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All Journal Journal of Epidemiology and Public Health Journal of Health Policy and Management Journal of Health Promotion and Behavior
Didik Gunawan Tamtomo
Faculty of Medicine, Universitas Sebelas Maret
Medicine & Pharmacology Public Health

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Effectiveness of Chronic Disease Management Program in Improving “CERDIK” Healthy Behavior in Patients with Hypertension in Gunungkidul, Yogyakarta Tri Puji Pangesti; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Hypertension is the single largest con­tributor to the global burden of disease (GBD). The Chronic Disease Management Prog­ram (Prolanis) is a health service system and a pro­active approach implemented in an integrated manner. This study aimed to determine the ef­fec­tive­ness of Prolanis on the "CERDIK" healthy be­ha­vior for hypertensive patients.Subjects and Method: This cross-sectional stu­dy was conducted in hypertensive patients in 25 working areas of health centers in Gunung­ki­dul, Special Region of Yogyakarta, from January to February 2020. A sample of 200 hypertensive pa­tients was selected by simple random sampl­ing. The dependent variable was the "CERDIK" healt­hy behavior for hypertensive patients. The in­dependent variables were chronic disease ma­na­gement program (Prolanis), education level, peer support, family support, and sex. Other data we­re collected by using a questionnaire. Data we­re analyzed by path analysis using the Stata 13 application.Results: “CERDIK" healthy behavior for hyper­ten­­sive patients increased with active prolanis acti­vity (b= 5.00; 95% CI= 2.80 to 7.20; p <0.001), higher education (b= 1.52; 95% CI= 0.48 to 2.54; p= 0.004), strong family support (b= 1.­38; 95% CI= 0.20 to 2.57; p= 0.023), strong pe­er support (b= 0.61; 95% CI= -0.67 to 2.51; p= 0.­352), and female (b= 2.8; 95% CI= -5.01 to -0.64; p= 0.011). Education, family support, and peer sup­port were associated with “CERDIK” healthy behavior through Prolanis.Conclusion: “CERDIK" healthy behavior for hyper­ten­­sive patients increases with active pro­lanis acti­vity, higher education, strong family support, strong pe­er support, and female. Edu­cation, family support, and peer sup­port were associated with “CERDIK” healthy behavior through Prolanis.Keywords: Prolanis, “CERDIK” healthy beha­vi­our, hypertension, path analysisCorrespondence: Tri Puji Pangesti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: tri­pu­ji­pangesti8@gmail.com. Mobile: 0823­126­57­­779.Journal of Health Promotion and Behavior (2020), 05(03): 187-196https://doi.org/10.26911/thejhpb.2020.05.03.05. 
The Effectiveness of Melati Book Program to Improve Healthy Behavior and Reduce Blood Pressure in Hypertensive Patients at Sidorejo Kidul Community Health Center in Salatiga Ony Suciati; Didik Gunawan Tamtomo; Prawito Prawito
Journal of Health Promotion and Behavior Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: 319 cases of hypertension pati­ents occurred in the community health center in the last 2 years throughout 2019 and 256 cases up to March 2020. Therefore, fighting hypertension was one of the main programs at Sidorejo Kidul Community Health Center. This program was realized by publishing and distri­buting Melati Book or Books Against Hyper­tension to hypertension patients. However, the hospital has never conducted a study on whether the distribution of the Melati Book was effective in fighting hypertension in patients in Sidorejo Kidul Community Health Center.Subjects and Method: The study method was Quasi-experiment. This study used a random-number method to obtain the sample. A sample of 150 hipertensive patients was classified into 2 groups: 75 patients were in the intervention group and 75 other patients were in the control group. The data were analyzed by t-test.Results: After intervention, mean score of healthy behavior in the intervention group (Mean= 3.57; SD= 0.10) was higher than the control group (Mean= 0.49; SD= 0.19) and it was statistically significant (p<0.001). After intervention, mean score of systolic blood pressure in the intervention group (Mean= -32.59; SD= 1.02) was lower than the control group (Mean= -6.83; SD= 1.02) and it was statistically significant (p<0.001).Conclusion: Melati book can be used to improve the healthy behavior and reducing blood pressure in hypertensive patients at Sidorejo Kidul Community Health Center in Salatiga.Keywords: melati book, healthy behavior, decrease in blood pressureCorrespondence: Oni Suciati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ony­suci­ati975@gmail.com. Mobile: 081327073562.Journal of Health Promotion and Behavior (2020), 06(04): 264-271https://doi.org/10.26911/thejhpb.2020.05.04.04. 
The Effect of Bullying on Depression in Adolescents: A Meta-Analysis Fitriah Fitriah; Bhisma Murti; Didik Gunawan Tamtomo
Journal of Health Promotion and Behavior Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Bullying can cause feelings of insecurity in adolescents with reduced social support and the need for acceptance in the environment and peers is not fulfilled. 16.8% of teenagers who are involved in cyberbullying have a risk of depression. Depressive disorders are common in adolescents, with a prevalence approaching 5.6% in adulthood. This study aims to examine the effect of bullying on depression in adolescents.Subjects and Method: This research is a meta-analytical study and a systematic review. The articles used were obtained from several electronic databases including PubMed, Science Direct and ProQuest. The articles used in this study are articles that have been published from 2010-2021. The research data search process used the search words “bullying and depression”, “bullying and depression and adolescent and cross-sectional study”, “bullying and depression and adolescent and cross-sectional study and adjusted odd ratio”.Results: The results of the meta-analysis study in this study contained 9 articles consisting of Saudi Arabia, Malaysia, Seychelles, United States, Massachusetts, Bosnia and Canada. Bullying can increase the risk of depressive disorder in adolescents (aOR= 2.43; 95% CI= 1.87 to 3.15; p<0.001).Conclusion: Bullying affects the risk of depression in adolescents.Keywords: teens, bullying, depressionCorrespondence: Fitriah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: fitriahbaharuddin@gmail.com. Mobile: +6282350701936.Journal of Health Promotion and Behavior (2021), 06(02): 112-121DOI: https://doi.org/10.26911/thejhpb.2021.06.02.04
Meta-Analysis the Effect of Family-Based Intervention in Increasing Quality of Life in Diabetes Mellitus Patients Novita Herlita Dewi; Didik Gunawan Tamtomo; Rita Benya Adriani
Journal of Health Promotion and Behavior Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: An increase in type 2 diabetes and related risk factors, which include increased rates of obesity, an unhealthy diet, and a lack of physical activity. One category of intervention to prevent diabetes in adults that has developed rapidly in recent years is family-based intervention. The family is also the party that helps each member in maintaining health, such as meeting the needs of eating, drinking, bathing, resting, recreation, sports, and others. This study aims to estimate the magnitude of the effect of family-based intervention on improving the quality of life of patients with diabetes mellitus.Subjects and Method: This was a systematic review and meta-analysis conducted using PRISMA flow diagrams. Search articles through journal databases including: PubMed, Science Direct, Google Schoolar and SpingerLink by selecting articles published in 2010-2020. The PICOs of this study are, Population: diabetes mellitus patients, Intervention: family-based intervention, Comparison: not family-based intervention, Outcome: quality of life. The keywords used are “family-based intervention” OR “family-based program” OR “family-based treatment” OR “family-based” OR “home-based intervention” OR “household-based intervention” AND “quality of life” AND “diabetes mellitus” AND RCT OR “randomized controlled trial” OR “cluster-randomized controlled trial. The inclusion criteria were full paper articles with Randomized Controlled Trial (RCT) research methods, the measure of the relationship used was Mean SD, the intervention given was family-based intervention, the research subjects were patients with diabetes mellitus. Eligible articles were analyzed using the Revman 5.3 application.Results: A meta-analysis of 10 articles showed the results of Family-Based Intervention (SMD 0.23; 95% CI= -0.08 to 0.53; p=0.140).Conclusion: Family-Based Intervention has an effect on improving the quality of life of patients with diabetes mellitus.Keywords: family-based intervention, quality of life, diabetes mellitus, Meta-AnalysisCorrespondence:Novita Herlita Dewi. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: dnovitaherlita@gmai.com Mobile: 081311426454Journal of Health Promotion and Behavior (2021), 06(03): 212-223DOI: https://doi.org/10.26911/thejhpb.2021.06.03.05
The Effectiveness of Electronic Health Uptake in Diabetes Mellitus Patients: A Meta-Analysis Eni Nur Rahmawati; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Diabetes is a chronic disease in the form of a metabolic disorder characterized by blood sugar levels that exceed normal limits. The cause of the increase in blood sugar levels is the basis for grouping the type of Diabetes. This study aims to examine the effectiveness of the use of electronic health in patients with diabetes mellitus.Subjects and Method: Meta-analysis was carried out using PICO as follows: The population in this study were patients with diabetes mellitus. Intervention in the form of the use of electronic health. Comparison in the form of direct consultation. The outcome is a decrease in HbA1c levels. Meta-analytical studies were applied to this study with electronic data sources: Google Scholar, MEDLINE/PubMed, Science Direct and ProQuest. The article used is a full-text article with a Randomized Control Trial (RCT) study design. There are 9 articles used in this study with a total sample of 1.137 people who were divided into two groups (568 people in the electronic health group and 569 people in the direct consultation group). Articles were analyzed using the Review Manager 5.3 application. The results of this study aim to determine the Standardized Mean difference (SMD) and the heterogeneity of the research sample.Results: There was a high heterogeneity between one experiment and another (I2=91%; P<0.001) so the Random Effect Model (REM) was used. The use of Electronic Health help reduces HbA1c levels with Standardized Mean Different (SMD) by 0.39 compared to direct consultation (SMD= -0.39; 95% CI = -0.79 to -0.01; p=0.050).Conclusion: The use of electronic health help reduces HbA1c levels in diabetes mellitus patients with Standardized Mean Different (SMD) by 0.39 compared to direct consultation.Keywords: Electronic Health, Diabetes Mellitus, HbA1cCorrespondence:Eni Nur Rahmawati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: eninur_rahma@udb.ac.id. Mobile: +6285743748528.Journal of Health Promotion and Behavior (2021), 06(03): 176-187DOI: https://doi.org/10.26911/thejhpb.2021.06.03.02
Co-Authors Alfiana Nur Rohmani Angga Ferdianto Anisa Andriani Annissa Devi Permata Ayu Trisni Pamilih Bhisma Murti Bhisma Murti Bhisma Murti Bhisma Murti Dewi Shinta Dyah Mubarokah Ahadiyati Eka Miftakhul Jannah Emirza Nur Wicaksono Endang Sutisna Sulaeman Eni Nur Rahmawati Fitriah Fitriah Hakim Anasulfalah Hanung Prasetya Hanung Prasetya Hanung Prasetya Isna Nur Rohmah Joko Budiyono Khairunissa Khairunissa Lisa Safaah Novia Larsiani Novita Herlita Dewi Ony Suciati Prawito Prawito RB Soemanto Rita Benya Adriani Rizky Nur Aprilianti Amalia Rofana Aghniya Tri Puji Pangesti Vitri Widyaningsih Wardhatul Livia Widya Kurnianingsih Yeocelin Mega Pratiwi Yunita Rusdiyanti