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Childhood Physical and Sexual Violences as Potential Factors of Post Traumatic Stress Disorder: A Meta-Analysis Fadila Alfiasari; Didik Tamtomo; Hanung Prasetya
Journal of Epidemiology and Public Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.02.04

Background: WHO states that as many as 300 million children have experienced physical punishment or psychological violence. These traumatic events can cause Post Traumatic Stress Disorder (PTSD) which has an impact on the lives of victims of physical and sexual violence. The purpose of this study was to analyze and estimate the average influence of physical and sexual violence in childhood on the incidence of Post Traumatic Stress Disorder (PTSD) using a meta-analysis study.Subjects and Method: This research is a systematic review and meta-analysis with the selection of PRISMA flow diagrams. Population= adults aged >18 years. Intervention= experience of physical and sexual violence as children. Comparison= no experience of physical and sexual violence as children. Outcome= PTSD. Article searches through journal databases include: Pubmed, Google Schoolar, Science Direct, Researchgate and Springerlink. The articles used in this study are articles that have been published from 2000-2022. The keywords used in the database are “Child Physical Abuse”[tw] OR “Childhood Physical Abuse”[tw] OR “Child Maltreatment”[tw] OR “Physical Violence”[tw] OR "Physical Abuse"[Mesh] OR " Child Abuse"[Mesh] AND “Sexual Abuse”[tw] OR “Child Sexual Molestation”[tw] OR "Child Abuse, Sexual"[Mesh] OR "Sexual Trauma"[Mesh] AND “Post-Traumatic Stress Disorder*” [tw] OR “Posttraumatic Stress Disorder*” OR “Post-Traumatic Neuroses”[tw] OR “Post-traumatic Neuroses”[tw] OR “PTSD”[tw] OR "Stress Disorders, Post-Traumatic"[Mesh]. Inclusion criteria included full-text articles with a cross-sectional study design. The analysis used multivariate logistic regression with adjusted Odds Ratio and published in English. Articles that met the requirements were analyzed using the Revman 5.4 application.Results: Meta-analysis of 10 articles showing for childhood physical abuse (aOR=1.87; 95% CI=1.47 to 2.37; p<0.001) and childhood sexual violence (aOR=2.67; 95% CI=2.02 up to 3.52; p<0.001).Conclusion: Experience of physical and sexual violence in childhood increases the risk of developing Post Traumatic Stress Disorder as an adult. Keywords: Post Traumatic Stress Disorder, physical violence, sexual violence, meta-analysis Correspondence: Fadila Alfiasari. Masters Program in Public Health, Universitas Sebelas maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: alfiasari3108@gmil.com. Mobile: +6285235358882.

Meta-Analysis of the Effect of Prolonged Use of High Heels on Low Back Pain in Female Sales Employees Fadhila Firmanurulita; Agus Kristiyanto; Hanung Prasetya
Journal of Epidemiology and Public Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.04.06

Background: Low Back Pain is the pain that is felt from the lower back area to the lower buttocks crease area (Gluteal inferior fold). One of the causes of Low Back Pain is a prolonged and excessive use of high heels. This study aims to analyze and estimate the effect of the use of high heels on Low Back Pain in sales promotion girls. Subjects and Method: Meta-analyses were carried out according to the PICO model. Population: female sales promotion employee. Intervention: Wearing High Heels. Comparison: Not using High Heels. Outcome: Low Back Pain. The article search in this study was conducted through databases that included PubMed, Google Schoolar, ScienceDirect. The keywords included: "Low Back Pain" AND "Low Back Pain" AND "High Heels" AND "Low Back Pain" "Employee sales" AND "High Heels" "Sales Low Back Pain" (aOR) "Employee sales" And "Employe sales" "Low Back Pain" AND "High Heels" AND "Employe sales", "High Heels AND High Heels" "Low Back pain Employee Sales" AND "High Heels". Full-paper articles with cross-sectional study design. The subjects of the study were users of high heels toward low back pain, the measure of association used was the adjusted odd ratio. The article selection used was PRISMA flow diagram. The analysis was performed using Revman 5.3 Results: A meta-analyss included 10 cross-sectional studies from Africa and Asia. Prolonged use of high heels increased the risk of low back pain in female sales promotion employee (aOR= 1.41; 95% CI= 1.16 to 1.171 p=0.001). Conclusion: Female sales promotion employee who wear high heels have a higher risk of experiencing low back pain. Keywords: sales promotion girl, high heels, low back pain. Correspondence:Fadhila Firmanurulita. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: missdhila18@gmail.com. Mobile. +6285740045026.

Meta-Analysis: Effect of Acupuncture Therapy in Lowering Frozen Shoulder Pain Mehdya Vikia Murti; Hanung Prasetya; Rita Benya Adriani
Indonesian Journal of Medicine Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.3.646

Background: Acupuncture therapy has become a popular non-drug therapy with good curative effects, convenient application, non-toxic side effects, and low cost, and it has been widely used in the treatment of Frozen Shoulder. This study aims to analyze and estimate the effect of acupuncture therapy on reducing the degree of pain in Frozen shoulders. Subjects and Method: This study used a systematic review and meta-analysis by following PICO, Population: Frozen Shoulder patients. Intervention: acupuncture therapy. Comparison: no acupuncture therapy. Result: reduction in the degree of Frozen shoulder pain. The data used was obtained from scientific research articles from electronic databases including PubMed, Google Scholar, Hindawi, BMC, Scopus, and Science Direct Randomized Control Trial (RCT) designs from 2011 to 2022 which report effect sizes with mean and SD. The keywords used in the search for scientific articles are “Acupuncture” AND “Frozen Shoulder” AND “Frozen Shoulder Pain”. The selection of articles was carried out using the PRISMA flowchart. Data were analyzed using Review Manager software version 5.4.1. Results: A total of 9 articles with eligible RCT designs from Asia and Europe were selected for the systematic review and meta-analysis. The results of the meta-analysis showed that patients with Frozen Shoulders who received acupuncture therapy experienced a degree of pain 0.48 units lower than without acupuncture and was statistically significant (SMD= -0.48; 95% CI= -1.14 to -0.18; p=0.15). Conclusion: Acupuncture therapy reduces the degree of Frozen Shoulder pain. Keywords: acupuncture, pain, frozen shoulder. Correspondence: Mehdya Vikia Murti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126. Email: mehdyvikiamurti@gmail.com. Mobile: +62895363037033.

Meta-Analysis: Effectiveness of Electroacupuncture in Reducing Anxiety and Depression Yessy Widhi Astuti; Bhisma Murti; Hanung Prasetya
Indonesian Journal of Medicine Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.3.648

Background: Anxiety and depression can happen to anyone, especially in patients with certain diseases. Anxiety and depression can affect activity, and reduce quality of sleep, and life. Electroacupuncture is one of the therapies with small side effects to reduce anxiety and depression and provide a sedative effect. This study aims to analyze and estimate the effectiveness of electroacupuncture therapy to reduce anxiety and depression in patients based on the results of similar studies.Subjects and Method: This study used a systematic review and meta-analysis based on PICO, Population: Patients. Intervention: Electroacupuncture. Comparison: NonElectroacupuncture. Outcome: Decreased anxiety and depression. Data were obtained from Google Scholar, PubMed, Science Direct Hindawi, BMC, and Springer Link databases from 2010 to 2023. The search process used the keywords "electroacupuncture" AND "anxiety" OR "depression" AND "RCT". Article selection used the PRISMA flowchart and the results were analyzed using Review Manager 5.3 software.Results: 9 articles from Brazil, Spain, Hong Kong, and China with a sample size of 458 subjects were used in a meta-analysis of the effectiveness of electroacupuncture to reduce anxiety. And as many as 11 articles from Brazil, Spain, Hong Kong, and China with a sample size of 555 subjects were used for a meta-analysis of the effectiveness of electroacupuncture to reduce depression with an RCT study design. The results of the meta-analysis showed that patients who received electroacupuncture therapy intervention experienced an average of 0.68 units lower in anxiety (SMD=0.68; 95% CI= 1.04 to 0.33; p=0.001) and 0.51 units lower in depression (SMD =0.51; 95% CI= 0.86 to 0.16; p=0.004) compared to the group without electroacupuncture therapy.Conclusion: Electroacupuncture therapy reduces anxiety and depression.Keywords: acupuncture, electroacupuncture, anxiety, depressionCorrespondence: Yessy Widhi Astuti, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: widhiyessy123@gmail.com. Mobile: +6285754174209.Indonesian Journal of Medicine (2023), 08(03): 295-309https://doi.org/10.26911/theijmed.2023.08.03.07

Effect of Social Cognitive Therapy on Mental Improvement in Post Traumatic Stress Disorder: A Meta-Analysis Yovita Galuh Eka Ariska; Hanung Prasetya; Bhisma Murti
Indonesian Journal of Medicine Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.4.674

Background: Post Traumatic Stress Disorder (PTSD) is a mental disorder that develops after experiencing a very threatening or horrific event. Cognitive behavioral therapy or Cognitive Behavior Therapy (CBT) is one of the most popular therapies. The purpose of this study was to analyze the effect of cognitive behavioral therapy on mental improvement in Post Traumatic Stress Disorder patients. Subjects and Method: This study is a systematic review and Meta-analysis using PICO model. Population: Post Traumatic Stress Disorder patients. Intervention: cognitive behavioral therapy. Comparison: no cognitive behavioral therapy. Outcome: Mental Improvement. The online databases used are Google Scholar, PubMed, and Sience Direct with keywords (“Post Traumatic Stress Disorder” OR “PTSD”) AND (“Cognitive Behavioral Therapy” OR “Cognitive Behavioral Therapy” OR “CBT”) AND (“Randomized controlled trial” OR “RCT”). There were 9 randomized controlled trial studies published in 2005-2023 that met the inclusion criteria. Analysis was performed using RevMan 5.3. Results: A Meta-analysis conducted using 9 RCTs from the United States, Australia, the Netherlands, Sweden, and Thailand. A total sample was 6,088 health workers. Cognitive behavioral therapy reduced PTSD (SMD= -6.32; p= 0.020). Forest plots showed high heterogeneity (I2=73%; p= 0.003), so analysis was conducted using the random effect model. Conclusion: CBT reduces PTSD. Keywords: cognitive behavior therapy, mental improvement, post-traumatic stress disorder, randomized controlled trial

Meta-Analysis: Hypnotherapy and Its Effect on Quitting Smoking Behavior Jihan Nafisah Fauziyyah; Hanung Prasetya; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Background: Smoking is still a major health problem, about 23% of the world's population smokes. Indonesia is in the 3rd rank with the number of active smokers worldwide and more than 97 million Indonesians are exposed to cigarette smoke. Hypnotherapy can play a role in controlling smoking habits with a psychological health approach that is used to change human behavior and habits. The purpose of this study was to analyze the effect of hypnotherapy on the success of smoking cessation in active smokers based on the results of previous similar studies.Subjects and Method: This study was a meta-analysis with the following PICO, Population: active adult smokers. Intervention: hypnotherapy. Comparison: no hypnotherapy. Result: decreased pain. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. The keywords to search for articles are “hypnotherapy” OR “hypnosis” AND tobacco OR smoke OR smoked OR smoker AND “smoking cessation”. The articles included are English and Indonesian full text with a randomized control trial study design from 2008-2022. Article selection is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 9 Randomized Controlled Trial studies from the continents of Europe, America, Asia and Africa were selected for systematic review and meta-analysis. It was found that hypnotherapy can increase the success of smoking cessation and is statistically significant (SMD= 1.32; CI 95% = 0.53 to 2.12; p=0.001).Conclusion: Hypnotherapy increases the success of smoking cessation in active adult smokers.Keywords: hypnoterapy, hypnosis, tobacco, smoker, smoking cessation.Correspondence: Jihan Nafisah Fauziyyah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: jihannafisah321@gmail.com. Mobile: +6289611006503.Journal of Health Promotion and Behavior (2022), 07(04): 273-283DOI: https://doi.org/10.26911/thejhpb.2022.07.04.01

Relationships Between the Health Belief Model Constructs and Post-Stroke Patient Preferences in Choosing Acupuncture Therapy in Ngawi East Java Cynthia Ayu Dian Puspitaningrum; Hanung Prasetya; Argyo Demartoto; Bhisma Murti; Revi Gama Hatta Novika
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.08

Background: Stroke is a serious medical condition that poses a significant risk of mortality and long-term disability, making it one of the leading causes of death and disability worldwide. Selecting an appropriate therapy is crucial to enhancing the quality of life among post-stroke patients. The Health Belief Model (HBM), which emphasizes individual beliefs regarding health and illness, is thought to play a pivotal role in influencing patients' decisions when choosing therapeutic interventions. This study aims to analyze the application of the Health Belief Model in the selection of acupuncture therapy among post-stroke patients. Subjects and Method: This study employed a cross-sectional design and was conducted in Ngawi Regency from October to December 2024. 200 samples of post-stroke patients were taken using the fixed disease sampling technique, consisting of 100 patients undergoing acupuncture and 100 patients undergoing physiotherapy. Dependent variables were the preference of acupuncture therapy and physiotherapy. Independent variables were perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. Data was collected using questionnaires and analyzed using path analysis on STATA 17. Results: The preference for acupuncture therapy was directly influenced by self-efficacy (b=3.41; CI95%=2.59 to 4.23; p<0.001). Self-efficacy to undergo acupuncture therapy was influenced by the perceived benefits (=2.75; CI95%=1.74 to 3.75; p<0.001), perceived barrier (b=-0.94; CI95%=-1.96 to 0.80; p<0.001), and cues to action (b=3.36; CI95%=2.32 to 4.40; p<0.001). Perceived benefit was influenced by perceived severity (b=1.25; CI95%=0.62 to 1.88; p<0.001). Conclusion: Self-efficacy directly influences the preference for acupuncture therapy. Meanwhile, the perceived benefit, the perceived barrier, and cues of action indirectly affect the preference for acupuncture therapy through self-efficacy. Perceived benefit was influenced by severity perception.

Meta Analysis the Effectiveness of Mobile-Based Stress Management Application on Stress and Depression among Workers Niken Yuliani Untari; Didik Tamtomo; Hanung Prasetya
Journal of Health Policy and Management Vol. 8 No. 2 (2023)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar

Background: The application of stress management at this time really needs a smartphone application to prevent the occurrence of severe mental disorders, reduce stress levels and use this application more effectively. The purpose of this study is to conduct a meta-analysis with the aim of studying and estimating the effectiveness of mobile-based stress management applications on stress and depression in workers.Subjects and Method: This study is a meta-analysis using PICO, Population: Workers, Intervention: Using a mobile-based stress management application, Comparison: Not using a mobile-based stress management application, Output: Stress and Depression. The process of searching for articles between 2012-2022 uses 5 databases: PubMed, Google Scholar, ProQuest, Science Direct and Scopus. The keywords used are “stress” OR “depression” AND “apps” OR “digital health” OR “mobile health” OR “message text” OR “phone calls” OR “website” OR “email” AND “employee” OR “ worker”. Inclusion criteria: article must be a full paper with Randomized Controlled Trial (RCT), article using English, population namely workers, mobile-based stress management application intervention, reported results are stress, depression, include research results number of respondents, average -mean score and standard deviation (SD). Articles that met the requirements were analyzed using the RevMan 5.3 application. Results: There were 14 articles with a Randomized Controlled Trial (RCT) research design originating from Germany, Spain, Switzerland, England, America, Thailand, Taiwan, Korea, Vietnam which were carried out by meta-analysis. The size of the stress sample is 4,865 workers. The meta-analysis shows that workers who use the mobile-based stress management application have 1.08 units lower stress than do not use the mobile-based stress management application, and it is statistically significant (SMD = -1.08; 95% CI = -1.70 to -0.45; p= 0.007). The sample size for depression is 3,983 workers. Workers using the mobile-based stress management application had depression 0.47 units lower than those not using the mobile-based stress management application, and it was statistically significant (SMD = -0.47; 95% CI = -0.85 to -0.10; p = 0.01).Conclusion: Mobile-based stress management application use reduces stress and depresssion in workers.Keywords: stress, depression, stress-based mobile application, worker, employee, meta analysisCorrespondence:Niken Yuliani Untari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: nikenyuliani1978@gmail.com. Mobile: +6281215810608Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.02.06

Meta Analysis Effects of Completeness of Laboratory Tests and Medicine Supplies on Patient’s Satisfaction Level in Hospital Ayunda Prisilia Kusuma Ningtyas; Didik Tamtomo; Hanung Prasetya
Journal of Health Policy and Management Vol. 9 No. 1 (2024)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.01.07

Background: Satisfaction is a feeling that arises when someone gets a service, this feeling can be in the form of pleasure or disappointment. Service satisfaction at the hospital is very dependent on the patient, if the patient receives poor service then the patient tends to be dissatisfied with the service he gets, so that it can affect the quality of the hospital. This study aimed to analyze the effects of the completeness of laboratory tests and drugs availability on the patient satisfaction in hospital. Subjects and Method: This was a systematic review and meta-analysis with PICO model. Population: patients visiting the hospital. Intervention: completeness of laboratory tests and drug availability. Comparison: incomplete laboratory tests and no drugs available. Outcome: patient satisfaction. Data collection from databases Google Scholar, PubMed, Science Direct, and Spinger Link. The inclusion criteria used were full papers, cross sectional study, using English language, and published during 2012 and 2022. The keywords used are “Patient Satisfaction level” OR “Patient Satisfaction” AND “Hospital service” AND “Cross sectional”. Articles were analyzed using RevMan 5.3. Results: Meta-analysis included 14 cross-sectional studies. The completeness of the laboratory test (aOR= 2.19; 95% CI= 1.49 to 3.21; p= 0.001) and drug availability (aOR=2.41; 95% CI=1.15 to 5.03; p= 0.002) increased patient satisfaction. Conclusion: Completeness of laboratory tests and drug availability increase patient satisfaction. Keywords: completeness of laboratory tests, drug availability. Correspondence: Ayunda Prisilia Kusuma Ningtyas. Master’s Program in Public Health, Universitas Sebelas Maret.Jl Ir Sutami no 36 A, Surakarta 57126, Central Java, Indonesia. Email : ayunda.prisilia@gmail.com. Mobile: +6281328520526

A Meta Analysis: Effectiveness of Telemedicine to Improve Self-Care in Patients with Hearth Failure Audria Ersananda; Hanung Prasetya; Burhannudin Ichsan
Journal of Health Policy and Management Vol. 9 No. 1 (2024)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.01.11

Background: Modern and sophisticated self-care education programs such as web-based methods and wireless networks can make changes in patient behavior to improve self-care management. Telemedicine is a potential alternative to continue providing patient health services by minimizing the risk of exposure and physical contact. This study aims to investigate relevant primary studies in order to assess the effectiveness of telemedicine to improve self-care in heart failure patients. Subjects and Method: This study used a systematic review and meta-analysis with PICO namely, P: Patients with heart failure, I; using telemedicine, C: not using telemedicine, O: increasing self care for heart failure patients. By searching for articles in 3 databases namely PubMed, Google Scholar, Cochrane which were published from 2013 to 2023, entering the following keywords (“Heart Failure” OR “congestive heart failure”) AND (Telemedicine OR “electronic health record” OR mHealth OR “ mobile health” OR “mobile app” OR “telehealth” OR “healthcare system information”) AND “self care” AND “randomized controlled trials”. Articles were selected using PRISMA flow and data analysis using the Review Manager 5.3 application. Results: Meta-analysis was carried out on 9 primary studies using RCT study designs from several countries such as Canada, the United States, Colombia, Australia, Hong Kong, Finland with a total sample size of 1.018. The processed meta-analysis data found that telemedicine is effective for improving self-care in heart failure patients, and is statistically close to significant. Heart failure patients who received telemedicine-based education had an average self-care value of 0.33 SMD units higher than those who did not receive the intervention (SMD= 0.33; 95% CI= 0.15 to 0.52; p= 0.004). Conclusion: Telemedicine is effective for improving self care in heart failure patients. Keywords: Heart Failure, Self Care, Telemedicine. Correspondence: Audria Ersananda, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: audriaersa@gmail.com. Mobile: 082233999407.

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