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Miracle Get Journal
Published by CV. Get Press Indonesia
ISSN : -     EISSN : 30478839     DOI :  http://doi.org/10.69855/miracle
Core Subject : Health,
Public Health
Miracle Get Journal is an open access and peer-reviewed journal. It refers to the word "MIRACLE" which stands for Manager, Innovator, Researcher, Apprenticer, Communitarian, Leader, and Educator. These components have important roles and functions required in the field of Public Health. Through Miracle Get Journal, we are committed to advancing knowledge in the field of Health Administration and Policy, Epidemiology and Biostatistics, Health Promotion and Behavioral Science, Environmental Health and Sanitation, Occupational Health and Safety, Maternal, Child, and Reproductive Health, Public Health Nutrition and Nutrition, Health Information and Public Health Technology, Multidisciplinary Research Related to Public Health, and Public Health Practice and Community Service. We also aim to encourage collaboration among researchers and provide a space for in-depth discussions on current issues. Miracle Get Journal is a national journal that publishes high-quality articles reviewed by experts in their field. Miracle Get Journal is used to publish research published every month February, May, August, and November.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 104 Documents
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The Impact of Workplace Health Promotion on the Prevention of Workplace Burnout and Mental Health Disorders Fauziah Botutihe; Yohana Wiratikusuma
Miracle Journal Get Press Vol 3 No 2 (2026): May, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i2.610

Abstract

The transformation of the world of work in the era of globalization increases psychosocial pressures that have an impact on the increasing prevalence of work fatigue and mental health disorders in various sectors, including health education institutions. Purpose: This study aims to analyze the relationship between health promotion in the workplace with work fatigue (burnout) and mental health disorders (stress, anxiety, depression) in the workforce of the Health Polytechnic of the Ministry of Health, Padang. Methods: The study used a quantitative approach with a cross-sectional observational analytical design. A sample of 154 respondents was selected through stratified random sampling from a population of 250 workers. Burnout was measured using the Maslach Burnout Inventory (MBI) and mental health using the Depression Anxiety Stress Scale-21 (DASS-21). Data analysis was carried out using univariate, bivariate (Pearson correlation), and multivariate (multiple linear regression). Results: All hypotheses were proven to be statistically significant. Occupational health promotion had a moderate negative correlation with burnout (r = −0.482), depression (r = −0.458), stress (r = −0.436), and anxiety (r = −0.401) (p < 0.001). Implications: Health education institutions need to develop multicomponent, sustainable, and evidence-based occupational health promotion programs to simultaneously reduce the prevalence of work burnout and mental health disorders. Conclusion: Workplace health promotion is a significant predictor of the prevention of work burnout and mental health disorders, so its implementation needs to be prioritized as a strategic institutional policy.
Multicomponent Nudging Strategy to Improve Medication Adherence in Hypertensive Patients Esa Zahirah; Evino Sugriarta; Mila Sari
Miracle Journal Get Press Vol 3 No 2 (2026): May, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i2.613

Abstract

Hypertension remains a major global non-communicable disease, with medication non-adherence representing a significant barrier to effective blood pressure control. This study aimed to evaluate the effectiveness of a multicomponent nudging strategy consisting of health education, medication reminder systems, and family support in improving medication adherence among hypertensive patients at a primary healthcare facility. A quasi-experimental study with a non-equivalent control group design was conducted involving 60 respondents, equally divided into intervention (n = 30) and control (n = 30) groups. Medication adherence was assessed using the Morisky Medication Adherence Scale-8 (MMAS-8) at baseline and post-intervention. Data were analyzed using paired and independent t-tests. Before the intervention, 58.3% of respondents in both groups demonstrated low adherence. Following the intervention, the proportion of participants with high adherence in the intervention group increased from 10.0% to 46.7%, while the mean MMAS-8 score improved significantly from 5.2 ± 1.3 to 7.1 ± 1.1 (p < 0.001). In contrast, the control group showed only a modest increase from 5.3 ± 1.2 to 5.8 ± 1.3 (p = 0.043). The change in adherence scores was significantly greater in the intervention group than in the control group (Δ = 1.9 vs. 0.5; p < 0.001). These findings indicate that multicomponent nudging strategies effectively enhance medication adherence among hypertensive patients and may support improved hypertension management in primary healthcare settings.
School-Based Balanced Nutrition Intervention Program in Preventing Obesity in Adolescents Kurniati Dwi Utami; Vina Novela; Wijianto
Miracle Journal Get Press Vol 3 No 2 (2026): May, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i2.614

Abstract

Obesity among adolescents has become a significant public health concern, particularly in urban areas undergoing rapid nutritional transition. Purpose: This study aimed to evaluate the effectiveness of a school-based balanced nutrition intervention program in preventing obesity among adolescents by improving knowledge, attitudes, dietary behavior, and physical activity. Method: A quantitative quasi-experimental design with a non-equivalent control group was employed. The study involved 120 students aged 12–18 years in Padang City, divided into intervention and control groups. Data were collected through pre-test and post-test measurements using anthropometric assessment (BMI-for-age z-score), nutrition knowledge questionnaires, attitude and behavior scales, Food Frequency Questionnaire (FFQ), and International Physical Activity Questionnaire (IPAQ). Statistical analyses included descriptive, paired t-test, and independent t-test. Results: The intervention group showed a significant reduction in BMI z-score (Δ = −0.53; p < 0.001) and obesity prevalence (35.0% to 18.4%), along with significant improvements in nutrition knowledge (Δ = +16.2), attitudes (Δ = +13.6), dietary behavior (Δ = +14.5), and physical activity (Δ = +400 MET) (p < 0.001). In contrast, the control group showed no significant changes (p > 0.05). Implications: The findings highlight the effectiveness of integrated school-based interventions combining nutrition education, environmental modification, and physical activity promotion in addressing adolescent obesity. Conclusion: The balanced nutrition intervention program is effective in improving health behavior and reducing obesity risk among adolescents, supporting its implementation as a sustainable school health strategy.
The Effectiveness of Social Media-Based Health Promotion Interventions in Improving Clean and Healthy Living Behaviours (PHBS) Ayu Rizky; Yannerith Chintya
Miracle Journal Get Press Vol 3 No 2 (2026): May, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i2.617

Abstract

Healthy Living Behaviours (HLB) are essential for improving public health. The rapid growth of social media provides new opportunities for health promotion through interactive, accessible, and wide-reaching information dissemination. This study aimed to analyse the effectiveness of social media-based health promotion interventions in improving knowledge, attitudes, and HLB practices among the working-age population. A quasi-experimental design with a non-equivalent control group approach was employed. Sixty respondents were selected through purposive sampling and divided into an intervention group (n=30) and a control group (n=30). Data were collected using a validated and reliable questionnaire and analysed using the Shapiro–Wilk test, paired t-tests, and independent t-tests (α=0.05). The intervention group demonstrated significant improvements in knowledge (Δ=17.2; p<0.001), attitudes (Δ=15.1; p<0.001), and HLB practices (Δ=18.6; p<0.001), while no significant changes were observed in the control group (p>0.05). Independent t-test results confirmed significant differences between groups, with the greatest effect observed in HLB practices (Δ=14.7; p<0.001). Social media-based health promotion is an effective, innovative, and scalable strategy for enhancing knowledge, attitudes, and HLB practices, supporting evidence-based public health programmes and digital health promotion initiatives in Indonesia.
Digital Health Literacy and Non-Communicable Disease Prevention Behaviours Among Generation Z Dewi Arisanti; Riyana Husna
Miracle Journal Get Press Vol 3 No 2 (2026): May, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i2.621

Abstract

Digital transformation has increased Generation Z's access to health information; however, the ability to critically evaluate and utilize such information may influence preventive health behaviors, particularly regarding non-communicable diseases (NCDs). Purpose: This study aimed to examine the relationship between digital health literacy and NCD prevention behavior among Generation Z in the era of digital health transformation. Methods: A quantitative study with a cross-sectional design was conducted among 422 Generation Z respondents aged 17–26 years in Palembang, Indonesia. Participants were selected using purposive sampling. Data were collected through an online questionnaire using the eHealth Literacy Scale (eHEALS) and an NCD prevention behavior instrument. Data were analyzed using descriptive statistics, Pearson correlation, and Chi-square tests. Results: More than half of respondents (52.6%) had high digital health literacy, while 43.1% demonstrated good NCD prevention behavior. Pearson analysis revealed a significant positive correlation between digital health literacy and NCD prevention behavior (r = 0.462; p < 0.001). Chi-square analysis also showed a significant association between literacy categories and prevention behavior categories (χ² = 86.37; p < 0.001). Conclusion: Higher digital health literacy is associated with better NCD prevention behavior among Generation Z. These findings highlight the importance of strengthening digital health literacy through digital health promotion strategies to support healthy lifestyle adoption and NCD prevention in the digital era.
Digital Stress and Mental Health Among College Students: The Mediating Role of Health Behavior Rahman; Basuki Ario Seno
Miracle Journal Get Press Vol 3 No 2 (2026): May, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i2.622

Abstract

The increasing use of digital technology in higher education has intensified students’ exposure to online learning platforms, social media, and digital communication, potentially leading to digital stress and adverse health outcomes. Methods: A quantitative cross-sectional study was conducted among 210 students of Poltekkes Kemenkes Padang from January to March 2026. Respondents were selected using purposive sampling. Data were collected through an online questionnaire and analyzed using Structural Equation Modeling (SEM) with SmartPLS 4.0. Validity and reliability of the measurement model were assessed prior to structural model testing. Associations among variables were evaluated using path coefficients (β), 95% confidence intervals (95% CI), and p-values obtained through bootstrapping procedures. Results: Digital stress significantly reduced health behavior (β = −0.48; 95% CI: −0.59 to −0.36; p < 0.001) and increased mental health problems (β = 0.52; 95% CI: 0.40–0.63; p < 0.001). Health behavior was significantly associated with better mental health outcomes (β = −0.37; 95% CI: −0.49 to −0.24; p < 0.001) and partially mediated the relationship between digital stress and mental health (β = 0.18; 95% CI: 0.11–0.28; p < 0.001). Information overload was identified as the dominant dimension of digital stress, while sleep patterns and physical activity were the most affected health behavior indicators. Conclusion: Digital stress is a significant determinant of students’ health behavior and mental health. Interventions focusing on digital literacy, healthy lifestyle promotion, and mental health support are needed to reduce the negative impacts of excessive digital exposure among college students.
The Role of Mothers as Health Promotion Agents in Improving Healthy Living Behaviour within Families Irma Eva Yani; Johanna Green; Dian Fitriyani
Miracle Journal Get Press Vol 3 No 2 (2026): May, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i2.648

Abstract

Mothers play a strategic role as health promotion agents within families because they directly influence the development of healthy living behaviors among family members. This study aimed to analyze the relationship between mothers’ roles as health promotion agents and healthy living behaviors in the family environment. A quantitative correlational study with a cross-sectional design was conducted involving 120 housewives selected through simple random sampling. Data were collected using a validated closed-ended Likert-scale questionnaire. Statistical analyses included univariate analysis, Chi-Square testing, and Spearman Rank correlation at a 95% confidence level. The results showed that most respondents demonstrated a good level of health promotion role (60.0%) and good family healthy living behavior (57.5%). A significant relationship was found between mothers’ roles as health promotion agents and healthy living behaviors within families (p = 0.000). The correlation was strong and positive (r = 0.682), indicating that stronger maternal involvement in health promotion is associated with better family health practices. These findings highlight the importance of strengthening mothers’ capacities through family-based health programs, community health education, and the optimization of integrated health services such as Posyandu. Community health centers are encouraged to implement structured empowerment programs, including health education, family health monitoring, and peer-support activities. In conclusion, mothers’ roles as health promotion agents are strongly associated with healthy living behaviors in families.
The Effectiveness of Family-Centered Care on Anxiety Levels in Children with Chronic Illnesses: A Cross-Sectional Study Andrafikar; Mila Sari; Safiyah Kamilah
Miracle Journal Get Press Vol 3 No 2 (2026): May, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i2.657

Abstract

Chronic illnesses in children often lead to significant psychological distress, particularly anxiety caused by repeated hospitalizations, invasive procedures, and uncertainty regarding prognosis. Family-Centered Care (FCC) is a family-oriented healthcare approach that may reduce anxiety by enhancing emotional support and fostering a sense of security. Purpose: This study aimed to analyze the effect of Family-Centered Care implementation on anxiety levels among children with chronic illnesses. Methods: An analytical observational study with a cross-sectional design was conducted involving 80 children aged 6–18 years diagnosed with chronic illnesses, recruited through purposive sampling. Family-Centered Care was assessed using the Family-Centered Care Questionnaire-Revised (FCCQ-R), while anxiety levels were measured using the Spence Children’s Anxiety Scale (SCAS). Data were analyzed using Pearson correlation and simple linear regression. Results: Most respondents perceived FCC implementation as good (60.0%), while 48.8% of children reported moderate anxiety. Pearson correlation analysis showed a significant negative relationship between FCC and anxiety levels (r = −0.621; p < 0.001). Linear regression revealed that FCC significantly predicted anxiety levels (B = −0.371; 95% CI: −0.475 to −0.267; β = −0.621; p < 0.001), explaining 38.6% of the variance (R² = 0.386). Conclusion: Higher levels of Family-Centered Care were associated with lower anxiety levels in children with chronic illnesses, suggesting that strengthening FCC implementation may improve psychosocial outcomes in pediatric nursing care.
Development and Validation of an Indonesian Culture Based Self Esteem Scale for Empty-Nest Older Adults Using the Rasch Model Renidayati; Daharnis; Dina Sukma
Miracle Journal Get Press Vol 3 No 2 (2026): May, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i2.688

Abstract

The empty-nest phase in later life is a family transition that may affect self-esteem, social relationships, meaning in life, and psychological well-being. However, self-esteem instruments specifically developed for empty-nest older adults within the Indonesian cultural context remain limited. Purpose: This study aimed to develop and validate the Indonesian Culture-Based Self-Esteem Scale for Empty-Nest Older Adults using the Rasch model to support assessment in Guidance and Counseling. Method: A quantitative instrument-development and validation design was employed. The participants were 213 empty-nest older adults in Padang Pariaman Regency, Indonesia, selected through purposive sampling, with an additional 30 older adults involved in the readability testing stage. Instrument development involved a literature review, construct formulation, item writing, expert validation, readability testing, main data collection, and Rasch psychometric analysis. Results: The results showed that of the initial 42 items, 36 were empirically tested and 32 final items were retained. Aiken’s V ranged from .78 to .96, with a mean of .88. Rasch analysis indicated ordered response categories, 32 model-fitting items, person reliability of .86, item reliability of .95, and Cronbach’s alpha of .89. Implications: The scale also showed adequate unidimensionality and no meaningful bias in most respondent groups. Conclusion: These findings imply that the developed scale is suitable as a Guidance and Counseling assessment instrument to identify the self-esteem of empty-nest older adults in a more contextual, valid, and culturally responsive manner.
The Effectiveness of Digital Media-Based Mental Health Education in Enhancing Adolescents' Resilience to Academic Stress Fauziah Botutihe; Shantrya Dhelly Susanty
Miracle Journal Get Press Vol 3 No 3 (2026): August, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i3.758

Abstract

Background: Continuous academic demands may place adolescents under psychological strain and can interfere with emotional well-being, learning, and the ability to recover from setbacks. Because digital media are already embedded in students' daily routines, they may offer a practical channel for school-based mental health education. Purpose: This study evaluated the effect of a digital media-based mental health education program on resilience in adolescents experiencing academic stress. Methods: A quasi-experimental pretest-posttest study with a control group was conducted among 120 senior high school students aged 15-18 years. Sixty students received a six-week digital program consisting of interactive videos, infographics, podcasts, reflective activities, stress-management practice, online discussion, and quizzes, while 60 students received conventional health education. Outcomes were measured with the Connor-Davidson Resilience Scale (CD-RISC-10), Academic Stress Scale (ASS), and Mental Health Literacy Questionnaire (MHLq). Paired and independent t-tests, ANCOVA, and Cohen's d were used in the analysis. Results: After the intervention, the digital group demonstrated higher resilience and mental health literacy and lower academic stress than the control group (all p < .001). The effect on resilience was large (Cohen's d = 0.82). Implications: Integrating structured digital mental health learning into school health activities may give students flexible access to coping and mental health resources. Conclusion: In this sample, a six-week digital education program was associated with stronger resilience, better mental health literacy, and reduced academic stress.

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