Community Development in Health Journal
Volume 4, Nomer 2, Oktober 2026

PROGRAM YAKIN 3J: PENGUATAN EFIKASI DIRI UNTUK MENINGKATKAN KEPATUHAN DIET PADA PENYANDANG DIABETES MELITUS

Susanti Susanti (STIKES Adi Husada)
Novita Fajriyah (STIKES Adi Husada)
Rina Budi Kristiani (STIKES Adi Husada)
Sosilo Yobel (STIKES Artha Bodi Iswara)
Difran Nobel Bistara (Departemen Keperawatan, Fakultas Keperawatan dan Kebidanan, Universitas Nahdlatul Ulama Surabaya, Surabaya)



Article Info

Publish Date
28 Oct 2026

Abstract

Introduction & Aim: Previous research at Jemursari Islamic Hospital, Surabaya, demonstrated a strong positive relationship between self-efficacy and dietary adherence among people with diabetes mellitus. The finding was translated into the YAKIN 3J Program (confidence in managing food according to Amount, Type, and Schedule), which aimed to strengthen self-efficacy and dietary adherence among people with diabetes mellitus in Tembok Dukuh Village, Bubutan District, Surabaya. Method of Activity: Community service was conducted from June to August 2026 with 35 participants. Activities included baseline assessment, simple and repeated 3J dietary education, behavioral goal setting, menu and portion practice, peer sharing, family involvement, food-monitoring records, and weekly mentoring. Evaluation used the Diabetes Management Self-Efficacy Scale (DMSES) and Dietary Behavior Questionnaire (DBQ) before and after the program, with changes analyzed using the Wilcoxon test. Results: Participants were predominantly women (63%); the largest age group was 40–60 years (40%), and 34% had senior high school education. Sixty percent were recorded as not taking medication, 51% had lived with diabetes for less than five years, and 40% were recorded in the >200 mg/dL blood-glucose category. In the illustrative pre-post analysis currently used in the manuscript, median self-efficacy increased from 53.0 to 66.0 and median dietary adherence from 43.0 to 54.0 (both p<0.001; large effect sizes). Discussion: Participant characteristics support the need for practical, repeated, and individualized education. Strengthening mastery experiences, peer support, verbal encouragement, family support, and self-monitoring may increase confidence and consistency in applying the 3J diet.

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Journal Info

Abbrev

CDHJ

Publisher

Subject

Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

Description

Community Development in Health Journal merupakan jurnal yang berisi artikel-artikel ilmiah hasil kegiatan pengabdian kepada masyarakat dalam bidang Ilmu Kesehatan, yang mencakup keperawatan, kedokteran, teknologi kesehatan, biologi kesehatan, farmasi, kebidanan, analis kesehatan, administrasi rumah ...