scholarly journals Dissemination of the Independent Family Health Evaluation (IFHE) application in creating a healthy village in Tutul Village, Balung District

2021 ◽  
Vol 6 (12) ◽  
pp. 2181-2186
Author(s):  
Diyan Indriyani ◽  
Asmuji Asmuji ◽  
Triawan Adi Cahyanto ◽  
Astrid Maharani ◽  
Sri Wahyuni A

The empowerment of village community health is crucial to improve, one of which is by increasing family-based human resources. The ability to recognize the condition of the family's health status at an early stage can speed up the process of assisting health services based on the problems at hand, which can be accelerated with the Independent Family Health Evaluation (IFHE) application system. The dissemination of IFHE was carried out on August 9, 2021 in Tutul Healthy Village task force group, attended by 47 participants from the Community Association (RW) and Posyandu using the direct practice method. Later on, this group continued to disseminate information to the community through trial 1 and trial 2, each of which was held on 11-13 August 2021 for 400 families. From the dissemination program resulted that 319 families had no health risks, 64 families had a low risk, 10 families had a moderate risk and 7 families had a high risk. The IFHE application is very beneficial in quickly identifying the family health status. It is recommended that families routinely report their family's health status through the IFHE, so that the healthcare workers can use the information in making decisions to improve public health

2013 ◽  
Vol 21 (2) ◽  
pp. 595-603 ◽  
Author(s):  
Joaquín Salvador Lima-Rodríguez ◽  
Marta Lima-Serrano ◽  
Nerea Jiménez-Picón ◽  
Isabel Domínguez-Sánchez

OBJECTIVE: To ascertain the content validity of the Self-perception of Family Health Status scale. METHOD: A validation study of an instrument with an online Delphi panel using the consensus technique. Eighteen experts in the subject were intentionally selected, with a multidisciplinary origin and representing different professional fields. Each of the proposed items was assessed using a five-point scale, and open-ended questions, to modify or propose items. Descriptive analysis was performed of the sample and the items, applying criteria of validation/elimination. RESULTS: The first round had a response rate of 83.3% and validated 75 of the 96 proposed items; the second had a response rate of 80%, and validated the 21 newly created items, concluding the panel of experts. CONCLUSIONS: We present an instrument to measure self-perception of family health status, from a nursing perspective. This may be an advance in scientific knowledge, to facilitate the assessment of the state of health of the family unit, enabling detection of alterations, and to facilitate interventions to prevent consequences to the family unit and its members. It can be used in clinical care, research or teaching.


2018 ◽  
Vol 28 (3) ◽  
pp. 29698 ◽  
Author(s):  
Eleia De Macedo ◽  
Vivian Ulrich ◽  
Antonio Miguel Gonçalves Bós ◽  
Ângelo José Gonçalves Bós

AIMS: To compare the self-perception of health status between rural and urban elderly and their possible associated factors.METHODS: The study consisted of a secondary analysis of data from the National Health Survey of 2013, conducted by the National Institute of Geography and Statistics, which included elderly who lived in rural and urban environments. The dependent variable was the self-perception of health status (evaluated as very good, good, fair, bad and very bad); and the independent variables were socio-demographic factors, clinical data, functionality of the elderly and household data. Relationships between the variables were tested by the chi-square test, and adjusted by self-perception of health status. The analysis were performed through the Epi InfoTM program version 7.2.1, accepting p<0.05 as significant.RESULTS: Rural elderly people were predominantly males, brown, married, illiterate and gainfully employed, despite having a low economic class. Among the rural elderly, self-perceived health status was more often regular or poor, the household was more often enrolled in the Family Health Strategy and most had no complementary health plan. Rural elderly also had better performance in the Basic Activities of Daily Living and worse performance in the Instrumental Activities of Daily Living, had less depressive symptoms and less multimorbidity. Rural elderly presented lower chances of self-perception of good or very good health, even adjusting for gender, race, marital status, occupation, socioeconomic class, coverage by the Family Health Strategy, depressive symptoms, multimorbidity, and performance in the Basic Activities of Daily Living.CONCLUSIONS: The rural elderly have worse self-perception of health status than the urban elderly, even controlling socio-demographic, economic, clinical and health access characteristics.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Musheghyan ◽  
S Sahakyan ◽  
A Harutyunyan ◽  
V Khachadourian

Abstract Background Community or family-based DOT improves clinical outcomes and quality of life of TB patients compared to facility-based DOT. Based on a previously conducted clinical trial and recommended best practice guidelines, Armenia started the institutionalization of the family-based DOT in 2019, as an important component of the integrated people-centered approach in TB treatment. Psycho-social counselling and education played a crucial role in preparing patients/family members for this new model of care. Methods To facilitate the family-based DOT, multidisciplinary counseling teams consisting of a TB nurse and a psychologist or a TB nurse and a social worker were formed and further incorporated into the existing TB care system. After a systematic evaluation the strongest applicants were shortlisted, interviewed, and selected. They underwent a three-day training, improving their knowledge on TB disease, its transmission, diagnosis and treatment; patient counseling with an emphasis on motivational interviewing techniques; and people-centered TB care. A comprehensive package of procedural documents was developed to facilitate the counseling teams work process, including a guideline on counseling, reporting forms, and patients' educational materials. At an early stage of TB treatment, the counseling teams provide psycho-social counselling to patients and their families, and educate them on TB risk factors and infection control. Results The counselling teams have been based in the National Center of Pulmonology of the RA and provide psycho-social counselling to all drug susceptible TB patients and their family members all over Armenia. The counseling teams prepare patients/family members for the family-based DOT and provide continuous support during the entire treatment. The integration of counselling teams in the TB care system has provided the required human resource and capacity for the successful adoption of a new model of people-centered TB care in Armenia.


2020 ◽  
Vol 3 (1) ◽  
pp. 18-23
Author(s):  
Harjanti Janti ◽  
Astri Sri Wariyanti

The numbering system is one of the identification systems used to distinguish one patient's medical record file from another patient. Numbering system in the Surakarta Family Health Service Area Region Health Center Region. The implementation of the numbering system is experiencing problems, if there are patients who move or live separately the Head of the Family takes longer to register the patient, because the Officer will provide a new medical record number, create a new medical record document and a new folder for the patient. The research objective is to identify the strengths and weaknesses of the implementation of the Family Numbering System. A qualitative analysis research method with a case study approach. Sample 16 health centers with saturated sampling techniques. Data collection is done by observation, interview and FGD. The results of the study are the advantages of saving storage space, ease of retrieval and return of documents, ease of access to family-based documents while the weakness of the registration time is longer in the event of separation of the head of the family or moving residence. It is recommended that policies be made for all Puskesmas if there are patients who move house or separate families, maximizing the use of tracers by adding information to the tracer including name, medical record number, date and borrower unit.AbstrakSistem penomoran merupakan salah satu sistem identifikasi yang digunakan untuk membedakan berkas rekam medis satu pasien dengan pasien yang lain. Sistem penomoran di Puskesmas Wilayah Dinas Kesehatan Surakarta Family Numbering System. Pelaksanaan sistem penomoran ini mengalami kendala yaitu jika ada pasien yang pindah tempat tinggal ataupun pisah Kepala Keluarga membutuhkan waktu yang lebih lama dalam mendaftar pasien, dikarenakan Petugas akan memberikan nomor rekam medis baru, membuat dokumen rekam medis baru dan folder yang baru untuk Pasien.  Tujuan penelitian untuk mengidentifikasi kelebihan dan kelemahan penerapan Family Numbering System. Metode penelitian analisis kualitatif dengan pendekatan studi kasus. Sampel 16 puskesmas dengan tehnik sampling jenuh. Pengumpulan data dilakukan dengan observasi, wawancara dan FGD. Hasil penelitian yaitu kelebihan hemat tempat penyimpanan, kemudahan pengambilan dan pengembalian dokumen, kemudahan akses dokumen berbasis keluarga sedangkan kelemahan waktu pendaftaran lebih lama jika terjadi pisah Kepala Keluarga atau pindah tempat tinggal.  Disarankan adanya penentuan kebijakan untuk semua Puskesmas jika ada pasien yang pindah rumah atau pisah KK,  memaksimalkan penggunaan tracer dengan menambahkan informasi pada tracer meliputi nama, nomor rekam medis, tanggal dan unit peminjam.


2021 ◽  
Author(s):  
Diyan Indriyani ◽  
Asmuji ◽  
Triawan Adi Cahyanto ◽  
Astrid Maharani ◽  
Wahyuni A Sri

2014 ◽  
Vol 1 (4) ◽  
pp. 111-116
Author(s):  
Elly Nurachmah

Keluarga merupakan kelompok utama yang mengupayakan pencegahan, dan mempertahankan kesehatan, serta merupakan pemeran utama dalam member asuhan kepada anggotanya yang sedang mengalami sakit.Perkembangan ilmu dan teknologi kesehatan dianggap telah mengurangi wibawa dan kewenangan keluarga dalam membuat keputusan yang terkait dengan kepentingan anggota keluarga yang sedang sakit.Pelibatan tim keperawatan secara dini dapat membantu klien kanker payudara dan keluarganya untuk meningkatkan fungsi keluarga dalam mempertahankan tingkat kesehatan keluarga dan dalam mempertahankan hubungan klien – dokter yang seimbang dan dua arah. A family is a main group to prevent, and to maintain the status of family health. The family also is a key role to provide care to its members.The development in health science and technology has been perceived as to decrease family integrity and authority in making important member’s illness related decisions.Early involvement from nurses enables families and patients with breast cancer to increase family functioning in maintaining family health status, and to keep a balanced and two way patient-physician relationship.


Author(s):  
Kathrin Wunsch ◽  
Tobias Eckert ◽  
Janis Fiedler ◽  
Laura Cleven ◽  
Christina Niermann ◽  
...  

BACKGROUND Numerous smartphone apps are targeting physical activity and healthy eating, but empirical evidence on their effectiveness for initialization and maintenance of behavior change, especially in children and adolescents, is still limited. OBJECTIVE The aim of this study was to conceptualize a theory-based and evidence-based mHealth intervention called SMART<i>FAMILY</i> (SF) that targets physical activity and healthy eating in a collective family-based setting. Subsequently, the app will be refined and re-evaluated to analyze additional effects of just-in-time adaptive interventions (JITAIs) and gamification features. METHODS A smartphone app based on behavior change theories and behavior change techniques was developed and implemented and will be evaluated with family members individually and cooperatively (SF trial). Existing evidence and gained results were used to refine and will be used to re-evaluate the app (SF2.0 trial). Both trials are cluster randomized controlled trials with 3 measurement occasions. The intervention group uses the app for 3 consecutive weeks, whereas the control group receives no treatment. Baseline measurements (T<sub>0</sub>) and postintervention measurements (T<sub>1</sub>) include physical activity (ie, self-reported and accelerometry) and healthy eating measurements (ie, self-reported fruit and vegetable intake) as the primary outcomes. The secondary outcomes (ie, self-reported) are intrinsic motivation, behavior-specific self-efficacy, and the family health climate, complemented by an intentional measure in SF2.0. Four weeks following T<sub>1</sub>, a follow-up assessment (T<sub>2</sub>) is completed by the participants, consisting of all questionnaire items to assess the stability of the intervention effects. Mixed-method analysis of covariance will be used to calculate the primary intervention effects (ie, physical activity, fruit and vegetable intake) while controlling for covariates, including family health climate, behavior-specific self-efficacy, and intrinsic motivation. RESULTS This study is funded by the German Federal Ministry of Education and Research and ethically approved by the Karlsruhe Institute of Technology. For both trials, it is hypothesized that the apps will positively influence physical activity and healthy eating in the whole family. Furthermore, SF2.0 is expected to produce stronger effects (ie, higher effect sizes) compared to SF. SF app development and piloting are completed. Data acquisition for the SF trial is terminated and discontinued due to the COVID-19 pandemic. SF2.0 app development and piloting are completed, while data acquisition is ongoing. Participant recruitment for the SF 2.0 trial started in February 2020. The results for SF are expected to be published in mid-2021, and the results of SF2.0 are expected to be published in mid-2022. CONCLUSIONS In this study, it is hypothesized that targeting the whole family will facilitate behavior change at the individual level and the family level, as the implemented strategies address changes in daily family life. Furthermore, subsequent app development (SF2.0) with supplementary addition of motivation-enhancing features and a JITAI approach is expected to enhance positive intervention effects. CLINICALTRIAL German Clinical Trials Register DRKS00010415; https://tinyurl.com/yyo87yyu INTERNATIONAL REGISTERED REPORT DERR1-10.2196/20534


Author(s):  
Andy Nuriyanto ◽  
Laili Rahayuwati

The occurrence of health issues in the family affected by the ability of the family itself to carry out the role and task of family health care. Family nursing has been developed in various countries as a solution to solve individual, family, and community health issues in a region. The family health status in Indonesia is measured by the Family Health Index (FHI) value, comprising the category of unhealthy families (FHI < 0.50), pre-healthy families (FHI value of 0.50 to 0.80), and healthy families (FHI > 0.8). This study aims to generate a literature review on strategies that can be used to improve the Family Health Index. The search database includes CINAHL, MEDLINE, and Google Scholar with several keywords: 'family nursing', 'family health', and 'family health status'. 102 articles published between the year of 2000 until 2019 have been obtained. The results of the literature review indicate that family nursing is an innovative and efficient strategy to achieve a preferable health status as well as a better quality of human life. Family nursing has a positive correlation with the increased ability of families to carry out their task in maintaining, preventing and overcoming family health issues independently. Research on the families' ability to carry out health care tasks to improve the health status by measuring FHI has never been done previously. Future research is required to discuss the relationship of families' ability in carrying out the five health care tasks to improve FHI independently in Indonesia.


10.2196/20534 ◽  
2020 ◽  
Vol 9 (11) ◽  
pp. e20534
Author(s):  
Kathrin Wunsch ◽  
Tobias Eckert ◽  
Janis Fiedler ◽  
Laura Cleven ◽  
Christina Niermann ◽  
...  

Background Numerous smartphone apps are targeting physical activity and healthy eating, but empirical evidence on their effectiveness for initialization and maintenance of behavior change, especially in children and adolescents, is still limited. Objective The aim of this study was to conceptualize a theory-based and evidence-based mHealth intervention called SMARTFAMILY (SF) that targets physical activity and healthy eating in a collective family-based setting. Subsequently, the app will be refined and re-evaluated to analyze additional effects of just-in-time adaptive interventions (JITAIs) and gamification features. Methods A smartphone app based on behavior change theories and behavior change techniques was developed and implemented and will be evaluated with family members individually and cooperatively (SF trial). Existing evidence and gained results were used to refine and will be used to re-evaluate the app (SF2.0 trial). Both trials are cluster randomized controlled trials with 3 measurement occasions. The intervention group uses the app for 3 consecutive weeks, whereas the control group receives no treatment. Baseline measurements (T0) and postintervention measurements (T1) include physical activity (ie, self-reported and accelerometry) and healthy eating measurements (ie, self-reported fruit and vegetable intake) as the primary outcomes. The secondary outcomes (ie, self-reported) are intrinsic motivation, behavior-specific self-efficacy, and the family health climate, complemented by an intentional measure in SF2.0. Four weeks following T1, a follow-up assessment (T2) is completed by the participants, consisting of all questionnaire items to assess the stability of the intervention effects. Mixed-method analysis of covariance will be used to calculate the primary intervention effects (ie, physical activity, fruit and vegetable intake) while controlling for covariates, including family health climate, behavior-specific self-efficacy, and intrinsic motivation. Results This study is funded by the German Federal Ministry of Education and Research and ethically approved by the Karlsruhe Institute of Technology. For both trials, it is hypothesized that the apps will positively influence physical activity and healthy eating in the whole family. Furthermore, SF2.0 is expected to produce stronger effects (ie, higher effect sizes) compared to SF. SF app development and piloting are completed. Data acquisition for the SF trial is terminated and discontinued due to the COVID-19 pandemic. SF2.0 app development and piloting are completed, while data acquisition is ongoing. Participant recruitment for the SF 2.0 trial started in February 2020. The results for SF are expected to be published in mid-2021, and the results of SF2.0 are expected to be published in mid-2022. Conclusions In this study, it is hypothesized that targeting the whole family will facilitate behavior change at the individual level and the family level, as the implemented strategies address changes in daily family life. Furthermore, subsequent app development (SF2.0) with supplementary addition of motivation-enhancing features and a JITAI approach is expected to enhance positive intervention effects. Trial Registration German Clinical Trials Register DRKS00010415; https://tinyurl.com/yyo87yyu International Registered Report Identifier (IRRID) DERR1-10.2196/20534


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