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Proper drug disposal is often perceived as a trivial matter by the public when dealing with medications that are no longer needed. However, improper disposal can effect on the economy, public health, and the environment. Therefore, it is essential to educate the public to improve their knowledge regarding appropriate drug disposal methods. Previous studies have shown that educational media can effectively increase public awareness and understanding. The purpose of this study was to evaluate the effectiveness of educational leaflets in enhancing public knowledge about proper drug disposal. This experimental study involved an intervention using educational leaflets. A total of 100 respondents participated in the study. The intervention was conducted over three consecutive days. Pretest and posttest data were collected to assess changes in knowledge. Univariate analysis was used to describe respondent characteristics, while bivariate analysis (Wilcoxon test) was employed to compare pretest and posttest results. Pretest data indicated that the majority of respondents had only sufficient knowledge about drug disposal. Following the intervention, the number of respondents with sufficient knowledge decreased, while those categorized as having good knowledge increased. Statistically, a p-value of 0.000 demonstrated that the use of leaflets significantly improved knowledge level. Based on the results of this study, educational interventions, such as the distribution of leaflets, can effectively enhance public knowledge about proper drug disposal.

Students of the Indonesian School of Jeddah (SIJ) are predominantly categorized as Third Culture Kids (TCK) who face sociocultural challenges and complex health determinants, including a high risk of dental caries and limited character monitoring outside the classroom. This transnational community service program aimed to evaluate the effectiveness of an integrated educational model using audio-visual media through the “Happy Teeth, Bright Smile” campaign and self-monitoring through the “My Adventure Journal” in improving oral health literacy and students’ character behavior. The study employed a Participatory Action Research (PAR) approach with mixed methods involving 155 elementary and junior high school students. Dental knowledge data were analyzed using the Wilcoxon Signed Ranks test, while journal compliance was calculated descriptively using the Grand Mean method and triangulated with content analysis of parental feedback. The results showed that elementary students’ compliance with daily character missions increased by 28.31%, particularly in the discipline dimension. Among junior high school students, multimedia intervention significantly improved clinical preventive knowledge (p < 0.001), with mean scores increasing from 77.00 to 90.20. Parental feedback indicated improvements in self-regulation, responsibility, and self-confidence. The study concludes that optimizing the Tripartite Partnership among university students, schools, and parents is effective in strengthening psychosocial resilience and students’ basic health independence in a transnational environment.

- Background: The rate of cesarean section (CS) deliveries continues to increase in Indonesia. Bali Province ranks first nationally, with a cesarean delivery rate of 53.2%. Cesarean section results in surgical wounds that cause pain in postpartum mothers. One non-pharmacological intervention to reduce pain is early mobilization through video media. Objective: This study aimed to determine the differences in pain intensity among post-cesarean mothers before and after receiving early mobilization through video media. Methods: This study employed a quantitative approach with a pre-experimental one-group pretest-posttest design. The study population consisted of post-cesarean mothers at Singasana Regional General Hospital. A total of 26 respondents who met the inclusion and exclusion criteria were recruited. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. The intervention consisted of early mobilization delivered through a 3-minute and 23-second video, accompanied by healthcare personnel. Data were analyzed using the Wilcoxon test. Results: Most respondents were aged 20–35 years, multiparous, had completed senior high school, and were employed. The median pain intensity decreased from 5.00 before the intervention to 3.00 after the intervention. The Wilcoxon test showed a p-value of 0.000 (p < 0.05), indicating a significant difference in pain intensity before and after the intervention. Conclusion: Early mobilization through video media was effective in reducing pain intensity among post-cesarean mothers. Video media can be utilized as an educational tool to support the implementation of early mobilization in healthcare settings..

Background: Chronic Kidney Disease (CKD) patients undergoing long-term hemodialysis often experience anxiety due to therapy dependency, changes in health conditions, and uncertainty regarding the disease. Unresolved anxiety can reduce quality of life, comfort, and patient adherence to treatment. Therefore, non-pharmacological interventions are needed that are safe, easy to implement, and aligned with the patient's spiritual values. Mantram Tri Sandya has the potential to provide relaxation and psychological calm, thus helping to reduce anxiety. However, scientific evidence regarding the effectiveness of this therapy in hemodialysis patients is still limited, making this research crucial.  Purpose: The aim of this research is to determine the effect of the Tri Sandya mantra on reducing anxiety levels in CKD patients who are undergoing hemodialysis at the Buleleng Regency Regional Hospital. Methods: Pre-Experimental One Group Pre-Test & Post-Test research design with the Wilcoxon Signed Rank Test conducted at the Buleleng Regency Regional General Hospital. Data were collected using the HARS (Hamilton Anxiety Rating Scale) questionnaire sheet with Purposive Sampling technique with a sample size of 88 people. Results: The results obtained from this study were that there was a decrease in anxiety levels when given Mantra Tri Sandya therapy to CKD patients who were undergoing hemodialysis with a P value <0.001 (p<0.05). Conclusion: There is a significant effect of administering the Tri Sandy mantra on reducing anxiety levels in CKD patients who are undergoing hemodialysis at the Buleleng Regency Regional Hospital.

Primary dysmenorrhea frequently disrupts the academic and daily activities of adolescent girls. This study evaluated the effectiveness of a 5-minute warm compress application in reducing menstrual pain intensity. A quasi-experimental study with a one-group pretest-posttest design was conducted on 42 female students of SMAN 28 Batam selected through purposive sampling. Participants applied a warm compress (40–45 °C) to the lower abdomen for 5 minutes. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. Data were analyzed using the Wilcoxon Signed-Rank test. Before the intervention, 42.9% of participants reported severe pain (NRS 7–10). After the 5-minute application, the severe pain category disappeared entirely (0%), with 57.1% of subjects shifting to the mild pain category (NRS 1–3). Statistical analysis showed a significant reduction in dysmenorrhea intensity (p < 0.001). A 5-minute warm compress application is a rapid and effective non-pharmacological intervention for relieving primary dysmenorrhea in adolescents. Its practicality makes this method a feasible self-care strategy to implement in school settings.

The risk of accidents in the school environment is quite high, but the ability of the School Health Business Team (UKS) to handle emergencies is often still limited to theoretical knowledge without adequate practical skills. This study aims to analyze the influence of the Role Playing and Emergency Simulation (RANGGA) method on the improvement of the knowledge and skills of the UKS Team in junior high school. This study used a quasi-experiment design with a pre-post test with control group design. The research sample amounted to 60 respondents which were taken by purposive sampling technique. The intervention group was given RANGGA training, while the control group was given conventional education. The data were analyzed using the non-parametric Wilcoxon Signed Ranks Test because the data distribution was abnormal. In the intervention group, there was an increase in the average knowledge score from 88.7 to 97.9 and the skill score from 87.99 to 97.98. The results of the Wilcoxon test showed a significance value of p<0.001 for both variables in the intervention group, indicating a very strong influence of the RANGGA method. In contrast, although the control group experienced an improvement, the variation in scores remained higher and the improvement was not as significant as the intervention group. The RANGGA method is significantly effective in improving the emergency competence of the UKS Team through an experiential learning approach. It is recommended for school institutions to integrate simulation and role play methods in the UKS training curriculum to ensure optimal emergency response readiness.

Balanced nutrition intake is an important factor in supporting the performance of young athletes, especially during the growth period that requires optimal nutrition for intense physical activity. However, the lack of nutritional knowledge among parents of young athletes often leads to nutritional imbalances that have a negative impact on athlete health and performance. This study aims to measure the effect of balanced nutrition education on improving the knowledge and attitudes of parents of athletes at the Kancil Mas Football School (SSB), Karawang. The method used was a quasi-experiment with a pre-test and post-test design involving 20 respondents who were parents of U-13 athletes. Education was provided in the form of direct counseling sessions and group discussions, which were supplemented with supporting materials such as leaflets. The Wilcoxon signed rank test was used to analyze changes in parental knowledge and attitude scores before and after the intervention. The results of the analysis showed a significant increase in parents' understanding and positive attitudes towards balanced nutrition after education (p < 0.05). The results showed a significant increase in the level of parents' understanding and positive attitudes towards nutrition after the education intervention. These findings highlight the importance of active parental involvement in ensuring that young athletes' nutritional needs are met, as well as providing a basis for developing nutrition education programs in other sports schools.

Stress in older adults needs attention because it can negatively affect physical, emotional, and social well-being, as well as overall quality of life. Elderly individuals living in social welfare institutions are particularly vulnerable to stress due to environmental changes, limited family involvement, loneliness, daily routines, and reduced independence. This study aimed to determine the effect of art painting group activity therapy on stress levels among older adults at Budi Mulia 2 Cengkareng Social Welfare Home. A quantitative pre-experimental study with a one-group pretest-posttest design was conducted involving 33 participants selected through total sampling. Stress levels were measured using the DASS-21 stress subscale. The intervention consisted of four art painting sessions lasting 30–45 minutes each. Data were analyzed using the Wilcoxon test. The mean stress score decreased from 22.18 before the intervention to 15.94 after the intervention. The Wilcoxon test showed a significant difference (p = 0.000), indicating that art painting group activity therapy effectively reduced stress levels among older adults.

Adolescents are a nutritionally vulnerable group at risk of double burden of malnutrition. Riskesdas 2023 data showed that the prevalence of undernutrition in adolescents aged 13–15 years in North Sumatra reached 16.8%, while overweight and obesity reached 18.3%. The habit of consuming unhealthy snacks at school is one of the main preventable risk factors through structured nutrition education. Objective: This community service program aimed to increase knowledge of balanced nutrition and healthy snack selection behavior among Grade VIII students of SMP Negeri 19 Medan. Methods: Activities were carried out through interactive lectures, demonstrations, educational games, and workshops with 64 students. Evaluation used pre-test and post-test analysis with Wilcoxon Signed Rank Test. Results: There was a significant increase in nutritional knowledge in both classes (p=0.001) and healthy snack selection behavior (p=0.000). Conclusion: The Healthy Teen School program effectively improved adolescent nutrition knowledge and behavior.

This community service activity aimed to improve students’ knowledge and awareness regarding the dangers of vaping, free sex, and drug abuse among adolescents. The activity was conducted at SMAN 3 Lamongan on April 13, 2026, involving 28 students. The implementation method consisted of health counseling through material presentation using presentation media, interactive discussions, and evaluation using pretest and posttest methods. The materials covered the dangers of vaping and smoking, risky sexual behavior, and drug abuse. The results showed an increase in students’ knowledge after the counseling session. The average pretest score was 84.24%, which increased to 98.57% in the posttest. The Wilcoxon test result showed a significance value of 0.000 (<0.05), indicating a significant difference between pretest and posttest scores. This demonstrates that health education was effective in improving students’ knowledge related to healthy lifestyles and prevention of risky behaviors. Therefore, this activity is expected to serve as a promotive and preventive effort in shaping a healthy young generation that is aware of the importance of maintaining personal health

Breast cancer is a serious health problem among women, with incidence and mortality rates that continue to rise. The disease is often detected at an advanced stage due to low levels of awareness, knowledge, and skills related to early detection. Among adolescent girls, particularly high school students, knowledge and skills regarding Breast Self-Examination (BSE) remain limited. This is largely due to restricted access to health information, a lack of targeted educational initiatives, and learning methods that are insufficiently engaging. BSE is a simple and effective early detection method that can be performed independently beginning in adolescence. Video-based education is considered an effective tool for enhancing adolescents’ understanding. This study aims to determine the effectiveness of video-based education in improving knowledge and BSE skills among Grade XI female students at MAN (State Islamic Senior High School) 2 Yogyakarta. This study employed a pre-experimental design using a one-group pre-test and post-test approach. The study population consisted of all Grade XI female students at MAN 2 Yogyakarta, with a sample of 59 students selected through purposive sampling on predetermined inclusion criteria. The intervention involved a single session of a BSE educational video lasting approximately seven minutes. It was conducted in 15 groups, with each group accompanied by one facilitator. Data were analyzed using the nonparametric Wilcoxon statistical test. The Wilcoxon test results showed a p-value of 0.000 (p < 0.05) for both knowledge and skills variables, indicating a statistically significant improvement between the pre-test and post-test scores. In conclusion, video-based education was proven effective in improving knowledge and BSE skills among Grade XI female students at MAN 2 Yogyakarta. Future researchers are encouraged to assess BSE skills using a structured checklist based on standardized evaluation criteria.  

Mindfulness intervention therapy is a psychotherapy that can be used to reduce depressive symptoms. This study aims to determine whether mindfulness therapy contributes to reducing the level of depression in patients cancer at the Cipto Mangunkusumo Hospital, Jakarta. The research design used was the experimental design of the one group pretest-posttest design. The total number of samples used for the population was 30 people who met the criteria for depression. Relevant data was collecterd through clinical interviews, observations and psychological test. The Beck Depression Inventory II (BD-II) questionnaire was used to collect data for this study. According to the Wilcoxon analysis, the results were statistically significant p = 0.000, indicating a large effect size in reducing depressive symptoms with mindfulness therapy. These results are supported by improved patients understanding of depression and mindfulness concepts, as well as enhanced abilities in adapting emotional coping strategies. The results of qualitative analysis showed that subjek felt more happy, be positive, not hopeless, effective communication skills and be able to resolve their problems. This research can make a significant contribution to efforts to prevent and treat depression in cancer patients, improving their quality of life through increasing mindfulness.

Learning media is a tool used to convey messages so that it can stimulate students' thoughts, feelings, attention, and willingness in the learning process. This study aims to determine the effectiveness of using KoKaMi media, a three-dimensional media combined with language games, in improving Arabic vocabulary mastery of eighth-grade female students of SMPIT An Nur Sragen. This study uses a quantitative approach with an experimental method and a pre-experimental design of one group pretest–posttest type. The study population consisted of 22 female students and all were sampled through a total sampling technique. Data collection was carried out through tests, interviews, observations, and documentation, while data analysis used descriptive statistics, prerequisite tests, and hypothesis testing with the help of SPSS. The results of the analysis showed that the data were not normally distributed so the Wilcoxon Signed Rank Test was used. The test results showed a significance value of 0.000 smaller than 0.05, which means H0 is rejected and Ha is accepted. These findings prove that KoKaMi media is effective in improving Arabic vocabulary mastery. Therefore, KoKaMi media can be used as an alternative innovative learning media that helps students understand vocabulary more actively, enjoyably, and meaningfully. The implications of this research indicate that the use of game-based media can increase learning motivation, class participation, and learning interactions, so teachers are advised to utilize similar creative media as an effective and student-centered language learning strategy in learning practices at school consistently and sustainably.

Learning media is a tool used to convey messages so that it can stimulate students' thoughts, feelings, attention, and willingness in the learning process. This study aims to determine the effectiveness of using KoKaMi media, a three-dimensional media combined with language games, in improving Arabic vocabulary mastery of eighth-grade female students of SMPIT An Nur Sragen. This study uses a quantitative approach with an experimental method and a pre-experimental design of one group pretest–posttest type. The study population consisted of 22 female students and all were sampled through a total sampling technique. Data collection was carried out through tests, interviews, observations, and documentation, while data analysis used descriptive statistics, prerequisite tests, and hypothesis testing with the help of SPSS. The results of the analysis showed that the data were not normally distributed so the Wilcoxon Signed Rank Test was used. The test results showed a significance value of 0.000 smaller than 0.05, which means H0 is rejected and Ha is accepted. These findings prove that KoKaMi media is effective in improving Arabic vocabulary mastery. Therefore, KoKaMi media can be used as an alternative innovative learning media that helps students understand vocabulary more actively, enjoyably, and meaningfully. The implications of this research indicate that the use of game-based media can increase learning motivation, class participation, and learning interactions, so teachers are advised to utilize similar creative media as an effective and student-centered language learning strategy in learning practices at school consistently and sustainably.

Type 2 diabetes mellitus has now become a widespread health issue with serious implications for public health. In an effort to support non-pharmacological management, the use of aloe vera (Aloe vera) decoction is one option being considered, given that this plant contains bioactive components such as aloin, emodin, and polysaccharides that have the potential to help lower blood glucose levels. This study aims to examine the effect of consuming aloe vera (Aloe vera) decoction on lowering blood sugar levels in patients with type 2 diabetes mellitus in Lampaseh Lhok Village, Montasik Subdistrict, Aceh Besar. The research was conducted from June 19 to 28, 2025, in that area. The study design employed a quantitative research approach using a quasi-experimental design with a one-group pretest-posttest model. The study population consisted of 38 patients with type 2 diabetes mellitus, while the sample comprised 15 respondents. Sampling was conducted using purposive sampling. The measurement tools included a glucometer and an observation sheet. Based on the data analysis results, a decrease in blood glucose levels was observed after the respondents consumed the aloe vera decoction. The Wilcoxon signed-rank test yielded a p-value of 0.001 (< 0.05), leading to the conclusion that the administration of the aloe vera (Aloe vera) decoction has a significant effect on reducing blood glucose levels in the respondents. Therefore, respondents are advised to drink aloe vera tea at least once a day as an alternative measure to help control blood glucose levels.

This study aims to analyze the difference in anxiety levels before and after the administration of Qur’anic murottal therapy among third-trimester pregnant women. The third trimester is often associated with increased physical discomfort and psychological stress, which may lead to higher anxiety levels. This research employed a pre-experimental design using a one-group pretest-posttest approach involving 25 respondents selected through purposive sampling. Anxiety levels were measured using the Perinatal Anxiety Screening Scale (PASS), and the data were analyzed using the Wilcoxon Signed Ranks Test. The findings showed that before the intervention, 48% of respondents experienced moderate anxiety and 52% experienced severe anxiety. After the intervention, 40% experienced mild anxiety, 48% moderate, and only 12% severe anxiety. The statistical test result indicated a Z value of -4.376 with a p-value of 0.000 (p < 0.05), which means there was a significant difference in anxiety levels before and after the intervention. These results suggest that murottal therapy is effective in reducing anxiety among third-trimester pregnant women and can be considered as a safe non-pharmacological intervention.

Background: HIV (Human Immunodeficiency Virus) and AIDS (Acquired Immune Deficiency Syndrome) remain global health issues, including in Indonesia. One of the management strategies is antiretroviral therapy (ART), which requires a high level of adherence to be effective. Objective: This study aims to analyze the effect of reminders on adherence to ARV treatment among people living with HIV (PLHIV) at the Tembuku I Community Health Center. Methods: This study employed a quasi-experimental design using a one-group pretest-posttest approach. The sample consisted of 30 PLWHA selected using total sampling, and data were analyzed using the Wilcoxon test. Results: Univariate analysis revealed that the average age of respondents was 35 years; the majority were female, had a high school education, and worked as homemakers and farmers. Bivariate analysis revealed that prior to the intervention, the majority of PLWHA (70%) had low adherence levels, whereas after the intervention, adherence levels increased to 100%. Statistical test results showed a p-value < 0.05, indicating a significant effect of social media-based reminders on improving ARV adherence in the Tembuku I Community Health Center area. Conclusion: The use of social media-based reminders is effective in improving adherence to ARV treatment among people living with HIV. This intervention can be recommended as a simple and practical strategy to support the success of ARV therapy in primary health care settings.

Anemia remains a significant nutritional problem among adolescent girls due to increased iron requirements during growth and menstruation. Iron (Fe) tablet supplementation is commonly used for prevention, but low compliance often limits its effectiveness. Moringa oleifera leaf tea offers a potential local food–based alternative intervention. This study aimed to compare the effectiveness of Moringa oleifera leaf tea and iron tablets in increasing hemoglobin levels among anemic adolescent girls. A quasi-experimental two-group pretest–posttest design was employed in December 2025 at two junior high schools in Gorontalo City. The sample consisted of 18 adolescent girls with mild to moderate anemia, divided equally into a Moringa leaf tea group and an iron tablet group. The tea group consumed Moringa leaf tea twice daily for 14 days, while the tablet group consumed one iron tablet per week for two weeks. Hemoglobin levels were measured before and after the intervention using a digital hemoglobin analyzer. Data analysis using the Wilcoxon signed-rank test and Mann–Whitney test showed that both interventions significantly increased hemoglobin levels. However, the increase was greater in the Moringa group (ΔHb 1.4–3.2 g/dL; p = 0.008) compared to the iron tablet group (ΔHb 0.5–0.8 g/dL; p = 0.007). A significant difference between groups (p < 0.001) indicates that Moringa oleifera leaf tea is more effective as an alternative intervention.

This study examines the effectiveness of Assemblr Augmented Reality (AR) in improving English vocabulary mastery among deaf students in an inclusive classroom setting. The research was conducted at SD N 2 Bengkala using a quantitative pre-experimental design with a one-group pre-test and post-test approach. The participants were Grade 5 deaf students selected through purposive sampling. Data were collected using a researcher-developed vocabulary test consisting of 15 items, which was validated through expert judgment and demonstrated high reliability (Cronbach’s Alpha = 0.815). Descriptive statistical analysis revealed a substantial improvement in students’ vocabulary scores, with the mean increasing from 45.00 in the pre-test to 76.50 in the post-test. The minimum score improved from 40 to 73, and the maximum score increased from 50 to 80. Inferential analysis using the Wilcoxon Signed-Rank Test showed a significance value of 0.180, indicating no statistical significance due to the small sample size. However, the observed improvement indicates strong practical significance. The findings suggest that Assemblr AR enhances vocabulary learning by providing visual and interactive learning experiences that support deaf students’ cognitive processing. This study highlights the potential of AR technology as an effective instructional medium in inclusive education environments.  

Providing passive ROM to the extremities can help improve blood circulation, improve respiratory function, and support the recovery of consciousness as assessed using the Aldrete Score. The purpose of this study was to determine the effect of providing early passive ROM mobilization of the extremities on changes in the Aldrete score in patients after general anesthesia. This study used a pre-experimental design with a one-group pretest-posttest approach. The study sample consisted of 57 respondents. The intervention provided was early passive ROM mobilization. The Aldrete score was measured before and after the intervention. Data analysis used the Wilcoxon signed rank test with a significance level of α = 0.05. The results showed that the average Aldrete score before the intervention was 5.89 and after the intervention increased to 9.26. The results of the statistical test showed a p value = 0.0001 (p <0.05), which means that there is a significant effect of providing early passive ROM mobilization of the extremities on increasing the Aldrete score after general anesthesia. From this study, it can be concluded that there is an effect of providing early passive ROM mobilization of the extremities on increasing the Aldrete score after general anesthesia.