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Rosiana Eva Rayanti
Universitas Kristen Satya Wacana
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Journal : An Idea Health Journal

 1 
Determinants of Hypertension Self-Care Among Older Adults in Rural Central Java: A Path Analysis Study Rosiana Eva Rayanti; Gracia Permatasari; Natalia Esti Kristanti; Aura Syafaroh; Marsela Riska Raswandaru; Ayu Afriani Panyuwa; Indrawan Adhitomo
An Idea Health Journal Vol 6 No 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i01.648

Abstract

Background: Consistent self-care is key for effective hypertension management, but is difficult for older adults in rural settings. Understanding how individual and contextual factors interact helps develop targeted nursing interventions. This study examined the determinants of self-care adherence among older adults with hypertension in rural Central Java by analyzing the direct and indirect links between hypertension knowledge, self-care profiles, and health care empowerment. Methods: A quantitative study with path analysis included 60 older adults (aged >60 years) with hypertension in Getasan District, Semarang Regency, Central Java. Data were collected from August to December 2025 via validated questionnaires and analyzed using SmartPLS and IBM SPSS version 24. Result: Health service empowerment had the strongest positive effect on self- care adherence (β = 0.402, p < 0.001). Hypertension knowledge did not directly influence adherence, but it did so through health care empowerment (β = 0.171, p = 0.004). The model explained 23% of the variance in self-care adherence (R2 = 0.230). Conclusion: Health care empowerment, rooted in patient motivation and perception, is the main factor in adherence and mediates health knowledge. Nursing interventions should shift from education to empowerment-based strategies to enhance independence in hypertension management among rural populations.  
Bahasa Inggris Ayu Afriani Panyuwa; Rosiana Eva Rayanti; Wina Yutari; Shanda Setiawan; Fany Rahma; Even Yuanda
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.v6i02.677

Abstract

Background: The rising prevalence of non-communicable diseases (NCDs) necessitates the development of innovative digital healthcare solutions to improve prevention and self-management. This study developed and evaluated an Android-based application for NCD prevention and management, focusing on feasibility, validity, and reliability. Methods: A research and development (R&D) approach was utilized, comprising four stages: define, design, develop, and disseminate. The application underwent expert feasibility testing with nursing experts, community specialist physicians, contextual experts, and program managers. Construct validity was determined using item-total correlation (Pearson), and reliability was assessed with Cronbach’s alpha. Additionally, a small-scale user trial with 40 participants evaluated ease of use, appearance, satisfaction, and overall usability using a 17-item Likert-scale instrument. The application achieved high feasibility, with an overall score of 86.4%. Results: All items met established validity and reliability criteria. User testing further indicated strong acceptance, favorable usability, high user satisfaction, and a positive interface evaluation. Conclusion: In summary, the Android-based NCD application is feasible, valid, and reliable for supporting the prevention and management of non- communicable diseases. Larger-scale studies are warranted to assess its effectiveness in improving health behaviors and outcomes.
Co-Authors Agung Rimayanto Gintu Aini, Indera Aitonam, Defeni Ester Ambar Sasi, Galuh Amiman, Aprilia Kinanti Ampugo, Yaser Arivudin Andanti, Maria Fransisca Andreyani, Lina Anggela, Anggela Angreit Angel Priskila Rompas Apintamon, Simeon Asi, Feronika Adithia Eka Aura Syafaroh Ayu Afriani Panyuwa Ayu Afriani Panyuwa Bidana, Eta Gelina T. Catherine Natawirarindry Cena, Fransiska Debby Helda Sentia Desi Desi Desi Desi, Desi Desi, Desi Dhanang Puspita Essing, Rriwu Raun Even Yuanda Fanisa Carolin Fany Rahma Farizi Farizi Fatkhul Amri Al Mubarroq Ferry Fredy Karwur Fiane de Fretes Fiane de Fretes Fransiska Faberta Kencana Sari Galih Wibisono Galuh Ambar Sasi Gracia Permatasari Hendri Gunawan Indrawan Adhitomo Jayanti, Eni Dwi Juli Marjaya Zai Kinanti, Gita Wido Kolong, Sintia Kristiawan Prasetyo Agung Nugroho Kukuh Pambuka Putra Laksono, Dwi Lastanto Loupatty, Sanci Natalia Lutang, Sri Agnes Kala Lydia Limin Maplani, Dyna Christiana Putri Marpaung, Bethania Clara Marsela Riska Raswandaru Marsela Riska Raswandaru Marwa, Shendy Lusynthia Maunita, Risda Dwi Meldy Enggelina Nenobanu - UKSW Salatiga Militia Christi Gloria Maindoka Mirin, Matan Moyau, Martesa Naftalina , Elisa Esa Natalia Esti Kristanti Natalia Santika Wariunsora Natalia, Theresia Destin Ndapamerang, Beatriks Nenobanu, Megilda Yufitri Novilya Meydi Lalintia Noya, Wilda Pascalia Nugraheni , Istananda Tirtaning Nugraheni, Istananda Tirtaning Nur Hidayah Patulak, Dazza Lozhera Payumka , Desi Permatasari, Gracia Permatasari, Mayang Januarti Prameshwari, Deshinta Pratama, Debora Kristina Pratama, Jonathan Sandy Presty Adventri Putri, Kristina Angelika Putri, Silviani Rachel Theananda Sari Raditya, Arya Rambu L.N.K. Retno Triandhini Raswandaru, Marsela Riska Rebokh, Febriyanti Yestelda Ren Sisca Novia Retno Triandhini Rully Toar Tumanduk Salawala, Joten Sampoerno Sari, Anis Sih Kurnia Sarwoko, Nazart Tri Sasue, Megawati Christin Novitasari Setyawati, Indah Shanda Setiawan Simon Pieter Soegijono Sio, Floranessa Christina SRI RAHAYU Sri Suwartiningsih Stephanie Martha Silahoy Sugiarto, Felicia Yoan Sugiarto, Marchus Sumolang, Steven Syafaroh, Aura Tedy Christopel Keluanan Theresia Pratiwi Elingstyo Sanubari Threceya Rambu Lika Handja Analalo Tinengke, Miracle Calista Ellas Tobing, Tegar Anggiama Treesia Sujana Tumbal, Vini Ubro, Maya Santika Utan, Yoadan Tabita Venti Agustina Vinda Natalia Watu, Rislon K P Wauran, Indriani Bastian Christy Werfete, Rivaldy Alfrets Wina Yutari Windika Novtavia Manggopa Yanto, Oliviani Yayi Suryo Prabandari Yoel, Laudri J.L. Yohana Ikka Maylani Yohanes Reynaldi Lumowa Yuandi , Devara Kevin Yulius Yusak Ranimpi Zai, Anwar Kristian