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All Journal Jurnal Edukasi Ilmiah Kesehatan Jurnal Pengabdian Masyarakat Edukasi Indonesia
Tri Astuti, Indra
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Health Professions Medicine & Pharmacology Neuroscience Nursing Physics Public Health

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Health education with dietary adherence for people with diabetes mellitus in the community Tri Astuti, Indra; Min Chen, Ching
Jurnal Edukasi Ilmiah Kesehatan Vol. 3 No. 3 (2025): Jurnal Edukasi Ilmiah Kesehatan
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/junedik.v3i3.147

Abstract

Introduction: Dietary adherence remains a critical challenge for individuals with diabetes mellitus (DM), especially within community settings where lifestyle factors strongly influence disease control. Health education plays an crucil role in enhancing self-management behaviors and improving glycemic outcomes. This study aimed to evaluate the effect of structured health education on dietary adherence among people with DM in the community. Methods: A quasi-experimental pre–post design was conducted among 120 participants with type 2 DM in a community health program. Participants received four weekly sessions of health education focusing on nutrition knowledge, meal planning, and behavioral motivation, delivered through interactive workshops and visual aids. Data were collected using the Diabetes Self-Management Questionnaire (DSMQ) and a 24-hour dietary recall, and analyzed using paired t-tests and multiple regression to assess changes in adherence and identify influencing factors. Results: Post-intervention findings showed a significant improvement in dietary adherence scores (p < 0.001) and a mean reduction in fasting blood glucose levels (p < 0.05). Education level, social support, and perceived self-efficacy were strong predictors of adherence improvement (R² = 0.48). Participants reported enhanced understanding of carbohydrate control and portion management. Conclusion: Community-based health education effectively improves dietary adherence and metabolic outcomes in people with DM. Integrating culturally relevant education and continuous community engagement is crucial to sustaining behavioral changes. This approach supports primary prevention efforts and strengthens community health systems in diabetes management
Strengthening family nutrition literacy based on community nursing in stunting prevention in toddlers Setiawati, Ari; Tri Astuti, Indra
Jurnal Pengabdian Masyarakat Edukasi Indonesia Vol. 3 No. 1 (2026): Jurnal Pengabdian Masyarakat Edukasi Indonesia
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jpmei.v3i1.161

Abstract

Stunting remains a major public health problem that threatens child growth and long-term human development, particularly in low- and middle-income countries. Family nutrition literacy plays a critical role in shaping feeding practices, health-seeking behavior, and early detection of growth problems among toddlers. This community service program aimed to strengthen family nutrition literacy through a community nursing based approach to support stunting prevention among toddlers. The program was implemented using a community-based method involving five stages: socialization, training, application of technology, mentoring and evaluation, and program sustainability. Activities were conducted with 30 families who had toddlers, supported by community nurses and health cadres. Training focused on balanced nutrition, appropriate complementary feeding, dietary diversity using local food sources, food hygiene, and interpretation of growth monitoring results. Simple digital educational media and mobile communication were used to reinforce learning and follow-up. Mentoring was provided through home visits and counseling sessions to support behavior change. The results showed improvements in family nutrition literacy, indicated by a reduction in low literacy levels and an increase in good literacy levels after the intervention. Positive changes were also observed in feeding practices and compliance with regular toddler growth monitoring. These findings indicate that strengthening family nutrition literacy through community nursing is an effective strategy to enhance family capacity in stunting prevention. Integrating education, mentoring, and appropriate technology within routine community nursing services can contribute to sustainable improvements in child nutrition practices. This approach has the potential to support long-term stunting reduction by empowering families as active agents in child health and nutrition care
Co-Authors Min Chen, Ching Setiawati, Ari