HIV/AIDS in adolescents cannot be separated from globalization development, which causes their current social changes and negative lifestyle such as pre-marriage sex, keeping on changing sex partners, and drug abuse. Promotional action should be done to prevent from HIV/ASIDS in adolescents by using leaflet and audio-visual media, which provide information and education about the danger of HIV/AIDS so that they will have good knowledge and positive attitude. The research problem was how about the influence of promotion media using leaflets and audio-visual on adolescents' knowledge and attitude, The objective of the research was to analyze the influence of promotion media using leaflets and audio-visual on adolescents' knowledge and attitude toward the danger of HIV/AIDS at SMK Swasta Imelda, Medan. Using the Wilcoxon test tested the hypothesis. The result of the research showed that there was significant influence of leaflet and audio-visual media (p<0.05) on adolescents' knowledge and attitude in the post intervention. The conclusion was that leaflet and audio-visual media were more effective in increasing adolescents' knowledge and attitude toward the danger of HIV/AIDS. It is recommended that parents control democratically their children at home or outside their homes. The school management should increase the cooperation with parents in order to increase students' academic development, and the health care providers in the neighborhood should increase health education program. Keywords: Leaflet, Audio-Visual, Knowledge, Attitude, Danger of HIV/AIDS
Smoking is a bad behavior which can cause danger to health. Today, it becomes a habit for adolescents. It can be prevented by promoting health education by using audiovisual media, which provides information and education for increasing good knowledge and attitude toward the prevention of smoking. The research problem was how about the influence of audiovisual media on adolescents' knowledge and attitude. The objective of the research was to analyze the impact of audiovisual media on adolescents' knowledge and attitude toward the danger of smoking at SMP Negeri 2 Halongonan Timur Subdistrict. The study used a quasi-experimental method with pretest-posttest design. It was conducted at SMP Negeri 2 Halongonan Timur Subdistrict, Padang Lawas Utara Regency. Eighty-four samples were selected and allocated to the intervention group and the control group. The data were gathered using questionnaires. The hypothesis was tested by using paired t-test ad independent t-test. The result of the research showed that there was a significant influence of audiovisual media (p<0.05) on adolescents' knowledge and attitude after they had been given intervention. The conclusion was that audiovisual media was more effective in increasing adolescents' knowledge and attitude toward the danger of smoking. It is recommended that parents not smoke in front of their children. The school management needs to collaborate with the parents for discussing the academic development and students' behavior, and health care providers should increase health education program about the danger of smoking. Keywords: audiovisual media, knowledge, attitude, the danger of smoking
Dalam hal mencegah perilaku merokok pada remaja dapat dilakukan tindakan promotif melalui pendidikan kesehatan dengan menggunakan media sosial. Stain gigi adalah noda coklat pada permukaan gigi dan merupakan salah satu masalah estetik. Tujuan penelitian untuk menganalisis pengaruh media sosial dalam peningkatan pengetahuan dan sikap siswa perokok terhadap pencegahan stain gigi di SMA Negeri 1 Sei Lepan, Kabupaten Langkat. Jenis penelitian adalah quasi experiment dengan rancangan pretest dan posttest. Penelitian dilaksanakan di SMA Negeri 1 Sei Lepan Kabupaten Langkat, total keseluruhan sampel dalam penelitian ini adalah 76 orang, yaitu kelompok intervensi dan kontrol dengan kuesioner. Hasil penelitian menunjukkan media sosial secara signifikan (p<0,05) memberikan pengaruh terhadap tingkat pengetahuan dan sikap siswa perokok terhadap pencegahan stain gigi, dibandingkan remaja yang tidak dilakukan intervensi dengan media sosial. Media sosial lebih efektif meningkatkan pengetahuan dan sikap siswa perokok terhadap pencegahan stain gigi. Disarankan kepada orang tua untuk menghindari perilaku merokok didepan anak dan memberikan edukasi tentang bahaya merokok yang dapat merusak gigi, pihak sekolah meningkatkan kerja sama dengan orang tua untuk membicarakan perkembangan akademik dan perilaku siswa. Kata Kunci: Media Sosial, Merokok, Stain gigi
BACKGROUND: Indonesia is the country with the second highest number of tuberculosis in the world. Patient compliance with tuberculosis treatment is still very low. Thus the success rate of treatment is also unsatisfactory. Concordance behaviour is a model of the doctor-patient relationship that combines aspects of the partnership, sharing decision making and trust. It is considered better than adherence to improve compliance and quality of life in patients with pulmonary tuberculosis. AIM: This study aims to assess the relationship between concordance and the level of adherence to pulmonary tuberculosis treatment along with the quality of life in Medan. METHODS: A cross-sectional study was conducted on 259 tuberculosis patients from several clinics and hospitals in Medan from 2015 to 2017, by asking patients to fill out questionnaires that had been tested for validity and reliability first. The concordance behaviour questionnaire contains 56 questions covering aspects of knowledge, partnership, sharing decision making, trust, and support. While compliance was measured by 14 questions covering attitude and behaviour. Statistical analysis was performed by Chi-Square test in SPSS v20. RESULTS: This study shows that most TB patients (75.7%) have a good concordance, in which the aspect of knowledge, partnership, sharing and support were all good. However, the component of trust in the most patient (75.7%) was still low. Based on the level of compliance, 84.2% of patients had good compliance. However, the level of behaviour in 55.2% of patients was still low. Statistical analysis showed that there was a significant relationship between concordance and compliance (p = 0.009), in which patient with good concordance had 2.6 higher probability for good compliance. However, there was no significant association between concordance and quality of life (p = 0.63). CONCLUSION: Concordance behaviour is a good concept to be applied to improve treatment compliance of pulmonary TB patients.
BACKGROUND: Community empowerment-based sanitation development by prioritizing participation has been implemented; however, it still shows insignificant progression. Even though the family is the manager of basic sanitation starting from the household, personal empowerment, and family participation miss from the focus of attention. AIM: This study thus aimed to develop a participatory model of family empowerment in the management of basic sanitation at the household level. METHODS: This type of qualitative research employed a participatory action research approach. It involved stakeholders who managed sanitation as the informants and 30 families who fulfilled the criteria namely having children over 10 years old and having no assistants as the participants. The data collection was conducted through in-depth interviews, observation, focus group discussion, and documentation. The basic sanitation includes water supply, latrines, garbage, and household waste was also examined to support the data obtained. The data were then analyzed by applying Miles and Huberman flows. RESULTS: It was found that household sanitation management was potentially implemented by managing family resources, sources of information and knowledge, motivation in family empowerment, and household sanitation support facilities. Sanitation management actions were carried out by assistance and division of tasks to family members accounting for 80%–100%. Conditions of basic sanitation in households thus were significantly better after the implementation of the sanitation management. CONCLUSION: The basic sanitation management model can be improved based on participatory family empowerment by employing assistance and the division of tasks to family members. This model also can be applied both at the local and national level and can become a guide for sustainable short or medium-term sanitation development.
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