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Empowering Type 2 Diabetes Patients through DIACOACH: A Mobile-Based Application for Virtual Health Coaching at Bajeng Primary Health Center Jafar, Nuurhidayat; Setyawati, Andina; Bustamin, Anugrayani; Ahmad, Husnul Hatima; Sappewali, Andi Farhan; Fattah, Muh Shobur
JURNAL TEPAT : Teknologi Terapan untuk Pengabdian Masyarakat Vol 8 No 1 (2025): Community Empowerment through Higher Education Community Service Programs
Publisher : Faculty of Engineering UNHAS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25042/jurnal_tepat.v8i1.589

Abstract

Type 2 Diabetes Mellitus (T2DM) is a non-communicable disease with increasing prevalence, requiring effective management strategies. One of the main challenges in T2DM management is the low adherence of patients to a healthy diet, physical activity, and regular blood glucose monitoring. This community service program aims to improve glycemic control and the quality of life of T2DM patients through the implementation of Virtual Health Coaching (VHC) using the DIACOACH application at Bajeng Primary Health Center, Gowa Regency. The program involved 60 participants from the Prolanis group who received six weeks of health coaching using the Motivational Interviewing approach and the FIRA model (Focus, Identify, Reflect, Act). The DIACOACH application was used as an educational and self-monitoring tool for patients in managing their diabetes. This program included training on the application’s use, virtual coaching sessions by healthcare professionals, and an evaluation of the intervention’s effectiveness by assessing patients' health parameters before and after the intervention. The evaluation results showed an improvement in patients’ understanding of diabetes management and increased adherence to regular blood glucose monitoring. Additionally, the DIACOACH application received positive feedback regarding ease of use and benefits for participants. This community service initiative demonstrates that digital health technology in community-based healthcare services can be an innovative solution to support more effective and sustainable diabetes management.
Motivational interviewing-based health coaching to improve diabetes knowledge and manage blood glucose: A quasi-experimental study Jafar, Nuurhidayat; Setyawati, Andina; Malasari, Silvia; Grestin Sandy R
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 16, No 1, (2025)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol16.Iss1.art8

Abstract

Background: Diabetes management relies significantly on patient knowledge, which affects personal care practices and overall well-being. However, many patients face challenges in managing their condition due to insufficient support and motivation. Objective: This study aimed to evaluate the effectiveness of a motivational interviewing-based health coaching program using the  Focus, Identify, Reflect, Act (FIRA) model in enhancing diabetes knowledge and managing blood glucose, BMI, and blood pressure.Methods: A quasi-experimental study was conducted involving 121 adult participants with type 2 diabetes, allocated into intervention (n = 61) and control (n = 60) groups. The intervention group received six bi-weekly health coaching sessions over three months, based on the FIRA model integrated with motivational interviewing techniques. Pre and post-intervention assessments were conducted to evaluate diabetes knowledge, fasting blood glucose, BMI, and blood pressure. Statistical analysis included paired t-tests for within-group comparisons and independent t-tests or Mann-Whitney U tests for between-group analyses, based on data distribution.Results: The intervention group exhibited a significant improvement in diabetes knowledge (mean change = +3.80; p < 0.0001), while the control group showed a decline (mean change = -2.97; p < 0.0001). A significant reduction in fasting blood glucose was also observed in the intervention group (mean change = -17.00 mg/dL; p = 0.015), in contrast to a non-significant increase in the control group (mean change = +3.00 mg/dL; p = 0.365). No significant changes were found in BMI and systolic blood pressure. Diastolic blood pressure increased significantly in the control group (p = 0.001), while the decrease in the intervention group was not statistically significant (p = 0.432); the between-group difference was also not significant (p = 0.226).Conclusion: Motivational interviewing-based health coaching effectively improves diabetes knowledge and blood glucose management. Further studies are recommended to explore long-term impacts and personalised strategies to optimise patient outcomes.
DIABNURSE CARE PROGRAM: Mindfulness Sebagai Strategi Pemberdayaan Diabetes Dan Hipertensi Di Puskesmas Makassar Jafar, Nuurhidayat; Fitriani, Nurlaila; Marghareta Takumansang, Marce; Hatima Ahmad, Husnul
Jurnal Abdimas ITEKES Vol 5 No 1 (2025)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37294/jai.v5i1.806

Abstract

ABSTRAK Program “DiabNurse Care: Mindfulness sebagai Strategi Pemberdayaan Diabetes dan Hipertensi di Puskesmas Makassar” dilaksanakan untuk meningkatkan pengelolaan diri dan kesejahteraan penyandang penyakit kronis melalui pendekatan mindfulness. Permasalahan utama yang dihadapi masyarakat adalah rendahnya efektivitas edukasi kesehatan, pola hidup tidak sehat, serta tingginya tingkat stres akibat pengelolaan penyakit yang kurang optimal. Metode pelaksanaan pengabdian menggunakan pendekatan mindfulness breathing dengan tahapan skrining, edukasi, demonstrasi mindfulness breathing, serta evaluasi menggunakan kuesioner DKQ-24 dan DDS-17. Kegiatan diikuti oleh penderita diabetes dan hipertensi di wilayah kerja Puskesmas Antara. Hasil kegiatan menunjukkan peningkatan pengetahuan peserta dan penurunan tekanan darah sistolik rata-rata sebesar -1.02 mmHg, yang mengindikasikan efek relaksasi dari pelatihan mindfulness. Sebagian besar peserta mengalami tingkat stres sedang (38.6%) dan menunjukkan peningkatan kesadaran diri terhadap manajemen stres. Kata kunci : Mindfullness, DMT2, Hipertensi, DiabNurse
Enhancing diabetes management: Nurse-Led coaching at PROLANIS Diabetes Club Setyawati, Andina; Jafar, Nuurhidayat; Yusuf, Saldy; Aminuddin, Aminuddin
Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Vol. 9 No. 2 (2024): May 2024
Publisher : University of Merdeka Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26905/abdimas.v9i2.12433

Abstract

The global prevalence of Diabetes Mellitus (DM) is escalating, with projections indicating a continued upward trend. Indonesia, particularly in South Sulawesi, has also experienced a rise in DM prevalence over recent years. Comprehensive strategies for ineffective management are crucial to reduce the impact of DM. This community engagement took place at Bajeng Community Health Center in South Sulawesi from October to November 2023, involving 58 diabetic patients and 10 nurses in the Prolanis club. Activities included mini-lectures, active learning, and demonstrations, starting with coaching training for nurses by an international coach. Subsequent activities involved nurses conducting coaching sessions with patients, accompanied by the community engagement team. Statistical tests on knowledge and quality of life before and after coaching showed a significant improvement in both variables (p < 0.0001). Coaching interventions by trained nurses demonstrated a positive impact on the knowledge and quality of life of diabetic patients. The results of this activity provide a strong foundation to consider integrating coaching as an integral part of diabetes management strategies to enhance the health and well-being outcomes for patients.