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Information-Motivation-Behavioral Skill in Diabetes Self-management Using Structural Equation Modeling Analysis Kurtanty, Dien; Bachtiar, Adang; Candi, Cicilya; Pramesti, Alya; Rahmasari, Almira Fanny
Kesmas Vol. 18, No. 1
Publisher : UI Scholars Hub

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Abstract

Diabetes is the “mother” of various diseases increasing the risk of morbidity and mortality. Diabetes self-management, an effort made by patients to control blood sugar levels, is an important part of the management strategy. Therefore, this study analyzed information, motivation, and behavioral skills associated with diabetes self-management. Data were collected in the Special Capital Region of Jakarta, with 277 diabetic patients selected using a questionnaire by a systematic random sampling method. The analyzed variables were information (with indicator variables of information on physical activity, nutritional intake, drug consumption, and blood sugar monitoring); sociodemographic (age, sex, occupation, education level, and duration of diabetes); motivation (barrier, benefit, self-efficacy, severity, and susceptibility); and behavioral skills (new motor, self-regulatory, and social skills), which were analyzed to identify their influence on diabetes self-management using structural equation modeling. The results indicated that information and motivation significantly and positively affected behavioral skills; while, sociodemographic did not. Behavioral skills had a significant and positive effect on diabetes self-management. Accordingly, people with diabetes information, motivation, and behavioral skills need to be improved to increase the success of diabetes self-management.
Empowering Health Cadres Through Smartphone-Based Educational Applications for Chronic Kidney Disease (CKD) Prevention Antia, Antia; Kurtanty, Dien; Dewi, Ratna; Suharti, Suharti; Astuti, Nesya Widia; Abidin, Falenia Putri; Kamila, Mutiara Cahya; Wianti, Sri; Wijayanti, Wijayanti
Jurnal Empathy Pengabdian Kepada Masyarakat Jurnal Empathy Pengabdian Kepada Masyarakat Volume 7 Number 1 Year 2026
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jurnalempathy.v7i1.375

Abstract

Background: Chronic kidney disease (CKD) remains a significant public healt issue, especially in communities with limited acces to early detection and prevention services. In Ciangir Village, low health literacy and limited utilization of health cadres contribute to delayed identification of CKD risk. The aim of the initiative is to empower health workers to enhance their knowledge and skills in the prevention of chronic kidney disease through a smartphone-based educational app, thereby supporting public education and the early detection of risk factors. Methods: The implementation methods include program dissemination, health cadre training, application of the Suster Kita application as an educational medium, as well as mentoring and evaluation. The target of this activity was health cadres in Ciangir Village, Legok District, Tangerang Regency, who then provided education to beneficiary households in their area. The activity was evaluated by measuring knowledge levels using pre-tests and post-tests and assessing the cadres' ability to use the application as an educational medium. Results: The total knowledge score increased from 238 (pre-test) to 256 (post-test), indicating an improvement of 18 points. In addition, cadres demonstrated improved ability to deliver structured health education using digital thechnology. Conclusion: Empowering health cadres through smartphone-based applications shows potential as an effective strategy to improve knowledge and support CKD prevention at the community level. However, further evaluation is needed to assess long-term impact.