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All Journal Tadris: Jurnal keguruan dan Ilmu Tarbiyah Indonesian Journal of Human Nutrition LLT Journal: A Journal on Language and Language Teaching Jurnal Manajemen dan Bisnis Jurnal Review Pendidikan dan Pengajaran (JRPP) JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan Lexeme : Journal of Linguistics and Applied Linguistics International Journal of Electronics and Communications Systems Jurnal Pengabdian Masyarakat : Pemberdayaan, Inovasi dan Perubahan KNOWLEDGE: Jurnal Inovasi Hasil Penelitian dan Pengembangan GENIUS JOURNAL (General Nursing Science Journal) Journal of Arts and Education (JAE) Journal of Education Technology Information Social Sciences and Health Journal of Public Health Concerns IJLHE: International Journal of Language, Humanities, and Education JOURNAL OF Qualitative Health Research & Case Studies Reports Journal of Education Religion Humanities and Multidiciplinary Java Nursing Journal Journal of Citizen Research and Development Joong-Ki
Adhi Nurhartanto, Adhi
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Religion Arts Humanities Astronomy Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Earth & Planetary Sciences Economics, Econometrics & Finance Education Electrical & Electronics Engineering Energy Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Mechanical Engineering Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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The Relationship Between Iron-Rich Food Consumption and Iron Supplement Adherence with the Incidence of Anemia among Adolescent Khoirunnisa, Nisa; Nurhartanto, Adhi; Astuti, Dewi Woro
Genius Journal Vol. 7 No. 1 (2026): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v7i1.785

Abstract

Introduction: Anemia remains a significant public health problem among adolescents, particularly female students, and is commonly associated with inadequate iron intake and low hemoglobin levels, which can negatively affect physical performance and cognitive function. Patterns of iron-rich food consumption and adherence to iron supplement intake are considered key factors influencing the occurrence of anemia among students, yet these behaviors are often suboptimal and require further investigation. Objective: Anemia is the result of examining hemoglobin (Hb) levels in the blood that are lower than normal and this condition can be caused by a lower number of red blood cells. The purpose of this study was to determine the relationship between food consumption patterns of iron sources and compliance with the consumption of blood supplement tablets with the incidence of anemia in grade XI students at MAN 1 Lampung Utara. Method: This type of research is quantitative, employing an analytic research design, specifically a cross-sectional design. The population in this study were all grade XI students at MAN 1 Lampung Utara with a total of 149 students. The sampling technique used a proportionate stratified random sampling method with a total sample of 65 respondents. Result: The results of this study are the relationship between the pattern of consumption of iron-source foods with anemia characterized by the results of a p-value of 0.001 and the relationship between compliance with consumption of blood supplement tablets with anemia characterized by the results of a p-value of 0.022. Conclusion: It is hoped that female students can change the frequency of food consumption patterns, especially those containing iron, and routinely consume blood supplement tablets according to their recommendations in order to fulfill and increase iron reserve storage in the body in order to prevent anemia.
The Relationship Between Food Acceptability and Intake on Morning Meal Leftovers in Pediatric Patients Trihandayani, Yuliana; Nurhartanto, Adhi; Jalaludin, Asep
Genius Journal Vol. 7 No. 1 (2026): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v7i1.787

Abstract

Introduction: Childhood malnutrition remains a significant public health concern, and adequate nutritional intake during hospitalization is essential to support recovery and growth in pediatric patients. Hospital food services are required to provide nutritionally adequate and acceptable meals; however, food waste among hospitalized children, particularly during breakfast, remains a persistent problem. High levels of leftover food may indicate low food acceptability and inadequate food intake, which can hinder the fulfillment of children’s nutritional needs. Food acceptability, influenced by sensory characteristics and eating habits, plays an important role in determining food consumption among pediatric patients. Therefore, evaluating the relationship between food acceptability, food intake, and breakfast food waste is crucial to improve the effectiveness of hospital nutrition services for children. Objective: Child nutrition issues, such as wasting and stunting, remain a serious challenge, especially in developing countries. Optimal nutrition in hospitals is important to support children's growth and recovery. This study aims to analyze the relationship between acceptability and food intake to morning food waste in pediatric patients at Santa Anna Hospital. Method: This study used a descriptive quantitative method with a cross-sectional approach. A sample of 30 inpatient pediatric patients was taken purposively. Acceptability was measured using an organoleptic assessment form, while food intake was measured using the Semi Quantitative Food Frequency Questionnaire (SQ-FFQ). Data were analyzed univariately and bivariately using the chi-square test. Result: The results showed that 86.7% of children liked the morning meal menu, 96.6% had sufficient to good intake, but 53.3% still left food in large quantities. There was a significant relationship between acceptability and food waste (p = 0.009), and between food intake and food waste (p = 0.001). Conclusion: The higher the acceptability and food intake, the less food leftovers left by pediatric patients.. Conclusion: The results of this study emphasize the importance of improving the quality of nutrition services, including menu improvement, presentation, and patient companion education to reduce food waste and support optimal recovery of pediatric patients. Introduction: Childhood malnutrition remains a significant public health concern, and adequate nutritional intake during hospitalization is essential to support recovery and growth in pediatric patients. Hospital food services are required to provide nutritionally adequate and acceptable meals; however, food waste among hospitalized children, particularly during breakfast, remains a persistent problem. High levels of leftover food may indicate low food acceptability and inadequate food intake, which can hinder the fulfillment of children’s nutritional needs. Food acceptability, influenced by sensory characteristics and eating habits, plays an important role in determining food consumption among pediatric patients. Therefore, evaluating the relationship between food acceptability, food intake, and breakfast food waste is crucial to improve the effectiveness of hospital nutrition services for children. Objective: Child nutrition issues, such as wasting and stunting, remain a serious challenge, especially in developing countries. Optimal nutrition in hospitals is important to support children's growth and recovery. This study aims to analyze the relationship between acceptability and food intake to morning food waste in pediatric patients at Santa Anna Hospital. Method: This study used a descriptive quantitative method with a cross-sectional approach. A sample of 30 inpatient pediatric patients was taken purposively. Acceptability was measured using an organoleptic assessment form, while food intake was measured using the Semi Quantitative Food Frequency Questionnaire (SQ-FFQ). Data were analyzed univariately and bivariately using the chi-square test. Result: The results showed that 86.7% of children liked the morning meal menu, 96.6% had sufficient to good intake, but 53.3% still left food in large quantities. There was a significant relationship between acceptability and food waste (p = 0.009), and between food intake and food waste (p = 0.001). Conclusion: The higher the acceptability and food intake, the less food leftovers left by pediatric patients.. Conclusion: The results of this study emphasize the importance of improving the quality of nutrition services, including menu improvement, presentation, and patient companion education to reduce food waste and support optimal recovery of pediatric patients.
The Relationship Between Knowledge Levels and Behavior with Anxiety Among Families of Stroke Patients Anggie Stiexs; Kurniasari, Septi; Erwin, Tubagus; Nurhartanto, Adhi; Lestari, Ika; Agata, Annisa
Java Nursing Journal Vol. 4 No. 1 (2026): November - February
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v4i1.164

Abstract

Background: Stroke remains a major cause of disability in Indonesia, and families provide essential care, yet evidence linking caregiver knowledge and caregiving behaviour to anxiety is limited Purpose: This study aimed to test associations between caregiver knowledge, caregiving behaviour, and anxiety among families of stroke patients. Methods: In a cross-sectional study at RSUD Abdul Moeloek, Indonesia (June 12, 2023), we enrolled 73 caregivers of stroke inpatients. Knowledge and behaviour were classified as good, fair, poor, and positive or negative. Anxiety was measured in categories. Associations were tested with chi-square. Results: Among 73 caregivers, knowledge was good in 21.9%, fair in 50.7%, and poor in 27.4%; 61.6% reported positive behaviour. Anxiety was reported sometimes by 8.2%, part of the time by 80.8%, and almost all of the time by 11.0%. Anxiety was associated with knowledge (p=0.023) and behaviour (p=0.001). Conclusion: Caregiver anxiety was frequent and significantly related to caregiver knowledge and behaviour. Findings support nurse-led screening plus structured education and skills coaching during inpatient care and discharge transitions. Relevance to clinical practice: Caregiver anxiety was common in families of hospitalised stroke patients and was linked to lower knowledge and negative caregiving behaviour. Nurse-led screening, teach-back education, and brief skills coaching (mobility, ADLs, medications, warning signs), followed by early follow-up, may reduce distress and strengthen safe transitional care
Efektivitas penyuluhan gizi berbasis prinsip B2SA terhadap tingkat pengetahuan ibu dalam upaya pemenuhan gizi seimbang bagi balita Puteri, Hidayatusy Syukrina; Kustiani, Ai; Astuti, Dewi Woro; Harvidea, Radella; Nurhartanto, Adhi
JOURNAL of Public Health Concerns Vol. 6 No. 2 (2026): JOURNAL of Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v6i2.2730

Abstract

Background: Indonesia still faces the serious challenge of triple burden malnutrition, particularly in rural areas such as Hajimena Village, South Lampung. Limited access to nutrition information and suboptimal utilization of local foods are major obstacles to toddler feeding practices. The principle of Diverse, Nutritious, Balanced, and Safe Food (B2SA), as outlined in the "Isi Piringku" concept, presents a strategic approach to address this issue. Purpose: To evaluate the effectiveness of nutrition counseling and the level of maternal knowledge based on the B2SA principle, utilizing the potential of local foods to meet balanced nutrition needs for toddlers. Method: The activity was conducted on Wednesday, January 21, 2026, at the Cemara Kebun Bibit Integrated Health Post (Posyandu), Hajimena Village, South Lampung Regency. This study used a one-group pre-test and post-test design. A sample of 36 respondents was drawn using a purposive sampling technique in accordance with the following inclusion criteria: mothers with toddlers aged 6–59 months, willing to participate by signing an informed consent, and participating in the entire activity from start to finish. The intervention consisted of a 120-minute nutrition counseling session through interactive lectures, group discussions, and menu preparation demonstrations using local food ingredients. The assessment instrument used a structured questionnaire on B2SA knowledge and “Isi Piringku” (My Plate) consisting of 10 multiple-choice items with a score of 0–100). Measurements were taken before the counseling session (pre-test) and after the counseling session (post-test). In addition to the questionnaire, a participant observation sheet was used to record participant involvement during the intervention. Comparisons of pre-test and post-test scores were analyzed using the Wilcoxon Signed Rank Test at a significance level of α=0.05. Percentage changes in knowledge and attitudes were calculated to determine the trend of improvement. Results: The median level of knowledge of respondents before the counseling session was 9.00, with a range of 2-10 points, and after the counseling session, the median score was 10, with a range of 4-10 points. The statistical test yielded a Z-value of -3.483 with a p-value of 0.001. Conclusion: The "Isi Piringku" (B2SA)-based nutrition counseling program, utilizing local foods, has been shown to have a positive and significant impact on improving the knowledge of mothers of toddlers. Nutrition education with a participatory, contextual approach, and based on local potential is an effective strategy for accelerating community nutrition improvement. Suggestion: Mothers of toddlers are encouraged to apply the "Isi Piringku" (B2SA) principles with local foods (cassava, corn, bananas, fish, and moringa leaves). Community health centers (Puskesmas) and the Health Office are recommended to make this counseling model a priority program for stunting reduction, integrated with integrated health posts (Posyandu) and cadre training. Keywords: B2SA; Balanced nutrition; Local foods; Maternal knowledge; Nutrition counseling; Toddlers Pendahuluan: Indonesia masih menghadapi tantangan serius berupa beban gizi tiga kali lipat (triple burden malnutrition), terutama di wilayah perdesaan seperti Desa Hajimena, Lampung Selatan. Minimnya akses informasi gizi dan pemanfaatan pangan lokal yang belum optimal menjadi kendala utama dalam praktik pemberian makan balita. Prinsip pangan Beragam, Bergizi, Seimbang, dan Aman (B2SA) yang dituangkan dalam konsep "Isi Piringku" hadir sebagai pendekatan strategis untuk mengatasi permasalahan tersebut. Tujuan: Untuk mengevaluasi efektivitas penyuluhan gizi dan tingkat pengetahuan ibu berbasis prinsip B2SA dengan memanfaatkan potensi pangan lokal dalam upaya pemenuhan gizi seimbang bagi balita. Metode: Kegiatan dilaksanakan pada Rabu, 21 Januari 2026, di Posyandu Cemara Kebun Bibit, Desa Hajimena, Kabupaten Lampung Selatan. Penelitian ini menggunakan pendekatan one group pre-test and post-test design. Mendapatkan sampel sebanyak 36 responden yang diambil dengan teknik purposive sampling sesuai dengan kriteria inklusi: ibu memiliki balita usia 6–59 bulan, bersedia menjadi responden dengan menandatangani informed consent, dan mengikuti seluruh rangkaian kegiatan dari awal hingga akhir. Intervensi berupa penyuluhan gizi berdurasi 120 menit melalui ceramah interaktif, diskusi kelompok, dan demonstrasi penyusunan menu menggunakan bahan pangan lokal. Instrumen penilaian menggunakan kuesioner terstruktur tentang pengetahuan B2SA dan “Isi Piringku” sebanyak 10 item pilihan ganda dengan skor 0–100). Pengukuran dilakukan sebelum penyuluhan (pre-test) dan setelah penyuluhan (post-test). Selain kuesioner, digunakan lembar observasi partisipatif untuk mencatat keterlibatan peserta selama intervensi. Perbandingan skor pre-test dan post-test dianalisis dengan Uji Wilcoxon Signed Rank pada tingkat signifikansi α=0.05. Perubahan persentase pengetahuan dan sikap dihitung untuk melihat kecenderungan peningkatan. Hasil: Menunjukkan bahwa tingkat pengetahuan responden sebelum penyuluhan mendapatkan nilai median sebesar 9.00 dengan rentang nilai 2-10 poin dan setelah penyuluhan mendapatkan nilai median sebesar 10 dengan rentang nilai 4-10 poin. Uji statistik mendapatkan nilai Z sebesar -3.483 dengan pValue 0.001. Simpulan: Program penyuluhan gizi berbasis pendekatan B2SA "Isi Piringku" dengan memanfaatkan pangan lokal terbukti memberikan dampak positif dan signifikan terhadap peningkatan pengetahuan ibu balita. Edukasi gizi dengan pendekatan partisipatif, kontekstual, dan berbasis potensi lokal menjadi salah satu strategi efektif dalam percepatan perbaikan gizi masyarakat. Saran: Ibu balita diharapkan mengaplikasikan prinsip B2SA "Isi Piringku" dengan pangan lokal (singkong, jagung, pisang, ikan, daun kelor). Puskesmas dan Dinas Kesehatan direkomendasikan menjadikan model penyuluhan ini sebagai program prioritas penurunan stunting, terintegrasi dengan Posyandu dan pelatihan kader.
Improving Anthropometric and Nutritional Status among School-Aged Children through Animal Source Food-Snack Intervention Kustiani, Ai; Khalida Dalimunthe, Nathasa; Woro Astuti, Dewi; Syukrina Puteri, Hidayatusy; Nurhartanto, Adhi; Hervidea, Radella
Indonesian Journal of Human Nutrition Vol. 13 No. 1 (2026)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2026.013.01.6

Abstract

Approximately 49.2% of children consume animal-source food (ASF) derived from ultra-processed products. Unhealthy eating habits established during childhood may shape unhealthy eating behaviors. This study aimed to analyze the effect of an ASF snack intervention on anthropometric indicators and nutritional status among school-aged children in Central Lampung Regency. This research used a one-group pretest-posttest design conducted in elementary schools in Central Lampung Regency, Lampung, from August to October 2024. A total of 240 subjects participated in the study. Data collected included subject and parental characteristics, body weight, height, and nutritional status indicators based on Height-for-Age Z-score (HAZ) and BMI-for-Age Z-score (BAZ). The intervention consisted of providing 20 ASF snack menus within a 10-day menu cycle, administered three times per week for approximately 6.6 weeks. Data were analyzed using paired t-tests with a significance level of 5%. There was no significant change in body weight (p=0.096), but height increased significantly by approximately 2.82 cm (p<0.001). HAZ also improved significantly by +0.41 SD (p=0.000), indicating a shift from stunted to normal nutritional status. In contrast, BAZ decreased significantly by approximately -0.21 SD (p=0.006), remaining within the normal category. School-based ASF snack interventions implemented for approximately 6.6 weeks may contribute to improvements in height and nutritional status based on HAZ and BAZ indicators among school-aged children.
Integrating Self-Determination Theory into Problem-Based Learning: A Systematic Review of Motivational Processes in Higher Education Nurhartanto, Adhi; Sunyono, Sunyono; Maulina, Dina
Tadris: Jurnal Keguruan dan Ilmu Tarbiyah Vol 11 No 2 (2026): Tadris: Jurnal Keguruan dan Ilmu Tarbiyah
Publisher : Universitas Islam Negeri Raden Intan Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24042/tadris.v11i2.30003

Abstract

Problem-Based Learning (PBL) has been widely adopted in higher education to promote active learning, clinical reasoning, collaboration, and self-directed learning; however, its motivational effectiveness remains inconsistent when students' psychological needs are not explicitly addressed in instructional design. This study aims to systematically review and synthesize the integration of Self-Determination Theory (SDT) within PBL environments to explain how autonomy, competence, and relatedness support motivation and meaningful engagement. Using a Systematic Literature Review guided by the PRISMA framework, peer-reviewed articles published between 2015 and 2025 were retrieved from the Scopus database. From 162 initially identified records, 18 articles met the inclusion criteria and were analyzed through thematic synthesis supported by bibliometric visualization using VOSviewer. The findings demonstrate that PBL is most effective when its instructional design intentionally supports students' three basic psychological needs. Autonomy is fostered through self-directed inquiry and meaningful learning choices; competence is developed through authentic problems, scaffolding, and formative feedback; and relatedness is cultivated through collaborative interaction and psychologically safe learning communities. However, integrated conceptual models linking PBL design, SDT mechanisms, and sustainable learning outcomes remain limited. This review contributes an integrative framework positioning SDT as an explanatory bridge between PBL instructional design and motivational outcomes, implying that lecturers and curriculum designers should conceptualize PBL as a motivational learning ecosystem rather than a mere problem-solving technique.
Co-Authors Agata, Annisa Agustin, Vinna Ai Kustiani Alyonni, Alvin Anggie Stiexs Arisandi, William Astuti, Dewi Woro Atikah Adyas Deni Achmad Destoprani Brajannoto Dewi Anggreini, Dewi Dina Maulina Djamil, Achmad Djausal, Gita Paramita Dwi Nurahman, Dwi Dwi Rahayu Ningsih, Dwi Rahayu Erwin, Tubagus Fitriani, Yulies Hairudin, Hairudin Hartiwi, ­Juni Harvidea, Radella Hasbullah Hasbullah Hendri Saputra Ika Lestari, Ika Indah Lestari, Indah Intan Hamzah Isabella, Astrid Aprica Iskandar Iskandar Jalaludin, Asep Jayadi, Ajib Juni Hartiwi Juventini, Lusi Amelia Khoirunnisa, Nisa kurniasari, septi Maharani, Feiga Mariyani, Tuti Martinus, Martinus Meutia Rachmatia Muhammad, Meizano Ardhi Mulyani, Yessi Nathasa Khalida Dalimunthe Nila Sari Dewi Nurdiansyah, Tubagus Erwin Nurdianti, Desti Nurhadi, Satrio Pipit Novila Sari Pradipta, Nadila Ajeng Puspasari, Nova Tri Puteri, Hidayatusy Syukrina Radella Hervidea, Radella Rostika, Rostika Saleh, Asep Jalaludin Sari, Nurina Siregar, Anasta Aulia Sony Ferbangkara Sri Sutiwi Sri Utami Sugiyarti, Catur Sulastri Sulastri Sunyono - - Susanti, Nurul Swarastuti, Astirini Syukrina Puteri, Hidayatusy Trihandayani, Yuliana Tyas Desita Wengrum Wahyuni, Putri Eka Widya Rahmawati Woro Astuti, Dewi