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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