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Prisma, Fara Aristya
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Medicine & Pharmacology Public Health

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Meta Analysis: Application of Health Belief Model on the Tertiary Prevention of Type 2 Diabetes Mellitus Marsim, Etanaulia; Prisma, Fara Aristya; Prianggi, Herawati
Journal of Health Promotion and Behavior Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Diabetes Mellitus Type 2 is a hyperglycemic disease due to insensitivity of cells to insulin. Insulin levels may decrease slightly or be in the normal range. The level of adherence of type 2 diabetes patients is lower than type 1 diabetes. Compliance with medication and taking medication in DM patients has a very important role in controlling blood sugar levels. HBM is a model that describes a person's knowledge of health threats and understanding of recommended behaviors to prevent or treat health problems based on an assessment of feasibility and benefits compared to costs. This study aimed to estimate the effect of HBM, especially the severity and self-efficacy constructs.Subjects and Method: This study was conducted using a systematic review and meta-analysis study design using PICO. Population: type-2 diabetic patients. Intervention: high severity perception and high self-efficacy. Comparison: low severity perception, and low self-efficacy. Outcome: tertiary prevention behaviors. The articles used in this study came from 4 databases, namely Google Scholar, Pubmed, Science Direct and Proquest. The article keywords are “health belief model” OR “perceived severity” OR “self-efficacy” AND “type 2 diabetes”. The articles included in this study are full paper articles, cross-sectional study designs, 2012-2021 and the size of the relationship between Adj Odds Ratio. Article selection is done using PRISMA. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 12 cross-sectional studies were reviewed in this study. A meta-analysis of 7 cross-sectional studies showed that strong perceived severity increased the likelihood of implementing tertiary prevention behaviors in type 2 diabetes patients by 4.69 times (aOR= 4.69; 95% CI= 1.92 to 11.47; p= 0.007). A meta-analysis of 9 cross-sectional studies showed that slightly stronger perceived self-efficacy increased the likelihood of implementing tertiary prevention behaviors in type 2 diabetes patients by 1.68 times (aOR= 1.68; 95% CI= 1.03 to 2.74; p= 0.040).Conclusion: Severity perception and self-efficacy are predictors for tertiary prevention of type 2 Diabetes Mellitus.Keywords: predictors, tertiary prevention, type-2 diabetes mellitus, health belief model.Correspondence:Etanaulia Marsim. Health Polytechnics, Ministry of Health, Surakarta. Jl. Letjen Sutoyo, Mojo­songo, Kota Surakarta, Jawa Tengah. Email: etanaulia@gmail.com. Mobile: +6285840530580.Journal of Health Promotion and Behavior (2021), 06(04): 284-297DOI: https://doi.org/10.26911/thejhpb.2021.06.04.03
The Effectiveness of Mobile Phone Text Messages on the Adherence of Antiretroviral Drug Taking in Patients Living with HIV/AIDS: A Meta-Analysis Prisma, Fara Aristya; Prasetya, Hanung; Ichsan, Burhannudin
Journal of Health Promotion and Behavior 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/thejhpb.2023.08.03.04

Abstract

Background: The use of ARV therapy has been shown to reduce the mortality and morbidity of PLHIV. The characteristic factor of the PLHIV health care system is a key factor as well as how health workers and services synergize to improve patient adherence to adherence to taking ARVs. Subjects and Method: This research was conducted using a systematic review and meta-analysis with PICO namely, Population: PLHIV. Intervention; mobile phone text message. Comparison: not given a mobile phone text message. Outcome: obediently taking ARVs. By searching articles in 4 databases namely PubMed, Google Scholar, Science Direct, and ProQuest published from 2012 to 2022, entering the following keywords (“Mobile phone text messages” OR mHealth) AND antiretroviral AND (HIV or AIDS) AND “Randomized controlled trials”. Articles were selected using PRISMA flow and data analysis using the Review Manager 5.3 application. Results: There are a total of 9 articles using the RCT study design with a total sample of 2,762 PLHIV from China, Estonia, Nigeria, Cameroon, Kenya, and Mozambique which have been subject to systematic review and meta-analysis. The data that has been processed shows that mobile phone text messages are effective in increasing PLWHA adherence in taking ARVs, and are statistically close to significant. PLHIV who receive mobile phone text messages are more likely to comply with taking ARVs 1.12 times than those who do not receive mobile phone text messages (RR= 1.12; 95% CI= 1.00 to 1.26; p= 0.050). Conclusion: Mobile phone text messages are effective in increasing PLWHA compliance in taking ARVs. Keywords: HIV/AIDS, ODHA, ARV, mobile phone text messages. Correspondence: Fara Aristya Prisma, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java 57126. Email: fara.aristya@gmail.com. Mobile: +6285697129819.
Co-Authors Burhannudin Ichsan Marsim, Etanaulia Prasetya, Hanung Prianggi, Herawati