Journal of Health Promotion and Behavior (JHPB)
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Meta-Analysis: Effectiveness of Web-Based Intervention to Increase Physical Activity in Older People
Full text linkBackground: The increasing global population of older people and the trend of life expectancy make the discussion of physical activity an urgent urgency, given its role in preventing various non-communicable diseases and increasing life expectancy. Web-based intervention is believed to be an intervention that can change habits related to physical activity in older people. This study aimed to find out whether web-based intervention is effective in increasing physical activity for older people.Subjects and Method: This research is a meta-analysis based on the PRISMA flow diagram. The article search process is carried out through journal databases, in the form of: Google Scholar, PubMed, and ResearchGate. Keywords to search for articles are: "Aged" OR "older adult" OR "elderly" AND "Exercise" OR "exercise" OR "physical activity" OR "physical activities" OR "physical exercise" OR " physical exercises" OR "physical fitness" AND "Internet-Based Intervention" OR "internet-based interventions" OR "web-based interventions" OR "web-based interventions" OR "online interventions" OR “internet intervention” OR “mobile health” OR “mhealth” OR “telehealth” OR “ehealth” AND “randomized control trials” OR “randomized control trials” OR “RCT”. The articles included are study design randomized control trial (RCT), articles with research subjects older people aged 50 years and over, and the intervention used is web-based intervention. Articles that meet the criteria are then analyzed using the Revman 5.3 application.Results: A total of 9 articles were found from the Netherlands, Spain, England, Belgium, and Sweden. The data collected showed that web-based intervention increase physical activity in older people, and it was statistically significant (SMD= 0.78; 95% CI=0.15 to 1.41; p= 0.020).Conclusion: Web-based intervention is effective for increasing physical activity for older people who are more than 50 years old.Keywords: web-based intervention, physical activity, older people, meta analysis.Correspondence:Gina Fazrina. Study Program of Physiotherapy, School of Health Sciences Cirebon. Jl. Brigjen Dharsono No. 12B ByPass Cirebon 45153, West Java, Indonesia. Email: [email protected]. Mobile: +681212533833.Journal of Health Promotion and Behavior, (2022), 07(01): 55-66DOI: https://doi.org/10.26911/thejhpb.2021.07.01.06
Meta-Analysis: Application of Health Belief Model in Encouraging Preventive Behavior of Self-Care for Hypertensive Patients
Full text linkBackground: Hypertension is one of the most critical public health problems and has affected more than 1.2 billion people worldwide. Risk factors for hypertension can be divided into two, namely factors that cannot be controlled (such as gender, genetics and age) and those that can be controlled such as obesity, excess BMI, smoking, and excessive salt and fat consumption. Hypertension prevalence in age groups productive tends to increase from year to year, especially in the elderly group which reaches 63.22%. This study aimed to investigate behavior change and prevention of hypertension is the Health Belief Model (HBM).Subjects and Method: This article was compiled with a systematic review and meta-analysis study. This study uses the PICO Model as follows Population: Hypertension patients. Intervention: high self-efficacy and perceived susceptibility. Comparison: low self-efficacy and perceived susceptibility. Outcome: behavior change. The meta-analysis study was conducted by searching for articles from databases in electronic form including Google Scholar, PubMed, and Scopus. The keywords used are "hypertension" AND "health belief model (OR self efficacy OR perceived susceptibility)" AND "change behavior". The inclusion criteria for this study were full articles using a cross-sectional study, with the publication year 2012-2022. Analysis of articles in this study using RevMan 5.3 . software.Results: A total of 10 articles reviewed in the meta-analysis showed that perceived susceptibility influenced behavioral changes in hypertensive patients (aOR= 2.16; 95% CI= 1.59 to 2.53; p<0.001) and self-efficacy also influenced behavioral changes in hypertensive patients (aOR= 1.37; 95% CI= 1.06 to 1.76; p= 0.020).Conclusion: perceptions of vulnerability and self-efficacy affect behavior changes in hypertensive patients.Keywords: hypertension, health belief model, self efficacy, perceived susceptibility.Correspondence:Gusti Fathoni Firmansyah. Faculity of Dentistry, Universitas Gadjah Mada. Jl. Bulaksumur, Caturtunggal, Depok, Sleman, Yogyakarta 55281. Email: [email protected]. Mobile: +62 812-3710-7609.Journal of Health Promotion and Behavior (2022), 07(02): 108-118DOI: https://doi.org/10.26911/thejhpb.2021.07.02.0
Work Behavior of Female Workers in the Informal Sector in Kupang, East Nusa Tenggara
Full text linkBackground: Work behavior refers to an individual's actions while working, whether or not following procedure. Work behavior following the procedure will prevent accidents. Workers in the informal sector pay less attention to proper work behavior, which may lead to accidents in the workplace. The theory planned behavior (TPB) maintains that three core components, namely attitude, subjective norm, and perceived behavioral control, together shape an individual’s behavioral intention. In turn, behavioral intention determines human behavior. This study aimed to analyze factors that influence work behavior in female workers in the informal sector, using TPB.Subjects and Method: This was a cross-sectional study conducted in Kupang, East Nusa Tenggara, from April to July 2019. A sample of 548 female workers in the informal sector was selected at random. The dependent variable was work behavior. The independent variables were subjective norm, perceived behavior control, and attitude toward behavior. The data were collected through interview using questionnaire. Bivariate analysis was performed by simple linear regression.Results: Proper work behavior increased with strong intention (b= 1.03; 95% CI= 5.20 to 7.26; p< 0.001), positive attitude (b= 0.54; 95% CI= 6.30 to 7.40; p< 0.001), favorable subjective norm (b= 1.11; 95% CI= 5.68 to 7.90; p< 0.001), and strong perceived behavior control (b= 1.17; 95% CI= 5.75 to 8.09; p< 0.001).Conclusion: Proper work behavior increases with strong intention, positive attitude, favorable subjective norm, and strong perceived behavior control.Keywords: attitude, subjective norm, perceived behavioral control, intention, work behavior, female workers.Correspondence:Noorce Christiani Berek. Faculty of Public Health, Universitas Nusa Cendana, Kupang. Jl. Adi Sucipto Penfui, Kupang, East Nusa Tenggara. Email: [email protected]. Mobile: 081228521127. Journal of Health Promotion and Behavior (2022), 07(02): 161-169DOI: https://doi.org/10.26911/thejhpb.2021.07.02.0
Meta-Analysis: The Effect of Lactation Education by Midwives on Exclusive Breastfeeding Behavior in Mothers and Pregnant Women
Full text linkBackground: Exclusive breastfeeding has a good impact on the baby's growth and development. Therefore, the role of health workers, especially midwives, is needed to provide an education about the importance of exclusive breastfeeding for babies. The purpose of this study was to determine the effect of lactation education conducted by midwives related to exclusive breastfeeding behavior for mothers and pregnant women.Subjects and Method: This study is a meta-analysis study with Population: Mothers and pregnant women, Intervention: lactation education by midwives, Comparation: without midwife lactation education and Output: Exclusive breastfeeding behavior. The article search process is carried out through the Pubmed web search engine and is a research article published from 2017-2022. The articles obtained will be filtered using the stages according to the PRISMA flow diagram.Results: A total of 9 articles used in this study were reviewed and met the requirements for a meta-analysis, the research conducted in these articles was carried out in various countries such as Indonesia, Bangladesh, Euthiopia, and Spain. Where from the meta-analysis of 9 cross-sectional articles, it is known that there is an influence between lactation education by midwives and exclusive breastfeeding behavior for mothers and pregnant women (aOR= 1.60; 95% CI= 1.37 to 1.88; p= 0.008).Conclusion: Lactation education by midwives increases exclusive breastfeeding behavior for mothers and pregnant women.Keywords: lactation education, exclusive breastfeeding, midwives, mothers, pregnant women, meta-analysis.Correspondence:Amanda Kesli Ramadhani. Universitas Muhammadiyah Surakarta, Jl. A. Yani Mendungan, Kartasura, Sukoharjo, Central Java. Email: [email protected]. Mobile: 085692832776.Journal of Health Promotion and Behavior (2022), 07(02): 86-96DOI: https://doi.org/10.26911/thejhpb.2021.07.02.01
Meta-analysis: The Effectiveness of mHealth Mobile Application Use to Promote Physical Activity and Ideal Body Weight in Adult with Overweight
Full text linkBackground: Globally, overweight and obesity are significant contributors to morbidity and mortality, which in turn can reduce productivity and increase the burden of healthcare costs. Interventions to treat obesity include a comprehensive lifestyle approach (diet, physical activity, and behavioral therapy) to achieve and maintain weight loss. One method for monitoring weight loss program interventions is the use of a mobile health application (mHealth). This study aims to analyze the effectiveness of using mHealth on increasing physical activity and losing weight.Subjects and Method: This research is a meta-analysis study using PRISMA flowchart guidelines. The article search process was carried out between 2011 and 2021 using databases from PubMed, Google Scholar and ScienceDirect. Based on the database, there were 15 articles that met the inclusion criteria. The analysis was carried out using the RevMan 5.3 . software.Results: Meta-analysis of 9 randomized controlled trial articles showed that overall mHealth increased physical activity by 0.19 compared to controls (SMD = 0.19; 95% CI= 0.06 to 0.32; p = 0.004). Higher intervention outcomes were obtained from interventions for more than 3 months (SMD = 0.31; 95% CI = 0.13 to 0.49; p < 0.001). Short-term effects for 3 months did not show significant results. A meta-analysis of 15 randomized controlled trial articles concluded that the use of mHealth overall was able to reduce body weight by 0.34 compared with no use of the mHealth application (SMD = -0.34; 95% CI = -0.52 to -0.17; p< 0.001). Higher intervention outcomes were obtained from the 6-month intervention (SMD= -0.52; 95% CI= -0.82 to -0.22; p < 0.001). Short-term effects for 3 months did not show significant results.Conclusion: Long-term use of the mHealth app is effective for increasing physical activity and losing weight in overweight adults. However, the effect of short-term intervention for 3 months has not shown significant result..Keywords: mHealth, weight loss, physical activity.Correspondence:Farida Nur Aisyiyah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +62 852-1493-3173. Journal of Health Promotion and Behavior, (2022), 07(03): 208-224DOI: https://doi.org/10.26911/thejhpb.2022.07.03.0
Association between Teaching and Learning Related Stressor and Anxiety Level among Medical Students during COVID-19 Pandemic
Full text linkBackground: The COVID-19 pandemic has led to various impacts on public health, one of which is the mental health of medical students who are recognized as an at-risk group for developing anxiety disorders due to the teaching and learning system that has changed dramatically. This study aimed to assess the relationship between teaching and learning-related stressor (TLRS) and their anxiety levels during the COVID-19 pandemic.Subjects and Method: This was a cross-sectional study. The population was medical students at the Faculty of Medicine, Syarif Hidayatullah State Islamic University Jakarta, Indonesia, during September-October 2021. Sampling was carried out using purposive sampling. The dependent variable was anxiety levels during the COVID-19 pandemic. The independent variable was teaching and learning-related stressor based on Medical Student Stressor Questionnaire (MSSQ) instrument. The data were collected through questionnaires and analyzed by Cox proportional regression.Results: A half of medical students experienced anxiety (50.4%), but the data shows a non-significant difference when controlled with other stressor variables (Adjusted PR= 1.485; 95% CI= 0.71 to 2.97; p= 0.300).Conclusion: There is no significant relationship between teaching and learning-related stressor and anxiety level among Medical Students during COVID-19 pandemic.Keywords: mental health, anxiety, stressor, COVID-19, medical studentsCorrespondence:Helda. Department of Epidemiology, Faculty of Public Health Universitas Indonesia. A Building 1st Floor Kampus Baru UI Depok 16424. E-mail: [email protected]. Phone: +6285216688437Journal of Health Promotion and Behavior (2021), 06(04): 263-271DOI: https://doi.org/10.26911/thejhpb.2021.06.04.0
Meta-Analysis: Application of Health Belief Model to Breast Self-Examination (BSE)
Full text linkBackground: Breast cancer is a type of non-communicable disease characterized by the appearance of abnormal cells in the breast. Breast self-examination (BSE) is one method of early detection of breast cancer. Health belief model is a health behavior that can predict women's interest in doing BSE. This study aimed to estimate the effect of the health belief model on the practice of BSE with a meta-analysis.Subjects and Method: This research is a meta-analysis study using PRISMA flowchart guidelines. The article search process was carried out between 2015-2022 using databases from PubMed, Google Scholar and Scopus. Based on the database, there were 9 articles that met the inclusion criteria. The analysis was carried out using Revman 5.3 software.Results: As many as 9 articles spread across 2 continents, namely Asia and North America. 8 main studies from Asia, 3 from Turkey, 2 from Iraq, 1 from Yemen, 1 from Iran, and 1 from Indonesia. One major study from North America, namely Mexico, reviewed in the meta-analysis showed that perceived benefits were strong (aOR= 1.03; 95%CI= 0.96 to 1.11; p= 0.440; I2=79%).Conclusion: The perceived benefits were not statistically significant in predicting the practice of BSE in women.Keywords: health belief model, perceived benefit, BSECorrespondence:Desi Syahbaniar. Study Program of Medical Record, Jember State Polytechnic, East Java. Jl. Mastrip, Krajan Timur, Sumbersari, Jember, East Java, 68121. Email: [email protected]. Mobile: +6287708465646Journal of Health Promotion and Behavior (2022), 07(01): 1-8DOI: https://doi.org/10.26911/thejhpb.2021.07.01.0
Meta-Analysis: Effect of School-Based Health Promotion Strategy on Smoking Habits in Adolescents
Full text linkBackground: Smoking is the biggest preventable cause of death in the world. Tobacco1 is a global problem experienced by both developed and developing countries, the gap in smoking rates between those in high and low socioeconomic groups has widened over the same period. Smoking behavior is not only in adults but also among school students. Peers have previously been reported to play a role in initiating smoking behavior in school-age students. Students' attitudes and behavior related to smoking behavior are influenced by personal knowledge and how peers behave. The purpose of this study was to determine the effect of school-based health promotion strategies on smoking habits in adolescents based on the results of previous studies.Subjects and Method: This study is a meta-analysis study with Population: adolescents. Intervention: using school-based health promotion strategies. Comparison: not using school-based health promotion strategies. Outcome: success in not smoking. The article search process is carried out through the Pubmed web search engine and is a research article published from 2013-2022. The articles obtained will be filtered using the stages according to the PRISM flow diagram.Results: A total of 9 articles used in this study were reviewed and met the requirements for a meta-analysis, the research conducted in these articles was carried out in various continents such as European, America, Africa, Asia, and Australia. Where from the meta-analysis of 9 randomized controlled trial articles, it is known that school-based health promotion strategies increase succes not smoking, and it was statistically significant (OR= 0.49; 95 % CI= 0.43 to 0.56; p= 0.001)Conclusion: The perceived benefit was not statistically significant in predicting the practice of BSE in women.Keywords: smoking, school-based health promotion, youth.Correspondence:Bhre Diansyah Dinda Khalifatulloh. Polytechnic of Jember, East Java. Jl. Mastrip, Krajan Timur, Sumbersari, Jember, East Java 68121. Email: Bhrediansyah98@gmail.com. Mobile: +6281333085809.Journal of Health Promotion and Behavior (2022), 07(02): 132-141DOI: https://doi.org/10.26911/thejhpb.2021.07.02.0
Meta-Analysis: Hypnotherapy and Its Effect on Quitting Smoking Behavior
Full text linkBackground: Smoking is still a major health problem, about 23% of the world's population smokes. Indonesia is in the 3rd rank with the number of active smokers worldwide and more than 97 million Indonesians are exposed to cigarette smoke. Hypnotherapy can play a role in controlling smoking habits with a psychological health approach that is used to change human behavior and habits. The purpose of this study was to analyze the effect of hypnotherapy on the success of smoking cessation in active smokers based on the results of previous similar studies.Subjects and Method: This study was a meta-analysis with the following PICO, Population: active adult smokers. Intervention: hypnotherapy. Comparison: no hypnotherapy. Result: decreased pain. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. The keywords to search for articles are “hypnotherapy” OR “hypnosis” AND tobacco OR smoke OR smoked OR smoker AND “smoking cessation”. The articles included are English and Indonesian full text with a randomized control trial study design from 2008-2022. Article selection is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 9 Randomized Controlled Trial studies from the continents of Europe, America, Asia and Africa were selected for systematic review and meta-analysis. It was found that hypnotherapy can increase the success of smoking cessation and is statistically significant (SMD= 1.32; CI 95% = 0.53 to 2.12; p=0.001).Conclusion: Hypnotherapy increases the success of smoking cessation in active adult smokers.Keywords: hypnoterapy, hypnosis, tobacco, smoker, smoking cessation.Correspondence: Jihan Nafisah Fauziyyah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6289611006503.Journal of Health Promotion and Behavior (2022), 07(04): 273-283DOI: https://doi.org/10.26911/thejhpb.2022.07.04.0
Meta-Analysis: Smoking and Proverty as Risk Factors of Tuberculosis Multidrug Resistance
Full text linkBackground: The financing burden for tuberculosis treatment is increasing along with the increasing number of cases of Multidrug Resistant Tuberculosis (MDR-TB). The main problems that arise in MDR-TB patients are difficult and expensive treatment, high mortality rates and the potential to transmit resistant bacilli to others. The purpose of the study was to estimate the magnitude of the influence of smoking behavior and poverty on the incidence of MDR-TB.Subjects and Method: This was a meta-analysis with PICO, population: active patients on TB treatment. Intervention: Smoking behavior and poverty. Comparison: not smoking and not poor. Result: MDR TB. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles are “poverty” OR “smoking” AND “multidrug resistant tuberculosis”. Articles included are full-text English from 2012 to 2022. Articles were selected using a PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application. Results: A total of 12 articles came from the continents of Asia (China India, Indonesia), Africa (Sudan, Ethiopia, Tanzania), North America (Georgia), and South America (Peru). The results of this meta-analysis showed that smoking increased the risk of MDR TB 1.94 times compared to those who did not smoke (aOR = 1.94; 95% CI = 1.64 to 2.30; p = 0.005), and poverty increased the risk of MDR TB 1.85 times compared to those who did not. not in poverty (aOR= 1.85; 95% CI= 1.35 to 2.53; p= 0.004), and both results were statistically significant.Conclusion: Smoking behavior and poverty increase the risk of MDR TB.Keywords: smoking behavior, poverty, MDR TB.Correspondence:Bibit Irawan. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6293111570225.Journal of Health Promotion and Behavior (2022), 07(04): 284-298DOI: https://doi.org/10.26911/thejhpb.2022.07.04.0