Introduction: The interactive web-based, blended with tri-axial accelerometer by smartphone Apps, have the potential to help university students adopt and maintain a physically active lifestyle.The purposes of this text was to evaluated a gamification base for International Indonesia students to determine the impacts of a program building with psychosocial base to increase the exercise efficacy to attain a recommended level of physical activity. Methods: A non-equivalent control group with pre and posttest design conducted in 86-Indonesian international students with a time cluster randomize to avoid information contamination between groups. The intervention group received a Social Cognitive Theory skill-building by web-based game with team competition for 10-week program. Outcomes include physical activity, health outcomes, and cardiopulmonary fitness. ANCOVA and McNemar X2 test was adopted to test pre- and post-outcome effects. Results: The intervention group recorded more steps/day than those in the control (p <0.001, eta = 0.522), more distance (p <0.001, eta = 0.521), greater calories consumption (p <0.001, eta = 0.419), more longer (time) (p <0.001, eta = 0.217), more physical fitness (p <0.001, eta = 0.168), lower body weight (p <0.002, eta = 0.131), lower BMI (p <0.001, eta = 0.149), and lower systolic blood pressure (p <0.007, eta = 0.103). Conclusions: Web-based game with group competition programs can successfully increase physical activity among international university students.The results could serve as a good approach for health professionals to design an effective program toachieve recommended levels of physical activity and the physical fitness.
The study aimed to translate the Exercise Self-Efficacy Scale (ESES) into Indonesian and test the cultural equivalence, reliability, and validity of the new version for university students. Methods: The cross-sectional study recruited 379 Indonesian university students using convenience sampling. Phase 1, a culturally appropriate version of the ESES was developed in the Indonesian language. Phase 2, the psychometric properties were determined through exploratory factor analysis, bootstrap factor analysis, and confirmatory factor analysis. The internal consistency reliability was tested using Cronbach's a, whereas the stability using intraclass correlation coefficient to assess.Results: The students' ages ranged from 17 to 39 years, and 65.0% were women. For translation equivalence, the mean item content validity indexes ranged from 3.5 to 4, and all items were understandable. The 16-item scale exhibited cross-cultural appropriateness and readability, with a three-factor model explaining 62.3% of the variance in exercise self-efficacy. A bootstrap analysis using 100 resamples further confirmed the three-factor model. The indices of the good-fit model that used the three-factor by two-stage least squares method were satisfactory, with c 2 /df ¼ 3.3, goodness of fit index ¼ .88, and root mean-square error of approximation ¼ .05 (p < .001). The Cronbach's a was .78, .80, and .92 for factors 1, 2, and 3, respectively. The test-retest reliability was demonstrated with an intraclass correlation coefficient of .91, indicating adequate measurement stability. Conclusion:The 16-item ESES-I has acceptable validity and reliability; however, a broader application of the scale requires further testing in different populations to confirm its external validity.
Introduction: The widely used social media by mobile-platform, which makes communication easier, faster, enhance effective flow of information. However, it may have the potential negative effect in quality of sleep in nursing students. The purpose of this study was to examined the impact of using social media and identified predictors of poor sleep quality among nursing students. Methods: A school-based survey design was conducted. Totally, 264 students at school of health sciences in West Java with usage social media platform were participated in this study. The extensive self-administered questionnaires were used to assess extent of using social media and the Pittsburgh Sleep Quality Index. Logistic regression analysis by a backward-stepwise technique was used to determine predictors of poor sleep quality. Results: One out of two nursing students (59.5 %) used both Instagram and WhatsApp, mostly at nights (59.8%), and more than 4-hour daily (19.3%). Majority nursing students (94.3%) have poor quality of sleep. Quality of sleep was differed significantly in bachelor students (p=0.03) in 8th semester (p = 0.006). Younger nursing students (β = 0.025, p = 0.021, 95% CI 0.001-0.566) who use social media less than 3-month (β = .019, p = 0.001, 95% CI 0.002-0.212), mostly during weekends and in 8th semester (β = 41.32, p = 0.018, 95% CI 1.902-897.73) were predictor of poorer sleep quality. Conclusion: Findings indicated a strong need for integrating sleep quality education and provide health-education to promote correct and effective use of social networks to minimize possible side effects in nursing students.
Introduction: The knowledge, attitudes, and practices (KAP) in response to Covid-19 have not been measured previously in nursing institutions, which could be crucial to preventing a second wave of the Covid-19 pandemic in Indonesia. This study examined the KAP for Covid-19 among Indonesian nursing students during the rapid increase period. Methods: An online-based cross-sectional design recruited nursing students using the authors’ networks with lecturers and nursing institutions in Indonesia. After obtaining their consent, the participants completed an online survey to assess their socio-demographic details, habits, family history of chronic diseases, and KAP in response to Covid-19. Simple descriptive through to complex analyses and multivariate regression were carried out using SPSS 17. Results: There were a total of 492 participants; 84.4% were female, most had a Bachelor’s degree (71.3%) and the mean age was 23.9 years old. The majority had never smoked (94.3%), drank warm water everyday (61.6%), exercised (50.6%), did not have hypertension (96.3%), had no family history of select conditions (79.9%) and had not been diagnosed with diabetes (99.4%). The majority of participants (79.3%) had good knowledge, where the mean for attitude was 2.05 (SD=0.30) and the result for practices was 2.19 (SD=0.42). Multiple linear regression showed that males who were older were associated with a higher level of knowledge. Conclusion: Our results found that the nursing students had good KAP scores regarding Covid-19. The development of effective health education programs to uphold their optimistic attitude and to maintain their good practices is needed.
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