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Hypertension is a non-communicable disease that remains a major public health problem in Indonesia, including in Aceh Besar District. The success of hypertension control is strongly influenced by patients’ self-management abilities. Self-management can be affected by psychological factors such as self-efficacy, social factors such as family support, and sociodemographic factors. This study aimed to determine the relationship between self-efficacy, family support, education, and occupation with self-management among hypertensive patients in the working area of the Ingin Jaya Community Health Center, Aceh Besar District. This study employed a quantitative research design with a cross-sectional approach. The study population consisted of hypertensive patients aged 15–59 years who visited or participated in the Posbindu program at the Ingin Jaya Health Center. A total of 90 respondents were selected using accidental sampling technique. Data were analyzed using univariate and bivariate analyses with the Chi-Square test at a significance level of p < 0.05. The results showed that most respondents had good self-management (54.4%). Bivariate analysis indicated a significant relationship between self-efficacy (p = 0.030) and family support (p = 0.000) with self-management, while education (p = 0.406) and occupation (p = 0.201) showed no significant relationship. This study concludes that self-efficacy and family support play an important role in hypertension self-management, whereas education and occupation are not significantly associated. The findings are expected to contribute to the development of nursing and public health science and serve as a basis for strengthening family-based health education and improving patients’ self-efficacy in optimizing independent hypertension management.

Hypertension is a non-communicable disease that remains a major public health problem in Indonesia, including in Aceh Besar District. The success of hypertension control is strongly influenced by patients’ self-management abilities. Self-management can be affected by psychological factors such as self-efficacy, social factors such as family support, and sociodemographic factors. This study aimed to determine the relationship between self-efficacy, family support, education, and occupation with self-management among hypertensive patients in the working area of the Ingin Jaya Community Health Center, Aceh Besar District. This study employed a quantitative research design with a cross-sectional approach. The study population consisted of hypertensive patients aged 15–59 years who visited or participated in the Posbindu program at the Ingin Jaya Health Center. A total of 90 respondents were selected using accidental sampling technique. Data were analyzed using univariate and bivariate analyses with the Chi-Square test at a significance level of p < 0.05. The results showed that most respondents had good self-management (54.4%). Bivariate analysis indicated a significant relationship between self-efficacy (p = 0.030) and family support (p = 0.000) with self-management, while education (p = 0.406) and occupation (p = 0.201) showed no significant relationship. This study concludes that self-efficacy and family support play an important role in hypertension self-management, whereas education and occupation are not significantly associated. The findings are expected to contribute to the development of nursing and public health science and serve as a basis for strengthening family-based health education and improving patients’ self-efficacy in optimizing independent hypertension management.

Patient-Centered Care (PCC) is a healthcare approach that places the patient at the center of every interaction and clinical decision-making. However, a preliminary study at Tarumajaya Hospital showed that 58% of healthcare workers had not yet optimally implemented the PCC approach. This study aimed to analyze the influence of self-efficacy and social support on the implementation of Patient-Centered Care, with safety culture as a mediating variable, at Tarumajaya Hospital. The research method used was quantitative analytic with a cross-sectional design. The study sample used a saturated sampling technique of 132 healthcare workers, consisting of doctors, nurses, and medical support staff. Data analysis used Structural Equation Modeling–Partial Least Squares (SEM-PLS). The results showed that self-efficacy and social support had a positive and significant effect on safety culture and PCC implementation. Safety culture also had a positive and significant effect on PCC implementation. Furthermore, safety culture was shown to mediate the influence of self-efficacy and social support on PCC implementation. The coefficient of determination value indicates that the model has strong ability to explain variations in PCC.

This study aims to: (1) Determine the effect of the discovery learning model with the aptitude treatment interaction strategy on the mathematical concept comprehension and self-efficacy of 10th-grade students at SMA Negeri 3 Tarakan; (2) Determine the effect of the discovery learning model with the aptitude treatment interaction strategy on the mathematical concept comprehension of 10th-grade students at SMA Negeri 3 Tarakan; (3) Determine the effect of the discovery learning model with the aptitude treatment interaction strategy on the self-efficacy of 10th-grade students at SMA Negeri 3 Tarakan. The research population included all tenth-grade students of SMA Negeri 3 Tarakan in the 2024/2025 academic year. The research sample consisted of two classes selected randomly: one experimental class receiving discovery learning with an aptitude treatment interaction strategy and one control class receiving conventional learning. The research instruments consisted of a test measuring mathematical concept understanding on trigonometry material and a self-efficacy questionnaire. The data obtained were tested for prerequisites through normality and homogeneity tests before being analyzed using inferential statistical tests in the form of an independent samples t-test with the assistance of SPSS software version 26.0. The research results show that the implementation of the discovery learning model with the aptitude-treatment interaction strategy has a significant impact on students' mathematical concept understanding and self-efficacy simultaneously, with a significance value of 0.006 < 0.05. Partially, this learning model has a significant effect on students' mathematical concept understanding, with a significance value of 0.018 < 0.05. However, the effect of the discovery learning model with the aptitude-treatment interaction strategy on students' self-efficacy is not statistically significant, as indicated by a significance value of 0.089 > 0.05, even though there is a tendency for increased self-efficacy among students participating in the experimental class learning. Nevertheless, the influence of the discovery learning model with the aptitude treatment interaction strategy on students' self-efficacy is not statistically significant in partial terms, although there is a tendency for an increase in self-efficacy among students participating in the experimental class. These findings suggest that the discovery learning model with the aptitude treatment interaction strategy is effective in improving students' understanding of mathematical concepts in trigonometry material and has the potential to support the development of self-efficacy in mathematics learning.

The success of information systems projects in the digital transformation era is often hindered by unhealthy team dynamics, even when technical aspects have been optimally met. This study aims to analyze the synergy between inclusive communication strategies and digital leadership styles in building team health and sustainable performance. The research method employed is a qualitative literature study, integrating variables such as digital leadership, psychological safety, and knowledge management. The results indicate that digital leadership serves as a primary catalyst in creating a psychologically safe work environment, which in turn enhances the creative self-efficacy of team members. Synergy is effectively established when leaders adopt transparent communication channels through digital collaboration tools to mitigate role conflict and technostress within hybrid work environments. Furthermore, knowledge coordination is proven to strengthen team cohesiveness through the conversion of personal knowledge into strategic organizational assets. The study concludes that the integration of empathic communication and adaptive leadership is the fundamental basis for the cognitive, psychological, and operational health of the team. This research produces a managerial synergy framework to mitigate the risk of project failure caused by human factors in the digital era.

Exercise is a planned physical activity that not only contributes to physical fitness but also plays a significant role in maintaining and improving mental health. This study aims to explore the relationship between physical exercise and mental well-being among adolescents and university students with diverse backgrounds of physical activity. The research employs a qualitative approach using in-depth interviews with five informants, consisting of university students who engage in recreational exercise, recreational runners, middle- and long-distance runners, and a sprinter. Data collection was conducted in several public sports spaces in the city of Bandung, focusing on participants’ subjective experiences related to their psychological conditions before and after engaging in exercise. The findings indicate that all participants perceive exercise as an effective means of emotional regulation. Physical activity is consistently associated with improved mood, reduced stress, enhanced sleep quality, stable energy levels, and increased academic concentration and focus. In addition, exercise contributes to the development of self-confidence, self-efficacy, and self-control through structured routines. The social aspects of exercise, such as support from peers, communities, and coaches, were shown to strengthen the sustainability of physical activity while also providing essential emotional support for mental health. However, among competitive athletes, performance-related pressure was identified as a factor that may negatively affect psychological well-being, although this effect can be moderated by adequate social support. Overall, the findings of this study emphasize that exercise functions as an adaptive coping mechanism operating through biological, psychological, and social pathways, and highlight the importance of consistency and balance in physical activity to achieve optimal mental health benefits.  

Motor development in early childhood is a crucial foundation for executive functions and psychosocial health. However, the current sedentary lifestyle and gadget dependency hinder the optimization of this physical potential. This community service aims to enhance children's self-confidence and physical agility through the "Active Movement Exploration: Fun Agility Game" program. The activity was conducted at TK Negeri PAUD Tamalate, Makassar, involving 93 children in the initial observation. The method employed was Guided Modeling-Practice, which includes agility circuit preparation, demonstration, and guided exploration. The game instruments included Zig-Zag Safari, Stop-Go Traffic, Balance River Stones, Ball-to-Target Trail, and Choose-Your-Path. The results showed a significant improvement in Fundamental Motor Skills (FMS), particularly in agility, balance, and manipulative coordination. Additionally, there was progress in psychological aspects, specifically in self-regulation, autonomy, and self-efficacy. In conclusion, the integration of structured yet enjoyable agility games is effective in building a strong physical and character foundation in early childhood.    

Ideally, final-year undergraduates are expected to demonstrate psychological maturity and a clear sense of future direction. However, the pressure of academic demands and social expectations often precipitates a "quarter-life crisis," triggering profound anxiety during this transitional phase. This study investigates the relationship between religiosity and the quarter life crisis among final-year students at Universitas Ibrahimy Situbondo. Employing a quantitative correlational design, the study involved 149 students selected via convenience sampling from a population of 237. Data were collected using the Religiosity Scale and the Quarter-Life Crisis Scale, then analyzed using simple linear regression with JASP version 0.19.1.0. Contrary to common assumptions in religious settings, the findings revealed that religiosity was not significantly associated with the quarter life crisis (p = .105 > .05). The effective contribution of religiosity in explaining the variance of the crisis was minimal (R2 = 0.018 or 1.8%), indicating that 98.2% of the phenomenon is driven by factors outside the scope of this study. These results suggest that religiosity is not a sole predictor capable of buffering against quarter life crisis. Consequently, further research should explore other potential mitigating variables, such as social support, self-efficacy, or career adaptability, particularly within Islamic boarding school-based university environments.

Objective: Autoimmune diseases are complex disorders that arise when the immune system loses tolerance to self-antigens, leading to chronic inflammation and tissue damage. To understand disease pathogenesis and to evaluate therapeutic efficacy, animal models are widely used in autoimmune research. This review aims to analyze various types of animal models employed in studies of autoimmune diseases such as systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), type 1 diabetes mellitus (T1DM), and multiple sclerosis (MS), with a particular focus on reproducibility and clinical applicability. Methods: This study was conducted through the selection and analysis of scientific literature published over the last ten years (2015–2025), using specific keywords including “clinical application,” “autoimmunity,” “animal models,” “humanized mice,” “lupus,” “rheumatoid arthritis,” “reproducibility,” and “translational research.” Literature searches were performed in major databases such as Google Scholar, PubMed, ScienceDirect, and Scopus. Results: Spontaneous models, such as NOD and MRL/lpr mice, exhibit close resemblance to human disease pathogenesis but are influenced by strain variability and environmental factors. Induced models, including collagen-induced arthritis (CIA) and experimental autoimmune encephalomyelitis (EAE), allow greater control over disease onset but do not fully capture the clinical complexity observed in humans. Humanized models demonstrate high translational relevance; however, their use is constrained by high costs and technical limitations. Conclusion: No single animal model is universally ideal for studying autoimmune diseases. Model selection should be based on biological relevance, reproducibility of outcomes, and the potential for clinical translation in autoimmune disease research.

This study aims to determine the relationship between low self-acceptance and the level of self-efficacy in prisoners, as well as its implications on social life after prisoners are released from punishment. The systematic review method  is used with the SPIDER approach to formulate research questions and select relevant articles. The search was conducted through the Publish or Perish, Google Scholar, and Scopus databases with keywords related to self-acceptance, self-efficacy, and inmates. Of the 100 articles identified, 13 studies met the inclusion criteria. The results of the review showed that low self-acceptance was consistently negatively associated with self-efficacy in prisoners, which had an impact on low self-confidence to face social challenges, reintegration, and overcome societal stigma. Psychological factors such as guilt, anxiety, depression, and insecurity can exacerbate low self-acceptance, especially in female inmates. In addition, social support from family, the environment, and psychological interventions have been shown to play an important role in improving self-acceptance and self-efficacy. Interventions such as expressive art therapy, psychoeducation, counseling, skills training, and religious activities have shown effectiveness in improving psychological well-being. These findings underscore the importance of systematic efforts to improve self-acceptance and self-efficacy to support the successful social reintegration of prisoners.

Personal financial management behavior has gained prominence amid economic globalization, digital transformation, and crisis-induced shifts that reshape individual decision-making, budgeting, saving, and risk practices. This study conducts a comprehensive bibliometric analysis to chart the intellectual structure, growth patterns, and future orientations of research in this domain. Drawing on 312 English-language publications from the Scopus database spanning 2000 to 2024, the analysis employs VOSviewer for co-authorship, keyword co-occurrence, and co-citation mapping, complemented by performance metrics on trends and productivity. Findings reveal a marked acceleration in scholarly output, particularly after 2020, driven by heightened attention to digital tools and resilience factors. Thematic clusters highlight progression from foundational literacy and demographic influences to psychological mediators (e.g., self-efficacy, attitudes) and outcomes centered on well-being and socialization. Geographic contributions concentrate in the United States and Indonesia, with strong Asia-Pacific networks, while productive authors form specialized collaborative hubs. The intellectual base integrates behavioral frameworks with empirical applications, underscoring interdisciplinary depth. These insights address fragmentation in prior work by providing a unified knowledge map, revealing gaps in cross-cultural integration and dynamic digital modeling. Implications extend to guiding targeted interventions for financial education and policy, fostering individual resilience in volatile environments. This synthesis supports scholars and practitioners in advancing evidence-based approaches to sustainable personal finance practices.

The postpartum period is a critical transitional phase during which women are vulnerable to psychological disturbances, particularly postpartum depression. Psychological distress may undermine maternal confidence, including the perceived ability to breastfeed effectively. This study aimed to examine the relationship between breastfeeding self-efficacy and postpartum depression among postpartum mothers. A quantitative cross-sectional design was employed involving 45 respondents selected through total sampling. Depressive symptoms were assessed using the Edinburgh Postnatal Depression Scale (EPDS), while breastfeeding self-efficacy was measured using the Breastfeeding Self-Efficacy Scale-Short Form (BSE-SF). Data were analyzed using Spearman’s Rank correlation test with a significance level of 0.05. The results demonstrated a statistically significant and strong negative correlation between breastfeeding self-efficacy and postpartum depression (r = –0.616; p < 0.05). Mothers with higher depressive symptoms tended to report lower levels of breastfeeding self-efficacy. These findings highlight the importance of integrating mental health screening and breastfeeding support into postpartum care to strengthen maternal confidence and improve breastfeeding outcomes.  

Indonesia merupakan negara yang rawan gempa bumi, seperti yang terjadi di Yogyakarta tahun 2006 yang menimbulkan banyak korban jiwa dan kerusakan besar. Hal ini menunjukkan pentingnya kesiapsiagaan bencana di perguruan tinggi. Mahasiswa sebagai agen perubahan berperan penting dalam mitigasi bencana. Self efficacy atau keyakinan diri menjadi salah satu faktor yang memengaruhi kesiapsiagaan mahasiswa. Penguatan self efficacy di kalangan mahasiswa sangat penting untuk membangun kesiapsiagaan bencana di perguruan tinggi. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian mini video edukasi penanganan kegawatdaruratan gempa bumi terhadap self efficacy mahasiswa keperawatan anestesiologi. Metode penelitian ini menggunakan desain pre-eksperimental dengan pendekatan pretest and postest design tanpa kelompok kontrol. Teknik sampling menggunakan Simple Random Sampling dengan instrumen berupa lembar angket kuisioner. Hasil bivariat menggunakan uji Wilcoxon.  Hasil analisis bivariat menggunakan uji wilcoxon menunjukan perbedaan yang signifikan antara self efficacy sebelum dan sesudah pemberian edukasi video yaitu didapatkan nilai signifikansi atau sig (2-tailed) sebesar 0.000 <0.05. sehingga H0 ditolah dan Ha diterima. Kesimpulannya terdapat pengaruh pemberian mini video edukasi penanganan kegawatdaruratan gempa bumi terhadap self efficacy mahasiswa keperawatan anestesiologi.

The phenomenon of students displaying lazy attitudes and a lack of learning motivation represents a major challenge in the teaching and learning process of Islamic Religious Education (PAI) in various schools across Indonesia. This condition has a direct impact on low levels of student engagement and the achievement of expected learning objectives. This article provides an in-depth analysis of the multidimensional causes of this phenomenon, including internal student factors such as learning interest, levels of self-efficacy, intrinsic motivation, and learning styles, as well as external factors encompassing the role of teachers, particularly in the selection of instructional methods, classroom management, and pedagogical interactions. In addition, the family environment, peer influence, and digital culture are also important factors affecting students’ learning motivation. The article also presents various practical and integrated strategies that can be implemented by PAI teachers to enhance students’ learning motivation. The proposed approaches include strengthening value-based classroom management rooted in Islamic principles, applying active, participatory, and contextual learning methods, and reinforcing collaboration between schools and families in building a positive learning culture. Using a descriptive qualitative approach and classroom action research (CAR), the analysis shows that teachers’ emotional engagement, the implementation of educational reward systems, reflection on religious values, and experiential learning are able to increase students’ intrinsic motivation. This study implies the importance of curriculum innovation and strengthening professional development for PAI teachers to better orient learning toward fostering students’ enthusiasm for learning and the sustainable development of religious character in the digital era.

Premarital sexual behavior in adolescents is a public health issue influenced by various individual, social, and environmental factors. Changes in social norms, technological advancements, and limited reproductive health knowledge make adolescents a group vulnerable to risky sexual behavior. This study aims to examine the factors influencing premarital sexual behavior among adolescents based on the Health Belief Model (HBM) approach. The method used is a Systematic Literature Review (SLR), review national and international scientific articles published between 2013 and 2025. Data sources were abtained from Google Scholar and ScienceDirect, with inclusion criteria including articles in Indonesia and English, open access, full text, and relevant to HBM components. The study result indicate that factors such as perceived barriers, self-efficacy, and the quality of information play an important role in shaping adolescent sexual behavior. Low knowledge and limited perception oh the negative impacts of premarital sex increase the risk of engaging in risky sexual behavior. In addition, health promotion interventions based on the Health Belief Model (HBM) have been proven effective in improving knowledge, attitudes, and preventive behaviors regarding premarital sex among adolescents. Therefore, the HBM approach is recommended as a basis for developing comprehensive and sustainable adolescent reproductive health education and promotion programs.

Sleep is a fundamental biological need for adolescents and plays a crucial role in supporting cognitive function, emotional regulation, and overall mental health. Despite its importance, sleep quality among adolescents has increasingly declined due to the interaction of individual characteristics, social environments, and daily sleep behaviors. This article aims to analyze the factors influencing adolescent sleep quality using the Social Cognitive Theory framework through a literature review of national and international journals published between 2021 and 2025. The findings show that adolescent sleep quality is shaped by personal factors, including attitudes toward sleep, self-efficacy, and psychological conditions. Environmental factors, such as parental support, peer influence, and academic demands, also significantly affect sleep patterns. In addition, behavioral factors, particularly sleep hygiene practices, play a key role in determining sleep quality. Consistently, unhealthy sleep behaviors are associated with poor sleep quality. Therefore, comprehensive interventions are needed, involving the improvement of sleep habits, strengthening adolescents’ self-regulation abilities, and enhancing family and school support to promote better sleep quality.

Drug abuse is a serious global public health problem, with the prevalence in Indonesia reaching 1.73% or about 3.33 million people in 2023, mainly among those aged 15–24 years. Understanding the psychological determinants of this behavior is crucial to enhance prevention and rehabilitation efforts. Objective: To analyze determinants of drug abuse behavior based on the Health Belief Model (HBM) through a literature review of studies published between 2015 and 2025. Methods: A literature review of 8 academic articles from Google Scholar and PubMed, limited to open‑access Indonesian- and English‑language journals examining HBM constructs related to drug abuse and rehabilitation participation. Results: HBM variables were generally associated with drug abuse behavior and rehabilitation adherence, with self‑efficacy emerging as the most consistent determinant, followed by perceived susceptibility and perceived severity. Perceived barriers, especially complex administrative procedures, distance, costs, and stigma, were identified as major obstacles to engaging in rehabilitation. Conclusion: The HBM is useful for mapping determinants of drug abuse behavior and highlights the need to strengthen self‑efficacy, risk perceptions, and barrier reduction within health promotion and community‑based rehabilitation programs.

The influence of self-efficacy, work engagement, and financial compensation is crucial to determine the extent of their impact on employee performance at PT Sinergi Gula Nusantara PG Meritjan. By understanding these relationships, company management can assess how these factors affect employee performance and thereby formulate more targeted human resource planning and development strategies in the future. This study employed a saturated sampling technique, in which the sample consisted of all permanent employees of PT Sinergi Gula Nusantara PG Meritjan, totaling 77 respondents. Data were collected through questionnaires, observations, and interviews. The results of the analysis indicate that self-efficacy, work engagement, and financial compensation have a significant effect on employee performance, both partially and simultaneously. This is evidenced by the multiple linear regression analysis, which shows significance values below 0.05 and a coefficient of determination of 0.677 or 67.7%, indicating that self-efficacy, work engagement, and financial compensation explain 67.7% of the variance in employee performance.

Premarital sex is sexual intercourse outside of legal or religious marriage. This behavior can cause various problems such as sexually transmitted diseases, unplanned pregnancies, and encourage early marriage. Analyzing the determinants of adolescent premarital sex based on the Health Belief Model. Using a literature review approach, this study analyzes several academic references such as journals, books, encyclopedias, and others that discuss the topic of premarital sex among adolescents based on the Health Belief Model (HBM) Theory. This study uses seven journals, with sources from the last six years. The study began in October-November 2025. Based on the analysis, there is a relationship between perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived self-efficacy, cues to action, and premarital sex behavior among adolescents. The conclusion shows that in all seven studies, the main components of HBM are significantly related to this behavior. For adolescents, it is recommended to better understand premarital sex behavior by seeking appropriate information and selecting positive friends and social environments so as not to be influenced by negative things or the urge to engage in premarital sex behavior.

Hypertension is one of the most common non-communicable diseases in Indonesia. Hypertensive patients must have high self-efficacy to comply with antihypertensive medication so that blood pressure can be controlled and complications prevented. Therefore, intervention is needed to improve therapy compliance. One intervention that can be given is the provision of pill cards. This study was a quasi-experimental design with a pre-intervention post-intervention control group design. Sampling was conducted using non-probability purposive sampling from July to September 2025. A total of 106 respondents were divided into two groups, with 53 respondents in the control group and 53 respondents in the intervention group. The control group was only given the MMAS-8 questionnaire, while the intervention group was given pill cards and the MMAS-8 questionnaire. In the intervention group, prior to intervention, 25 patients (47.2%) had low compliance, 21 patients (39.6%) had moderate compliance, and 7 patients (13.2%) had high compliance. After the intervention, there was a significant increase, with 21 patients (39.6%) showing high compliance, 26 patients (49.1%) showing moderate compliance, and 6 patients (11.3%) showing low compliance. Providing pill cards to outpatients with hypertension can improve patient medication adherence. Based on the results of the Wilcoxon Signed Ranks Test, a value of (p<0.001) was obtained, indicating that H0 was rejected and there was a significant effect.