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All Journal JURNAL GIZI INDONESIA JURNAL PROMOSI KESEHATAN INDONESIA Jurnal Ilmu Kesehatan Masyarakat Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Health Notions Journal of Maternal and Child Health Journal of Telenursing (JOTING) Indonesian Journal of Global Health research Media Gizi Kesmas Jurnal Promotif Preventif Jurnal Kesehatan Tambusai Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Eduvest - Journal of Universal Studies Salus Publica Karya Kesehatan Siwalima International Journal of Language and Ubiquitous Learning Journal of International Multidisciplinary Research
Ira Nurmala
The University of Georgia
Aerospace Engineering Humanities Computer Science & IT Dentistry Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Zentangle Art to Improving Mental Health: A Scoping Review Hermanto, Edi; Kurnia, Galuh Mega; Nurmala, Ira; Devy, Shrimarti Rukmini
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI1 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.ISI1.2025.227-234

Abstract

Background: Due to its increasing incidence, mental health has become a global concern in recent years. Therefore, academics, practitioners, and researchers have been searching for the best approach to mental well-being that will affect mental health. Art therapy has long been used as a tool to improve mental health. However, not all forms of art therapy are suitable for everyone. Zentangle, a method of drawing repetitive patterns, has attracted attention as one form of art therapy that is easy to learn and practice. Objectives: To explore the effectiveness of Zentangle in improving mental health. Methods: This review uses a Scoping Review using 3 databases: ProQuest, PubMed and ScienceDirect. The exclusion criteria are systematic review, scoping review and literature review. Of the 15 articles found, 6 were included in the inclusion criteria, which were then used as material for discussion in this article. Discussion: Findings from 6 articles show that Zentangle therapy can improve cognitive focus and emotional well-being, effectively alleviate Stress and lessen feelings of frustration, reduce symptoms of depression, foster compassion and encourage positive emotions. Conclusions: Zentangle therapy can foster positive emotions such as gratitude and self-achievement, improving physical, mental and spiritual well-being and thus positively affecting mental health.
Membangun Kesadaran Remaja Tentang Pencegahan Kekerasan Seksual Melalui Pendidikan Kesehatan Di Kota Kendari Al Rajab, Muhammad; Rania, Rania Fatrizza Pritami; Kurniawan, Fajar; Lisnawati, Lisnawati; Tawakal, Tawakal; Andilah, Sultan; Harun, Marheni Fadilah; Kurniawati, Fitri; Munsir, Noviani; Nurmala, Ira; Nasrun, Efa Kelya Nasrun; Hasiu, Teti Susliyanti Hasiu; hasmita, hasmita; Widyastika, Della
Karya Kesehatan Siwalima Vol 3, No 2 (2024): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v3i2.1343

Abstract

Kekerasan seksual pada remaja merupakan masalah sosial yang berdampak serius terhadap kesehatan fisik dan mental korban. Remaja sebagai kelompok rentan sering kali tidak siap menghadapi kekerasan seksual, yang dapat memicu gangguan psikologis jangka panjang, seperti depresi dan trauma. Salah satu faktor utama yang meningkatkan kerentanannya adalah kurangnya pengetahuan tentang hak tubuh dan batasan pribadi, serta pengaruh sosial dan budaya yang tabu membahas seksualitas. Oleh karena itu, pencegahan kekerasan seksual membutuhkan pendidikan yang terstruktur di sekolah dan keluarga. Tujuan dari pengabdian masyarakat ini adalah meningkatkan kesadaran remaja mengenai pencegahan kekerasan seksual melalui pendidikan kesehatan di SMP 11. Metode yang digunakan meliputi ceramah, demonstrasi, dan media edukasi seperti powerpoint, brosur, dan video. Evaluasi dilakukan dengan pre-test dan post-test untuk mengukur perubahan pengetahuan dan sikap siswa. Hasilnya menunjukkan peningkatan yang signifikan, dengan nilai rata-rata pengetahuan meningkat dari 18,50 menjadi 24,80 (p=0,000), dan sikap meningkat dari 19,00 menjadi 25,90 (p=0,000). Sebanyak 80% siswa memahami hak tubuh mereka, 90% mengenali batasan pribadi, dan 76% dapat mengidentifikasi situasi berisiko kekerasan seksual. Program ini berhasil meningkatkan pengetahuan dan kesadaran siswa serta mengembangkan sikap asertif. Disarankan untuk memasang spanduk di sekolah dengan informasi terkait hak tubuh dan cara melaporkan kejadian berisiko. Program ini dapat diterapkan di sekolah lain untuk memperluas dampak positif dalam pencegahan kekerasan seksual pada remaja.
The Effectiveness of the HEY Website for Increasing Adolescents’ Reproductive Health Knowledge Nurmala, Ira; Agus Salim, Lutfi; Muthmainnah, Muthmainnah; Nadia, Asma; Suria Zainuddin; Sandra Pérez
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. 1 (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.I1.2025.114-121

Abstract

Background: Conventional health promotion media such as leaflets are considered not to meet the needs of patients for health information. Ineffective health promotion media can contribute to the occurrence of a health problem. The HEY Website is a health promotion media that is aligned with the current situation which is the digital era. Objectives: This study was conducted to analyze the increase in knowledge of high school students who have received edutainment interventions from the HEY Website. Methods: This research was quantitative research with a quasi-experimental research design in the form of peer educator training using the HEY website. The respondents of this study were 50 high school students at SMAN 1 Turen in Malang Regency with the inclusion criteria being grade X and XI and active in student organizations as they may bring better influence among peers. Results: There was an increase in knowledge, as shown by the average pretest score of 64.5. After the training, the post-test score showed an average number of 86.2. Statistical analysis also showed significant results in knowledge differences before and after the intervention (P=0,000). Conclusion: The HEY website as a digital-based adolescent health promotion media proved significant in increasing student knowledge about adolescent health.
Enhancing Infant Immunization Rates: Determinants of Complete Routine Vaccination in an Urban Indonesian Primary Health Center Salim, Lutfi Agus; Muthmainnah, Muthmainnah; Zahro, Alif Fatimatuz; Pratiwi, Damai Arum; Nurmala, Ira; Lin, Chung-Ying; Restuti, Dini Yulia; Salsabila, Annisa Clara
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 3: MARCH 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.v8i3.7100

Abstract

Introduction: Infant immunization is crucial in reducing mortality and morbidity, aligning with the Sustainable Development Goals (SDGs) to promote health and well-being. In Indonesia, routine immunization for infants aged 0-12 months includes essential vaccines and newer antigens like PCV and Rotavirus. Maternal beliefs significantly influence immunization completion. This study examines factors affecting mothers' decisions regarding complete immunization in the Banyu Urip Health Center area using the Health Belief Model. Methods: A cross-sectional study was conducted on 86 mothers with infants aged 12-24 months to assess immunization completeness during their first year. The study analyzed the relationship between maternal perceptions, such as susceptibility, severity, benefits, barriers, self-efficacy, and cues to action and immunization behavior. Results: Findings showed a moderate relationship between perceived susceptibility, severity, barriers, and cues to action with immunization behavior. A strong correlation was observed between perceived benefits, self-efficacy, and participation in complete immunization. Mothers with higher risk perception, awareness of severity, strong belief in benefits, and self-efficacy, along with strong cues to action and fewer barriers, were more likely to ensure full immunization for their infants. Conclusion: The study highlights the importance of strengthening awareness and reducing barriers to improve immunization rates. Enhancing maternal self-efficacy and addressing perceived obstacles can increase full immunization coverage, ensuring better health outcomes for infants.
MENINGKATKAN KUALITAS HIDUP LANSIA MELALUI EDUKASI HIPERTENSI DAN SENAM RINGAN DI DESA LENGKONG, GRESIK Putri Hanifah, Diah Nanda; Nurmala, Ira
Jurnal Kesehatan Tambusai Vol. 6 No. 2 (2025): JUNI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i2.45366

Abstract

Meningkatnya jumlah lansia di Indonesia yang mencapai 1,4 miliar pada tahun 2024, menghadirkan tantangan kesehatan masyarakat yang signifikan, terutama terkait prevalensi hipertensi. Di Desa Lengkong, Kabupaten Gresik, kurangnya kesadaran dan edukasi tentang hipertensi masih terlihat jelas di kalangan lansia. Program pengabdian masyarakat ini bertujuan untuk meningkatkan literasi kesehatan lansia melalui pendidikan kesehatan dan aktivitas fisik yang ditargetkan. Metode yang digunakan terdiri dari sesi edukasi selama 45 menit tentang hipertensi - termasuk definisi, penyebab, gejala, komplikasi, dan pencegahannya - yang diikuti dengan sesi olahraga ringan bersama. Selebaran dibagikan, dan para peserta secara aktif terlibat dalam diskusi dan menjawab pertanyaan. Doorprize diberikan sebagai motivasi. Acara diakhiri dengan senam massal anti hipertensi dan sesi foto bersama. Para peserta menunjukkan antusiasme yang tinggi dan keinginan untuk mengikuti kegiatan promosi kesehatan di masa mendatang. Program ini menunjukkan pentingnya dan efektifnya menggabungkan edukasi dan aktivitas fisik dalam pemberdayaan kesehatan masyarakat, terutama untuk kelompok rentan seperti lansia.
Enhancing Health Education Using Edutainment: A Quantitative Study in Malang Regency, Indonesia Muthmainnah, Muthmainnah; Salim, Lutfi Agus; Nurmala, Ira; Nadia, Asma; Salsabila, Annisa Clara
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 5: MAY 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.v8i5.7134

Abstract

Introduction: Adolescent health education is essential for promoting long-term well-being, yet many students lack access to effective and engaging learning approaches. This study evaluates the impact of structured teacher training combined with edutainment-based interventions on improving adolescent health knowledge and behavioral intentions using the Theory of Planned Behavior (TPB) in Malang Regency, Indonesia. Methods: A quantitative pre-experimental design was used with a pre-test–intervention–post-test structure. The study involved 22 teachers from five schools and 56 junior high school students from SMPN 1 Kepanjen, Malang. The intervention included comprehensive teacher training and interactive edutainment sessions for students, covering topics such as adolescent characteristics, physical activity, assertive communication, and time management. Knowledge changes were analyzed using the Wilcoxon signed-rank test. Results: The intervention significantly increased knowledge in both groups. Students' average scores improved from 73.2 (pre-test) to 84.4 (post-test) (p < 0.001), while teachers’ scores increased from 69 to 83.4 (p < 0.001). However, no significant changes were observed in students' subjective norms, behavioral control, or behavioral intentions. Conclusion: Combining structured teacher training with edutainment is an effective strategy for enhancing adolescent health knowledge. This approach provides a scalable model for improving health literacy, though further efforts are needed to influence behavioral intentions and self-efficacy.
Crossing The Gap Between Stakeholders: Qualitative Study of Stakeholders’ Perspective on Adolescent Health Program in Surabaya Muthmainnah, Muthmainnah; Nurmala, Ira; Agus Salim, Lutfi; Puspita Devi, Yuli; Ying Lin, Chung; Yulia Restuti, Dini; Laverack, Glenn
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.I2.2025.174-183

Abstract

Nearly 30% of Indonesian population is adolescent. Indonesia has various programs to improve the health status of adolescents from various sectors. However, the program intended for adolescent reproductive health has not been fully utilized, with one of the reasons being improper management by primary healthcare on cross-sector cooperation causing a knowledge gap among adolescents about the program. Purpose: This study aims to identify the perception of stakeholders from various sectors on adolescent health program in Surabaya, East Java. Methods: This study used a qualitative descriptive approach through interviews and FGDs to relevant stakeholders. Research subjects came from elements of government (health, education, religion, family planning, and social), NGOs, media (radio, newspaper media), teachers (representatives of 10 high schools in Surabaya), parents (Family Health Empowerment group). Data were analyzed by thematic analysis. Results: Every governmental office has a program for adolescents, but most are only providing information. Therefore, NGOs complete programs have not been implemented by the government such as a peer educator program for high-risk community. The media also has youth programs that are tailored to the needs or trends. Teachers and parents as having the closest control with adolescents, also play a role in providing information and accompanying adolescents. The various roles of the various stakeholder groups require synergy efforts to avoid overlapping. Conclusion: Adolescents in Surabaya are considered unhealthy and engage in risky behaviors by relevant stakeholders. Various programs have been implemented to support adolescent health. However, different perspectives on implementing adolescent health programs can cause conflict between stakeholders or confusion among adolescents. The diversity of stakeholders involved in adolescent health programs also needs to be encouraged.
The Relationship Between Peer and Familial Social Support and Mental Well-Being of Indonesian College Students During the COVID-19 Pandemic Nurmala, Ira; Sari, Jayanti Dian Eka; Farapti, Farapti; Muthmainnah, Muthmainnah; Shah, Dianna Suzieanna Mohamad; Adnan, Airil Haimi Mohd; Devi, Yuli Puspita; Karindra, Nisrina Auliyah Laras; Tyas, Laila Wahyuning; Habil, Hadina; Salsabila, Annisa Clara
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 9: SEPTEMBER 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.v8i9.7849

Abstract

Introduction: Student mental well-being was a concern prior to the COVID-19 pandemic. During COVID-19, mental health problems increased due to heightened anxiety and concern. Family and friends' support plays a crucial role in maintaining students' mental health. This study examines the impact of social support on students' mental well-being during the pandemic. Methods: This analytic observational study employed a cross-sectional design with a total of 400 active student participants. Psychometric instruments used in this study were the Sallis Social Support Scale and the short version of the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS-7). Data were analyzed using Spearman correlation to determine the relationship between family and friends' support and students' mental well-being. Results: There was no significant relationship between family support and students’ mental well-being. However, only support from friends showed a statistically significant positive relationship with students' mental well-being (r = 0.176, p = 0.001), while support from family was not significantly associated (p = 0.073). Conclusion: Social support from friends played a crucial role in maintaining students' mental well-being during COVID-19. Encouraging peer support, such as reminding each other to complete tasks, can positively influence mental health.
Penggunaan Kontrasepsi pada Perempuan dengan HIV di Dunia Marista, Dayu; Nurmala, Ira
Jurnal Promosi Kesehatan Indonesia Volume 17 No.1 Januari 2022
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.17.1.25-34

Abstract

Background: HIV infection is a public health problem. In 2019, more than 38 million people were living with HIV, and more than 1.7 million people contracted HIV. On the other hand, it was reported that infant morbidity and mortality remained high, with more than 160,000 infants contracting HIV and more than 100,000 dying from AIDS-related causes. Increased access and improved service programs to control HIV transmission from mother to child are in line with the increasing number of pregnant women with HIV. Women with HIV and their partners need to plan carefully before deciding to have children. Women living with HIV and their partners need to take advantage of services that provide information and contraceptive tools to prevent unplanned pregnancies. The study aimed to understand how HIV-infected women chose contraceptives.Method: Search for articles with a systematic review using four databases consisting of Pubmed, Science Direct, Sage, and Emerald Insight with a publication range of 2017-2020. The keywords used were contraceptive use AND HIV women. The inclusion criteria used were women with HIV aged 15-49 years and used a cross-sectional design.Results: The findings indicated that injections, condoms, and implants were the most common methods of contraception used by women with HIV. Motivation for contraceptive use in women with HIV is influenced by age, marital status, knowledge, number of children, education, previous history of contraceptive use, history of childbirth, lack of fertility desires, income, residence, CD4 count, child's HIV status and partner's HIV status.  
Faktor Karakteristik Individu dan Body Appreciation Yang Berhubungan Dengan Motivasi dan Tingkat Aktivitas Fisik Mahasiswa di Kabupaten Banyuwangi Pada Masa Pandemi Nur Aisyah, Syafira Septika; Nur Aini, Zaroh Ulfa; Nurmala, Ira
Jurnal Promotif Preventif Vol 7 No 1 (2024): Februari 2024: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v7i1.1144

Abstract

Motivasi dalam aktivitas fisik memiliki peran yang sangat dasar dan krusial untuk mendorong setiap individu untuk menggerakkan dan mengarahkan tindakan yang akan dilakukan. Penelitian ini bertujuan untuk menganalisis hubungan karakteristik individu dan body appreciation dengan motivasi aktivitas fisik dan tingkat aktivitas fisik mahasiswa di Kabupaten Banyuwangi. Jenis penelitian ini merupakan penelitian kuantitatif dengan desain cross sectional study yang selanjutnya dilakukan analisis korelasi. Hasil penelitian yaitu terdapat hubungan antara usia, jenis kelamin, dan body appreciation dengan motivasi aktivitas fisik; ada hubungan motivasi aktivitas fisik dengan tingkat aktvitas fisik; tidak ada hubungan IMT, pengeluaran dalam sebulan, dan jenis tempat tinggal dengan motivasi aktivitas fisik.
Co-Authors 'Izzat, Muhammad Anwarul Adelia Perwita Sari, Adelia Perwita Adnan, Airil Haimi Mohd Al Rajab, Muhammad Andi Safutra Suraya Andilah, Sultan Andrean, Sugi Rico Andriyani Andriyani Apriansyah Hutagalung, Carli Ayu, Ratih Sekar Azizah, Rosa Azzahra, Shoffiyah Hanin Damai Arum Pratiwi Devi, Yuli Puspita Deviatin, Nafiatus Sintya Dewi Rokhmah Evodius Nasus Fajar Kurniawan Farapti Farapti Fitri Kurniawati Hadina Habil Hanna Tabita Hasianna Silitonga Harris, Neil Harun, Marheni Fadilah Hasda, Hasda Hasiu, Teti Susliyanti Hasiu Hasmita, Hasmita HERMANTO, EDI Ihsan, Firman Maulana Iken Nafikadini, Iken Jayanti Dian Eka Sari, Jayanti Dian Karindra, Nisrina Auliyah Laras Kevaladandra, Zulfa Kurnia, Galuh Mega L. Lisnawati Laverack, Glenn Lin, Chung-Ying Lisnawati Lutfi Agus Salim Mahsusoh, Anna Malintang, Jimmy Mandasari, Amalia Ayu Marista, Dayu Mochammad Bagus Qomaruddin Muji sulistyowati Munsir, Noviani Muthmainnah Muthmainnah Nadia, Asma Nasrun, Efa Kelya Nasrun Nasus, Evodius Nur Aini, Zaroh Ulfa Nur Aisyah, Syafira Septika Nur, Zilvi Fuadiyah Oedojo Soedirham Pamela, Daniar Dwi Ayu Petrus Jacob Pattiasina Puspita Devi, Yuli Putri Hanifah, Diah Nanda Putri, Stephani Dwiyana Qomarrudin, Mochammad Bagus Qur'ani, Qur'ani Rania, Rania Fatrizza Pritami Restuti, Dini Yulia Reza, Ali Salsabila, Annisa Clara Sandra Pérez Shah, Dianna Suzieanna Mohamad Shrimarti Rukmini Devy Sitio, Denita Mayasari Sri Widati Suria Zainuddin Sushanty, Dian Arie Tawakal, Tawakal Tawakkal Tawakkal, Tawakkal Tyas, Laila Wahyuning Widyastika, Della Wiseman, Nicola Wiwik Handayani Ying Lin, Chung Yuda, Alfiyan Dharma Yulia Restuti, Dini Zahro, Alif Fatimatuz