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Meta-analysis: The Effectiveness of mHealth Mobile Application Use to Promote Physical Activity and Ideal Body Weight in Adult with Overweight Farida Nur Aisyiyah; Bhisma Murti; Eti Poncorini Pamungkasari
Journal of Health Promotion and Behavior Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Background: Globally, overweight and obesity are significant contributors to morbidity and mortality, which in turn can reduce productivity and increase the burden of healthcare costs. Interventions to treat obesity include a comprehensive lifestyle approach (diet, physical activity, and behavioral therapy) to achieve and maintain weight loss. One method for monitoring weight loss program interventions is the use of a mobile health application (mHealth). This study aims to analyze the effectiveness of using mHealth on increasing physical activity and losing weight.Subjects and Method: This research is a meta-analysis study using PRISMA flowchart guidelines. The article search process was carried out between 2011 and 2021 using databases from PubMed, Google Scholar and ScienceDirect. Based on the database, there were 15 articles that met the inclusion criteria. The analysis was carried out using the RevMan 5.3 . software.Results: Meta-analysis of 9 randomized controlled trial articles showed that overall mHealth increased physical activity by 0.19 compared to controls (SMD = 0.19; 95% CI= 0.06 to 0.32; p = 0.004). Higher intervention outcomes were obtained from interventions for more than 3 months (SMD = 0.31; 95% CI = 0.13 to 0.49; p < 0.001). Short-term effects for 3 months did not show significant results. A meta-analysis of 15 randomized controlled trial articles concluded that the use of mHealth overall was able to reduce body weight by 0.34 compared with no use of the mHealth application (SMD = -0.34; 95% CI = -0.52 to -0.17; p< 0.001). Higher intervention outcomes were obtained from the 6-month intervention (SMD= -0.52; 95% CI= -0.82 to -0.22; p < 0.001). Short-term effects for 3 months did not show significant results.Conclusion: Long-term use of the mHealth app is effective for increasing physical activity and losing weight in overweight adults. However, the effect of short-term intervention for 3 months has not shown significant result..Keywords: mHealth, weight loss, physical activity.Correspondence:Farida Nur Aisyiyah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: faridanur88@gmail.com. Mobile: +62 852-1493-3173. Journal of Health Promotion and Behavior, (2022), 07(03): 208-224DOI: https://doi.org/10.26911/thejhpb.2022.07.03.04

Meta-Analysis: Effects of Adolescent's Knowledge, Attitude, and Parental Support, on Human Papilloma Virus Immunization Uptake Wiwit Marliana; Uki Retno Budihastuti; Eti Poncorini Pamungkasari
Journal of Health Promotion and Behavior 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/thejhpb.2023.08.04.07

Background: Human papillomavirus (HPV) is one of the most common sexually transmitted viruses worldwide. HPV vaccination coverage is still low, especially for adolescents, some influential factors are lack of knowledge, rejection, and support of the closest environment in receiving vaccination services. This study aims to estimate the effect size of knowledge, attitudes, and parental support on the use of HPV immunization services in adolescents. Subjects and Method: A systematic review and meta-analysis study using PRISMA diagrams. The article search was conducted based on eligibility criteria with the PICO Model. Population: female adolescents, Intervention: high knowledge, positive attitude, strong parental support, Comparison: less knowledge, negative attitude, poor parental support, Outcome: Use of HPV immunization services. The articles used were from Google Scholar, Europe PMC, PubMed, and Science Direct published from 2016 – 2023. The keywords used in the search were “adolescent" OR "young women" OR "Parental of Adolescent” AND "Knowledge" AND "attitude" OR "awareness" AND "HPV" OR "HPV Vaccination" OR "Immunization". The study subjects were female adolescents, and articles published in English. The study used multivariate analysis with an adjusted Odds Ratio. Eligible articles were analyzed using the RevMan 5.3. Results: The meta-analysis included 10 cross-sectional studies from Asia, Australia, Africa, Europe, and America. High knowledge increased the likelihood of HPV immunization uptake in female adolescents (aOR= 3.24; 95% CI = 2.43 to 4.32; p<0.001). The meta-analysis included 7 cross-sectional studies showed that positive attitude increased HPV immunization uptake in female adolescents (aOR= 4.10; CI 95% = 2.78 to 6.05; p<0.001). 7 cross-sectional studies showed that strong parental support increased HPV immunization uptake (aOR=2.53; CI95% = 1.79 to 3.58; p< 0.001). Conclusion: High knowledge, positive attitude, and strong parental support increase the likelihood of HPV immunization uptake. Keywords: knowledge, attitude, parental support, adolescents, HPV vaccination. Correspondence: Wiwit Marliana. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: marlianwi.midwifery@gmail.com. Mobile: +6282118277592.

Effect of Mobile Application Use on Oral Hygiene among Orthodontics Users: Meta-Analysis Dini Hapsari; Eti Poncorini Pamungkasari; Argyo Demartoto
Journal of Health Promotion and Behavior Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.01.04

Background: The high prevalence of malocclusion causes the need for orthodontic treatment to increase. The results of the 2018 National Basic Health Research, the prevalence of dental and oral problems is 57.6%, especially in adolescents. Oral hygiene is an important factor that must be controlled by patients during orthodontic treatment because it can affect the quality and time of treatment. The mobile application is here to facilitate and provide optimal dental health information to orthodontic users. This study aims to analyze and estimate the influence of mobile applications on oral hygiene in orthodontic users. Subjects and Method: This study used a systematic review and meta-analysis by following PICO, Population: orthodontic patients. Interventions: mobile applications. Comparation: without a mobile application. Outcome: oral hygiene. The data used were obtained from scientific research articles from electronic databases including Pubmed, Google Schoolar, Science Direct Randomized Control Trial (RCT) designs from 2013 to 2023 which report effect sizes with Mean and SD. The keywords used are “orthodontic” AND “oral hygiene” OR “oral health” AND “mobile application” OR “app”. The selection of articles was carried out using the PRISMA flowchart. Data were analyzed using Review Manager software version 5.3. 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 oral hygiene for orthodontic users who used mobile applications was better than those who did not use mobile applications, and was statistically significant (SMD= -0.59; 95% CI= -0.90 to 0.29; p= .001). Conclusion: Mobile application improves oral hygiene in orthodontic users.

Application of Health Belief Model on Obesity Prevention Behavior in Adolescents Viola Holly Flora; Eti Poncorini Pamungkasari; Argyo Demartoto
Journal of Health Promotion and Behavior Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.03.08

Background: Adolescent obesity is a global challenge with serious health impacts. This study aimed to explore the application of the Health Belief Model (HBM) in the context of preventing obesity in adolescents. Subjects and Method: This research uses an observational analytical design with a cross sectional approach. The population consists of teenagers aged 15-19 years in the city of Surakarta, with a sample of 200 teenagers chosen randomly. The dependent variable is obesity prevention behavior. The independent variable is the HBM construct (perceived vulnerability, perceived seriousness, perceived benefits, perceived barriers, cues to action, and self-efficacy). Data was collected using a questionnaire, and analyzed using multiple linear regression. Results: There is a positive and statistically significant relationship between perceived vulnerability (b= 0.08; 95% CI= 0.03 to 0.13; p = 0.004), perceived seriousness (b= 0.37; 95% CI= 0.29 to 0.46; p<0.001), perceived benefits (b= 0.22; 95% CI= 0.14 to 0.29; p<0.001), cues to action (b= 0.15; 95% CI= 0.05 to 0.25; p= 0.005) and self-efficacy (b= 0.05; 95% CI = 0.01 to 0.10; p= 0.027) on obesity prevention behavior. Adjusted R-squared= 72.15%. This means that the HBM construct includes perceptions of vulnerability, perceptions of severity, perceptions of benefits, cues to action, and self-efficacy, together they are able to explain variations in obesity preventive behavior in adolescents by 72.15%. Conclusion: The results of this study indicate that the Health Belief Model construct includes perceptions of vulnerability, perceptions of seriousness, perceptions of benefits, cues to action, and self-efficacy, which play a role together in shaping obesity prevention behavior in adolescents.

Analysis of Factors Influencing Community Participation in the Free Health Screening Program Based on the Precede–Proceed Model Wendewina Victorin; Eti Poncorini Pamungkasari; Setyo Sri Rahardjo; Sri Mulyani; Revi Gama Hatta Novika
Journal of Health Promotion and Behavior Vol. 11 No. 3 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2026.11.03.04

Background: Free health screening programs (Program Pemeriksaan Kesehatan Gratis/PKG) are essential promotive and preventive strategies to improve public health through early disease detection. However, community participation remains suboptimal despite the availability of free services. This study aimed to analyze factors influencing community participation based on the PRECEDE–PROCEED model. Subjects and Method: This was an analytic cross-sectional study conducted in six public health centers in Sragen Regency, Central Java, Indonesia. The target population was community members aged ≥15 years who were eligible for the PKG program. A total of 264 respondents were selected using simple random sampling. The dependent variable was community participation in the PKG Program. Independent variables included predisposing factors (knowledge, attitude, motivation), enabling factors (facilities, ease of access, service information), and reinforcing factors (social support). Data were collected using a structured questionnaire and analyzed using the Chi-Square test and multiple logistic regression. Results: Multivariate analysis showed that respondents with easy access to health services were 4.40 times more likely to participate in the PKG Program than those with difficult access (OR= 4.40; 95% CI=1.41 to 13.72; p=0.011). Respondents with high social support were 22.03 times more likely to participate than those with low social support (OR= 22.03; 95% CI=4.59 to 105.74; p <0.001). Although not statistically significant, facilities showed a borderline association with participation (OR=0.02; 95% CI=0.0002 to 1.39; p=0.070). Social support was the most dominant factor influencing participation. Conclusion: Community participation in the PKG Program was relatively high. Social support was the strongest determinant of participation, while ease of access significantly influenced participation. Although not statistically significant, the availability of facilities showed a borderline association and may contribute to improving community participation.

Evaluation of Smoke-Free Area Policy Implementation in Sragen Regency: A Qualitative Study of Governance, Enforcement, and Health Communication Meidyan Thomas Setiawan; Eti Poncorini Pamungkasari; Revi Gama Hatta Novika; Argyo Demartoto; Ratih Puspita Febrinasari
Journal of Health Policy and Management Vol. 11 No. 2 (2026)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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

Background: Sragen Regency has adopted a smoke-free area policy; however, its implementation continues to face challenges related to governance, enforcement, health communication, and compliance. This study aimed to evaluate the implementation of the smoke-free area policy in Sragen Regency, with a focus on governance, enforcement, and health communication Subjects and Method: This qualitative study used an embedded case study design and was conducted from February to June 2026 within the Sragen Regency Government setting, including the Integrated Government Office Complex and selected subdistrict offices. Informants were purposively selected based on their involvement in smoke-free policy implementation, with recruitment continuing until data saturation was reached. In-depth interviews were conducted with 19 informants, comprising seven key informants, eight primary informants, and four supporting informants. Two focus group discussions (FGDs) involved 19 participants. Data were collected through in-depth interviews, FGDs, field observations, and document review. Policy implementation was evaluated using the Context, Input, Process, and Product (CIPP) framework. Data were analyzed using the interactive model of Miles, Huberman, and Saldaña. Trustworthiness was strengthened through source and method triangulation. Results: Smoke-free policy implementation was supported by local regulations, acceptance among government employees, no-smoking signs, and monitoring activities. Enforcement largely relied on persuasive approaches, including interpersonal communication, social monitoring, direct verbal reminders, and leadership by example, rather than formal sanctions. Organizational culture, social norms, leadership involvement, designated smoking areas, the physical environment, and informal communication influenced compliance. The implementation of the smoke-free policy improved workplace comfort; however, compliance remained uneven. Conclusion: Smoke-free policy implementation was influenced by governance arrangements, predominantly persuasive enforcement, and health communication that largely occurred through interpersonal interactions. Stronger implementation management, supervision, monitoring and evaluation, and more systematic health communication are needed to improve the consistency of smoke-free policy implementation.

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