of public health strategies. Keywords: Diabetes risk, FINDRISC, Nursing students, Public health, Type 2 diabetes mellitus
Co-Authors Addi Mardi Harnanto Fina Mahardini Sudiro Sudiro