Rahmah, Aulia Siti Nur
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Health Belief Model Application in Encouraging Colorectal Cancer Screening in Adults: Meta-analysis Ersananda, Audria; Rahmah, Aulia Siti Nur
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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Background: Colorectal cancer is one of the cancers caused by the growth of malignant abnormal cells in the large intestine and rectum which are part of the gastrointestinal system. Screening has the potential to reduce the burden of colorectal cancer with the support of scientific literature showing a reduction in colorectal cancer mortality ranging from 18% to 57% (depending on the screening test used). The Health Belief Model is a health behavior model that can predict a person's interest in screening for colorectal cancer. This study aims to estimate the effect of the Health Belief Model in colorectal cancer screening by meta-analysis.Subjects and Method: Meta-analyses were performed by searching articles from the PubMed, Google Scholar, and ScienceDirect databases. The keywords and Boolean operators used are Health Belief Model OR perceived susceptibilty OR perceived risk OR risk perception OR perception of risk AND screening colorectal OR colonoscopy OR faecal occult blood test OR sigmoidoscopy. The inclusion criteria in this study were full-text articles with a cross-sectional design. The articles were published in English from 2012 to 2022. The population used in this study were both male and female adults. Analysis of perceived susceptibility to final study results was reported using the adjusted odds ratio (aOR). Article analysis using RevMan 5.3 software.Results: A total of 9 articles were used. The results showed that a person's perception of being vulnerable or at high risk will increase colorectal cancer screening by 1.81 times compared to someone who has a low perception of susceptibility to colorectal cancer screening (aOR= 1.81; 95% CI= 1.58 to 2.07) and the results are significant. statistically (p < 0.001).Conclusion: Perceived susceptibility is statistically significant in predicting someone to be screened for colorectal cancer.Keywords: health belief model, susceptibility perception, colorectal cancer screening.Correspondence:Aulia Siti Nur Rahmah. Catholic School of Health Sciences, St.Vincentius A Paulo, Surabaya, East Java, Indonesia. Email: rahmaaulia500@gmail.com.  Mobile: +6281233511180Journal of Health Promotion and Behavior (2021), 06(04): 327-338DOI: https://doi.org/10.26911/thejhpb.2021.06.04.07 
Meta Analysis the Effect of Electronic Health-based Self Management in Controlling Blood Pressure in Hipertensive Patients Rahmah, Aulia Siti Nur; Tamtomo, Didik; Murti, Bhisma
Journal of Health Policy and Management Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background Consistent application of self-management is important in efforts to improve the quality of life and health status of hypertensive patients. Electronic health is here to facilitate self-management of hypertensive patients and provide health information to health workers in real time and promote lifestyle modifications. The purpose of this study was to analyze the influence of electronic health-based self-management on blood pressure control in hypertensive patients.Subjects and Method: : This study is a meta-analysis using PICO namely Population: Hypertensive patients; Intervention: Self-management based on electronic health; Comparison: No self-management based on electronic health; Outcome: Systolic and diastolic blood pressure. This study uses articles from several databases, i.e Pubmed, Google Scholar, Science Direct and the Cochrane Library using the following keywords “Hypertension” OR “Hypertensive” OR “Blood Pressure” OR “High Blood Pressure” AND “Self Management” OR “Self Care” OR “Self Monitoring” AND “Electronic Health” OR “eHealth” OR “Telemedicine” OR “Telehealth” OR “mHealth” OR “Mobile Health” OR “Mobile Application” OR “Message Text” OR “Phone Calls”. Articles included in the research are articles that use English with an RCT study design whose publication is within the period of 2012-2022. The steps in the systematic review are carried out based on the PRISMA flow diagram guidelines. Quantitative analysis was carried out using Review Manager (Revman) 5.3.Results: There were 9 articles from South Africa, America, South Korea, Spanish, England, Scotland, and Honduras, with a sample size of 3,071 hypertensive patients concluded that electronic health-based self-management could reduce systolic blood pressure by 0.38 units and was statistically significant (SMD= -0.38; 95% CI = -0.55 to -0.20; p<0.001 ). The meta-analysis synthesized 9 studies with a total sample size = 2.095 hypertensive patients concluded that electronic health-based self-management could reduce diastolic blood pressure by 0.21 units and was statistically significant (SMD= -0.21; 95% CI = -0.29 to -0.12; p< 0.001).Conclusion: Electronic health-based self-management can reduce systolic and diastolic blood pressure control in hypertensive patients.Keywords: Self management, electronic health, blood pressure, hypertensionCorrespondence:Aulia Siti Nur Rahmah. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: rahmaaulia500@gmail.com. Mobile: 08156865373.Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.02.04