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Systematic Review: Pengaruh Program Pendampingan Self Help Group Terhadap Tingkat Viral Load Dan Kepatuhan Minum ARV Pada ODHA Suan, Carolina Fina; Wiarsih, Wiwin; Widyatuti, Widyatuti
Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Vol 11, No 2 (2025): JMK Yayasan RS.Dr.Soetomo, Oktober 2025
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29241/jmk.v11i2.2368

Abstract

Program pendampingan Self Help Group (SHG) telah digunakan sebagai intervensi psiko-sosial untuk meningkatkan kepatuhan pengobatan dan menurunkan viral load pada Orang dengan HIV/AIDS (ODHA). Namun, efektivitas SHG dalam meningkatkan kepatuhan minum antiretroviral (ARV) dan menurunkan tingkat viral load masih menunjukkan variasi hasil antar studi. Oleh karena itu, dilakukan systematic review untuk menganalisis pengaruh program SHG terhadap tingkat viral load dan kepatuhan minum ARV pada ODHA.Kajian ini menggunakan desain systematic review dengan panduan PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Literatur dicari melalui empat basis data: Scopus (n=34), ScienceDirect (n=3.945), ProQuest (n=5), dan Sage Journal (n=5), dengan total hasil pencarian awal sebanyak 12.365 artikel. Kata kunci yang digunakan: ("Self Help Group" OR "Support Group") AND ("Viral Load" OR "HIV Suppression") AND ("ARV Adherence" OR "Medication Compliance") AND ("PLHIV" OR "HIV Patients"). Seleksi dilakukan berdasarkan inklusi studi intervensi terhadap ODHA yang menilai dampak SHG terhadap kepatuhan dan viral load. Dari hasil penyaringan, diperoleh sejumlah artikel yang memenuhi kriteria dan menunjukkan bahwa keterlibatan dalam SHG secara konsisten berkorelasi positif dengan peningkatan kepatuhan minum ARV serta penurunan viral load. Beberapa studi juga menunjukkan peningkatan dukungan sosial, pemahaman penyakit, dan pemberdayaan individu sebagai mediator utama. Program SHG terbukti berpengaruh positif terhadap peningkatan hasil klinis ODHA, khususnya dalam aspek kepatuhan pengobatan dan kontrol virologis. SHG direkomendasikan sebagai intervensi tambahan dalam layanan HIV terintegrasi di berbagai setting layanan kesehatan. Penerapan SHG juga mendukung manajemen rumah sakit dalam meningkatkan kualitas pelayanan komprehensif serta memperkuat sistem dukungan pasien dalam continuum of care
The influence of body mass index (BMI) and physical activity changes on the effectiveness of e-health in obesity among adults: A systematic review Mahmuddin, Mahmuddin; Mulyono, Sigit; Rekawati, Etty; Wiarsih, Wiwin
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 10 (2024): Volume 7 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

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Abstract

Background: The use of e-health is now widely used as a new intervention e-health can be applications in smart phones, smart watches, or wearables, as well as telemedicine, interactive video and web-based interventions. Purpose: Submitting the results of exploration related to the impact of e-health use in increasing physical activity and changes in BMI in adults with obesity. Method: Literature reviews on several databases such as clinical key nursing, sage journal, and Pubmed using PRISMA methods. Results: This systematic review study proves that eHealth has an influence on physical activity and BMI in adults with obesity. From the 7 articles that used e-health as an intervention in changing physical activity and BMI showed significant results against changes in physical activity, BMI despite using different types of eHealth, such as virtual reality, smartphone applications/wearable devices and telehealth. Conclusion: The use of e-health can be recommended as part of a body weight management strategy as it has a good impact over time and needs to be integrated with nursing interventions so that nurses can monitor patient progress and adjust recommendations based on the data collected.
Psychometric Evaluation of the Stakeholder Support Questionnaire for Integrated Primary Care: Evidence of a Multidimensional and Hierarchical Construct in Indonesia Wiwin Wiarsih; Utami Rachmawati; Muhamad Jauhar; Megah Andriany; Endang Triyanto; Lita Heni Kusumawardani; Maula Mar'atus Solikhah; Umi Hani; Kinantika Nur Dewanti; M.Agung Akbar
An Idea Health Journal Vol 6 No 02 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i02.638

Abstract

Background: Integrated primary care (IPC) is recognized as essential for strengthening health systems. However, Indonesia currently lacks a validated instrument to assess stakeholder support, which is a critical determinant of successful IPC implementation. This study evaluated the content validity, internal structure, and reliability of the newly developed Stakeholder Support Questionnaire for Integrated Primary Care (SSQ-IPC), grounded in Freeman’s Stakeholder Theory. Methods: A cross-sectional psychometric validation was conducted with 570 primary healthcare nurses recruited through stratified random sampling across Indonesia. The initial 18-item instrument, encompassing four constructs, underwent content validation by a panel of seven experts. Data analysis included calculating the Content Validity Index (CVI), conducting exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and second-order CFA. Model fit was assessed using multiple fit indices, while construct validity and reliability were evaluated through factor loadings, Average Variance Extracted (AVE), Cronbach’s alpha, and McDonald’s omega. Results: EFA supported a four-factor structure. First-order CFA indicated acceptable model fit (CFI = 0.933, TLI = 0.921, SRMR = 0.037), with all factor loadings statistically significant (p<.001) and strong indicator reliability. Convergent validity was established with AVE values ranging from 0.650 to 0.869, and internal consistency was high across constructs (α= 0.877–0.978; ω = 0.884–0.973). Second-order CFA supported a hierarchical model, with all four constructs significantly loading onto a higher-order factor. Conclusion: The SSQ-IPC demonstrates strong evidence of validity and reliability, supporting its multidimensional and hierarchical structure. This instrument provides a robust tool for research and practice, facilitating.
The Effectiveness of Community-Based Nutrition Education in Reducing Stunting in Remote Areas: A Systematic Review Nasirun, Hafizs; Rekawati, Etty; Rahmadiyah, Dwi Cahya; Wiarsih, Wiwin
Journal of Islamic Nursing Vol 11 No 1 (2026): Journal of Islamic Nursing
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/join.v11i1.63930

Abstract

Abstract Community-based nutrition education is a key strategy for addressing stunting in geographically isolated regions, yet synthesized evidence on its effectiveness in these specific high-constraint environments remains limited. This systematic review evaluates the impact of community-based nutrition education on stunting and child nutrition outcomes in remote and rural areas. We searched six major databases (ProQuest, ScienceDirect, Scopus, SAGE, SpringerLink, Taylor & Francis) for randomized controlled trials and quasi-experimental studies published between 2014 and 2024. Following PRISMA guidelines, twelve studies (N=53,570) from Asia, Africa, and Latin America were included for qualitative synthesis. Interventions combining nutrition counseling, cooking demonstrations, and home visits significantly improved complementary feeding practices, dietary diversity, and hygiene behaviors. While all studies reported improvements in caregiving, significant reductions in stunting prevalence (ranging from 4.9% to 35%) were primarily observed in multi-year programs that integrated educational components with targeted nutritional supplementation and growth monitoring. In isolation, education improved dietary diversity but had modest, statistically insignificant effects on linear growth. Community-based nutrition education is most effective in reducing stunting when implemented as a multifaceted, long-term intervention linked to social support and supplementation. Policy design for remote areas must prioritize culturally adapted, resource-integrated models to achieve measurable anthropometric gains. Keywords: adolescents, assertive training, boarding school, Islamic values, interpersonal communication.