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Effectiveness of a family-centered empowerment-based digital pocketbook on self-efficacy and iron supplement adherence among pregnant women: A quasi-experimental study Fauzianty, Ariska; Situmorang, Friza Novita Sari; Sari, Sonia Novita; Sabiah, Siti; Hasibuan, Vivi Restiyani; Febriyan, Yuliska
AcTion: Aceh Nutrition Journal Vol 10, No 4 (2025): December
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v10i4.3039

Abstract

Pregnancy-related anemia remains a major public health problem in Indonesia, largely attributable to low iron supplementation adherence among pregnant women. Evidence regarding digital interventions based on the family centered empowerment model (FCEM) remains limited. This study aimed to evaluate the effectiveness of an FCEM-based digital E-Pocket Book in improving self-efficacy and adherence to iron tablet consumption among pregnant women. A quasi-experimental pretest–posttest control group study was conducted at the Sentosa Baru Community Health Center in Medan, Indonesia, from July to August 2025. A total of 50 pregnant women (gestational age, 14–36 weeks) were allocated to an intervention group (n = 25) and a control group (n = 25). The intervention group received the FCEM-based E-Pocket Book for four weeks, while the control group received standard antenatal education. Data were analyzed using the Wilcoxon signed-rank and Mann–Whitney U tests. The intervention group demonstrated significantly greater improvements in self-efficacy (p = 0.027; d = 0.78) and adherence to iron supplementation (p = 0.001; d = 0.91) than the control group. In conclusion, the family-centered empowerment–based digital pocketbook is effective in improving self-efficacy and adherence to iron supplementation among pregnant women.
Hilirisasi e-pocket book melalui pendampingan berbasis family-centered empowerment model untuk optimalisasi self efficacy dan kepatuhan konsumsi tablet tambah darah ibu hamil Fauzianty, Ariska; Situmorang, Friza Novita Sari; Sari, Sonia Novita; Napitupulu, Nova Isabella Mariance Br; Darmawan, Hari Putra; Hasibuan, Vivi Restiyani; Febriyan, Yuliska
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 10, No 1 (2026): February (In Progress)
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v10i1.38124

Abstract

Abstrak Ketidakpatuhan konsumsi Tablet Tambah Darah (TTD) merupakan faktor utama penyebab anemia pada ibu hamil yang dapat meningkatkan risiko perdarahan pascapersalinan. Pengabdian masyarakat ini bertujuan untuk mengoptimalkan self-efficacy dan kepatuhan konsumsi TTD melalui hilirisasi e-Pocket Book SIAP-TTD dengan pendekatan Family-Centered Empowerment Model (FCEM). Kegiatan dilaksanakan selama empat minggu di wilayah kerja Puskesmas Sentosa Baru dengan melibatkan 25 ibu hamil dan keluarganya. Metode yang digunakan meliputi sosialisasi, demonstrasi fitur interaktif aplikasi, serta pendampingan intensif berbasis pemberdayaan keluarga. Hasil evaluasi menunjukkan peningkatan signifikan pada pemahaman dasar peserta dari 20% menjadi 85%, serta kemampuan penggunaan aplikasi dan kepatuhan konsumsi dari 15% menjadi 80%. Intervensi ini berhasil meningkatkan keyakinan ibu untuk menuntaskan program 90 tablet serta menumbuhkan peran aktif keluarga sebagai pendukung emosional dan informasional. Adaptasi berupa penyediaan versi hard copy dilakukan untuk mengatasi kendala akses data seluler. Sinergi antara teknologi digital dan pemberdayaan keluarga terbukti efektif dalam meningkatkan derajat kesehatan ibu di tingkat komunitas. Kata kunci: ibu hamil; e-pocket book; family-centered empowerment model; kepatuhan tablet tambah darah; self-efficacy AbstractNon-compliance with the consumption of Blood Supplement Tablets (TTD) is the main factor causing anemia in pregnant women which can increase the risk of postpartum bleeding. This community service aims to optimize self-efficacy and compliance with TTD consumption through the downstream  of  the SIAP-TTD e-Pocket Book with the Family-Centered Empowerment Model (FCEM) approach. The activity was carried out for four weeks in the working area of the Sentosa Baru Health Center involving 25 pregnant women and their families. The methods used include socialization, demonstration of the application's interactive features, and intensive assistance based on family empowerment. The results of the evaluation showed a significant improvement in participants' basic understanding from 20% to 85%, as well as application usability and consumption compliance from 15% to 80%. This intervention succeeded in increasing the mother's confidence to complete the 90-tablet program and fostering the active role of the family as emotional and informational support. Adaptation in the form of providing a hard copy version  was carried out to overcome mobile data access constraints. The synergy between digital technology and family empowerment has proven to be effective in improving maternal health at the community level. Keywords: blood supplement tablet compliance; e-pocket book; family-centered empowerment model; pregnant women; self-efficacy