Edukasi Pola Hidup Bersih dan Sehat Pada Anak-anak di Masa Pandemi

Kemunculan virus Corona yang diawali dari tahun 2020 lalu membuat semua segi kehidupan terdampak. Penerapan protokol kesehatan menjadi salah satu cara yang paling ampuh untuk menekan angka kasus covid-19 di Indonesia. Tujuan dilaksanakan edukasi pola hidup bersih dan sehat pada anak-anak adalah untuk membimbing agar anak-anak lebih sadar dan berhati-hati dalam melakukan kegiatan di tengah pandemi sebagai bentuk pencegahan terhadap virus Corona. Pada kegiatan ini dilakukan edukasi terhadap anak-anak dengan metode pemberian materi, games dan praktik mencuci tangan dengan benar. Hasil kegiatan menunjukkan bahwa 90% anak dapat menjawab pertanyaan dan menyusun kata terkait pola hidup bersih dan sehat sehingga anak-anak mengetahui cara cuci tangan dengan baik, memilah sampah dan menjaga perilaku hidup sehat di rumah, di lingkungan serta di sekolah. Kegiatan ini juga diharapkan dapat mendorong kesadaran masyarakat secara umum untuk menerapkan Pola Hidup Bersih dan Sehat demi meminimasilasi dan mencegah penularan virus Corona; membantu pemerintah dalam menggalakkan program pola hidup bersih dan sehat di masa pandemi; dan menginisiasi keberlanjutan program pola hidup bersih dan sehat di masyarakat. The emergence of the Coronavirus, which began in 2020, has affected all aspects of life. Implementing health protocols is one of the most effective ways to reduce the number of COVID-19 cases in Indonesia. The purpose of implementing clean and healthy lifestyle education for children is to guide them so that they are more aware and careful in carrying out activities during a pandemic as a form of prevention against the Coronavirus. In this activity, education was carried out for children to provide materials, games, and direct practice. After attending the education, the children become aware of washing their hands, sorting waste, and maintaining a healthy lifestyle at home, in the neighbourhood, and at school. This activity is also expected to encourage public awareness, in general, to implement a Clean and Healthy Lifestyle to minimize and prevent the transmission of the Coronavirus; assist the government in promoting the Clean and Healthy Lifestyle program during the pandemic, and initiate the sustainability of the Clean and Healthy Lifestyle program in the community.

Action for better brain health among people living with HIV: protocol for a randomized controlled trial

Background Lifestyle changes can protect or improve brain health in older adults. However, sustained lifestyle change is difficult for everyone and may be more difficult for those with executive dysfunction, including some people living with HIV. Thus, the key question is how we can improve adherence to the most promising interventions among people living with HIV experiencing cognitive difficulties. Goal management training is a cognitive rehabilitation program that targets executive dysfunction by teaching goal-directed behaviour and self-management. It is a promising means to improve adherence to lifestyle interventions. Objective To estimate the extent to which goal management training before a healthy lifestyle program is associated with greater adherence to health recommendations, achievement of health-related goals, and better brain health and health outcomes compared to the healthy lifestyle program alone among people living with HIV. Methods Brain Health Now cohort participants with cognitive difficulties or are not aging successfully are eligible. All participants will be given health resources, a health coach, a goal-setting digital application, and access to an online goal-setting workshop. The intervention group will participate in nine 2-h goal management training sessions and then will enter the healthy lifestyle program. Control participants will enter the healthy lifestyle program directly. A total sample of 100 participants will participate for 12 months. The main outcome is adherence to the healthy lifestyle program, defined as the number of weeks where physical activity adherence targets were met (150 min per week, measured with an activity monitor). Weekly social activities will be captured via self-report with confidential photo validation. We will send weekly health state reports to the participants. Downstream outcomes include cognitive ability, health-related quality of life, mobility, vascular risk profile, and social network size. We will analyze the data using a linear regression model. Discussion This project is the first to test whether goal management training can augment adherence to health recommendations among individuals with cognitive difficulties. If successful, behavioural interventions such as goal management training could be implemented as an adjunct to lifestyle interventions in other clinical populations. Trial registration: This trial was registered on clinicaltrials.gov (NCT04345484) on April 14, 2020, https://clinicaltrials.gov/ct2/show/NCT04345484?term=NCT04345484&draw=2&rank=1.

Penerapan Algoritma K-Means Dalam Mengelompokkan Rata-Rata Konsumsi Kalori Menurut Provinsi

Calories are a source of energy that we get from food intake that contains nutrients and as a basic human need for humans to survive. The number of people who consume excessive calories and do not pay attention to the amount of calorie intake that is consumed will result in the emergence of various diseases that are bad for health. In this case the government does not have information about the data on the average calorie consumption per province by province. The purpose of this study is to determine the highest and lowest clusters, for that the authors use Data Mining with the K-Means Algorithm to classify Average Calorie Consumption per day by province. This test is carried out using RapidMiner software. The results were obtained from the average grouping of calorie consumption grouped by two clusters: high and low clusters, high clusters of 13 provinces and low clusters of 21 provinces. Provinces that are classified as low clusters are expected to be a contribution for the Indonesian government for decision making in an effort to maintain a balanced consumption of calories per day and create a healthy lifestyle program in the future.

Predictors of Adherence in Three Low-Intensity Intervention Programs Applied by ICTs for Depression in Primary Care

Depression is one of the most common disorders in psychiatric and primary care settings, and is associated with disability, loss in quality of life, and economic costs. Internet-based psychological interventions have been shown to be effective in depression treatment but present problems with a low degree of adherence. The main aim of this study is to analyze the adherence predictors in three low-intensity interventions programs applied by Information and Communication Technologies (ICTs) for depression. A multi-center, randomized, controlled clinical trial was conducted with 164 participants with depression, who were allocated to: Healthy Lifestyle Program, Positive Affect Promotion Program or Mindfulness Program. Sociodemographic characteristics, Patient Health Questionnaire-9, Visual Analog Scale, Short Form Health Survey, Positive and Negative Affect Schedule, Five Facets Mindfulness Questionnaire, Pemberton Happiness Index and Treatment Expectancy Questionnaire were used to study adherence. Results showed that positive affect resulted in a predictor variable for Healthy Lifestyle Program and Positive Affect Promotion Program. Perceived health was also a negative adherence predictor for the Positive Affect Promotion Program. Our findings demonstrate that there are differences in clinical variables between treatment completers and non-completers and we provide adherence predictors in two intervention groups. Although new additional predictors have been examined, further research is essential in order to improve tailored interventions and increase adherence treatment.

Abstract 15269: Baseline Relationships of Walking, Physical Activity Habits and Self-perceived Recovery After Stroke in People Engaged in a Healthy Lifestyle Program

Introduction: Recovery of walking is an important goal for people after stroke and is linked with acquiring secondary conditions deleterious to health. Our purpose was to assess the baseline relationships between walking performance, physical activity habits and self-perceived recovery after stroke in people engaged in a healthy lifestyle program. Hypothesis: We hypothesized that walking performance would be strongly related to self-reported stroke recovery and physical activity habits. Methods: Community dwelling adults at least 12 months post-stroke with a body mass index (BMI) of 25 or greater were recruited to participate in a healthy lifestyle program adapted for people with stroke. Baseline measures of walking performance [10-meter walk test (10MWT); 6-minute walk test (6MWT)] and self-reported outcomes [Self-Report Habits Index (SRHI); Stroke Impact Scale (SIS)] were correlated. Results: Adults (34 male, 31 female; 64.6% scored as having some disability on the Modified Rankin Scale) aged 57.9±12.8 years with a BMI of 33.0±5.9 and median of 3 years post-stroke participated. 10MWT walking speed was 1.0±0.4m/s and 6MWT distance walked was 343.3±132.3m. SRHI physical activity scores of 4.6±1.7 (above average habit formation; scale = 1 - 7) and SIS subscales ADL/IADL and mobility normed scores of -0.1±0.7 and -1.3±0.8 respectively, and perceived recovery of 70.9±16.9% were reported. The 10MWT was significantly and moderately correlated with SIS ADL/IADL (r=0.48; p<0.001) and mobility (r=0.41; p<0.001), but weakly with SIS perceived recovery (r=0.34; p<0.01) and SRHI physical activity (r=-0.32; p<0.01). The 6MWT was significantly and moderately correlated with SIS ADL/IADL (r=0.48; p<0.001) and mobility (r=0.47; p<0.001), but weakly with SIS perceived recovery (r=0.33; p<0.01) and SRHI physical activity (r=-0.33; p<0.01). Conclusions: Walking performance among our participants post-stroke was consistent with community dwelling adults, but only somewhat related to their perception of recovery of function and mobility. Additional factors beyond perceived recovery likely contribute to walking abilities post-stroke.

Parental Participation in a Healthy Lifestyle Program for Middle Schoolers Improves Their Family Meal Patterns and Social Support and Self-Regulation for Healthy Eating (P16-041-19)

Objectives The development and dissemination of appropriate integrated curricula for parents represent a critical need and a novel approach in the obesity prevention field. Our objective was to assess if parental participation in a healthy lifestyle program (PAWS [Peer-education About Weight Steadiness] Club) for middle school students would improve parental anthropometrics, social cognitive theory (SCT) mediators of dietary behavior, and family mealtime frequency and environment. Methods A total of 42 parents participated in five weekly 1.5-hour sessions, delivered four times from 2015–2017. The sessions were led by a trained research assistant; focused on family fitness, meal planning, family mealtimes, label reading, energy balance, making healthy choices and simple recipes, self-reflection and goal setting. Data on anthropometrics, blood pressure (BP), SCT mediators (social/family support, self-efficacy, self-regulation, and outcome expectations) of eating, and family meal patterns (frequency and environment) was collected from the parents at pre-and post-intervention. Wilcoxon Signed Rank test was used to determine any changes from baseline to post assessment for SCT mediators of dietary behavior and family meal patterns. Paired t-test was used to determine any changes from pre-to post-intervention for anthropometric and BP measurements. Significance was set at P < 0.05. Results Of the 42 participants, 67% were females (mothers); 33% self-reported White and 33% self-reported African American race/ethnicity. Participants significantly improved in their self-regulation for reducing unhealthy foods (P = 0.011), social support for balancing calories (P = 0.007), and family mealtime patterns (P = 0.003) from pre- to post-assessment. No significant changes were observed for anthropometric and BP measures. Conclusions Parental participation in a healthy lifestyle program can potentially improve family mealtime environment and frequency and increase self-regulation and social support for dietary behaviors of the family. These results have implications for planning future health programs with adolescents in schools. Funding Sources Supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, under award number 2012-68001-22032.