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All Journal JURNAL PROMOSI KESEHATAN INDONESIA Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Jurnal SOLMA Journal of Epidemiology and Public Health Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Livia, Wardhatul
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The The Impact of Exercise on Quality of Life, Physical Health, and Mental Health in Type 2 Diabetes Mellitus Patients: Meta-Analysis Maingu, Bertha Sylvester; Livia, Wardhatul; Andriani, Isna; Bhisma Murti; Tursina, Elsa
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.02.

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is a prevalent metabolic disorder that is common on a global scale. Effective management in addition to medication involves implementing lifestyle modifications, including regular exercise. This study aimed to analyze and estimate the impact of exercise on improving quality of life, physical health, and mental health in type 2 diabetes mellitus patients.Subjects and Method: This was a meta-analysis study using the PICO model which includes; P= type 2 diabetes mellitus patients; I= exercise; C= no exercise; and O= quality of life, physical health, and mental health. The articles obtained were from 2 databases, namely PubMed and ScienceDirect. Keywords used include “exercise” OR “physical activity” AND “quality of life” OR “physical health” OR “mental health” AND “type 2 diabetes mellitus” AND “randomized control trial”. The inclusion criteria of articles were a randomized control trial study design, publication year from 2018 to 2023, full-text, English language, and reported mean and standard deviation values. Data was analyzed using the PRISMA diagram and the Review Manager 5.3 application.Results: This meta-analysis consisted of 13 articles originating from Canada, Denmark, Egypt, Ghana, Iran, Saudi Arabia, Spain, Taiwan, Turkey, and USA. The total sample size was 755 type 2 diabetes mellitus patients. Exercises improved the quality of life (SMD= 0.66; CI 95%= 0.20 to 1.11; p= 0.005); physical health (SMD= 0.91; CI 95%= 0.53 to 1.29; p= 0.001) and mental health (SMD= 0.82; CI 95%= 0.25 to 1.39; p= 0.005) in type 2 diabetes mellitus patients.Conclusion: Exercise carried out regularly and measurably improves the quality of life, physical health, and mental health in type 2 diabetes mellitus patients. Keywords: Exercise, quality of life, physical health, mental health, type 2 diabetes mellitus.
Effect of Tertiary Preventive Behavior on HbA1c Level, Quality of Life, and Complication Risk in Diabetes Mellitus Patients Livia, Wardhatul; Murti, Bhisma; Tamtomo, Didik Gunawan; Prasetya, Hanung
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.10

Abstract

Background: Type 2 diabetes mellitus (DM) is a non-communicable disease which is a source of additional severity for other diseases. This study aims to determine the effect of tertiary preventive behavior on hba1c level, quality of life (QoL), and complication risk in diabetes mellitus patients.Subjects and Method: This was a cross-sectional study conducted in Sukoharjo, Central Java, Indonesia, from October to November 2023. A total sample of 200 patients with type 2 diabetes mellitus (DM), registered in the Prolanis program, was selected through multistage random sampling. The independent variables were HbA1c levels, risk of complications, and QoL. The inde-pendent variable was tertiary preventive behavior. HbA1c levels were measured using spectrophotometer. QoL was measured using the WHOQOL questionnaire, and risk of complications using a questionnaire. Data were analyzed using the SEM model.Results: Tertiary prevention behavior significantly increased HbA1c level (b= 0.31; CI 95%= -0.45 to 0.15; p<0.001) and quality of life (b= 0.15; 95% CI= -0.15 to 0.38; p<0.001). Tertiary prevention behavior significantly reduced the risk of complications (b= -0.22; CI 95%= -0.42 to 0.02; p= 0.026). The goodness-of-fit values suggest that the structural equation model (SEM) is acceptable (p= 0.188; RMSEA=0.04; CFI=0.97, TLI=0.95; SRMR=0.05; CD= 0.07).Conclusion: Tertiary prevention behavior significantly increased HbA1c level and quality of life. Tertiary prevention behavior reduces the risk of complications in type 2 DM patients. Keywords: Diabetes mellitus, HbA1c, complications, quality of life
Edukasi Pentingnya Konsumsi Tablet Tambah Darah Pada Remaja Putri di SMK Muhammadiyah Kartasura Kusumaningrum, Tanjung Anitasari Indah; Kurniawati, Nurdika; Anggita, Galuh Cahya Ayu; Laili, Ramadani Nur; Livia, Wardhatul
Jurnal SOLMA Vol. 14 No. 1 (2025)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v14i1.16850

Abstract

Latar Belakang: Anemia pada remaja putri merupakan permasalahan kesehatan yang krusial karena memiliki dampak jangka panjang pada kesehatan reproduksi, maupun tumbuh kembangnya. Permasalahan yang dihadapi SMK Muhammadiyah Kartasura yaitu cukup banyaknya remaja putri yang anemia (47,62%) dan remaja putri enggan mengonsumsi Tablet Tambah Darah (TTD) karena remaja merasa TTD berbau amis, menyebabkan mual, dan pusing serta remaja belum mengetahui dampak anemia maupun manfaat dari TTD. Tujuan dari program ini yaitu meningkatkan pengetahuan, sikap dan niat remaja putri di SMK Muhammadiyah Kartasura untuk mengonsumsi TTD. Metode: Metode Kegiatan meliputi perencanaan (penyiapan media edukasi); pelaksanaan kegiatan (1) pengukuran pengetahuan, sikap, dan niat konsumsi tablet tambah darah sebelum edukasi,; (2) pemberian edukasi,; (3) pengukuran pengetahuan, sikap, dan niat konsumsi tablet tambah darah setelah edukasi); dan evaluasi kegiatan dengan melihat ada tidaknya peningkatan pengetahuan, sikap dan niat setelah edukasi. Hasil: Terjadi peningkatan rata-rata setelah edukasi dilakukan yaitu dari 67,9 menjadi 75,6 (pengetahuan) dan 91,75 menjadi 98,75 (sikap).  Niat remaja putri untuk mengonsumsi TTD juga meningkat dari 61,54% menjadi 84,61%. Peningkatan juga terjadi pada kekuatan niat remaja putri yang berada pada kategori tinggi yaitu dari 29,17% menjadi 48,49%. Secara keseluruhan peningkatan rata-rata pengetahuan sebesar 7,7 dan sikap sebesar 7, serta niat remaja meningkat sebesar 23,07%. Kesimpulan: Edukasi tentang TTD kepada remaja putri dapat meningkatkan pengetahuan, sikap dan niat untuk konsumsi TTD. Perlu tindak lanjut dari sekolah yang berfokus pada pemantauan perilaku konsumsi tablet tambah darah secara rutin oleh remaja putri secara berkelanjutan dan mendeteksi kembali untuk mengetahui bahwa remaja bebas dari anemia.
Flashcards on Reproductive Health Education for Elementary School Children: Development and Validation Kusumaningrum, Tanjung Anitasari Indah; Kusumawati, Yuli; Inayati, Nurul Latifatul; Umaroh, Ayu Khoirotul; Hidayat, Muhamad Taufik; Livia, Wardhatul; Syifa, Asy; Trijaya; Nabilla, Nur Jihan Luthfia
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. 2 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.I2.2025.156-165

Abstract

Reproductive health problems among children and adolescents are increasing. These problems can be prevented starting from a young age. Parents play a significant role in protecting children from sexual and reproductive health problems. Educational media are needed to improve parents' knowledge of reproductive health in elementary school age children so parents can provide this information to their children. Objective: To develop flashcards to support parents in educating children about reproductive health from an early age. Method: The study used a research and development method conducted from February-May 2024 in Kartasura, Sukoharjo. The ADDIE model was used as the stages in media development. One material expert and one media expert, ten parents in the small group evaluation, and 20 parents in the field evaluation tested the suitability of the media. This was followed by implementing media use with a one group pre- and post-test design involving 30 parents to assess the effectiveness of the media. The parents involved in this research were parents of elementary school children in grades 1-3. Data were collected using questionnaires. Data were analyzed using N-gain value. Results: Flashcard media was very suitable and effective (with the percentage of media feasibility in the experts’ assessment being 90%, small group evaluation 90.3% and 88.6% in the field evaluation). At the implementation stage, there was an increase in the average knowledge score before and after using flashcards with N-gain score was 0.43. Conclusion: Flashcards can be used for reproductive health education for parents of elementary school children.
Fathers’ Behavior in Providing Reproductive Health Information to Male Adolescents in Surakarta: A Qualitative Study Kusumaningrum, Tanjung Anitasari Indah; Kusumawati, Yuli; Purworini, Dian; Arifah, Izzatul; Athaya, Muhamad Rivandi; Setyawati, Anisa; Had, Fairus El; Kurniawati, Nurdika; Trijaya, Trijaya; Almayda, Mutiara Bahi; Brilliyanti, Aulia Suffah; Livia, Wardhatul
Jurnal Promosi Kesehatan Indonesia Vol 20 No 4: October 2025
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.20.4.278-290

Abstract

Background: Adolescent males generally demonstrate a lesser understanding of reproductive health compared to their female peers. Paternal involvement is crucial in addressing this disparity, as fathers are perceived as facilitators of more comfortable same-gender interactions. This research employed the Theory of Planned Behaviour and the Health Belief Model to analyse fathers' roles in disseminating reproductive health information to male adolescents.Method: A qualitative study was conducted in Surakarta between January and April 2025. Seventeen fathers of male adolescents, aged 10–19 years, served as the primary informants. They were selected via purposive sampling based on specific inclusion criteria: being married and having prior exposure to reproductive health materials. The exclusion criterion was non-local employment without a daily commute. Source triangulation involved an additional 17 wives and 19 adolescents. Data were collected through in-depth interviews and analysed using Colaizzi's method.Result : The majority of fathers educated their children on reproductive health, indicating positive attitudes and an understanding of its significance for adolescents. Wives significantly influenced fathers' perceptions and communication regarding this topic. Time constraints emerged as a key issue, with fathers expressing willingness to participate when their teenagers were available. It was found that the simultaneous availability of fathers and teenagers was necessary to foster closeness and effective communication. 
Development of Audiovisual Media for Reproductive Health Education for Parents of Adolescents Kusumaningrum, Tanjung Anitasari Indah; Inayati, Nurul Latifatul; Asyanti, Setia; Umaroh, Ayu Khoirotul; Livia, Wardhatul; Laili, Ramadani Nur; Trijaya, Trijaya; Dewanti, Ririn Cahya; Kusumawati, Yuli; Arifah, Izzatul
Kesmas Vol. 20, No. 2
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Parents are the primary source of information for adolescents, but many parents lack an understanding of health materials. For knowledge to be increased, health media, one of which is audiovisual media, are desirable. This study aimed to develop audiovisual media on adolescents’ reproductive health. Media development utilized the analyze, design, develop, implement, and evaluate (ADDIE) model. The respondents in this study were parents of adolescents aged 10–14 years, comprising 10 parents in the small group evaluation, 20 in the field evaluation, and 10 in the implementation stage. The effectiveness of the media was tested through pretests and posttests. Using a questionnaire tested for validity and reliability, the data were collected. The effectiveness of the media was analyzed using N-gain. The results revealed that the seven audiovisual media were suitable for use. At the implementation stage, the N-gain value was 0.55, indicating that the video effectively increased parents’ knowledge of reproductive health. Developing audiovisual media on reproductive health is effective for parents. To ensure parents truly grasp reproductive health information, health institutions should consider creating interactive audiovisual resources. This format would make the material more accessible and comprehensible.
The The Impact of Exercise on Quality of Life, Physical Health, and Mental Health in Type 2 Diabetes Mellitus Patients: Meta-Analysis Maingu, Bertha Sylvester; Livia, Wardhatul; Andriani, Isna; Bhisma Murti; Tursina, Elsa
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.02.

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is a prevalent metabolic disorder that is common on a global scale. Effective management in addition to medication involves implementing lifestyle modifications, including regular exercise. This study aimed to analyze and estimate the impact of exercise on improving quality of life, physical health, and mental health in type 2 diabetes mellitus patients.Subjects and Method: This was a meta-analysis study using the PICO model which includes; P= type 2 diabetes mellitus patients; I= exercise; C= no exercise; and O= quality of life, physical health, and mental health. The articles obtained were from 2 databases, namely PubMed and ScienceDirect. Keywords used include “exercise” OR “physical activity” AND “quality of life” OR “physical health” OR “mental health” AND “type 2 diabetes mellitus” AND “randomized control trial”. The inclusion criteria of articles were a randomized control trial study design, publication year from 2018 to 2023, full-text, English language, and reported mean and standard deviation values. Data was analyzed using the PRISMA diagram and the Review Manager 5.3 application.Results: This meta-analysis consisted of 13 articles originating from Canada, Denmark, Egypt, Ghana, Iran, Saudi Arabia, Spain, Taiwan, Turkey, and USA. The total sample size was 755 type 2 diabetes mellitus patients. Exercises improved the quality of life (SMD= 0.66; CI 95%= 0.20 to 1.11; p= 0.005); physical health (SMD= 0.91; CI 95%= 0.53 to 1.29; p= 0.001) and mental health (SMD= 0.82; CI 95%= 0.25 to 1.39; p= 0.005) in type 2 diabetes mellitus patients.Conclusion: Exercise carried out regularly and measurably improves the quality of life, physical health, and mental health in type 2 diabetes mellitus patients. Keywords: Exercise, quality of life, physical health, mental health, type 2 diabetes mellitus.
Effect of Tertiary Preventive Behavior on HbA1c Level, Quality of Life, and Complication Risk in Diabetes Mellitus Patients Livia, Wardhatul; Murti, Bhisma; Tamtomo, Didik Gunawan; Prasetya, Hanung
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.10

Abstract

Background: Type 2 diabetes mellitus (DM) is a non-communicable disease which is a source of additional severity for other diseases. This study aims to determine the effect of tertiary preventive behavior on hba1c level, quality of life (QoL), and complication risk in diabetes mellitus patients.Subjects and Method: This was a cross-sectional study conducted in Sukoharjo, Central Java, Indonesia, from October to November 2023. A total sample of 200 patients with type 2 diabetes mellitus (DM), registered in the Prolanis program, was selected through multistage random sampling. The independent variables were HbA1c levels, risk of complications, and QoL. The inde-pendent variable was tertiary preventive behavior. HbA1c levels were measured using spectrophotometer. QoL was measured using the WHOQOL questionnaire, and risk of complications using a questionnaire. Data were analyzed using the SEM model.Results: Tertiary prevention behavior significantly increased HbA1c level (b= 0.31; CI 95%= -0.45 to 0.15; p<0.001) and quality of life (b= 0.15; 95% CI= -0.15 to 0.38; p<0.001). Tertiary prevention behavior significantly reduced the risk of complications (b= -0.22; CI 95%= -0.42 to 0.02; p= 0.026). The goodness-of-fit values suggest that the structural equation model (SEM) is acceptable (p= 0.188; RMSEA=0.04; CFI=0.97, TLI=0.95; SRMR=0.05; CD= 0.07).Conclusion: Tertiary prevention behavior significantly increased HbA1c level and quality of life. Tertiary prevention behavior reduces the risk of complications in type 2 DM patients. Keywords: Diabetes mellitus, HbA1c, complications, quality of life
Co-Authors Almayda, Mutiara Bahi Andriani, Isna Anggita, Galuh Cahya Ayu Athaya, Muhamad Rivandi Ayu Khoirotul Umaroh Bhisma Murti Brilliyanti, Aulia Suffah Dewanti, Ririn Cahya Dian Purworini Didik Gunawan Tamtomo Had, Fairus El Inayati, Nurul Latifatul Izzatul Arifah Kurniawati, Nurdika Kusumaningrum, Tanjung Anitasari Indah Laili, Ramadani Nur Maingu, Bertha Sylvester Muhamad Taufik Hidayat Nabilla, Nur Jihan Luthfia Prasetya, Hanung Setia Asyanti Setyawati, Anisa Syifa, Asy Tanjung Anitasari Indah Kusumaningrum Trijaya Trijaya Trijaya Tursina, Elsa Yuli Kusumawati