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The Efficacy of a Mobile Application-Based Cognitive Behavioral Therapy (CBT) in Reducing Anxiety and Depression Symptoms Among Young Adults in the Post-COVID-19 Pandemic: A Randomized Controlled Trial Kusumawati, Prima Dewi; Koesnadi; Fonnie Kuhu; Reni Nurhidayah; Yan Deivita
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1641

Abstract

The COVID-19 pandemic has significantly increased anxiety and depression prevalence among young adults globally, with Indonesia experiencing substantial mental health challenges. Mobile application-based cognitive behavioral therapy (mCBT) interventions have emerged as promising solutions to address these widespread mental health issues. Objective: This randomized controlled trial aimed to evaluate the efficacy of a mobile CBT application in reducing anxiety and depression symptoms among Indonesian young adults in the post-COVID-19 pandemic period through comprehensive qualitative analysis. Methods: A mixed-methods randomized controlled trial was conducted with 25 young adults aged 18-25 years. Participants were randomly assigned to receive either the mCBT intervention or waitlist control. Qualitative data were collected through in-depth semi-structured interviews, focus group discussions, and thematic analysis following a phenomenological approach. Results: Thematic analysis revealed six major themes: Digital Therapeutic Alliance (89 mentions), Behavioral Change Process (92 mentions), Empowerment Through Technology (76 mentions), Resilience Building (67 mentions), Social Connection in Digital Space (54 mentions), and Challenges and Barriers (43 mentions). Participants demonstrated significant improvements in coping mechanisms, stress management, and emotional regulation through the mCBT intervention. Conclusions: Mobile CBT applications show promising efficacy in addressing post-pandemic anxiety and depression among Indonesian young adults. The intervention facilitated meaningful behavioral changes, enhanced self-efficacy, and provided accessible mental health support during challenging recovery periods
Determinan Yang Mempengaruhi Minat ODHIV Melakukan Tes Viral Load Di Kabupaten Tulungagung Idawati, Candra; Suhita, Byba Melda; Kusumawati, Prima Dewi
Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Vol 11, No 2 (2025): JMK Yayasan RS.Dr.Soetomo, Oktober 2025
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29241/jmk.v11i2.2308

Abstract

Tes viral load adalah tes yang digunakan untuk mengukur jumlah virus HIV di dalam darah pada pasien yang telah didiagnosis HIV positif untuk melihat bagaimana kondisi pasien setelah mendapat terapi ARV dan dapat membantu mendeteksi kegagalan ART lebih dini. Tujuan penelitian ini adalah untuk mengetahui faktor determinan yang mempengaruhi minat ODHIV melakukan tes viral load di Kabupaten Tulungagung. Desain penelitian ini adalah penelitian kuantitatif observasional analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah semua ODHIV On ARV yang ada di Kabupaten Tulungagung dengan jumlah 1.149 dan sampel yang terpilih dengan cluster random sampling sejumlah 297 responden. Hasil penelitian menyatakan terdapat pengaruh yang signifikan antara akses layanan periksa terhadap minat tes viral load dengan nilai p-value 0,004; dukungan sebaya terhadap minat tes viral load dengan nilai p-value 0,038; dukungan keluarga terhadap minat tes viral load dengan nilai p-value 0,006; peran petugas terhadap minat tes viral load dengan nilai p-value 0,047.Terdapat pengaruh secara simultan antara akses layanan periksa, dukungan sebaya, dukungan keluarga dan peran petugas terhadap minat tes viral load. Faktor yang paling mempengaruhi minat tes viral load adalah peran petugas dengan nilai Exp(B) = 2,564. Studi referensi menyatakan faktor yang mempengaruhi minat seseorang melakukan pemeriksaan kesehatan antar lain umur, pendidikan, pengetahuan, akses terhadap informasi, akses ke pelayanan kesehatan, dukungan tenaga kesehatan dan sosial budaya. Selain itu penelitian yang lain menunjukkan pengaruh orang lain (sebaya, keluarga, sosial) terhadap minat melakukan pemeriksaan kesehatan. Diharapkan kepada ODHIV untuk terus terlibat aktif dalam pengobatan dan tes viral load dengan memanfaatkan semua fasilitas dan dukungan yang tersedia.Kata kunci : akses layanan, dukungan, peran petugas, minat tes VL
The Effect of Motivation, Workload, Subjective Norms, and Skills of the Accuracy of Triage Implementation to IGD Nurses in Karo Regency Sahat Tua Naiboha, Beres; Novita Ana Anggraini; Kusumawati, Prima Dewi
STRADA : Jurnal Ilmiah Kesehatan Vol. 14 No. 2 (2025): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v14i2.1179

Abstract

Priority of patient handling can be done by using triage. The triage system greatly influences the success rate of assistance when the patient experiences an emergency . The aim of the study was to analyze influence between motivation, burden work, and subjective norms to accuracy implementation triage to IGD nurses in karo district. The research design used was analysis descriptive with approach cross sectional. Population study all Emergency Nurses in Karo Regency. The research sample was 101 using the Stratified Sampling technique. The research was conducted in May 2024. Data analysis used multiple linear regression statistical tests . The results of the study show motivation of 0,000, the load Work of 0.022, subjective norm of 0.015 and triage skills of 0.000.
From Overthinking to Understanding: Outbond as a Strategy to Improve Self-Awareness and Mental Health Literacy Reni Nurhidayah; Prima Dewi Kusumawati; Joko Sutrisno; Hengky Irawan
Journal of Health Science Community Vol. 6 No. 2 (2025): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jhsc.v6i2.315

Abstract

Adolescence is a critical developmental stage in which individuals often experience psychological challenges such as overthinking, stress, and emotional dysregulation. Limited self-awareness and low mental health literacy exacerbate these challenges, contributing to poor decision-making, heightened anxiety, and stigma. Innovative approaches are needed to promote adolescent mental health.This study aimed to examine the effectiveness of the “Outbond from Overthinking to Understanding” program in improving self-awareness and mental health literacy among adolescents.A quasi-experimental design with pre-test and post-test control groups was conducted among 120 students (60 intervention, 60 control) from senior high schools (SMA) and vocational high schools (SMK) in Kediri, Indonesia. Participants were selected using cluster sampling. The intervention group participated in a one-day outbound program consisting of six activity stations, while the control group received a leaflet on adolescent mental health. Self-awareness was measured using the Self-Reflection and Insight Scale (SRIS), and mental health literacy was assessed with the Mental Health Literacy Scale (MHLS). Data were analyzed using paired and independent t-tests.The intervention group showed significant improvements in self-awareness (Mean Difference = +13.4, p < 0.001) and mental health literacy (Mean Difference = +17.7, p < 0.001), while the control group demonstrated no significant changes. Post-test comparisons revealed higher mean scores in the intervention group compared to the control group for both self-awareness (78.6 ± 7.9 vs. 66.3 ± 8.6, p < 0.001) and mental health literacy (80.2 ± 8.1 vs. 65.0 ± 8.7, p < 0.001).The “Outbond from Overthinking to Understanding” program significantly enhanced self-awareness and mental health literacy among adolescents. Outbound-based experiential learning offers a promising, engaging, and practical strategy for promoting adolescent mental health and should be considered as a complementary approach to conventional school-based education.
HUBUNGAN PERAN KELUARGA DENGAN PEMENUHAN AKTUALISASI DIRI LANSIA DENGAN DEMENSIA Kusumawati, Prima Dewi; Nurhidayah, Reni
Judika (Jurnal Nusantara Medika) Vol 6 No 1 (2022): Vol 6 No 1 April 2022
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/judika.v6i1.18545

Abstract

Menurunnya kemampuan beradaptasi terhadap perubahan dan stres lingkungan seringkali menimbulkan gangguan psikososial pada lansia. Masalah kesehatan jiwa yang sering muncul pada lansia adalah demensia (pikun). Tujuan penelitian untuk mengetahui peran hubungan keluarga dengan pemenuhan aktualisasi diri pada lansia demensia di Desa Kepung Barat Kecamatan Kepung Kabupaten Kediri. Penelitian ini menggunakan analitik korelasional. Populasi dalam penelitian ini adalah seluruh keluarga lansia yang mengalami demensia di Desa Kepung Barat Kecamatan Kepung Kabupaten Kediri sebanyak 38 keluarga responden dengan lansia yang masih produktif untuk memenuhi kebutuhan hidupnya secara mandiri dengan menggunakan teknik purposive sampling. Uji analisis menggunakan uji statistik Spearman Rho dengan tingkat signifikansi 0,05. Hasil penelitian pada variabel peran keluarga sebagian besar responden memiliki peran keluarga dalam merawat lansia sebanyak 22 responden (57,9%), sedangkan pada variabel aktualisasi diri hampir separuh responden memiliki dengan kategori kurang terpenuhi sebanyak 17 responden. (44,7%). Analisis penelitian ini memiliki nilai sig (2-tailed) = 0,000, sehingga < , maka H0 ditolak dan H1 diterima, artinya ada hubungan peran keluarga dengan pemenuhan aktualisasi diri pada lansia demensia di Desa Kecamatan Kepung Barat Kecamatan Kepung Kediri tahun 2019, sedangkan nilai koefisien korelasi 0,821 yang berarti kekuatan hubungan termasuk dalam kategori sangat kuat dan positif dengan analisis apabila peran keluarga baik maka aktualisasi diri pada lansia akan terpenuhi. Keluarga membantu lansia untuk kebutuhan aktualisasi diri keluarga dapat memantau perkembangan aktualisasi diri lansia yaitu dengan mengajak lansia berdiskusi, memberikan lansia dalam mengambil keputusan.
Tactile Stimulation and Active-Assisted Exercise on Motor Function and Functional Ability of Upper Extremity in Post-Stroke Patients Ekasari, Fahma Yulinda; Kusumawati, Prima Dewi; Widyowati, Agustin; Layla, Siti Farida Noor; Anggraini, Novita Ana
Jurnal Kesehatan Vol 16 No 3 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i3.5315

Abstract

Post-stroke sensorimotor disorders are the leading cause of long-term disability in adults. The purpose of this research was to analyze the combined effect of tactile stimulation and active-assisted exercise on upper-extremity motor function and functional activity in post-stroke patients at Physio Dahsyat Home Care. A Quasi-Experimental Design was used with purposive sampling. Thirty participants were divided into two groups: Group A, a combination of tactile stimulation and active assisted exercise; and Group B, electrical stimulation and PNF. The average scores of FMA-UE and CAHAI-8 in Group A were 16.33 to 60.13 and 14.80 to 52.73. In Group B, the average score was 13.40 to 48.07 and 13.40 to 44.87. Paired t-tests showed p-values<0.001 for both Group A and Group B, indicating a significant effect in both groups. An independent test showed a significant. <0.001, indicating a comparison of the impact on motor function and functional activity of the upper extremity. The highest average scores for motor function and functional activity in Group A were 60.13 and 52.73. A combination of tactile stimulation and active-assisted exercise was more effective, leading to increased muscle strength through motor unit activation; the more motor units involved, the greater the increase in muscle strength.
The Effect of Elderly Exercise on Independence in Performing Daily Activities and Reducing Blood Pressure in Elderly in the Working Area of Riaraja Community Health Center Zulkifli; Yuly Peristiowati; Prima Dewi Kusumawati
STRADA : Jurnal Ilmiah Kesehatan Vol. 14 No. 2 (2025): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v14i2.1261

Abstract

An increase in blood pressure will give continuing symptoms to a target organ in the body, lack of activity causes the heart to become untrained, blood vessels become stiff, blood circulation does not flow smoothly, in cases of hypertension the highest in Indonesia is 39.6% and in NTT it is 30.8%. One of the factors that influences hypertension is physical activity. Lack of physical activity can increase the risk of hypertension. The purpose of this study was to determine the effect of elderly gymnastics on independence in carrying out daily activities and reducing blood pressure in the elderly with hypertension. This type of research is Quasi Experimental with a one group pre test-post test design with a population of 146 and a sample of 34 people was taken using a non-probability sampling technique with a Purposive sampling type.
Exploratory Descriptive Study on the Management og Hospital Facilities and Infrastructure Saleh, Muhammad; Kusumawati, Prima Dewi; Nurwijayanti; Wulandari, Ning Arti; Abiddin, Andi Hayyun
Journal of Ners and Midwifery Vol 12 No 2 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v12i2.ART.p161-169

Abstract

Management of facilities and infrastructure has a very important role in the effectiveness of health services, especially in Medical Rehabilitation Installations. Hospitals face challenges related to increasing patient volumes, leading to patient overcrowding and extended waiting times. The aim of this research was to analyze the management of hospital service facilities and infrastructure. The design of this research was exploratory descriptive with a qualitative approach. The subjects of this research were 11 subjects from units related to hospital services at the West Sidoarjo General Hospital. The data collection process was carried out using interviews, observation and documentation. This study showed that improving coordination between management and medical staff as well as improving medical equipment maintenance systems will make a significant contribution to hospitals' ability to meet healthcare needs efficiently. Hospitals need to carry out routine training on the use of medical equipment, form equipment maintenance teams and carry out regular audits.
The Analysis of Verbal Abuse within Socialization Ability of Preschoolers in Playproup Al Fattah Malang Prima Dewi Kusumawati; Nadya Risky Aini Nasution
Journal Of Nursing Practice Vol. 6 No. 1 (2022): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v6i1.290

Abstract

Background: Preschoolers are children with a phase of developing and learning new things quickly. The development phase begins with interacting with family and socializing with playmates in the social environment. The social environment can affect the development process of pre-school age children, for example the occurrence of verbal abuse in the social environment that has an impact on children's social development. Purpose: The purpose of this study was to determine the relationship between verbal abuse and the socialization ability of preschool children. Methods: The research design was cross sectional study and the sampling method was carried out by the total sampling method. The sample in this study was all 50 students of Playgroup Al Fattah Malang. Data analysis used SPSS program with Chi Square test. Results: It was found that 46% of children received verbal abuse in the low category, 38% in the medium category and 16% received verbal abuse in the high category and 76% of children had good socialization skills and 24% of children had poor socialization skills and through Chi Square test analysis with In the SPSS program, the value of Asymptotic Significance (2-sided) = 0.001 < 0.05, it means that H1 is accepted, or it is clear that there is a relationship between verbal abuse and the socialization skills of preschoolers in Playgroup Al Fattah Malang. Conclusion: It can be concluded that verbal abuse can result in barriers and disruptions to the socialization development of preschool children. Parents and teachers are expected to provide the right parenting to improve socialization skills in preschool age children.
Self-Help Group Therapy as Community Nursing Intervention to Reduce Stress Response and Increase Self-Efficacy in High-Risk Pregnant Women Reni Nurhidayah; Prima Dewi Kusumawati
Journal Of Nursing Practice Vol. 6 No. 2 (2023): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v6i2.367

Abstract

Background: Unexpected and unanticipated obstetric problems that can have a direct or indirect impact on the well-being of mothers and babies are considered high-risk pregnancies. Uncertainty in health conditions is felt as a life-threatening event that can threaten the lives of mothers and babies. This condition will trigger various stress responses felt by the mother. Moderate to severe stress during pregnancy greatly increases the risk of developing postpartum depression. One of the important coping sources to deal with stress is self-efficacy. Personal abilities are all aspects of an individual that can be utilized to solve problems. One of the interventions that can be used to improve coping mechanisms is self-help groups. Self Help group is a group approach to help its members solve their problems. Purpose: This study aims to determine the impact of self-help groups as therapy in the community to reduce stress responses and increase self-efficacy in high-risk pregnant women. Methods: The research design used was a quasi-experimental one-group pre-test post-test design. 15 respondents were given intervention in 3 sessions for 90 minutes in each session. Stress response and self-efficacy were measured before and after the intervention. Data analysis was carried out using the paired sample T-test. Results: This study shows that the average assessment stress response and self-efficacy score of mothers before the self-help group therapy is 128 and 35. After the therapy, the average response stress and self-efficacy score of mothers was 86 and 53. The study shows the effect of self-help group therapy on stress response (?-value = 0,012) and self-efficacy (?-value = 0,021). Conclusion: It was concluded that self-help group therapy was effective in decreasing stress respons and improving self-efficacy for high-risk pregnant women.
Co-Authors A, Chevy Herli Sumerli Aat Agustini Abiddin, Andi Hayyun Adani Dinanhashfi Hersariti Adetya Wahyu Dwi Jaya Afelina Krissinta Rahayu Putri Agus Sucipto Agustin Widyowati Ajeng Rahardyani Hersariti Alfian Fawzi Ambarsari, Fifin Aning Laorani Anshoriyah, Sofiyatul Ardi Bastian Ardilla Oktaviana Arlia Arlia Asbath Asih Pusparin Asih Puspitasari Asmaul Khusna Asnuddin, Asnuddin Atik Setiawan Wahyuningsih Baiq Hikma Rahmatin Betharia Mardiyani Billy Anoraga, Aditya Byba Melda Suhita Byba Melda Suhita Candra Wahyuni Choirul Amri Chusnul Justati David Rhesy Saputrodewo Dedi Saifulah Deivita, Yan Delvy Mardvin Siokain Dewi Zuniawati Dwiwati, Endang Ekasari, Fahma Yulinda Eli Sabrifha Elok Aqila Febriani Elok Aqila Febriani Eny Susilowati Fadli Fadli Fauzi, Ahmad Zil Ferdiana Azhar Fernandez, Fransisca Debby Christine Fitra Okta Damayanti Fitriani Abdal Fonnie Kuhu Haswita, Haswita Hengky Irawan Heri Saputro Idana, Rindang Farihah Idawati, Candra Ikhlasiah, Marthia Ikko Ambar Noviana Indasah Indasah Indrawati, Iing Yuli Jamilatus Sholeha Joel Rey Ugsang Acob johansyah johansyah Joko Prasetyo Joko Sutrisno Joko Sutrisno Joko Sutrisno Kamesyworo, Kamesyworo Katmini Khasanah, Mutiara Koesnadi Koesnadi, Koesnadi Kurnia Sari, Dhita Kurniati, Ana La Joni Laksmi, Noorhani Dyani Laorani, Aning Larasati, Nindya Cahya Layla, Siti Farida Noor Maidelwita, Yani Maria, Iva Jaya Mawarni, Amelia Indah Melda, Byba Mendieta, Gaiska Mitakda, Esterlina Muhammad Saleh Nadya Risky Aini Nasution Nafa Zunaidah Fahma Natalia Lisma Br Sembiring Nindya Cahya Larasati Ning Arti Wulandari, Ning Arti Ningsih, Eka Sarofah Novita Ana Anggraini Nugroho, Budi Sulistiyo Nur Widya Trisnawati Nur Widya Trisnawati Nur ‘Azah Nurdin, Sulkifli Nurhidayati, Wa Ode Nurwijayanti Pande Ayu Naya Kasih Permatananda Pudyastuti, Rita Rena Puspitasari, Asih Putri, Elvina Triana Ragilia, Sepda Rahmania Ambarika Ratna Wardani Reni Nurhidayah Sabrifha, Eli Sahat Tua Naiboha, Beres Santioso, Lucy Lidiawati Sepda Ragilia Sergio Rodrigues Soares Slamet Djoko Sunarko Soares, Sergio Rodrigues Sulasiyah, Siti Sunanto Sunanto Surahman Sukron Rosyadi Susi Wirawati Triyono Sutrisno Sutrisno Sutrisno, Vivi Koernia Waty Trisnawati, Nur Widya Trisnawati, Nur Widya Venty Suryanti Wahyuni, Retno Dwi Wawan Kurniawan Weraman, Pius Wiji Astuti Winarningsih, Rahayu Arum Wing Wiryanto Waang Wing Wiryanto Waang Wiwit Azmi Lestari Yadnya, I Dewa Gede Sayang Adi Yammar Yan Deivita Yenny Puspitasari Yohanes Deo Fau Yuli Peristiowati, Yuli Yuly Peristiowati Zulkifli