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Journal of Health Promotion and Behavior
ISSN : -     EISSN : 25490281     DOI : -
Core Subject : Health,
Journal of Health Promotion and Behavior (JHPB) is an electronic, open-access, double-blind and peer-reviewed international journal, focusing on health promotion and health-related behaviors. It began its publication on May 21, 2015. The journal is published four times yearly. It seeks to understand factors at various layers associated with health behavior and health-impacting policy and find evidence-based social and behavioral strategies to improve population health status.
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Articles 509 Documents
Relationship between Demographic Factors and Body Mass Index with the Prevention of Hypertension in Adolescents Indriawati, Ratna; Syaifudin, Syaifudin
Journal of Health Promotion and Behavior Vol. 5 No. 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Hypertension or increased blood pressure is often referred as the silent killer because it usually does not show significant signs and symptoms. Thus, almost all patients do not realize if they suffer from hypertension. The Basic Health Research (Riskesdas) 2007 reported that the prevalence of hypertension in the population aged over 18 years old in Indonesia was 31.7%. Because of the increasing prevalence of hypertension in adolescence, it is necessary to take precautions. This study aimed to examine the relationship between demographic factors and body mass index with the prevention of hyper­tension in adolescentsSubjects and Method: This was a cross sec­tional study conducted at Muhammadiyah 1 Senior high school, Yogyakarta, from May 2017 to February 2018. A sample of 80 students was selected for this study. The dependent variables were prevention behavior. The independent variables were age, sex, body mass index (BMI), and residence. The data were collected by questionnaire and analyzed by Chi square.Results: 48 (60%) students had good hyper­tension prevention behavior. Female (OR= 3.00; p= 0.030), urban residence (OR= 2.78; p= 0.040), and normal body weight (OR= 4.30; p= 0.001) increased behavior of hypertension prevention, and they were statistically signi­ficant. Older age (OR= 1.59; p= 0.220) incre­ased behavior of hypertension preven­tion, but it was statistically non-significant.Conclusion: Female, urban residence, normal body weight, and older age increase behavior of hypertension prevention.Keywords: hypertension prevention behavior, demographic factorsCorrespondence: Ratna Indriawati. Department of Physiology, Faculty of Medicine and Health Sciences, Uni­versitas Muhammadiyah Yogyakarta, Yogya­karta 55183 Indonesia. Email: r_indriawati­wibowo@yahoo.comJournal of Health Promotion and Behavior (2020), 5(2): 72-78https://doi.org/10.26911/thejhpb.2020.05.02.01  
The Effect of Bullying on Depression, Academic Activity, and Communication in Adolescents in Surakarta: A Multilevel Logistic Regression Sudrajad, Kiyat; Soemanto, RB; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol. 5 No. 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Human interaction requires com­munication as a transmission of informa­tion, ideas, emotions, skills, and so on. Com­mu­nica­tion occurs when a source conveys a message to the recipient with a conscious in­ten­tion to influ­ence the recipient's behavior. One of the pro­blems in social communication is bully­ing. Bully­ing or harassment can be through words or through actions that aim to make the opponent's mental fall and pressure. The purpose of this study was to analyze the factors that influence bullying against depres­sion with the Health Belief Model and Social Cognitive Theory.Subjects and Method: This was a cross-sectio­nal study conducted in junior high schools in Surakarta, in December 2019. A total sample of 250 adolescents was selected by simple random sampling. The dependent variable was bullying. The inde­pen­dent variables were perceived sus­ceptibility, perceived severity, cues to action, perceived threat, perceived benefit, perceived barrier, self-efficacy, depres­sion, academic activi­ties, and communication. The data were collected by questionnaire and analyzed by a multiple multilevel logistic regres­sion run on Stata 13.Results: Bullying increased depression (b= 3.69; 95% CI= 1.51 to 9.00; p= 0.004) and poor communication (b= 4.95; 95% CI= 2.24 to 10.89; p <0.001). Bullying decreased academic achievement (b= - 5.68; 95% CI= -12.33 to -2.62; p<0.001). School had strong contextual effect on depression with ICC= ICC= 20.91%.Conclusion: Bullying increases depression and poor communication. Bullying decreases academic achievement. School has strong con­textual effect on depression.Keywords: bullying, depression, Health Belief Model, Social Cognitive TheoryCorrespondence: Kiyat Sudrajad. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Su­ta­mi 36 A, Surakarta, 57126, Central Java. Ema­il­: kiyatrambo­@gmail.com. Mobile: +628­5­6­47­1­16834.Journal of Health Promotion and Behavior (2020), 05(02): 79-86https://doi.org/10.26911/thejhpb.2020.05.02.02
Biopsychosocial Determinants of Dental and Oral Health Behavior in Elementary School Children in Ponorogo, Indonesia: Application of Health Belief Model Kusumawardhani, Fahma Widya
Journal of Health Promotion and Behavior Vol. 5 No. 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Based on Basic Health Research in 2018, the proper brushing teeth behavior in children in Indonesia was 2.8%. The Elementary School period is an important stage for develop­ing the behavior of maintaining den­tal and oral health in children (students). This stu­dy aim­ed to analyze the bio psychosocial de­ter­­­mi­­nants of the behavior of maintaining den­tal and oral health in elementary school children in Ponorogo by implementing the theory of Health Belief Model.Subjects and Method: This was a cross-sec­tio­nal study conducted in Pono­rogo, East Java, Indonesia, from January to Feb­­ruary 2020. A sample of 200 students from 25 elementary schools was selected by simple random sampling. The dependent vari­able was dental and oral health behavior. The independent variables were know­­­ledge, teacher’s role, attitude, perceived sus­cep­tibility, perceived seriousness, perceived be­ne­fit, perceived barrier, cues to action, self-effi­cacy, and school. The data were co­ll­e­c­t­­ed by questionnaire. The data were analyz­ed by a multilevel multiple logistic regression run on Stata 13.Results: Dental and oral health behavior in elementary school students in­creas­ed with good knowledge (OR= 8.73; 95% CI­= ­­2.18 to 34.95; p= 0.002), strong teacher’s role (OR= 3.99; 95% CI= 1.17 to 13.65; p= 0.027), posi­tive attitude (OR= 6.45; 95% CI= 1.73 to 24.04; p=­ 0.­005), strong perceived susceptibility (OR= 7.81; 95% CI= 2.12 to 28.78; p= 0.011), high perceived seri­ousness (OR= 6.62; 95% CI= 1.93 to 22.69; p= 0.003), weak perceived barrier (OR= 0.18; 95%­ CI= 0.05 to 0.72; p = 0.015), big perceived be­nefit (OR= 7.78; 95% CI= 1.80 to 33.56; p= 0.­006), strong cues to action (OR= 3.95; 95% CI= 1.12 to 13.91; p= 0.032), and strong self-efficacy (OR­=­ 4.­99; 95% CI= 1.38 to 18.05; p=0.014 ). Elementary schools had contextual effect on the dental and oral health be­ha­vi­or with ICC= 14.14%.Conclusion: The behavior of maintaining den­tal and oral health in elementary school students is affected by good knowledge, strong teacher’s role, high perceived susceptibility, high perceived serious­ness, weak perceived barrier, big per­ceiv­ed benefit, high cues to action, and strong self-effi­cacy. The school has a contextual effect on the be­haviour of maintaining dental and oral health in students.Keywords: the behaviour of maintaining dental health, health belief model.Journal of Health Promotion and Behavior (2020), 5(2): 135-146https://doi.org/10.26911/thejhpb.2020.05.02.08
Determinants of Pregnant Women Participation on Triple Elimination of HIV, Syphilis, and Hepatitis B, in Semarang Fatimah, Mei
Journal of Health Promotion and Behavior Vol. 5 No. 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: HIV, Syphilis, and Hepatitis B infections are very susceptible to transmission from mother to child during pregnancy, child­birth, and breastfeeding. In 2014, the World Health Organisation (WHO) established a list of validation criteria to facilitate efforts of eli­mination of mother-to-child transmission (EMTCT) of HIV and syphilis. This study aimed to ana­lyze determinants of pregnant women parti­ci­pation in the triple elimination uptake.Subjects and Method: This was a cross sec­tional study conducted at 25 Public health cen­ters, in Semarang District, Central Java, from December 2019 to February 2020. A sample of 200 pregnant women was selected by random sampling. The dependent variable was triple elimination. The independent variables were intention, access to information, know­led­ge, outcome expectation, modeling, distance, self-efficacy, and husband support. Community health center was variable in level 2. The data were collected by questionnaire and analyzed by a multiple logistic multilevel analysis.Results: Triple elimination participation in pregnant women increased with good access to information (b= 1.76; 95% CI= 16.72 to 102.18; p<0.001), good knowledge (b= 2.09; 95% CI= 10.91 to 56.14; p<0.001), positive outcome expectation (b= 2.03; 95% CI= 12.93 to 71.91; p<0.001), strong modeling (b= 2.03; 95% CI= 2.83 to 1.64, p< 0.001), strong inten­tion (b= 2.43; 95% CI= 8.49 to 46.22; p <0.001), strong self-efficacy (b= 2.48; 95% CI= 12.64 to 72.37; p<0.001), and strong husband support (b= 1.97; 95% CI= 12.2 to 65.24; p <0.001). Triple elimination participation in pregnant women decreased with further distance to health center (b= -2.20; 95% CI= 0.41 to 1.38; p= 0.032). Public health center had contextual effect on the participation of triple elimination in preg­nant women with ICC= 40.64%.Conclusion: Triple elimination participation in pregnant women increases with good access to information, good knowledge, positive out­come expectation, strong modeling, strong in­ten­tion, strong self-efficacy, and strong hus­band support. It decreases with further dis­tan­ce to health center. Public health center has con­tex­tual effect on the participation of triple eli­mination in preg­nant womenKeywords: triple elimination, HIV, Syphilis, Hepatitis B, multilevel analysisJournal of Health Promotion and Behavior (2020), 5(2): 124-134https://doi.org/10.26911/thejhpb.2020.05.02.07
Factors Associated with Herbs Clinic Utilization in Patients with Diabetes Mellitus in Tawangmangu, Central Java Triyono, Agus; Murti, Bhisma; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The utilization of herbs incre­ased for complementary medicine and alterna­tive chro­nic diseases including Diabetes Melli­tus (DM). There are many factors that affect patients with Diabetes Mellitus to utilize herbal clinic. This study aimed to analyze the effects of age, gender, education, occupation, income, marital status, family support, knowledge of herbs, attitude towards herbs, and duration of Dia­betes Mellitus on herbs clinic utilization.Subjects and Method: This was a cross-sec­tional study. This study was conducted in Tawangmangu, Central Java, from January to March 2020. A sample of 200 DM patients aged 15-60 years who were examined at Jamu Research House (rrj) or community health center in Tawangmangu. The sample was col­lected by purposive sampling. The dependent variable was herbs clinic utilization. The inde­pendent variables were sex, age, education, occupation, income, marital status, family sup­port, knowledge of herbs, attitude towards herbs, and duration of DM. The data were collected by questionnaire and analyzed by path analysis run on Stata 13.Results: Herbs clinic utilization was directly increased by positive attitude towards herbs (OR= 5.37; 95% CI= 2.49 to 11.60; p<0.001), duration of DM ≥5 years (OR= 2.02; 95% CI= 1.00 to 4.07; p=0.040), high family income (OR= 2.67; 95% CI= 1.41 to 5.01; p= 0.003), good family support (OR= 1.93; 95% CI= 0.96 to 3.87; p= 0.063), age ≥35 years (OR= 1.45; 95% CI= 0.27 to 7.19; p= 0.666), female (OR= 0.59; 95% CI= 0.31 to 1.12; p= 0.108), and married (OR= 0.64; 95% CI= 0.26 to 1.61; p= 0.343). Herb clinic utilization was indirectly affected by knowledge of herbs, education, and occupation.Conclusion: Herbs clinic utilization is directly increased by positive attitude towards herbs, duration of DM ≥5 years, high family income, good family support, age ≥35 years, female, and married. Herb clinic utilization is indirectly affected by knowledge of herbs, education, and occupation.Keywords: herbs clinic utilization, Diabetes Mellitus, path analysisCorrespondence: Agus Triyono. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir.Sutami No 36 A, Surakarta 57126, Central Java,Indonesia. Email: agustriyono_21@yahoo.com. Mobile: +6281329038465.Journal of Health Promotion and Behavior (2020), 05(03): 147-156https://doi.org/10.26911/thejhpb.2020.05.03.01 
Application of Social Cognitive Theory: Tertiary Prevention Behavior in Patients with Type 2 Diabetes Mellitus in Ponorogo Hospital, East Java, Indonesia Yuliana, Nur Aida; Pawito, Pawito; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Diabetes Mellitus (DM) is a non-com­municable disease that becomes a serious threat to global health. This disease is a serious chronic disease because it cannot be cured. An increasing number of cases of non-communicable diseases that are associated with risk factors are in line with lifestyle changes that increasingly mo­dern. This study aimed to analyze the effect of the variables in Social Cognitive Theory on ter­tiary prevention behavior in patients with type 2 Dia­betes Mellitus.Subjects and Method: This was a cross-sec­tio­nal study design. This study was conducted on pa­tients with type 2 DM in the hospital in Po­no­rogo Regency, East Java, from January to Feb­ruary 2020. There were 200 patients with type 2 DM as the sample of the study. The sample was taken by random sampling. The dependent vari­able was Tertiary prevention behavior of type 2 DM. The independent variables were obser­va­tio­nal learning, role model, vicarious experience, imi­tation, attitude, outcome expectations, know­led­ge, reinforcement, self-efficacy, and self-mana­ge­ment. The data were collected through a set of ques­tionnaires. The data were analyzed based on Path Analysis using stata 13 application.Results: Tertiary prevention behavior of type 2 DM was directly increased by strong imi­tation (b= 1.40; 95% CI= 0.51 to 2.28; p= 0.002), good knowledge (b= 1.36; 95% CI= 0.48 to 2.25; p= 0.002), positive attitude (b= 1.32; 95% CI­= 0.44 to 2.19; p= 0.003), strong self-efficacy (b= ­1.­07; 95% CI= 0.18 to 1.96; p= 0.018), and good self-management (b= 2.26; 95% CI= 1.31 to 3.22; p <0.001). Ter­tiary prevention behavior of type 2 DM was in­directly affected by observational learning, role model, vicarious experience, outcome expectation, and reinforce­ment.Conclusion: Tertiary prevention behavior of type 2 DM is directly increased by strong imi­tation, good knowledge, positive attitude, strong self-efficacy, and good self-management. Ter­tiary prevention behavior of type 2 DM is in­directly affected by observational learning, role model, vicarious experience, outcome expectation, and reinforce­ment.Keywords: social cognitive theory, type 2 Dia­be­tes Mellitus.Correspondence: Nur Aida Yuliana. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: Aidayuliana17@gmail.com.Mobile: +628-5790767582.Journal of Health Promotion and Behavior (2020), 5(1): 157-168https://doi.org/10.26911/thejhpb.2020.05.03.02
Factors Affecting Exclusive Breastfeeding Practice using Social Cognitive Theory Constructs: A Multilevel Evidence from Madiun, East Java Syahputri, Rezyana Budi; Pawito, Pawito; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Exclusive breastfeeding for infants up to 6 months of age is the most effective way to ensure the health and the viability of the child. Exclusive breastfeeding coverage still does not meet the target due to various factors. This study aimed to determine the effectiveness level of health promotion of exclusive breastfeeding program in the integrated health service in Madiun, East Java.Subjects and Method: This was an a cross-sectional study conducted in Madiun, East Java, from February to May 2020. A sample of 200 lactating mother who had infants aged 6 to 24 months was selected randomly. The dependent variable was exclusive breastfeeding practice. The independent variables were health promotion program, observational learning, role model, vicarious learning, imitation, attitude, outcome expectation, self regulation, self-efficacy, rein­forcement, and integrated health post contextual. The data were collected using questionnaire and analyzed by a multilevel multiple logistic regression run on Stata 13.Results: Exclusive breastfeeding practice increased with adequate health pro­motion program (OR= 3.08; 95% CI= 1.06 to 8.94; p= 0.038), high observational learning (OR= 3.86; 95% CI= 1.31 to 11.39; p= 0.014), strong role model (OR= 4.01; 95% CI= 1.12 to 14.29; p= 0.033), vicarious learning (OR= 4.46; 95% CI= 1.34 to 14.82; p= 0.015), strong imitation (OR= 2.74; 95% CI= 1.02 to 7.35; p= 0.045), positive attitude (OR= 3.51; 95% CI= 1.04 to 11.88; p= 0.043), positive outcome expectation (OR= 4.04; 95% CI= 1.32 to 12.38; p= 0.014), strong self-regulation (OR= 2.36; 95% CI= 0.93 to 5.99; p= 0.068), strong self-efficacy (OR= 5.35; 95% CI= 1.81 to 15.77; p= 0.002), and strong reinforce­ment (OR= 3.90; 95% CI= 1.21 to 12.57; p= 0.022). There was a contextual effect of inte­grated health post on exclusive breastfeeding practice with intraclass correlation (ICC)= 10.97%.Conclusion: Exclusive breastfeeding practice is affected by health promotion program, obser­vational learning, role model, vicarious learning, imitation, attitude, outcome expectation, self regulation, self-efficacy, and reinforcement. Integrated health post has a contextual effect on exclusive breastfeeding practice.Keywords: exclusive breastfeeding, health promotion, social cognitive theory.Correspondence: Rezyana Budi Syahputri. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: rezyanabs@gmail.com. Mobile: +6282325750134.Journal of Health Promotion and Behavior (2020), 05(03): 169-173https://doi.org/10.26911/thejhpb.2020.05.03.03
Contextual Effect of the Integrated Health Post (Posbindu) and Biopsychosocial Determinants of Tertiary Preventive Behavior in Patients with Hypertension Retnowati, Very; Pawito, Pawito; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Tertiary prevention of hyper­ten­sion is a preventive effort to make patients with hypertension do not have disabilities and further complications. It also improves the quality of life and makes life longer. The bio­psy­chosocial aspect affects individuals in lear­n­ing, doing, and maintaining certain beha­viors based on social cognitive theory. This stu­dy aimed to analyze the biopsychosocial deter­mi­nants of tertiary preventive behavior among patients with hypertension.Subjects and Method: This study was an analytical observational study with a cross-sectional design. The study was conducted at 25 Integrated Health Posts (Pos­bin­du) in Sragen, Central Java. A sample of 200 hypertensive patients was selected by stratified random sam­pling. The dependent variable was the ter­tiary preventive behavior of hypertension. The in­­de­pendent variables were observational lear­ning, role model, imitation, vicarious learning, rein­forcement, self-efficacy, self-regulation, out­­­­­come expectation, and attitude. The data were collected by ques­tion­naire and analyzed by a multilevel multiple logis­tic regression.Results: Hypertension preventive behavior in­crea­sed with observational learning (b= 2.85; 95% CI= 0.17 to 5.53; p= 0.037), role model (b= 2.73; 95% CI =0.73 to 4.73; p=0.007), imi­tation (b= 3.46 ; 95% CI= 0.73 to 6.19; p= 0.013), vica­­rious learning (b= 2.54; 95% CI =0.16 to 4.93; p= 0.036), reinforcement (b= 3.89; 95% CI= 0.96 to 6.82; p= 0.009), self-efficacy (b= 3.04; 95% CI= 0.41 to 5.67; p= 0.024), self-re­gu­­­­lation (b= 2.28; 95% CI= 0.02 to 4.54; p= 0.048), outcome expectation (b= 3.56; 95% CI= 0.75 to 6.38; p= 0.013), and a positive attitude (b= 2.86; 95% CI= 0.26 to 5.47; p= 0.031). Posbindu had a contextual effect on ter­tiary preventive behavior of hypertension with an Intra Class Correlation (ICC) value of 63.05%.Conclusion: Tertiary preventive behavior of hypertension increases with high observational learning, strong role model, strong imitation, high vicarious learning, strong reinforcement, high self-eff­icacy, high self-regulation, positive outcome expec­­­­tation, and positive attitude. Posbindu has a contextual effect on tertiary preventive behavior of hyper­ten­sion.Keywords: tertiary prevention, hypertension, social cognitive theory, multilevel analysisCorrespondence: Very Retnowati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Suta­mi 36A, Surakarta 57126, Central Java. Email: veryretnowati@gmail.com. Mobile: +628154­8­5­92491.Journal of Health Promotion and Behavior (2020), 05(03): 174-186https://doi.org/10.26911/thejhpb.2020.05.03.04 
Effectiveness of Chronic Disease Management Program in Improving “CERDIK” Healthy Behavior in Patients with Hypertension in Gunungkidul, Yogyakarta Pangesti, Tri Puji; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Hypertension is the single largest con­tributor to the global burden of disease (GBD). The Chronic Disease Management Prog­ram (Prolanis) is a health service system and a pro­active approach implemented in an integrated manner. This study aimed to determine the ef­fec­tive­ness of Prolanis on the "CERDIK" healthy be­ha­vior for hypertensive patients.Subjects and Method: This cross-sectional stu­dy was conducted in hypertensive patients in 25 working areas of health centers in Gunung­ki­dul, Special Region of Yogyakarta, from January to February 2020. A sample of 200 hypertensive pa­tients was selected by simple random sampl­ing. The dependent variable was the "CERDIK" healt­hy behavior for hypertensive patients. The in­dependent variables were chronic disease ma­na­gement program (Prolanis), education level, peer support, family support, and sex. Other data we­re collected by using a questionnaire. Data we­re analyzed by path analysis using the Stata 13 application.Results: “CERDIK" healthy behavior for hyper­ten­­sive patients increased with active prolanis acti­vity (b= 5.00; 95% CI= 2.80 to 7.20; p <0.001), higher education (b= 1.52; 95% CI= 0.48 to 2.54; p= 0.004), strong family support (b= 1.­38; 95% CI= 0.20 to 2.57; p= 0.023), strong pe­er support (b= 0.61; 95% CI= -0.67 to 2.51; p= 0.­352), and female (b= 2.8; 95% CI= -5.01 to -0.64; p= 0.011). Education, family support, and peer sup­port were associated with “CERDIK” healthy behavior through Prolanis.Conclusion: “CERDIK" healthy behavior for hyper­ten­­sive patients increases with active pro­lanis acti­vity, higher education, strong family support, strong pe­er support, and female. Edu­cation, family support, and peer sup­port were associated with “CERDIK” healthy behavior through Prolanis.Keywords: Prolanis, “CERDIK” healthy beha­vi­our, hypertension, path analysisCorrespondence: Tri Puji Pangesti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: tri­pu­ji­pangesti8@gmail.com. Mobile: 0823­126­57­­779.Journal of Health Promotion and Behavior (2020), 05(03): 187-196https://doi.org/10.26911/thejhpb.2020.05.03.05. 
Meta-Analysis: The Effectiveness of Web-Based Health Promotion Interventions on Vegetable Consumption in Children Putra, Sinar Perdana; Dewi, Yulia Lanti Retno; Murti, Bhisma
Journal of Health Promotion and Behavior Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Consuming healthy food throughout life helps prevent malnutrition in all forms of various diseases. In the first 2 years of a child's life, optimal nutrition fosters healthy growth. Vegetables and fruit are food sources that contain many nutrients that humans must consume at every meal. EHealth is playing an increasingly large role in life and the internet has great potential to be a source of low cost and effective health promotion interventions.Subjects and Method: This study was a meta-analysis of a number of Randomized Controlled Trial study designs. The articles used in this study were obtained from several databases including PubMed, Google Scholar, and Springer Link. The articles used in this research are those published from 2010-2020. The article search was carried out by con­sidering the eligibility criteria defined using the PICO model. The population in the study was children aged 2 to 12 years old with an inter­vention in the form of web-based health promotion, comparison, which was not given a web outcome-based health promotion interven­tion in the form of vegetables consumption. The keywords for finding articles are as follows: "Intervention Health Promotion Web-Based" OR "eHealth Intervention" AND "Non-Inter­vention Health Promotion Web-Based" OR "Non eHealth Intervention" AND "Child" AND "Vegetables" AND "Randomized Controlled Trial”. The articles included in this study were full text articles with the design of a Rando­mized Controlled Trial (RCT) study. Articles were collected using PRISMA flow diagrams. Articles were analyzed using the Review Mana­ger 5.3 application.Results: A total of 9 articles were reviewed in this study. Meta-analysis of 9 primary data shows that web-based health promotion inter­ventions can increase children's vegetable con­sumption with statistically significant results (Standarized Mean Difference= 0.82; 95% CI= 0.26 to 1.37; p= 0.004).Conclusion: Web-based health promotion interventions can increase vegetables consump­tion in children.Keywords: Intervention Health Promotion Web-Based, eHealth, vegetables consumptionCorrespondence: Sinar Perdana Putra. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: perdanasinarp@gmail.com Mobile: 085727777227.Journal of Health Promotion and Behavior (2020), 05(03): 197-208https://doi.org/10.26911/thejhpb.2020.05.03.06.