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All Journal Jurnal Ilmu Kedokteran (Journal of Medical Science) Jurnal Berkala Epidemiologi Jurnal Administrasi Kesehatan Indonesia JUITA : Jurnal Informatika Global Medical and Health Communication Mutiara Medika: Jurnal Kedokteran dan Kesehatan JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education The Indonesian Journal of Public Health Majalah Kesehatan FKUB Martabe : Jurnal Pengabdian Kepada Masyarakat Jurnal Respirologi Indonesia Community Empowerment Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Indonesian Journal of Innovation Studies Jurnal Farmasi Sains dan Praktis JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Poltekita: Jurnal Ilmu Kesehatan Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics
Arini, Merita
Fakultas Kedokteran, Universitas Muhammadiyah Yogyakarta
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Social Sciences

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Cross-Generational Customer Journey Analysis: Unveiling Instagram's Effectiveness in Clinic Marketing Husen, Abeng Anandri; Arini, Merita; Wan Mamat, Wan Hasliza
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 3 (2024): December 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i3.423

Abstract

The rise in private primary care necessitates clinic entrepreneurs to innovate and improve clinic performance through effective marketing, particularly through social media platforms like Instagram. The digital era presents challenges due to the simultaneous presence of five generations: baby boomers, generation X, generation Y, generation Z, and generation Alpha, each with unique attitudes, preferences, and behaviors. This research aims to explore the effectiveness of Instagram as a clinic marketing platform across generations in a private clinic. Method: A cross-sectional design was conducted in this research. Data was collected using a consecutive sampling method among the Instagram clinic’s followers (n = 377). The collected data is then analyzed using the percentage value of customer path 5A attributes, conversion rate, purchase action ratio (PAR), brand advocacy ratio (BAR), and one-way ANOVA. The percentage value of customer path 5A attributes showed a good result in four generations, including the conversion rate scores. PAR and BAR scores have optimal results in four generations. There was a significant difference in 5A attributes, PAR, and BAR (p<0.05). Instagram is an effective social media platform for clinical marketing for every generation. This study contributes to reassuring clinic entrepreneurs to utilize Instagram as their marketing platform.
Initiation of Increasing Tuberculosis Medication Supervisors Roles: An Action Research Approach Arini, Merita; Puspitosari, Warih Andan; Ferawati, Bangkit Ina
Poltekita: Jurnal Ilmu Kesehatan Vol. 18 No. 2 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v18i2.2200

Abstract

Indonesia is ranked second in the number of Tuberculosis (TB) cases worldwide. TB patients and their families experience a complex burden. Hence, support and strengthening TB medication supervisors (Pengawas Minum Obat/ PMO) role is needed.  The aim of this study was to enhance the Community Health Center (CHC)-based PMOs’ role by improving their knowledge and strengthening peer group support. The method used was an action research cycle with four stages. The diagnosis stage was carried out by consensus decision making group with CHC to determine priority problems, namely the need to increase basic knowledge of TB and its treatment. Optimizing peer group was also necessary, as the Self Reporting Questionnaire-20 showed that more PMOs from patient families have psychological problems than cadres.  The planning stage was conducted by preparing educational sessions and creating educational media. The action stage was a quasi-experimental (without control, non-randomization)—an educational talk show provided by the TB program manager, pulmonologist, and psychiatrist. Peer groups are also activated by triggering shared media education and discussion. At the evaluation stage, knowledge was measured by giving pre and post-tests (n= 21, total sampling). The results of the analysis using the Wilcoxon's Signed Ranks Test showed that participants' knowledge had increased significantly (p=0.000; r=0.59). In conclusion, education can increase PMO knowledge as an initial step to strengthen their role in supporting the success of TB treatment. Innovation, cross-sector assistance, and support are needed to enable the PMO to succeed in the TB program.
Early detection of health problems in early childhood Arini, Merita; Primastuti, Harumi Iring
Community Empowerment Vol 10 No 2 (2025)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.12148

Abstract

Preschool-aged children are at risk of various health problems. This community empowerment initiative aims to conduct early detection of health issues in young children while simultaneously educating teachers on simple anthropometric measurements. The activities included mentoring in child anthropometric measurements, health examinations, and discussions of health examination results. The findings from the examination of 58 young children revealed that the most common health problems were dental caries and tonsillitis. Additionally, teachers demonstrated competence in conducting anthropometric measurements, but their capacity for data interpretation needs further improvement. Parental involvement, teacher capacity enhancement, and regular health check-ups are crucial factors in monitoring children's health.
ScreenMy: a Lightweight Architecture of Tuberculosis-Diabetes Mellitus Screening System Integrating with EMRs Suryanto, Farid; Arini, Merita; Riadi, Imam
JUITA: Jurnal Informatika JUITA Vol. 12 No. 2, November 2024
Publisher : Department of Informatics Engineering, Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/juita.v12i2.21541

Abstract

Background: Early detection of diseases like tuberculosis (TB) and diabetes mellitus (DM) is critical for preventive healthcare. However, integrating effective screening programs within existing workflows can be challenging. Objective: This study explores the feasibility and impact of integrating an electronic screening system (ESS) within electronic medical records (EMRs) in private primary care settings. The pilot study focuses on ScreenMy, an ESS engine designed for bi-directional TB-DM screening. Methods: A pilot study investigated the integration process of ScreenMy into an EMR system. Interviews with developers assessed factors like installation ease, flexibility, and impact on the EMR's functionality. Findings: The findings revealed a smooth integration process due to ScreenMy's external design (requiring only plugin injection) and clear documentation.  The integration maintained EMR performance and efficiency, enhanced the developer experience, and offered flexibility for customization.  Developers, unfamiliar with prior integrated screening systems, found ScreenMy user-friendly and expressed interest in further system flexibility concerning data privacy. Conclusion: This investigation highlights the potential for seamless integration of screening systems like ScreenMy within EMRs. This paves the way for improved preventive healthcare delivery in primary care settings.
Parental Perception of Preschool Children's Mental Health and Synchronous Online Education Effectiveness in Knowledge Enhancement Arini, Merita; Puspitosari, Warih Andan; Primastuti, Harumi Iring; Mamat, Wan Hasliza Wan
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 4: APRIL 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i4.7003

Abstract

Introduction: Mental health in children is crucial for their growth, development, and academic achievement. The high prevalence of mental health disorders in children necessitates efforts to enhance parental knowledge via more accessible channels. This study aims to evaluate parental perceptions of children's mental health and assess the impact of online mental health education on parental knowledge. Methods: A quasi-experimental design using a single-group pre-test and post-test method was conducted with 52 participants. The intervention consisted of synchronouz mental health education delivered via an online meeting platform, with data collected through pre- and post-test evaluations using Google Forms. Results: 53.8% of parents were concerned about their child's mental health, yet 40.4% were unsure about their capacity to recognize symptoms, and 78.8% had never conducted early screening. The Wilcoxon Signed-Rank Test indicated no statistically significant difference in knowledge scores before and after the intervention (p=0.177). However, the mean score increased slightly from 6.71 (SD=1.05) in the pre-test to 6.98 (SD=1.29) in the post-test. The effect size (r = -0.64, 95% CI = [-0.91, -0.37]) shows an impact classified as moderate to large. Conclusion: While many parents are concerned for their children's mental health, many cannot recognize symptoms and have not undertaken early screening. Although statistical significance was not achieved, the observed effect size and knowledge improvement in specific individuals highlights online education's potential to enhance parental understanding of children's mental health. It is imperative to advance the exploration of interactive and adaptable learning strategies to maximize the effectiveness of educational interventions.
Empowering inmates in Surabaya penitentiary to prevent tuberculosis through education and screening programs Ramadhan, Roy Novri; Arini, Merita; Stephanie, Karyn; Saputra, Galang Nanda; Nugroho, Fajar Adi; Robbani, Ghulbuddin; Akram, Muh
Community Empowerment Vol 10 No 5 (2025)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.13165

Abstract

Tuberculosis (TB) remains a significant public health issue, particularly in high-risk settings such as penitentiaries. This community service aimed to enhance TB awareness and management among inmates at the Surabaya penitentiary, East Java, Indonesia. The educational method employed was an interactive talk show, allowing participants to actively engage through question-and-answer sessions, discussions, and relevant case studies. This approach sought to improve participants' understanding and involvement, making the information more comprehensible and applicable to daily life. The program also included TB screening for inmates. Results showed a significant increase in participants' TB awareness. The percentage of participants able to correctly identify TB symptoms significantly improved, demonstrated by their ability to recognize common signs like prolonged cough, fatigue, and night sweats. Understanding of TB transmission also drastically increased, with 70% of participants realizing that TB spreads through airborne droplets when an infected person coughs or sneezes. Furthermore, awareness regarding TB prevention measures such as maintaining hygiene, mask usage, seeking early medical care, and adherence to treatment rose to 70%. These findings highlight the effectiveness of the educational program in reducing TB transmission and improving health within correctional facilities. Therefore, continuous implementation of similar programs in various penitentiaries is crucial for tackling TB in vulnerable populations and preventing its spread to the wider community.
Digital Innovations in Patient-Centered Care: The Emerging Role of Natural Language Processing Putra, Bima Ananta; Arini, Merita; Tamaranny, Yoviena Kusuma Terichtia
Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol. 7 No. 4 (2025): November
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijeeemi.v7i4.115

Abstract

Patient-Centered Care (PCC) faces critical challenges such as fragmented communication, limited interpretation of patient narratives, and underutilization of real-time feedback. Natural Language Processing (NLP) offers promising solutions by enabling the structured analysis of unstructured data like Electronic Health Records (EHRs), social media content, and patient feedback. This study aims to systematically map the scholarly landscape of NLP applications in PCC between 2015 and 2025, identifying key trends, dominant research themes, and knowledge gaps. A bibliometric analysis was conducted using the Scopus database, with inclusion criteria focused on peer-reviewed, English-language articles in relevant health and technology fields. From an initial set of 645 records, 254 publications met the eligibility requirements. Data cleaning and network analysis were performed using OpenRefine, MS Excel, and VOSviewer, focusing on co-authorship, keyword co-occurrence, and citation density. Results indicate an exponential increase in research output, rising from five publications in 2015 to eighty-one in 2024, largely driven by high-income countries with advanced digital infrastructure. Five thematic clusters emerged: (1) Social Media–Based Patient Communication, (2) Sentiment Analysis for Care Feedback, (3) Clinical Decision Support via NLP, (4) AI-Powered Patient Empowerment, and (5) Modeling Perceived Quality of Care. Implications include the development of real-time, AI-driven feedback loops, multimodal data integration, and culturally responsive chatbot systems. This study also highlights urgent directions for future research, such as building explainable and ethical AI models, integrating diverse data sources, and designing adaptive NLP applications that support longitudinal patient engagement. It offers foundational insights into the evolving role of NLP in enhancing personalized, responsive, and ethically sound PCC.
COST-EFFECTIVENESS ANALYSIS OF AMLODIPINE AND CANDESARTAN USE IN TYPE 2 DIABETES MELLITUS PATIENTS WITH COMORBID HYPERTENSION IN YOGYAKARTA, INDONESIA Hadning, Ingenida; Riswana, Nabila Uswah; Ardhani, Nariswari Cahya; Arini, Merita
Jurnal Farmasi Sains dan Praktis Vol 11 No 2 (May-August 2025)
Publisher : Universitas Muhammadiyah Magelang

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

Abstract

Type 2 diabetes mellitus, often accompanied by comorbid hypertension, necessitates expensive and prolonged treatment. Therefore, conducting a cost-effectiveness analysis is crucial to identify the most economically viable option by comparing the costs and therapeutic efficacy of amlodipine and candesartan in patients with type 2 diabetes mellitus and comorbid hypertension in Yogyakarta, Indonesia. This research aims to analyze therapy costs and effectiveness using pharmacoeconomic assessment, specifically calculating ACER (Average Cost-Effectiveness Ratio) and ICER (Incremental Cost-Effectiveness Ratio) values. The study uses a quantitative approach with retrospective data collection from patient medical records through total sampling. This research gathered data from 149 medical records. The cost-effectiveness analysis based on ACER values revealed the following: amlodipine 5 mg cost IDR 86; amlodipine 10 mg cost IDR 51; candesartan 8 mg cost IDR 571; candesartan 16 mg cost IDR 727. The ICER value of amlodipine 5 mg – candesartan 8 mg cost IDR 1,527; amlodipine 5 mg – candesartan 16 mg cost IDR 2,192; amlodipine 10 mg – candesartan 8 mg cost IDR –8454; amlodipin 10 mg – candesartan 16 mg cost IDR –5,979. The therapy is considered cost-effective when the ACER value is low, and the negative value of ICER indicates that the treatment has lower costs with greater effectiveness. So, using amlodipine 10 mg is the most cost-effective approach for reducing blood pressure in type 2 diabetes mellitus patients with comorbid hypertension in Yogyakarta, Indonesia.
Global Trends in Telemedicine Design Approaches Over the Past Decade: Tren Global dalam Pendekatan Desain Telemedisin Selama Sepuluh Tahun Terakhir Zulfikar, Aditya Rahmat; Arini, Merita
Indonesian Journal of Innovation Studies Vol. 26 No. 4 (2025): October
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/ijins.v26i4.1410

Abstract

General Background: Telemedicine has rapidly evolved as a pivotal component of global healthcare, providing remote services that enhance clinical outcomes and patient access. Specific Background: Despite significant technological advancements, the design dimension of telemedicine systems remains crucial for ensuring usability, inclusivity, and sustainability. Knowledge Gap: Previous studies have primarily addressed isolated aspects of interface or AI integration, lacking a comprehensive, data-driven mapping of global design trends in telemedicine. Aims: This study employs a bibliometric analysis of 1,115 open-access Scopus-indexed publications (2014–2024) to map thematic clusters, identify evolving research focuses, and evaluate key design approaches in telemedicine. Results: Findings reveal a sharp rise in publications post-2020 driven by the COVID-19 pandemic, with six major clusters encompassing user-centered design, clinical effectiveness, access equity, research methodology, pandemic response, and integration of scientific databases. Novelty: By synthesizing technological, clinical, and socio-economic perspectives, this research provides the first decade-long, global bibliometric analysis of telemedicine design, highlighting adaptive user-centered and evidence-based approaches. Implications: The results underscore the necessity for inclusive, crisis-responsive, and evidence-informed design strategies to enhance telemedicine’s scalability and equity across diverse healthcare contexts Highlights: Highlights rapid growth of telemedicine design research, especially post-COVID-19. Identifies six global thematic clusters guiding inclusive and adaptive system design. Emphasizes user-centered, evidence-based approaches for sustainable telehealth solutions. Keywords: Telemedicine, Design, User Centered, Bibliometric, Healthcare
Improving Cadres Knowledge and Skills in Non-Communicable Disease Control and Care in Kulonprogo, Yogyakarta Arini, Merita; Prakoso, Denny Anggoro; Suratini; Primastuti, Harumi Iring
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. 2 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.I2.2025.147-155

Abstract

Non-communicable disease (NCD) necessitates prolonged continuous intervention that impacts enormous morbidity, mortality, and socioeconomic repercussions on a global scale. Community and private primary healthcare facilities need to be more interconnected, although they have significant roles in NCDs' prevention and care. Aims: To enhance the community's competencies regarding NCDs through the involvement of private primary care. Method: The method used was a quasi-experiment (non-control, nonrandomisation) with the 'Aisyiyah Clinic involvement as the mentor for participants. The study involved 41 faith-affiliated cadres from 'Aisyiyah and Nasyiatul Aisyiyah, Kulonprogo, Yogyakarta Special Region Province, Indonesia. Interventions include health education sessions on NCDs and essential health examinations for NCD screening practices. The study evaluation was conducted using a pre-test and post-test of knowledge and skill observation checklist, followed by the Wilcoxon signed-rank, Spearman, and Kruskal-Wallis tests. Results: Education and practices increased participants' knowledge of NCDs (p=0.000) with a large effect size (r=0.50). The cadres also observed that they could perform their competencies in these examinations (100%). Additionally, there was no significant difference in knowledge (pre-test and post-test) based on cadres’ demographic background (p>0.05). In contrast, there was a significant difference in initial knowledge (pre-test), according to both duration of time as a cadre (p = 0.011). Conclusion: Health education and practices effectively increase health cadres' knowledge and skills related to NCD control. Simultaneously with continuous community empowerment, the study findings highlight a need for better integration between public health initiatives and private sector resources to sustainably improve the community health workers' role.
Co-Authors Abdul Latif Kurniawan Akram, Muh Ardhani, Nariswari Cahya Arlina Dewi Asmi, Sarah Ayu Budi Asmi, Sarah Ayu Budi Astuti, Yurni Dwi Basha, Muzaitul Akma Binti Mustapa Kamal Binti Wan Mamat, Wan Hasliza Dedi Afandi Desiani Wahyu Utami Dewi, Arlina Edwin Tohaga, Edwin Ekorini Listiowati, Ekorini Emma Rachmawati Endang Sulistyawati Erwin Astha Triyono Fajar Adi Nugroho Fauzan Adima Ferawati, Bangkit Ina Hasliza Wan Mamat, Wan Husen, Abeng Anandri Imam Riadi Ingenida Hadning Iring Primastuti, Harumi Kartikadewi, Indriani Kartikawati, Tri Kurniawan, Nurcholid Umam Kusumayanti, A.A.Ayu Mas Lisa, Corina Mamat, Wan Hasliza Wan Masyfufah, Lilis Mochamad Iqbal Nurmansyah Noeryosan, Ilham Novanda, Aisyah Wahyu Nurhidayati Nurhidayati Prakoso, Denny Anggoro Pramayanti, Yuyun Pratama, Dewanto Dika Primastuti, Harumi Iring Puspita, Gina Putra, Bima Ananta Rachmad, Eka Basuki Ramadhan, Roy Novri Ramadhani, Putri Nabilah Ranti, Imaniar Riswana, Nabila Uswah Robbani, Ghulbuddin Samsudin, Agus Samsudin, Mohammad Agus Saputra, Galang Nanda Stephanie, Karyn Sulistyawati, Endang Suratini Suryanto, Farid sutanto, warkim Tamaranny, Yoviena Kusuma Terichtia Tan, Feriawan Teuku Ilham Noeryosan Wan Mamat, Wan Hasliza Warih Andan Puspitosari, Warih Andan Warkim Sutarto Zulfikar, Aditya Rahmat