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All Journal Jurnal Gizi dan Pangan PROSIDING SEMINAR NASIONAL Media Gizi Mikro Indonesia Nexus Kedokteran Klinik Jurnal Gizi dan Kesehatan GIZI INDONESIA Journal of Epidemiology and Public Health Indonesian Journal of Medicine Journal of Health Policy and Management Journal of Health Promotion and Behavior Journal of Maternal and Child Health Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat Wellness And Healthy Magazine Indonesian Journal of Global Health research Nusantara Science and Technology Proceedings Smart Society Empowerment Journal Media Penelitian dan Pengembangan Kesehatan
Didik Gunawan Tamtomo
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Meta Analysis: Application of Health Belief Model on Tertiary Preventive Behavior in Type 2 Diabetes Mellitus Patients Haliza, Afifah Nur; Murti, Bhisma; Tamtomo, Didik Gunawan
Journal of Health Promotion and Behavior Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.03.01

Abstract

Background: Tertiary prevention of DM is taking action on DM sufferers who experience complications to prevent further disability by providing health education to DM sufferers about the importance of drug compliance, diet and exercise. The study aimed to analyze the effectiveness of the Health Belief Model application in improving tertiary preventive behavior in type 2 diabetes mellitus patients. Subjects and Method: This study is a systematic review and meta-analysis study using PICO. P: Patients with Diabetes Mellitus type 2; I: High perceived severity, high perceived benefit, high self-efficacy; C: Low perceived severity, low perceived benefit, low self-efficacy; O: Tertiary preventive behavior. Data collection was obtained from data bases, namely PubMed, Google Scholar, Elsevier and Springer Link. The inclusion criteria used were full-text articles with a cross-sectional design, published from 2013 to 2023, in English, the final results of the study were reported using the Adjusted Odd Ratio. The keywords used are “Health Belief Model” OR “HBM” AND “diabetes” AND “preventive behavior” OR “type 2” Health Belief Model” AND “type 2 diabetes mellitus” AND “Cross Sectional Study”. Articles were analyzed using Review Manager 5.3. Results: Meta-analysis showed the significant results. The study from Ethiopia, Nepal, and China concluded that high perceived severity had a 2.60 times higher influence than low perceived severity on tertiary preventive behavior (aOR= 2.60; 95% CI= 1.06 to 6.37; p= 0.040). Meta-analysis from Ethiopia, Malaysia, China, and Taiwan concluded that high perceived benefits had an influence of 1.76 times higher than low perceived benefits. (aOR= 1.76; 95% CI= 1.09 to 2.82; p= 0.020). The meta-analysis was obtained from Ethiopia, Sudan, India, and China it showed that high self-efficacy has an effect of 2.69 times higher than low self-efficacy (aOR= 2.69; 95% CI= 1.48 to 4.89; p= 0.001). Conclusion: Perceived severity, perceived benefits and self-efficacy increase tertiary preventive behavior in diabetes mellitus.
Multilevel Analysis of Information Motivation Behavioral Skill Models and Its Effect on Tertiary Preventive Behavior in Elderly with Type II Diabetes Mellitus Khairiyyah, Alimah Ulfah; Murti, Bhisma; Tamtomo, Didik Gunawan
Journal of Health Promotion and Behavior Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.03.04

Abstract

Background: Diabetes Mellitus (DM) is an important health condition for the elderly population, about a quarter of people over the age of 65 suffer from diabetes. Complications of type 2 diabetes increase the risk of death for sufferers. Complications and death from type 2 diabetes can be prevented by implementing tertiary preventive behavior. This study aimed to determine the influence of Integrated services post and other factors on tertiary preventive behavior for type 2 diabetes, using information motivation behavioral skill models theory. Subjects and Method: A cross-sectional study was conducted at 25 Integrated services post in Sukoharjo Regency, Central Java from October to November 2023. A total of 200 elderly patients with type II DM were selected by the stratified random sampling. The dependent variable is tertiary preventive behavior. The independent variables used are information, motivation, behavioral skills, age and gender. Data collection was carried out by interviews and questionnaires. Data analysis uses multilevel multiple linear regression analysis. Results: Tertiary preventive behavior is positively related to motivation (b= 0.31; 95% CI= 0.01 to 0.61; p= 0.037), behavioral skills (b= 0.74; 95% CI= 0.43 to 1.05; p= 0.001). Tertiary preventive behavior was positively related to information but was not statistically significant (b= 0.01; 95% CI= -0.30 to 0.32; p= 0.945). Tertiary preventive behavior was negatively related to age but was not statistically significant (b= -0.04; 95% CI= -0.11 to 0.01; p= 0.168) and gender (b= -0.07; 95% CI= -0.98 to 0.83; p= 0.878). Integrated services post has a contextual influence on tertiary preventive behavior in elderly patients with type-II DM (ICC= 35.99%). Conclusion: Tertiary preventive behavior in elderly patients with type 2 DM increases with good information, strong motivation and good behavioral skills. Integrated services post has a contextual effect on tertiary preventive behavior in type 2 DM patients.
Path Analysis: Implementation of Information Motivation Behavioral Skill Model on Tertiary Preventive Behavior in Type II Diabetes Melitus Tyas, Aktif Cahyaning; Murti, Bhisma; Tamtomo, Didik Gunawan
Journal of Health Promotion and Behavior Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.01.01

Abstract

Background: Diabetes Mellitus (DM) is a chronic metabolic disorder characterized by hyperglycemia. Hyperglycemia over a long period of time increases the occurrence of complications. Complications due to type 2 DM can be prevented or delayed by implementing tertiary preventive behavior. This study aims to analyze the influence of the Information Motivation and Behavior Skill Model on tertiary preventive behavior in type 2 DM patients. Subjects and Method: This research with a cross-sectional design was conducted in Boyolali Regency, Central Java from November to December 2023. The research was conducted at 25 posbindu in Ngemplak and Nogosari Districts. The sample size was 200 adults with a diagnosis of type 2 DM who were selected using the stratified random sampling method. The dependent variable is tertiary preventive behavior. The independent variables are information, motivation, behavioral skills, age, gender, education, and employment. Data collection was carried out using questionnaire interviews. Data were analyzed using path analysis in the STATA 13 application. Results: There is a positive relationship between behavioral skills and tertiary preventive behavior (b= 0.16; 95% CI= 0.02 to 0.29; p= 0.023). There is a positive relationship between information and behavioral skills (b= 0.25; 95% CI= 0.13 to 0.38; p<0.001). There is a positive relationship between motivation and behavioral skills (b= 0.38; 95% CI= 0.15 to 0.41; p<0.001). The path analysis model has good model suitability, as indicated by the following suitability indicators: p= 0.244; RMSEA= 0.045; CFI= 0.98; TLI= 0.95; SRMR= 0.032. Conclusion: Tertiary preventive behavior in adult type 2 DM patients is directly influenced by behavioral skills. Tertiary preventive behavior is indirectly influenced by information and motivation. Tertiary preventive behavior in type 2 DM patients increases with good information, strong motivation and good behavioral skills.
Meta-Analysis: Bullying's Effects on Anxiety and Depression in Adolescents Hanida, Amin Nur; Murti, Bhisma; Tamtomo, Didik Gunawan
Journal of Health Promotion and Behavior Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.01.06

Abstract

Background: Bullying is a major problem worldwide. Bullying itself is defined as a condition in the form of negative and repetitive behavior, carried out by a person or group of people, the treatment is carried out deliberately and intensely with the aim of hurting physically and mentally. This study aims to analyze and estimate the magnitude of the influence of bullying on anxiety and depression in adolescents. Subject and Method: The meta-analysis was performed according to the flow of the PRISMA diagram and the PICO model. P: Adolescents, I: Bullying, C: No bullying, O: Anxiety and depression. The search for articles in this study is through databases that include PubMed, Google Scholar, Science Direct and Scopus. With keywords including: "bullying" AND "anxiety" AND "depression" AND "adolescent". Full paper article with cross-sectional study, the subject of the study was adolescents, the measure of the relationship used was adjusted Odds Ratio, the outcome of the study was anxiety and depression. Analysis was done with Revman 5.3 Results: There were 10 articles with cross-sectional designs from the United States, Africa, China, Saudi Arabia, Malaysia, and Australia with a total of 282,799 research samples. A meta-analysis of 10 cross-sectional studies concluded that adolescents who experienced bullying had a 1.98 times greater risk of anxiety than those without bullying (aOR = 1.98; CI 95%= 1.54 to 2.53; A meta-analysis of 8 cross-sectional studies concluded that adolescents who experienced bullying had a 1.85 times greater risk of depression compared to no bullying (aOR= 1.85; CI 95%= 1.37 to 2.50; p<0.001). Conclusion: Bullying increases the risk of anxiety and depression in adolescents
The Application of Social Cognitive Theory on Tertiary Preventive Behavior in Elderly with Type 2 Diabetes Mellitus: A Multilevel Analysis Widyarahma, Amanda; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.01.08

Abstract

Background: Diabetes Mellitus is a chronic disease whose prevalence increases, especially in old age. About a quarter of people over the age of 65 suffer from diabetes. DM can cause serious compli­cations up to death. The importance of tertiary preventive behavior to prevent compli­cations. This study aimed to analyze the influence of the Social Cognitive Theory construct and the contextual influence of posyandu on the tertiary preventive behavior of elderly people with type 2 diabetes mellitus. Subjects and Method: A cross-sectional study was conducted at 25 integrated health posts (posyandu) in Magetan, East Java, Indonesia, from April to May 2024. 200 elderly with type 2 DM were selected by stratified random sampling. The dependent variable was tertiary preventive behavior. The independent variables were self-regulation, knowledge, expectations, self-efficacy, reinforcement, and observational learning. Data collection was carried out by interviews and questionnaires. The data were analyzed using a multiple multilevel linear regression. Results: Tertiary preventive behavior was higher in self-regulation (b= 0.24; 95% CI= 0.01 to 0.46; p= 0.038), know­ledge (b= 0.70; 95% CI= 0.23 to 1.17; p= 0.003), expectations (b= 0.53; 95% CI= 0.35 to 0.71; p <0.001), self-efficacy (b= 0.39; 95% CI= 0.11 to 0.67; p= 0.006), reinforcement (b= 1.26; 95% CI= 0.90 to 1.62; p<0.001), and observational learning (b= 0.30; 95% CI= 0.01 to 0.59; p= 0.036). There were no significant relationships of age and gender on tertiary preventive behavior. There was a contextual effect of elderly posyandu on tertiary preventive behavior (ICC= 6.39%). Conclusion: Tertiary preventive behavior is higher in self-regulation, know­ledge, expectations, self-efficacy, reinforcement, and observational learning. There are no significant relationships of age and gender on tertiary preventive behavior. There is a contextual effect of elderly posyandu on tertiary preventive behavior.
Application of Information Motivation Behavior Skill on Tertiary Preventive Behavior of Type 2 Diabetes Mellitus Patients at Blora Health Center Nabilla, Jihan; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.01.12

Abstract

Background: Diabetes mellitus (DM) is a priority disease that not only requires control efforts but is also important for prevention efforts. Complications that occur in type II DM patients can be prevented with tertiary preventive behavior. This tertiary preventive behavior can be done by applying the Information Motivation Behavior (IMB) skill model. The purpose of this study is to explore the influence of the application based on the IMB model on tertiary prevention behavior in type II DM patients. Subjects and Method: This study is cross sectional from April-May 2024. The sample used was 200 type 2 DM patients aged >18 years and selected by random sampling technique at the Blora Health Center, Central Java. The dependent variable was the tertiary preventive behavior of type 2 DM patients. The independent variables were information, motivation and behavioral skills. Data collection using questionnaires and data analysis using path analysis with Stata 13. Results: Tertiary preventive behavior of patients with type 2 diabetes mellitus was directly influenced by behavioral skills (b= 5.80; CI 95%= 4.73 to 6.87; p <0.001), information (b= 1.25; CI 95%= 0.01 to 2.50; p= 0.047) and gender (b= -1.60; CI 95%= -0.60 to -2.59; p= 0.002). Tertiary preventive behavior of type 2 DM patients through behavioral skills is indirectly influenced by information, motivation, age and education. Information is indirectly influenced by motivation and education. There was no significant effect on gender on behavioral skills. Conclusion: Tertiary preventive behavior is directly influenced by behavioral skills, information and gender. Tertiary preventive behavior is indirectly influenced by information, motivation, age, and education through behavioral skills. Tertiary preventive behavior is indirectly influenced by gender and education through information.
Pumpkin Soygurt Improves Blood Glucose Homeostasis in Diabetes Mellitus Rats Model Avelia, Annisa; Tamtomo, Didik Gunawan; Sari, Yulia
Jurnal Gizi dan Pangan Vol. 18 No. Supp.1 (2023)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2023.18.Supp.1.93-95

Abstract

The study aimed to analyze the effect of pumpkin yogurt on insulin resistance in a rat model. The experiment employed 30 male Wistar rats divided into six groups: three control groups (healthy, negative, and positive) and three treatment groups (metformin+PS 1 mL, 1.5 mL, 2 mL). The experiments were conducted for four weeks. Blood glucose homeostasis was measured by fasting blood glucose, insulin, Homeostatic Model Assessment for Insulin Resistance (HOMA-IR), and Quantitative Insulin-Sensitivity Check Index (QUICKI). Administrating a combination of metformin and pumpkin soygurt can control blood glucose homeostasis with an effective dose of 1 mL. Further research should be done on the hormone incretin, which plays a role in insulin secretion.
Co-Authors Adiansa, Rendi Adji Suwandono Afniratri, Atika Ahadiyati, Dyah Mubarokah Aisyah Nooratisya Alifiyanti Muharramah Amalia, Rizky Nur Aprilianti Aminuyati Ammutammima, Ummu Fatihah Anasulfalah, Hakim Andriani, Anisa Andriyaningtiyas, Yudi Angga Ferdianto Annisa Avelia Arief Suryono Ariwardani, Betty Nurizky Avelia, Annisa Bhisma Murti Budiarti, Esty Budiyanti Wiboworini Budiyono, Joko Burhannudin Ichsan Cahyo Setiawan Danang Ardiyanto Delfita, Tria Fora Dewi Shinta Dewi, Novita Herlita Diffah Hanim Diffah Hanim dinda khalifatulloh, Bhre diansyah Dono Indarto Eka Miftakhul Jannah, Eka Miftakhul Endang Sutisna Sulaeman Enggar Anggraeni, Enggar Faried, Faried Effendi Surono Fatony, Riska Fajar Fitriah Fitriah Haliza, Afifah Nur Hanida, Amin Nur Hanif, Ihsan Hermanu Joebagio Indriyati Oktaviano Rahayuningrum Irwan, Viola Fathia Islami, Dian Dini Karlinda Karlinda Khairiyyah, Alimah Ulfah Khairunissa, Khairunissa Khairunnisa Kun'ain, Utin Ilma Agni Kurnianingsih, Widya Larsiani, Lisa Safaah Novia Livia, Wardhatul Lourena, Crysty Maki Zamzam Mala Nurilmala Marlina, Devi Marwanto, Dwi Mayangkara, Radit H. Muchsin Doewes Mufidah, Naili Zahrotun Mufidatun, Ikhtiarisca Olifia Muhajir, Alfian Nabilla, Jihan NADIA FARAH DIBA Nia Handayani Noor Alis Setiyadi Novian Anindito Santosa Novianto, Fajar Novika, Revi Gama Hatta Nur Rahmawati, Eni Nurlia, Nazilla Ade Nurvitasari, Rahsunji Intan Pamilih, Ayu Trisni Permata, Annissa Devi Prameswari, Galuh Ayu Dyah Prasetya, Hanung Pratiwi, Danies Tunjung Pratiwi, Yeocelin Mega Prawito . Puspita, Wita Hana Puspitasari, Ratih Febrinasari Pusporini Rahardjo, Setyo Sri Rahayu, Putu Sri Rahmatika Nur Aini Ratih Puspita Febrinasari Ratna Dewi Kumalasari, Ratna Dewi Ratri, Maika RB. Soemanto Rita Adriani Benya Adriani Rofana Aghniya Rohmah, Isna Nur Rohmani, Alfiana Nur Rusdiyanti, Yunita Salamah, Siti Nafi'atus Sapja Anantanyu, Sapja Shinta Shinta Shinta Sholihah, Anisa Asri Siregar, Attila Yulaicha Advendila Siti Munawaroh Soemanto, RB Subiyanto, Achmad Arman Suciati, Ony Sukandriani Utami Sulahyuningsih, Evie Sumardiyono Sumardiyono Sutanto, Alfiani Vivi Syahbaniar, Desi Syamsiar, Syamsiar Tri Puji Pangesti Tyas, Aktif Cahyaning Uki Retno Budihastuti Ulfah Hidayati Uliyanti Uliyanti, Uliyanti Umar, Alwan Dhafi Vitri Widyaningsih Wahyudi, Anwar Wicaksono, Emirza Nur Widayati, Anis Nur Widiantoro, Reza Widyarahma, Amanda Yatty Destani Sandy Yohan Yuanta, Yohan yulia lanti retno dewi Yulia Sari Yuniarti Karunia, Yuniarti Zainal, Dwi Trisnawati