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All Journal International Journal of Public Health Science (IJPHS) Tropical Medicine Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN snimed Jurnal Kesehatan Masyarakat Jurnal Kebijakan Kesehatan Indonesia International Journal of Advances in Intelligent Informatics Jurnal Pengabdian Kepada Masyarakat (Indonesian Journal of Community Engagement) Pharmascience Belitung Nursing Journal JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Majalah Farmaseutik SISFO Jurnal Ilmu Kefarmasian Indonesia Jurnal Kesehatan Indonesia Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Journal of Community Empowerment for Health Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Wellness And Healthy Magazine Jurnal Integrasi Kesehatan dan Sains Indonesian Journal of Global Health research Intan Husada : Jurnal Ilmiah Keperawatan Generics: Journal of Research in Pharmacy Journal of Information Systems for Public Health Berita Kedokteran Masyarakat Media Informasi Jurnal Sistem Informasi Gema Kesehatan Academic Hospital Journal Generics : Journal of Research in Pharmacy Jurnal Info Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Lutfan Lazuardi
Faculty Of Medicine, Public Health And Nursing, Gadjah Mada University, Yogyakarta, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Education Engineering Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Veterinary

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Journal : Belitung Nursing Journal

 1 
Effectiveness of mHealth on self-care profile and blood pressure among patients with hypertension in Indonesia: A single-blind randomized controlled trial Widyastuti, Chatarina Setya; Dinarti, Lucia Kris; Aulawi, Khudazi; Lazuardi, Lutfan
Belitung Nursing Journal Vol. 11 No. 3 (2025): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3760

Abstract

Background: Self-management is essential for controlling blood pressure and requires consistent effort. Mobile health (mHealth) applications can support patients in independently managing hypertension and maintaining better control over their blood pressure. Objective: This study aimed to evaluate the effectiveness of MaRiTensi mobile application in improving knowledge, motivation, self-efficacy, and self-care among patients with hypertension, as well as in lowering blood pressure. Methods: A two-arm randomized controlled trial with a single-blind evaluator was conducted among 108 patients with hypertension, recruited from a private hospital and two health centers in Yogyakarta, Indonesia. The 12-week study was implemented from October 2023 to April 2024. Participants were randomly assigned to the intervention group, which used the MaRiTensi app, or the control group, which received usual care. Primary outcomes—knowledge, self-care, self-efficacy, and motivation—were measured using a validated questionnaire, while the secondary outcome—blood pressure—was assessed through clinical measurement. Ninety-nine participants completed the study and were included in the analysis. Repeated measures ANOVA was used to evaluate within-group changes over time. Intergroup comparisons were analyzed using the chi-square test, independent t-test, or Mann–Whitney U test. Results: No significant baseline differences were found between the two groups (p >0.05). Significant improvements were observed in knowledge, self-care, and systolic and diastolic blood pressure in both groups (p <0.01). Self-efficacy significantly improved only in the intervention group (p <0.01). No significant changes in motivation were observed over time in either group (p >0.05). Significant between-group differences were found at the first evaluation for self-care (p = 0.005; d = 0.58), self-efficacy (p = 0.011; d = 0.52), motivation (p = 0.026; d = 0.44), systolic pressure (p = 0.039; d = 0.42), and diastolic pressure (p = 0.009; d = 0.54), and at the second evaluation for self-care (p = 0.024; d = 0.46). Conclusions: MaRiTensi may effectively improve self-care, self-efficacy, and blood pressure control among patients with hypertension, although it showed limited impact on knowledge and motivation. The application shows promise as a nursing intervention, but further research is needed to assess its long-term effectiveness and sustainability. Trial Registry Number: NCT06049862 [ClinicalTrials.gov]
Co-Authors A.A. Ketut Agung Cahyawan W Abdul Wahab Adi Wibowo Agus Kharmayana Rubaya Agustina, Luthfi Ahmad Zacky Anwary Ahmed, Ashir Amalia, Ichlasul Anai, Akane Andaru Dahesihdewi Andri Gustiadi Anindya Wirasatriya Anis Fuad Anna Wahyuni Widayanti Apriyanto, R. Hendri ARIEF KURNIAWAN NUR PRASETYO Aris Setyawan Arjuna, Tony Astutiany, Denny Auliyah, Fitratun Bagian PKMK, Fakultas Kedokteran UGM Bagian Prodi Kesehatan Masyarakat, FKM UNISKA Bagian Prodi S2 Ilmu Kesehatan Masyarakat, Fakultas Kedokteran UGM Bekti Sukoco Buti Azfiani Azhali Chairun Wiedyaningsih Chatarina Setya Widyastuti Chin, Wei Hong Citra Indriani Doko, Karmelia Intany Dyah Wulan Sumekar Rengganis Wardani Dyah Wulan Sumekar Rengganis Wardani Edy Purwanto Eni Susanti Faisal Mansur Faizah, Noor Faradiba Faradiba Fathur Rahman Filirida, Meidina Fitri Haryanti GRACE SHALMONT, GRACE Guardian Y. Sanjaya Guardian Yoki Sanjaya Hanifah, Nimah Happy Indah Kusumawati Hari Kusnanto Hari Kusnanto Harry, Sunandar Hartono Hartono Heri Priyatmoko Heryawan, Lukman Hidayah . Hidayati, Ani Hizriansyah I Ketut Agung Enriko Ignasius Luti Ikeda, Subaru Iswarno Iswarno Ivanawati, Anselma Katrina Feby Lestari Khudazi Aulawi Kikuchi, Kimiyo Kubota, Naoyuki Kurnianingsih Kurnianingsih, Kurnianingsih Kusnanto, Hari Kusnanto, Hari Latifa, Ken Inayati Lucia Kris Dinarti M. Yogi Riyantama Isjoni Maruf, Rafiqul Islam Mubasysyir Hasanbasri Muhammad Thesa Ghozali Muhammad Zaini Nakashima, Naoki Nastiti Anggraini Ni&#039;mah Ning Rintiswati Ning Rintiswati Nishikitani, Mariko Nugroho, Tri Adi Nurholis Majid, Nurholis Oktaviani, Zakiyah Pawa, Ira Deseilla PRADNYA SRI RAHAYU, PRADNYA SRI Prakosa, Hendri K. Prasetyawati, Dini Prastowo, Muhammad Yogie Pratama, Rio Aditya Purnama, Mia Raharjo, Untoro Dwi Rahmadewi, Pama Ratmasari, Dewi Resna, Riksa Wibawa Riris Andono Ahmad Rochady Setianto Rosady, Dony Septriana saeni, muhriati - Sari, Permata Satibi Satibi Satibi Satibi Sato, Yoko Satrisno, Hary Setiawan, Mohammad Yusuf Shinta Prawitasari Siswanto Sastrowijoto Sri Werdati, Sri Sudarta Yabesman Harefa Sugiyanto, Nida Alhusna Sumarni Sumarni Sumunar, Dimas Sunardi, Paul Supriati, Titi Suriadi, Widyastuti Susi Ari Kristina Sutaryana, Beni Mulyadi Sutriana, Vivi Ninda T. Satoto, Tri Baskoro T. Satoto, Tri Baskoro T. Satoto, Tri Baskoro Tita Bariah Siddiq Tjahjono Kuntjoro Tri Baskoro Tunggul Satoto Tyas, Reni Trianing Wasilah Rochmah Widyandana Widyandana Wiwin Lismidiati Wulandari, Hanifah Yodi Mahendradhata Yohanes Yohanes Yokota, Fumihiko Zhu, Ningxin