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Effect of Digital Health Education Towards Anxiety among Pre-Operative Patients: A Systematic Review Daniel Nong Danche; Tintin Sukartini; Aria Aulia Nastiti; Ira Suarilah
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.3772

Abstract

Anxiety is a major issue that worsens clinical symptoms and often arises when patients undergo surgery. However, the review of the impact of digital health education on pre-operative patients with anxiety is still limited. This study aimed to determine the effectiveness of digital health education in reducing anxiety in pre-operative patients. Methods: A systematic review of quantitative studies was conducted. Relevant full-text articles were sourced from four databases: Web of Science, Science Direct, Proquest, and PubMed, from January 1, 2019, to December 31, 2024. The quality of the included studies was assessed by the Joanna Briggs Institute (JBI). A narrative analysis was performed to present the effectiveness of digital health education on pre-operative patients with anxiety. Results: A total of 13 studies were identified, involving 1,394 pre-operative patients. The age of the participants ranged from 5 to 68 years. The effectiveness of digital health education for pre-operative patients with anxiety was seen as a mixed program combining images, audiovisual materials, and interactive features that allowed patients to communicate with each other and healthcare professionals. Conclusion: This study highlights that digital health education interventions are a promising avenue in healthcare delivery due to advancements in technology and information.
Diagnostic Accuracy of Artificial Intelligence-Based Systems for Detecting Diabetic Retinopathy: A Systematic Review Nurul Hidayati; Ika Yuni Widyawati; Ira Suarilah; Trihaningsih Puji Astuti; Fauzi Tsanifiandi; Andi Safutra Suraya
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.4011

Abstract

Diabetic retinopathy (DR) represents a leading cause of blindness worldwide, early detection is critical to prevent vision loss. However, traditional screening methods, which rely on human experts, prove to be costly and time-consuming. The systematic review aims to assess the validity of artificial intelligence (AI) as a screening tool for detecting DR among diabetic patients. A systematic literature search was performed of the following databases: PubMed, Scopus, CINAHL, and Web of Science. The last date of our search was January 31, 2024. We included all observational studies, including cohort, case–control and cross-sectional studies and evaluated their quality using the Joanna Briggs Institute tool. We included diagnostic test accuracy studies evaluating the use of AI algorithms for DR screening in patients with diabetes. Studies were excluded if they exclusively assessed diagnostic accuracy for DR that did not use AI algorithms as a diagnostic tool and studies with incomplete or inaccessible data. Thirteen studies with sample sizes ranging from 69 to 1378 participants, reported good sensitivity of AI for detecting visually threatening DR (VTDR). The lowest sensitivity was 89.2%, and the highest was 100%. In terms of specificity, Any DR exhibited higher specificity compared to RDR and VTDR, ranging from 80.2% to 100%. The sensitivity and specificity of the Artificial Intelligence (AI)-based tools available for DR screening was considered acceptable, especially in detecting VTDR and Any DR, was regarded as good. These results implied the potential usefulness of these tools for DR screening in settings with limited resources. However, further high-quality comparative studies were deemed necessary to evaluate their effectiveness in real-world clinical settings.
Remote Digital Support for Adults with Pulmonary Tuberculosis: A Systematic Review Tisel, Yulmira; Suarilah, Ira; Wahyuni, Erna Dwi
Jurnal Ners Vol. 9 No. 3 (2025): JULI
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.46969

Abstract

Remote digital health services, including Video Directly Observed Therapy (VDOT) and Wirelessly Observed Therapy (WOT), offer a promising alternative to traditional Directly Observed Therapy (DOT) for tuberculosis (TB) treatment adherence. This systematic review, following PRISMA guidelines, analyzed 10 randomized controlled trials (RCTs) involving 2,226 participants across seven countries. Results showed remote interventions improved medication adherence by 93% and increased sputum conversion rates to 73%. Most participants (84–100%) preferred digital services due to convenience, reduced travel burden, and better communication with healthcare providers. Remote digital health enables flexible, patient-centered care, particularly beneficial in areas with limited healthcare access, while addressing barriers of conventional DOT. However, successful implementation depends on robust technological infrastructure, continuous training for healthcare workers, and patient engagement strategies. Further multicenter studies are needed to validate these findings and guide policy adoption. This review highlights the efficacy and acceptability of remote digital health in TB care, advocating for its integration into treatment programs to enhance compliance and outcomes. Keywords: Remote digital health, pulmonary tuberculosis, medication adherence, health risks, health service
Peningkatan Pengetahuan dan Self-Efficacy Kader Posyandu dalam Melakukan Edukasi dan Pembuatan Media Edukasi Gizi Nadhiroh, Siti Rahayu; Mahmudiono, Trias; Suarilah, Ira; Hargiyanto, Ernadila Diasmarani; Azzahra, Callista Naurah; Ramadhan, Sasha Anggita; Widayani, Soraya Tri; Yusryana, Eka Anisah
Media Gizi Kesmas Vol 13 No 2 (2024): MEDIA GIZI KESMAS (DECEMBER 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i2.2024.816-822

Abstract

Backgroud: Kangean Island is one of the islands in Sumenep Regency, Madura, East Java. Malnutrition in under-five children is still one of the main problems in the Kangean Islands. In this regard, empowering posyandu (integrated service post) cadres to carry out nutrition education independently is one of the important factors in the success of reducing this nutritional problem. Objective: This paper analyzes the effectiveness of training activities to increase the knowledge and self-efficacy of posyandu cadres on Kangean Island, Sumenep Regency. Methods: Community service was carried out on Kangean Island on July 19 and 20, 2024 in the form of two activities, namely posyandu cadre training on how to carry out nutrition education and create good nutrition education media on the first day, and the second day was a nutrition education competition jamboree. Participants were 18 posyandu cadres from four villages on Kangean Island. The activity's success was evaluated using pre- and post-test questionnaire instruments and a paired sample t-test was carried out to see the difference in the average level of knowledge and self-efficacy before and after training. In addition, from the jamboree, it can be seen to what extent the cadres can implement the training materials. Results: The average score of knowledge and self-efficacy increased after the cadre training. There was a significant difference between the pre- and post-test for the cadres' self-efficacy level in providing education and making nutritional education media (p-value 0.024). In addition, each group from each posyandu representative succeeded in becoming educators and was able to make creative nutritional education media during the cadre jamboree. Conclusion: Community service in the form of training can increase the knowledge and self-efficacy of cadres in providing nutritional education and making nutritional education media. It is hoped that cadre training to provide nutritional education and make educational media can be carried out periodically by various related institutions. Some awards can also be held to increase the enthusiasm of cadres to carry out their duties.