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All Journal Jurnal NERS Jurnal Peduli Masyarakat Indonesian Journal of Global Health research Malahayati International Journal of Nursing and Health Science
Dwi Indah Prasetia, Dwi Indah
Faculty of Nursing Universitas Airlangga
Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Other

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Implementation of Health Action Process Approach to Improve Dietary Adherence in Type 2 Diabetic Patient Kusnanto, Kusnanto; Kurnia, Iqlima Dwi; Prasetia, Dwi Indah
Jurnal NERS Vol 10, No 2 (2015): Vol. 10 Nomor 2 Oktober 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (256.711 KB) | DOI: 10.20473/%oj.Ners102%y272-278

Abstract

Introduction: Type 2 diabetic patients usually unsuccessful to follow the diet recommendation due to lack of motivation, memory and intention. This study attempts to increase the motivation and also to improve intention in dietary adherence through the implementation of Health Action Process Approach (HAPA). Method: This study was a quasy-experiment. The population were type 2 diabetic patients in Puskesmas Krian Sidoarjo in March-April 2015. Respondents were only 16 and had been divided into experiment and control group. The independent variable was the implementation of HAPA. The dependent variable were self-efficacy, dietary adherence and blood sugar levels. The instruments in this study were questionnaires and blood sugar monitoring devices. Data were analyzed using statistical wilcoxon sign rank test and mann whitney u  test with significance level α ≤ 0.05. Result: Wilcoxon sign rank test showed there were differences between pre and post test significantly on self-efficacy (p=0.014), dietary adherence  (p=0.025), blood sugar levels (p=0.009) in  experiment group, while no significant differences in control group. Mann Witney U test showed that there was significant difference on dietary adherence (p=0.002) between two groups. Discussion: In conclusion, the implementation of HAPA can improve dietary adherence in type 2 diabetic patient. Further, following studies are expected with large number respondents and identify the whole variables in the HAPA theory.Keywords: Health Action Process Approach (HAPA), self efficacy, dietary adherence, blood glucose, Diabetes Mellitus (DM)
Penyuluhan Kesehatan Jiwa dan Demonstrasi Senam Otak dalam Upaya Meningkatkan Pengetahuan dan Fungsi Kognitif pada Pasien Jiwa Mukaromah, Afifatul; Wulandari, Wulandari; Utami, Ima Safitri Puji; Nurahmah, Hilda Octri; Dewi, Ni Nyoman Armelia; Anggraeni, Dyah; Prasetia, Dwi Indah; Nihayati, Hanik Endang
Jurnal Peduli Masyarakat Vol 7 No 1 (2025): Jurnal Peduli Masyarakat: Januari 2025
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v7i1.5799

Abstract

Gangguan jiwa adalah penyakit fungsi mental yang mencakup perubahan pikiran, emosi, perilaku, daya tilik diri dan penurunan motivasi yang mempengaruhi kehidupan sesorang di masyarakat. Hampir semua pasien dengan gangguan jiwa mengalami kekambuhan berulang. Pemberian pengabdian masyarakat diberikan dalam bentuk edukasi mengenai kesehatan jiwa, pencegahan kekambuhan, dan pemberian demonstrasi senam otak untuk mencegah kekambuhan berulang pada pasien dengan gangguan jiwa. Penulisan ini bertujuan untuk memberikan informasi mengenai pentingnya pengetahuan pencegahan kekambuhan pasien jiwa, latihan dan terapi yang mendukung untuk pencegahan kekambuhan. Peserta kegiatan pengabdian masyarakat sebanyak 19 orang pasien jiwa rehabilitasi di Bengkel Sehat Mandiri didampingi oleh keluarga dan care giver dengan metode ceramah menggunakan Power Point Presentation (PPT) selama 40 menit dan demonstrasi senam otak selama 15 menit. Kegiatan pretest dan posttest dilakukan menggunakan pertanyaan sederhana untuk menilai pemahaman peserta mengenai materi. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan dan fungsi kognitif peserta setelah diberikan edukasi kesehatan dan demostrasi senam otak. Langkah-langkah pencegahan kekambuhan dapat ditingkatkan melalui pemberian edukasi, terapi dan latihan untuk mendukung fungsi kognitif pasien jiwa sebagai upaya pencegahan kekambuhan dalam perawatan jangka panjang.
Educational Intervention to Reduce Stigma Toward Person with Severe Mental Illness (SMI): A Scoping Review Mukaromah, Afifatul; Wulandari, Wulandari; Prasetia, Dwi Indah; Anggraeni, Dyah; Yusuf, Ah.
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6021

Abstract

Stigma against individuals with mental health disorders remains a significant barrier to recovery, exacerbating patient conditions, fostering social discrimination, and limiting access to adequate healthcare services. Objective: This study aims to identify effective education-based interventions to reduce societal stigma toward individuals with severe mental illness (SMI) through a literature review. Method: A scoping review was conducted by searching literature in Scopus, PubMed, ProQuest, and Science Direct. Included studies (2019–2024) explored educational interventions to reduce mental health stigma. Excluded were incomplete, duplicate, review, and retracted articles Results: Of the 2,277 identified articles, eight studies met the criteria for further analysis. Findings indicate that educational methods, such as conventional psychoeducation, case studies, problem-based learning (PBL), and contact-based education, effectively reduce stigma against individuals with SMI. All interventions focused on improving mental health knowledge. Educational strategies varied based on target audiences, delivered through offline approaches (lectures, case studies, PBL) and online methods (educational videos). Combining online and offline approaches further enhanced knowledge and attitudes toward individuals with SMI. Conclusions: Several educational strategies have been developed to address stigma, whether through online education, face-to-face offline interactions, contact with individuals with mental illnesses, or a combination of these methods. By implementing the right educational methods, stigma toward individuals with (SMI) can be addressed across various target groups.
Enhancing medication compliance in schizophrenia through peer support and motivational interviewing Prasetia, Dwi Indah; Nihyati, Hanik Endang; Kurnia, Iqlima Dwi
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1776

Abstract

Background: Schizophrenia is a chronic mental disorder that requires long-term and continuous treatment. One of the major barriers to optimal recovery is non-adherence to treatment, which frequently leads to relapse, prolonged hospitalization, and reduced functional outcomes. Psychosocial approaches, particularly peer group support and motivational interviewing (MI), have been widely applied to strengthen treatment adherence. However, a systematic synthesis that integrates the effectiveness of these two interventions has not been well established. Purpose: This systematic review aims to identify and analyze the effects of peer group support and motivational interviewing on improving treatment adherence among patients with schizophrenia. Method: A systematic review approach based on PRISMA guidelines. Article searches were conducted through Scopus, PubMed, and ScienceDirect using the keywords “motivational interviewing”, “peer support”, “medication adherence”, and “schizophrenia”. A total of 1.902.305 articles were identified, and after screening through inclusion and exclusion criteria followed by quality assessment using CASP and the JBI Checklist, 12 studies were selected for final synthesis. Results: Of the 12 included studies, seven used randomized controlled trial (RCT) designs and five used quasi-experimental designs. Most interventions demonstrated significant improvements in medication adherence. Both peer support interventions and motivational interviewing showed positive and consistent effects on enhancing treatment adherence among individuals with schizophrenia. Conclusion: Peer group support and motivational interviewing were found to be effective strategies for increasing treatment adherence in patients with schizophrenia. Short-term interventions delivered intensively can produce meaningful improvements, while longer implementation durations tend to yield more stable outcomes. These approaches are recommended for integration into community-based psychiatric nursing practice.
Co-Authors ah. Yusuf Anggraeni, Dyah Dewi, Ni Nyoman Armelia Iqlima Dwi Kurnia Kusnanto Kusnanto Mukaromah, Afifatul Nihayati, Hanik Endang Nihyati, Hanik Endang Nurahmah, Hilda Octri Utami, Ima Safitri Puji Wulandari Wulandari