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EFEKTIVITAS INTERVENSI HEALTH BELIEF MODEL TERHADAP PERILAKU PENCEGAHAN HIPERTENSI REMAJA DI WILAYAH DINOYO Anggun Setyarini; Agus Setyo Utomo; Maria Diah Ciptaningtyas; Tazkia Aulia Ramadina4; Khoirin Sayyidah; Dhini Anggie Diah Ningsih
Jurnal Informasi Kesehatan Indonesia (JIKI) Vol. 10 No. 3 (Suplemen) (2024): Jurnal Informasi Kesehatan Indonesia
Publisher : Politeknik Kesehatan Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jiki.v10i3 (Suplemen).6486

Abstract

Background: The increasing prevalence of hypertension in adolescents aged 15-24 years, reaching 9.3%, demands holistic preventive strategies beyond conventional education. This study aims to evaluate the effectiveness of Health Belief Model (HBM)-based educational interventions on changing primary hypertension prevention behavior in adolescents. Subjects and Method: This quasi-experimental study with a Non-Equivalent Control Group Pretest-Posttest Design involved 120 students (60 intervention, 60 control) in the Dinoyo PHC working area. The sampling technique used multi-stage cluster random sampling. Variables were measured using structured questionnaires and clinical measurements, then analyzed using ANCOVA and Partial Least Squares Structural Equation Modeling (PLS-SEM). Results: The HBM intervention was significantly effective in transforming hypertension prevention behavior (p < 0.001; effect size η2 = 0.380) compared to standard education. Structural analysis showed that self-efficacy was the most dominant predictor (β = 0.51) in mediating the adoption of a healthy lifestyle. Conclusion: HBM intervention contributes significantly to fostering early healthy behavior habituation. Policy implications suggest integrating HBM modules into School Health Unit (UKS) programs
Uji Klinis Terapi Musik Sebagai Intervensi Komplementer Berbasis Komunitas dalam Pengendalian Hipertensi di Puskesmas Ardimulyo Nurul hidayah; Agus Setyo Utomo; Tri Nataliswati; Siti Nur; Annisa DN; Niswatul F
Jurnal Informasi Kesehatan Indonesia (JIKI) Vol. 10 No. 3 (Suplemen) (2024): Jurnal Informasi Kesehatan Indonesia
Publisher : Politeknik Kesehatan Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jiki.v10i3 (Suplemen).6489

Abstract

Background: Hypertension in East Java reaches a prevalence of 32.8% with a low control rate of only 16.3% due to treatment fatigue. This study aimed to prove the clinical effectiveness of music therapy as a community-based complementary intervention on blood pressure reduction among primary hypertension patients in Ardimulyo Health Center. Subjects and Method: This study utilized a quasi-experimental design with a pretest-posttest control group approach. A total of 60 respondents were selected through purposive sampling and evenly distributed into intervention and control groups. The intervention group received instrumental music therapy (tempo 60-80 bpm) for 15 minutes daily over 4 weeks with family and health cadres support. Data were analyzed using Paired Sample T-Test and Independent Sample T-Test. Results: The intervention group showed a highly significant reduction in blood pressure (Systolic: 155.20 to 135.30 mmHg, p=0.000; Diastolic: 96.40 to 85.20 mmHg, p=0.000). Conversely, the control group showed no significant reduction (p>0.05). There was a highly significant difference in the reduction margin between groups (Δ systolic p=0.001; Δ diastolic p=0.001). Conclusion: The integration of music therapy with a community social support system is empirically effective in reducing blood pressure and increasing self-efficacy and compliance in primary hypertension patients compared to sole pharmacotherapy
PEMBERDAYAAN SISWA DALAM MENGENALI DAN MENGELOLA KECEMASAN MELALUI EDUKASI DAN LATIHAN STRATEGI PENGELOLAAN KECEMASAN SECARA MANDIRI Agus Setyo Utomo; Eddi Sujarwo; Abdul Hanan; Marsaid Marsaid; Nurul Hidayah
COMMUNITY : Jurnal Pengabdian Kepada Masyarakat Vol. 7 No. 1 (2027)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/community.v7i1.16535

Abstract

Anxiety is a prevalent mental health concern that frequently disrupts adolescents' academic focus, emotional stability, and social interactions within school environments. Preliminary observations at SMP Arroudhoh Baturetno, Singosari District, Malang Regency, identified symptoms of nervousness during class presentations, excessive test anxiety, and an inability to alleviate somatic tension. This community service project aimed to enhance students' capacity to identify anxiety cues and practice self-regulation skills through participatory psychoeducation and group activity techniques. A descriptive-evaluative design utilizing a pre-test and post-test framework was implemented with 32 purposively selected eighth-grade students. The program comprised needs assessment, baseline evaluation, interactive lectures, deep breathing and grounding demonstrations, small-group guided practice, and post-intervention assessment. The results demonstrated an increase in mean knowledge scores from 58% to 84%, with students achieving good knowledge rising from 31.3% to 87.5%. Behavioral observation revealed that the ability to identify anxiety cues rose from 37.5% to 90.6%, correct execution of relaxation techniques increased from 21.9% to 84.4%, and independent practice capacity escalated from 18.8% to 81.3%. Health education combined with active simulation proves effective in empowering students to independently mitigate situational anxiety as a sustainable school-based mental health preventive strategy. ABSTRAK Kecemasan merupakan permasalahan kesehatan mental yang kerap mengganggu konsentrasi belajar, kestabilan emosi, dan interaksi sosial remaja di lingkungan sekolah. Observasi awal di SMP Arroudhoh Baturetno, Kecamatan Singosari, Kabupaten Malang, menemukan fenomena kegugupan saat berbicara di depan kelas, kekhawatiran berlebih terhadap ujian, dan ketidaktahuan siswa dalam meredakan ketegangan fisik. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan kapasitas siswa dalam mengenali tanda kecemasan serta mempraktikkan keterampilan regulasi emosi mandiri melalui pendekatan edukasi partisipatif dan aktivitas kelompok. Metode pelaksanaan menggunakan desain deskriptif evaluatif dengan pendekatan sebelum dan sesudah kegiatan (pre-test dan post-test) pada 32 siswa kelas VIII yang dipilih secara terarah. Rangkaian kegiatan terdiri atas identifikasi kebutuhan, pengukuran awal, penyampaian materi interaktif, demonstrasi teknik relaksasi napas dalam dan grounding, latihan terbimbing dalam kelompok kecil, serta evaluasi akhir. Hasil kegiatan menunjukkan kenaikan skor rata-rata pengetahuan dari 58% menjadi 84%, dengan proporsi kategori baik melonjak dari 31,3% menjadi 87,5%. Keterampilan siswa dalam mengenali tanda kecemasan meningkat dari 37,5% menjadi 90,6%, keterampilan teknik relaksasi meningkat dari 21,9% menjadi 84,4%, dan kemandirian latihan meningkat dari 18,8% menjadi 81,3%. Edukasi kesehatan yang dipadukan dengan simulasi langsung terbukti efektif memperkuat pemberdayaan siswa dalam mengelola kecemasan sehari-hari secara mandiri sebagai bentuk intervensi preventif kesehatan mental di sekolah.