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All Journal Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga. Jurnal Sistem Kesehatan 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 Jurnal Kesehatan Islam : Islamic Health Journal

Didik Tamtomo, Didik

Bagian Anatomi, Fakultas Kedokteran, Universitas Sebelas Maret

Author-ID : 522390

Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Environmental Science Health Professions Medicine & Pharmacology Public Health

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Articles

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Effect of Social Support and Self Efficacy on Drug Taking Adherence in Hypertensive Patients: A Meta-Analysis Sukma, Sukma; Tamtomo, Didik; Demartoto, Argyo
Journal of Epidemiology and Public Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.01.12

Background: Hypertension is a condition that causes a person to experience a drastic rise in blood pressure. Social support and self-efficacy are needed to improve skills, self-confidence and a sense of security for patients to be more compliant with taking medication. This study aimed to analyze the effect of social support and self-efficacy on medication adherence in hypertensive patients.Subjects and Method: This study is a meta-analysis using PICO, namely population: hypertensive patients; Intervention: good social support, good self-efficacy; Comparison: low social support, low self-efficacy; Result: medication adherence. The articles used in this study were obtained from two databases, namely PubMed and Google Scholar. Keywords in the article search “social cognitive theory (SCT)” AND “self efficacy“ AND ”social support “AND” hypertension” AND “medication adhe-rence”, cross-sectional. The included article is full English with a cross-sectional study design for 2012–2022 and reports the adjusted odds ratio (aOR) in multivariate analysis. Selection of articles using the PRISMA flowchart. Article analysis using the Review Manager 5.3 application.Results: 7 articles with a cross-sectional study involving 708 people with hypertension from 2 conti-nents namely Asia and Africa for systematic review and meta-analysis. The data collected showed that hypertensive patients with strong social support were twice as likely to adhere to medication as hypertensive patients with weak social support (aOR= 2.16; 95%CI= 1.82 to 2.57; p <0.001), Hyper-tensive patients with self-efficacy Those who are strong are more likely to adhere to medication twice than hypertensive patients with weak self-efficacy (aOR= 2.11; 95% CI = 1.27 to 3.52; p <0.004).Conclusion: Social support and self-efficacy improve medication adherence in hypertensive patients. Keywords: social support, self-efficacy, social cognitive theory, hypertension, medication adherence Correspondence:Sukma. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: sukmadenny1402@gmail.com. Mobile: +6281254428800.

Childhood Physical and Sexual Violences as Potential Factors of Post Traumatic Stress Disorder: A Meta-Analysis Alfiasari, Fadila; Tamtomo, Didik; Prasetya, Hanung
Journal of Epidemiology and Public Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.02.04

Background: WHO states that as many as 300 million children have experienced physical punishment or psychological violence. These traumatic events can cause Post Traumatic Stress Disorder (PTSD) which has an impact on the lives of victims of physical and sexual violence. The purpose of this study was to analyze and estimate the average influence of physical and sexual violence in childhood on the incidence of Post Traumatic Stress Disorder (PTSD) using a meta-analysis study.Subjects and Method: This research is a systematic review and meta-analysis with the selection of PRISMA flow diagrams. Population= adults aged >18 years. Intervention= experience of physical and sexual violence as children. Comparison= no experience of physical and sexual violence as children. Outcome= PTSD. Article searches through journal databases include: Pubmed, Google Schoolar, Science Direct, Researchgate and Springerlink. The articles used in this study are articles that have been published from 2000-2022. The keywords used in the database are “Child Physical Abuse”[tw] OR “Childhood Physical Abuse”[tw] OR “Child Maltreatment”[tw] OR “Physical Violence”[tw] OR "Physical Abuse"[Mesh] OR " Child Abuse"[Mesh] AND “Sexual Abuse”[tw] OR “Child Sexual Molestation”[tw] OR "Child Abuse, Sexual"[Mesh] OR "Sexual Trauma"[Mesh] AND “Post-Traumatic Stress Disorder*” [tw] OR “Posttraumatic Stress Disorder*” OR “Post-Traumatic Neuroses”[tw] OR “Post-traumatic Neuroses”[tw] OR “PTSD”[tw] OR "Stress Disorders, Post-Traumatic"[Mesh]. Inclusion criteria included full-text articles with a cross-sectional study design. The analysis used multivariate logistic regression with adjusted Odds Ratio and published in English. Articles that met the requirements were analyzed using the Revman 5.4 application.Results: Meta-analysis of 10 articles showing for childhood physical abuse (aOR=1.87; 95% CI=1.47 to 2.37; p<0.001) and childhood sexual violence (aOR=2.67; 95% CI=2.02 up to 3.52; p<0.001).Conclusion: Experience of physical and sexual violence in childhood increases the risk of developing Post Traumatic Stress Disorder as an adult. Keywords: Post Traumatic Stress Disorder, physical violence, sexual violence, meta-analysis Correspondence: Fadila Alfiasari. Masters Program in Public Health, Universitas Sebelas maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: alfiasari3108@gmil.com. Mobile: +6285235358882.

Meta Analysis: Correlation between Diabetes Mellitus and Surgical Wound Infection Fahrezi, Chattrin; Murti, Bhisma; Tamtomo, Didik
Indonesian Journal of Medicine Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Surgical wound infections complicate 10-20% of operations with a considerable burden of increasing morbidity, mortality, and health care costs. One third of postoperative deaths are associated with surgical wound infections. The risk of surgical site infection is associated with the presence of risk factors for diabetes mellitus. This causes patients undergoing surgery with diabetes mellitus to have a higher risk of developing surgical site infections. This study aims to examine the effect of diabetes mellitus on the incidence of surgical wound infection.Subjects and Method: This research was conducted using a systematic review design and meta-analysis using PRISMA flow diagrams. The article search was conducted by selecting articles published between the years 2000-2022 which were obtained from several databases of PubMed, Google Scholar, Science Direct, and Springer Link. The keywords used to search for articles were “Diabetes Mellitus”, “Surgical Site Infection”, “cohort”, “Diabetes Mellitus” AND “Surgical Site Infection”, “Diabetes Mellitus” AND “Surgical Site Infection” AND “adjusted odd ratio”. The analysis was carried out using RevMan 5.3 software.Results: Meta-analysis of 9 articles of diabetes mellitus (aOR= 2.54; 95% CI= 1.93 to 3.34; p<0.001) affected the incidence of surgical wound infection.Conclusion: Diabetes mellitus increases the incidence of surgical wound infections.Keywords: diabetes mellitus, surgical wound infectionCorrespondence: Chattrin Fahrezi. Masters Program in Public Health, Universitas Sebelas Maret, Jl.Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: chattrinfahrezi311@gmail.com. Mobile: 08812532292.Indonesian Journal of Medicine (2022), 07(02): 122-130https://doi.org/10.26911/theijmed.2022.07.02.01

Meta-Analysis the Effectiveness of Ivermectin Use on the Length of Stay in Inpatients of COVID-19 Wijayanto, Masromi Hendria; Tamtomo, Didik; Murti, Bhisma
Indonesian Journal of Medicine Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.058 KB)

Background: COVID-19 is a common problem in global health. COVID-19 is a disease that infects the respiratory tract caused by the Coronavirus virus. Symptoms range from mild to severe and life-threatening pneumonia can occur. At the beginning of the PSBB, information circulated that Ivemectin could treat COVID-19 infections. Ivermectin is an antiparasitic drug that can be used as prophylaxis and therapy for coronavirus disease 2019. Ivermectin is an alternative therapy for COVID-19 because there is a previous drug, chloroquine, which can be used to treat COVID-19. This study aims to estimate the effectiveness of Ivermectin on the duration of hospitalization of patients with COVID-19 based on the results of previous similar studies.Subjects and Method: This study is a meta-analysis with the following PICO, population: COVID-19 patients. Intervention: ivermectin. Comparison: standard therapy. Outcome: shorter duration of hospital stay. Meta-analyses and systematic studies using the PubMed, Scopus, Scholar, Springlink, Cochrane, Clinical Key, and Science Direct databases. Keywords using Ivermectin AND RCT AND COVID-19 AND “Coronavirus Disease” AND “NCOV disease” AND “COVID-19 treatment”. The article under study is a full-text article with a randomized controlled clinical trial (RCT) study design. Articles were collected using PRISMA diagrams and analyzed using Review Manager 5.3.Results A total of 9 Randomized Control Trial (RCT) studies from Europe, America, Asia and Africa were selected for systematic review and meta-analysis. COVID-19 patients receiving Ivermectin therapy decreased the duration of hospital stay by 1.52 units compared to standard therapy and this result was statistically significant (SMD= -1.52; 95% CI= -2.34 to -0.70; p= 0.003).Conclusion: Ivermectin can reduce the duration of hospital stay for COVID-19 patients.Keywords: COVID-19, ivermectin, duration hospital stayCorrespondence: Masromi Hendria Wijayanto. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: masromihendria@gmail.com. Mobile: 0895402471549.Indonesian Journal of Medicine (2022), 07(02): 200-208https://doi.org/10.26911/theijmed.2022.07.02.08

Effectiveness of Acupuncture Therapy to Reduce Pain in Patients with Upper Trapezius Myofascial Pain Syndrome: A Meta-Analysis Saraspuri, Niken Putri Eka; Tamtomo, Didik; Murti, Bhisma
Indonesian Journal of Medicine Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.27 KB)

Background: Upper trapezius myofascial pain syndrome is a muscle pain condition associated with sensory, motoric, or autonomic functions and generated by trigger point arising from hardened and stiff taut band of muscle fiber while being touched as well as palpated. One of the interventions to reduce the pain is by using acupuncture therapy. The study aims to analyze and estimate the effectiveness magnitude of acupuncture therapy toward the pain reduction in patients with upper trapezius myofascial pain syndrome.Subjects and Method: This was a systematic review and meta-analysis study using PRISMA diagrams. The article search was conducted based on the eligibility criteria using the PICO Model. population: patients with upper trapezius myofascial pain syndrome. Intervention: acupuncture therapy. Comparison: placebo acupuncture. Outcome: reduced pain. The articles used were from 6 databases, namely Pubmed, Google Scholar, Science Direct, Scopus, Spinger Link, and Hindawi Key words for article search were “acupuncture” OR “acupuncture therapy” AND “upper trapezius pain” OR “upper trapezius myofascial pain syndrome” OR “upper trapezius MPS” AND “Randomized Con¬trolled Trial” OR “RCT”. Inclusion criteria used of the study were full text articles with Randomized Controlled Trial study design, measure of association used was Mean SD. Articles were analyzed using the Review Manager 5.3 application.Results: The 9 articles reviewed were from Taiwan, China, UK, Turkey, Brazil, and Iran. The study result indicated that acupuncture therapy was effective in reducing pain in upper trapezius myofascial pain syndrome. Upper trapezius myofascial pain syndrome that obtained acupuncture therapy had average score of pain -1.16 units lower than placebo acupuncture (SMD= -1.16; CI 95%= -1.93 to -0.39; p= 0.003).Conclusion: Acupuncture therapy was effective in reducing pain in upper trapezius myofascial pain syndrome.Keywords: acupuncture, pain, upper trapezius myofascial pain syndrome, randomized controlled trial, meta-analysis.Correspondence: Niken Putri Eka Saraspuri. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: nikenputri54@gmail.com. Mobile: 081327372766.Indonesian Journal of Medicine (2022), 07(03): 326-336https://doi.org/10.26911/theijmed.2022.07.03.09

Effects of Virtual Reality Therapy and Range of Motion Exercise on Range of Motion in Stroke Patients: Meta-Analysis Nugroho, Septyan Dwi; Tamtomo, Didik; Prasetya, Hanung
Indonesian Journal of Medicine Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stroke is a disease caused by interference with blood flow in the brain which is still a global problem today. Post-stroke care needs to be done to prevent the worsening of the condition. One of the right interventions that can be done is virtual reality therapy and range of motion exercise. This study aims to examine, analyze and estimate changes in the range of motion of stroke patients with virtual reality therapy and range of motion exercise.Subjects and Method: Metaanalysis was carried out according to the PRISMA flow chart and the PICO model (Population: stroke patients, Intervention: virtual reality therapy and range of motion exercise, Comparison: not performed virtual reality therapy and range of motion exercise Outcome: range of motion). The databases used are Google Scholar, PubMed, and Science Direct. The keywords used (“virtual reality” OR VR) AND (stroke OR CVD) AND (“range of motion exercise” OR ROM OR “motor exercise”) AND (stroke OR CVD) AND “Randomized Control Trial”. The inclusion criteria were full-text articles with RCT studies published in 2012-2022, articles in English, and bivariate and multivariate analysis. Analysis was performed using ReVman 5.3.Results: There were 20 articles with a randomized control trial design originating from Iran, Turkey, China, Egypt, Myanmar, South Korea, Spain, the Netherlands, Italy, Switzerland, and Canada involving 799 people. A meta-analysis of 10 RCT studies concluded that virtual reality therapy increased the range of motion of stroke patients by 2.77 units (SMD= 2.77; 95% CI = 1.29 to 4.24; p<0.001) compared to no virtual reality therapy. In addition, the range of motion exercise intervention can also increase the stroke patient's range of motion by 0.84 units (SMD= 0.84; 95% CI= 0.35 to 1.33; p<0.001) compared to not being given range of motion exercise.Conclusion: Virtual Reality Therapy and Range of Motion exercises can increase the range of motion of stroke patients.Keywords: virtual reality therapy, range of motion exercise, stroke, range of motion, meta-analysis.Correspondence: Septyan Dwi Nugroho. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir Sutami 36A, Surakarta 57126, Central Java. Email: septyandwin@gmail.com. Mobile: 081804418933.Indonesian Journal of Medicine (2023), 08(01): 23-36https://doi.org/10.26911/theijmed.2023.08.01.03

Effect of Acupressure on Blood Glucose Level in Diabetes Mellitus Patients: Meta-Analysis Rosyida, Muslihatin Khuril; Tamtomo, Didik; Prasetya, Hanung
Indonesian Journal of Medicine Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia resulting from abnormalities in insulin secretion that affect blood sugar levels. Chronic hyperglycemia in DM is associated with long-term damage to several organs of the body. One of the interventions that can be given to lower blood sugar levels is acupressure therapy. The purpose of this study was to determine the effect of acupressure therapy on blood sugar levels in patients with diabetes mellitus.Subjects and Method: This study is a systematic review and meta-analysis with PICO, P: Diabetes mellitus patients, I: Acupressure, C: No acupressure, O: Blood sugar levels. The process of searching for articles is done through a database of journals including: Pubmed, Google Scholar, Science Direct, Scopus, Spinger Link, CNKI and Hindawi. The keywords used in the literature search were: “acupressure” AND “diabetes” AND “blood sugar” AND “blood glucose” AND “standard controlled trial”, “acupressure for diabetes”, “diabetes standardized controlled trial”, “acupressure randomized controlled trial”. trial”, diabetes acupoint, “diabetes and placebo”, “acupressure” AND “diabetes”. The articles included in the study were full text articles with a randomized controlled trial study design and the results were reported with the effect size, mean standard deviations (SMD). Articles were collected using PRISMA flow diagrams and analyzed using the Review Manager 5.3 application.Results: A meta-analysis of 9 articles reviewed in this study came from Taiwan, China, Indonesia, Egypt and Iran with a sample size of 451. The study results showed that acupressure therapy was able to reduce blood sugar levels in diabetes mellitus patients with SMD blood sugar values. acupressure was 0.56 units lower than no acupressure and was statistically significant with a significance value of (SMD=-0.56; 95% CI= -0.76 to -0.37; p<0.001).Conclusion: Acupressure therapy has the effect of lowering blood sugar levels in diabetes mellitus patients.Keywords: acupressure, blood sugar, diabetes mellitus.Correspondence: Muslihatin Khuril Rosyida. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: khurilrosyida@gmail.com. Mobile: 08564713149.Indonesian Journal of Medicine (2023), 08(01): 68-78https://doi.org/10.26911/theijmed.2023.08.01.07

Effect of Date Palm (Phoenix dactylifera) Fruits Consumption on Birth Delivery Outcome: Meta-Analysis Siwi, Ratna Purwani; Murti, Bhisma; Tamtomo, Didik
Indonesian Journal of Medicine Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The choice of cesarean section continues to increase in the world and is expected to continue to increase over the coming decades, which is almost a third of all deliveries in 2030. The benefits of dates for improving labor processes are considered to increase vaginal deliveries and also reduce the frequency of cesarean sections with the aim of reducing bigger complications. This study aims to analyze and estimate the influence of the consumption of dates on labor outcomes.Subjects and Method: This study is a systematic review and meta-analysis with PICO, P: Pregnant women, I: consumption of dates, C: No consumption dates, O: Bishop's score, length of labor, and postpartum hemorrhage. Data collection was obtained from databases, namely: PubMed, Science Direct, Springer Link, and Google Scholar. Keywords used “date fruit” OR “date palm” OR “phoenix dactylifera” AND “labor” AND “delivery”, AND “oxytocin” AND “hemorrhage”. The inclusion criteria used were full papers in English with the design of randomized controlled trials in 20002022. This study was analyzed using RevMan 5.3 software.Results: Meta-analysis was conducted on 4 primary studies from several countries such as Iran, Malaysia, and Saudi Arabia with a sample size of 603 pregnant women. The meta-analysis concluded that there was an effect of date consumption on cervical dilatation upon admission to the hospital (SMD= 0.73; CI 95%= 0.09 to 1.38; p=0.030). Consumption of dates also has an effect on the duration of active 1st stage labor (SMD= 0.46; CI 95%= 0.82 to 0.09; p= 0.010). Consumption of dates has a weak effect on the length of stage II labor (SMD= 0.05; 95% CI= 0.88 to 0.78; p= 0.910). In addition, the consumption of dates also has a weak effect on the length of stage III labor (SMD=0.16; CI95%=0.46 to 0.79; p=0.610).Conclusion: Consumption of dates has an influence on labor outcomes.Keywords: phoenix dactylifera, dates, labor, postpartum hemorrhage, Bishop scoreCorrespondence: Ratna Purwani Siwi. Masters Program in Public Health, Universitas Sebelas Maret. Jalan Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: ratnapsiwi@yahoo.com. Mobile: 085602389598.Indonesian Journal of Medicine (2023), 08(01): 79-91https://doi.org/10.26911/theijmed.2023.08.01.08

Effect of Gluten Free Casein Free Diet on Maladaptive Behavior in Autistic Children: Meta-Analysis Nurul Hakim, Ruliany Yuni; Tamtomo, Didik; Murti, Bhisma
Indonesian Journal of Medicine Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.3.647

Background: Children with Autism tend to experience gastrointestinal disorders more often. Interactions between the gut and brain microbiome influence mood and behavior in health and disease. Diet therapy, specifically the gluten and case-free diet (GFCF) is an elimination diet that involves removing certain proteins from the normal diet, such as gluten and casein. The right intervention can change behavior for the better and through the right handling. This study aims to estimate the effect of a case-free gluten-free diet on maladaptive behavior in autistic children, through a meta-analysis of primary studies conducted by previous authors. Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, population: Autism children, intervention: gluten-free case-free diet, comparison: no case-free gluten-free diet, outcome: maladaptive behavior. The articles used in this study were obtained from three databases, namely PubMed, Google Scholar, and Science Direct, using the search key “Diet Gluten Free Casein Free” OR “NonDiet Gluten Free Casein Free” OR “GFCF” AND “Autism” OR “Autism” AND “Maladaptive” AND “Randomize Controlled Trial” OR “RCT”. The included article is a full-text Randomized Controlled Trial study designed from 2002 to 2022 and reports the mean and SD in multivariate analysis. The selection of articles is done using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.4 application. Results: A total of 7 randomized controlled trial studies conducted in the Americas, Europe, and Asia were selected for meta-analysis. Autistic children who received casein-free gluten-free had an average score of 0.11 units of maladaptive behavior lower than those who were not given a diet (SMD= 0.11 95% CI= .035 to 0.13; p= 0.360). Conclusion: The casein-free gluten-free diet has an effect on reducing the risk of maladaptive behavior in children with autism. Keywords: casein free gluten-free diet, gfcf, maladaptive behavior, autism Correspondence: Ruliany Yuni Nurul Hakim. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A Surakarta 57126, Central Java, Indonesia. Email: Ruliany27@gmail.com. Ponsel +6282124886320. Indonesian Journal of Medicine (2023), 08(03): 286294

Path Analysis on the Effectiveness of Exclusive Breastfeeding Advocacy Program on Breastfeeding Practice using Theory of Planned Behavior Ariwati, Valentina Dili; Tamtomo, Didik; Sulaeman, Endang Sutisna
Journal of Health Promotion and Behavior Vol. 1 No. 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Exclusive breastfeeding coverage was 52.30% in 2015, which was below the national target of 80%. For the past few years Klaten local government has launched the Exclusive Breastfeeding Advocacy Program with the objective to increase exclusive breastfeeding coverage. This study aimed to determine the effectiveness of Exclusive Breastfeeding Advocacy Program using Theory of Planned Behaviour framework.Subjects and Method: This was an analytic observational study with retrospective cohort design. This study was conducted from 2 August to 16 September 2016 in Klaten and Magelang, Central Java, Indonesia. A total of 200 lactating mothers of infants aged 6 to 12 months was selected for this study by multi-stage random sampling. The dependent variables were exclusive breastfeeding and intention. The independent variables were exclusive breastfeeding advocacy program, attitude, subjective norm, and perceived behavior control. The data were collected using a set of questionnaire, and analyzed by path analysis.Results: The path model showed Goodness of Fit indices as follows: CMIN=4.24, p=0.374, GFI=0.99, NFI=0.99, CFI=1.00, RMSEA=0.017. Strong intention (b=0.15; p <0.001) had direct effect on exclusive breastfeeding. Positive atittude (b = 0.27; p<0.001), positive subjective norm (b=0.26; p <0.001), strong perception of behavior control (b=0.25; p<0.001), and exclusive breastfeeding advocacy program (b=0.36; p<0.001), had positive effects on intention.Conclusion: Intention has direct effect on exclusive breastfeeding. Atittude toward exclusive breastfeeding, subjective norm, and perception of behavior control, have positive effects on intention. Exclusive breastfeeding advocacy program is effective in increasing the likelihood of providing exclusive breastfeeding.Keywords: exclusive breastfeeding advocacy program, attitude, subjective norm, perceived behavior control, intention, exclusive breastfeeding behavior.Correspondence: Valentina Dili Ariwati. Masters Program in Public Health, Sebelas Maret University.Journal of Health Promotion and Behavior (2016), 1 (3): 149-159https://doi.org/10.26911/thejhpb.2016.01.03.02

Co-Authors -, Mardhatillah A.A. Ketut Agung Cahyawan W Abdiani, Baiq Tuhu Abdiani, Baiq Tuhu Agung Kurniawan Akhmad Azmiardi Alfiasari, Fadila Ali Djamhuri Ambar Mudigdo Anak Agung Istri Sri Wiadnyani Andreza Anggraini, Yeni Aprilia, Nafi?ah Argyo Demartoto, Argyo Ari Natalia Prabandari, Ari Natalia Ari Natalia Probandari Ari Probandari Arief Suryono Ariwati, Valentina Dili Ariwati, Valentina Dili Aryoseto, Lukman Aulia, Yusrin Bhisma Murti Burhannudin Ichsan Cahyandaru, Zella Cahyaningrum, Hapsari Cahyono Widodo, Cahyono Ch Novita Indriani, Ch Novita Damayanti, Ana Delimasari, Trisakti Halimah Dewi Martha Indria Dian Rahmawati Diana, Tutut Okta Doloh, Nureesa Dono Indarto Dyanneza, Frieska Endang Sutisna Sulaeman Eskawati, Maria Yeny Fahrezi, Chattrin Feny Tunjungsari Fuad, Lu’luatul Ghufroni, Afif Gusti, Titis Eka Hapsari, Fara Rizky Punjung Harinto Nur Seha Harsono Salimo Hastuti, Heni Hendra Dwi Kurniawan, Hendra Dwi Hermanu Joebagyo Hery Widijanto I Gusti Agung Ngurah Putra Pradnyantara Imtichan, Septian Najib Ismiana, Baiq Holisatul Jayanti, Nicky Danur Kartikasari, Mayriyana Kristiani, Yunita Kusumaningtiyas, Zonna Aditiya Kusumaningtyas, Mei Kusumasari, Rizka Agnes Kusumastuti, Nurry Ayuningtyas Kusumawardana, Iin Kusumawardani, Dyah Ayu Laksono Trisnantoro Lestari, Dinta Lilik Anggar Sri Rahayuningsih Linda Widyaningrum, Linda Mahendra Wijaya Mardiah, Adriana Maulana, Moh Mirshanti, Farahdila Nagaring, Sulaiman Putra Ni'mah, Siti Luluk Khamidahtun Ningtyas, Ayunda Prisilia Kusuma Nugroho, Septyan Dwi Nunuk Suryani Nurjanah, Ahmitta Laila Nurlaili, Helmi Nurul Hakim, Ruliany Yuni Nurul Jannah Pranoto, Hosea Puspitasari Prasetya, Hanung Pratama, Tegar Wahyu Yudha Pratiwi, Dinda Ika Purwati - Puspita, Rumeyda Chitra Putri, Farahdilla Aribowo Rahayuningrum, Indriyati Oktaviano Rahmah, Aulia Siti Nur Rahmawati, Leny Ratna Dewi Permatasari Rita Adriani Benya Adriani Rosyida, Muslihatin Khuril Sapja Anantanyu, Sapja Saraspuri, Niken Putri Eka Selvia Febrianti Setiyaningsih, Ratna Setiyaningsih, Ratna Silfia Angela N Halu Simarmata, Imelda Dearni Simarmata, Imelda Dearni Sitepu, Fransiska Siti Marfuah, Siti Siwi, Ratna Purwani Soemanto, RB SUGIARTO - Sukma, Sukma Sulistyo, Anita Sri Sulistyo, Siwi Anggraini Tia Martha Pundati, Tia Martha Uki Retno Budihastuti Untari, Niken Yuliani Veftisia, Vistra Wardhani, Anindyah Tri Lhaksmi Kusuma Wardhani, Yeni Wibawa, Purwa Adrianta Widayati, Mulia Yuli Wigati, Dhiyan Nany Wijanto, Chrise Wijayanto, Masromi Hendria Winasandis, Brillia Firsti Wulandari, Ayu Novita Wulansari, Galuh Yeni Tri Utami yulia lanti retno dewi Yulia Lanti Retno Dewi Yuni Fitriani, Yuni Zaen, Nurussyifa Afiana Zulaikah, Rahayu

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