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Stunting is a public health issue in Indonesia that requires understanding of causal factors by child caregivers. Nutrition education serves as an important catalyst in improving health behaviors, with program success influenced by the level of educational media acceptance. This study analyzes factors associated with acceptance of nutrition education booklets in the Rumah Anak X program, a stunting prevention intervention for caregivers of children aged 0-3 years’ operating since 2019 in five Jakarta locations. Educational media acceptance was measured using the Suitability Assessment of Materials instrument covering content, readability, graphics, layout, learning stimulation, and cultural appropriateness aspects. Factors examined included age, gender, education, economic status, learning motivation, and knowledge. A total of 167 respondents participated in this study. Results showed 91.2% of respondents rated the media as highly suitable for their needs with a median score of 85.71 out of 100.00. Learning motivation was the only factor significantly associated with media acceptance level (p-value <0.001). The study recommends enhancing interactive learning approaches relevant to participants' personal needs to maintain learning motivation while preserving the quality of educational media
ABSTRAK Nama : Sunarti Program Studi : Magister Ilmu Kesehatan Masyarakat Judul : Pengaruh Edukasi Dan Konseling Gizi Intensif Terhadap Pengetahuan, Sikap, Perilaku Kepatuhan Diet Dan Status Gizi Pasien Hemodialisis Pembimbing : Ir. Siti Arifah Pujonarti, MPH Keberhasilan terapi hemodialisis (HD) dapat terhambat dengan adanya malnutrisi atau Protein Energy Wasting (PEW) akibat asupan gizi kurang, abnormalitas metabolisme terutama asam amino, fungsi residual ginjal dan dosis dialisis. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian edukasi dan konseling gizi intensif terhadap pengetahuan, sikap, perilaku kepatuhan diet dan status gizi pasien HD. Lokasi penelitian untuk pengambilan data kelompok perlakuan di Unit Hemodialisis Rumah Sakit Islam Jakarta Cempaka Putih dan untuk kelompok kontrol di Rumah Sakit Islam Jakarta Pondok Kopi. Penelitian menggunakan randomized pretest – posttest control group design dengan sampel 77 pasien (38 orang pria (50.6%) dan 39 orang wanita (49.4%)), rata - rata usia 46.71 ± 9.40 tahun. Didapatkan peningkatan pengetahuan (p=0,0001) dan sikap (p = 0,0001) serta profil perilaku kepatuhan diet lebih baik (p = 0,0001). Intervensi ini efektif meningkatkan asupan energi (p = 0,012) dan lemak (p =0,0001) serta selisih akhir asupan protein dan asupan karbohidrat lebih tinggi meskipun belum signifikan(p= 0,102 dan 0,091). Peningkatan IMT perlakuan lebih tinggi (0,25 + 0,27 vs 0,18 + 0,18 kg/m 2 ) meskipun tidak signifikan (p = 0,744 & 0,856). Rata – rata LLA cenderung tetap (Δ 0.00 + 0,13 cm, p = 1,000), sementara kelompok kontrol menurun (-0.24 + 0.01cm, p=0,789). Rata –rata trisep skinfold cenderung meningkat sementara kelompok kontrol cenderung menurun (Δ 0.44 + 0.11mm vs -0.24 + 0.02 mm, p= 0,737, 0,880). Terjadi peningkatan rata – rata persentase lemak total pada kedua kelompok, dan peningkatan pada kelompok kontrol lebih tinggi (0.79 + 1.93% vs 0.23 + 0.87%), meskipun belum signifikan(p=0.913 dan 0,766). Rata – rata massa otot kedua kelompok menurun dan penurunan kelompok kontrol lebih tinggi (-0.36 + 0.30 kg dan -0.31 + 0.66 kg, p=0.894 dan 0,874). Rata – rata persentase cairan tubuh total kelompok perlakuan menurun dan penurunan kelompok perlakuan lebih tinggi (-0.56 + 1.31% vs -0.52 + 4.39%) meskipun belum signifikan (p=0.813 dan 0,644). Status hidrasi pasien sangat fluktuatif dan memungkinkan pengaruh terhadap estimasi komposisi tubuh dalam penelitian ini. Edukasi dan konseling gizi intensif terbukti efektif dalam peningkatan pengetahuan, sikap dan perilaku diet, signifikan terhadap asupan energi dan lemak, profil asupan protein dan karbohidrat yang lebih baik meskipun belum bermakna, profil IMT, LLA dan trisep skinfold serta massa otot dan persentase cairan yang lebih baik dibanding kelompok kontrol meskipun belum signifikan. Kata kunci: Pengetahuan, sikap, perilaku kepatuhan diet, asupan gizi, status gizi
ABSTRACT Name : Sunarti Study Program : Magister of Community Health Faculty Title : Effect of Education and Intensive Nutrition Counseling on Hemodialysis Patient’s Knowledge, Attitude, Dietary Compliance and Nutritional Status Counsellor : Ir. Siti Arifah Pujonarti, MPH The effectiveness of haemodialysis could inhibited by dietary nonadherence mainly due to lack of protein and energy intake that caused Protein Energy Wasting (PEW). PEW also caused by poor nutrient intake, abnormal nutrient metabolism (amino acids), renal residual function and dialysis dose. We studied impact of education and intensive nutrition counseling on hemodialysis patient’s knowledge, attitude, dietary compliance and nutritional status. The study was conducted at Jakarta Islamic Hospital region of Cempaka Putih and Pondok Kopi. The study used random pretest - posttest control group design and of 77 patients, 38 were man (50.6%) and 39 were woman (49.4%), the mean of age was 46.71 ± 9.40 years old. There were increased knowledge (p = 0.0001), increased attitudes (p= 0.0001) and better diet compliance profile (p=0.0001). The intervention was significantly effective on increasing intake of energy (p=0.012), fat (p=0,0001), and higher difference in protein intake and carbohydrate intake but not significant (p=0,102 and 0,091). There was increase but not significant in BMI (0,25 + 0,27 vs 0,18 + 0,18 kg/m 2 , p = 0,744 and 0,856) and tricep skinfold (Δ 0.44 + 0.11mm vs -0.24 + 0.02 mm, p= 0,737 and 0,880). There was no improvement in MUAC (Δ 0.00 + 0,13 cm, p = 1,000) but decrease in control group (-0.24 + 0.01cm, p=0,789) eventhough not significant. Despite these are not statistically significant, there were improvement on percentage total fat (0.23 + 0.87% + 0.79 + 1.93% vs p=0.913 and 0,766), declining on muscle mass (-0.31 + 0.66 kg -dan 0.36 + 0.30 kg, p=0.894 and 0,874) and declining on percentage body water (-0.56 + 1.31% vs -0.52 + 4.39%, p=0.813 dan 0,644). The patient’s hydration status was highly fluctuate and allows an influence on body composition estimates in this study. Education and intensive nutrition counselling was found to be effective in improving knowledge, attitudes, diet compliance behavior profile, significant improving energy and fat intake. In addition the intervention of this study provides a better profile of protein and carbohydrate intake, a better profile of BMI, MUAC, tricep skinfold, muscle mass, and percentage body water although not significant yet. Key words: knowledge, attitude, compliance, nutrient intake, nutritional status
A closely relation between HIV and nutrition, where the condition of peopleliving with HIV/AIDS (PLWHA) has been exposed to infectious diseases andeasy to falling ill, nutritional needs will increase but on the other hand is often afailure of adequate intake so that the infection will get worse disease. So onwardsto do when nutritional intake is inadequate. Nutritional problems in PLWHA canalso be excess nutrients that have an impact on degenerative diseases. Nutritioneducation is a good step for shaping behavior, where PLWHA are expected toconsume foods and beverages with adequate nutrition and safe.This study aims to determine the effect of nutrition education and counseling onknowledge, attitudes, behaviors and body weight PLWHA.The design study is quasi experimental conducted to 54 patients with HIV / AIDSto assess the knowledge, attitude, behavior and body weight measurements beforeand after intervention. The results showed differences in knowledge (p value0.000) and behavior (p value 0.048) for the treatment group. The increase in theaverage weight gain was 0.6 kg after intervention (p value 0.170). The mostdominant variable is the behavior of family support / peer group (p value 0.012).Keywords: nutrition education and counseling, knowledge, attitudes, behavior andbody weight