Experimental Pretest Research Articles

ANALISIS PERBEDAAN KEKERASAN PERMUKAAN ENAMEL GIGI ANTARA PERENDAMAN DALAM JUS MANGGA DAN JUS JAMBU BIJI MERAH SECARA IN VITRO

<em>Mango and guava juice has many nutrition for body health. Both of them have pH value less than 5,5 which can dissolve hidroxyapatite on enamel. The purpose of this study is to determine the difference of mango and guava juice immersion on enamel hardness surface. This study design is true experimental pretest and posttest. The study was performed on 32 samples were divided into 2 groups immersion into mango juice and guava juice. The samples was immersed for 25 hours. Enamel hardness surface measurements by Vickers Hardness Tester. The result of research show decreasing mean value of enamel hardness surface with pretest and posttest immersion on mango juice group is 125,62 VHN, immersion on guava juice group is 65,10 VHN. The result of paired T-test show the value of p=0,000 for immersion on mango juice group and guava juice group. The result of independent T-test show there,s significant difference between immersion on mango juice and guava juice with the value of p=0,036. Conclusion of this research there was difference among enamel hardness surface pretest and posttest that immersed in mango and guava juice for 25 hours with the most decrease on mango juice immersed.</em>

Telenursing and self-management among patient with hypertension

Background: Hypertension is still a risk factor for the leading cause of death in the world. Hypertension is a blood pressure condition of more than 140/90 mmHg. Patient with hypertension who are an uncontrolled their blood pressure and the number continues to increase, one of which is through services nursing. Nurses are one of the health professions involved in achieving health development goals both in the world and in Indonesia. Health information technology is increasingly developing which must be of concern, especially in the world of nursing to help answer health problems public through telenursing which was developed by providing telecommunications assistance via WhatsApp. Purpose: To determine the effect of telenursing and self-management among patient with hypertensionMethod: This study was conducted in June - August 2020 with a method quasi experimental pre and post test with control group (giving treatment telenursing via WhatsApp to the intervention group and control group using the media short message service (SMS). The sample in this study were all patients with hypertension in accordance with the inclusion criteria (hypertensive patients who undergo treatment, have android, and are able to read and write) The media used in this study were cell phones Results: Through the Paired Sample Test it is known that the p value in thegroup is controlled SMS based on systolic blood pressure was 0.008 (<0.05), while in the intervention group the WA p value was 0.001 (<0.05). This shows a significant result, but the researchers considered that the intervention group had a more significant value when compared to the control. Likewise, the diastolic blood pressure in which the control group was obtained p-value 0.051 (> 0.05) while the intervention group obtained p value of 0.000 (<0.05). Conclusion: There was no significant difference in blood pressure in the group, control use media short message service (SMS). While the intervention group showed a very significant difference between before and after telenursing used media WhatsApp

Uji Efektivitas Ekstrak Etanol Kulit Jeruk Sunkist (Citrus sinensis (L.) Osbeck) Terhadap Kadar Gula Darah Tikus Wistar (Rattus norvegicus) dengan Hiperkolesterolemia yang di Induksi Streptozotocin.

The Condition of high blood sugar levels in people with diabetets appears to trigger an increase in LDL and decrease HDL level where in people with diabetes the energy obtained by the body comes from the decomposition of fat and protein metabolism.”Sunkist orange peel (Citrus sinensis (L.) Osbeck) is reported to have antidiabetic, anti-hypercholesterolemia, anti-inflammatory and antioxidant activities. This study aims to find out the effectiveness of Sunkist orange peel ethanol extract (Citrus sinensis (L.) Osbeck) on blood sugar levels at doses of 500, 750 and 1000 mg/kgBB. This study used the True Experimental Pre-Test and Post-Test Control Group as research design where sunkist orange peel was extracted by maceration method and was given orally for 14 days to streptozotocin induced wistar rat with hypercholesterolemia. Statistical test results showed that ethanol extract of Sunkist orange peel was able to lower blood sugar levels and cholesterol levels of h streptozotocin induced wistar rat with hypercholesterolemia (p<0.05). The most effective dose of Sunkist orange peel ethanol extract in lowering blood sugar levels and cholesterol levels of streptozotocin induced wistar rat with hypercholesterolemia is 1000mg/kgBB.

The Effect of Cognitive Behaviour Therapy (CBT) and Acceptance Commitment Therapy (ACT) to Reduce of Game Online Addiction in Adolescents

Game Online are a popular entertainment among children and adolescents. Playing games online too often can lead to addiction. Adolescents are mostly to online game addiction. Online game addiction has a negative impact, to physical, psychological, social, achievement, economic, etc. Therefore, online game addiction in adolescents needs to be overcome, one of which is by providing Cognitive Behavior Therapy (CBT) and Acceptance Committed Therapy (ACT). This study aims to determine the effect of CBT and ACT in reducing the level of online game addiciton among adolescents in District Bungo. The research design was a quasi experimental pretest and posttest with control group. Sampling was done by purposive sampling technique, namely as many as 54 people and classified into 27 people (intervention group) and 27 people (control group). The instrument used in this study was the Game Addiction Scale (GAS). The results of the paired t test showed that the average game online addiction in the intervention group at pre-test was 65.59 and at post-test was 47.26, with p value = 0.000. This shows that there is a significant difference in the conditions of game online addiction after being given CBT and ACT in the intervention group. The application of CBT and ACT is recommended for overcoming game online addiction in adolescents.

Peningkatan Kemandirian Lansia Melalui Okupasi Terapi dan Group Psychotheraphy di PSTW Sabai Nan Aluih Sicincin Padang Pariaman

The increasing number of the elderly causes complex problems for the elderly, families and communities. Physiological and psychological changes make the elderly feel useless, experience decreased motivation and independence. One of the efforts to increase the independence of the elderly in order to remain qualified is the application of therapeutic modalities in the form of occupational therapy and group psychotherapy. This study aims to determine the changes in the independence of the elderly before and after Ocupasi therapy and Group Psychotherapy at PSTW Sabai Nan Aluih Sic Cincin, Padang Pariaman Regency. The study used a quantitative approach with "Quasi Experimental pre and post test with control group which was held from March to November 2019. The study sample was 63 elderly people who were taken by purposive sampling." The research instrument used the Katz AD Index. Data analysis used Paired sample t-test and Independent t test. The increase in the average independence of the dementia elderly was greater in the elderly who were given Ocupasi therapy and Group Psychotherapy by 18.83 compared to those who received Ocupasi therapy of 7,121. Conclusion The elderly who received occupational therapy and group psychotherapy experienced an increase in independence compared to the elderly who only received occupational therapy. It is recommended that nursing home nurses receive occupational therapy training modified with group psychotherapy and that the training module needs to be improved.

The Effectiveness of Identifying Learning of the Information in Explanatory Texts By Using the SQ3R Method Based on the Reading Intensity of the XI Grade Students at Madrasah Aliyah

Identifying learning of the information in explanatory text requires creativity in its implementation. One of the things that affect identifying learning of the information in explanatory text is the students’ reading intensity. Therefore, it takes the most effective learning method to be applied and the learning method chosen is the SQ3R method. The purpose of this study was to explain the effectiveness of identifying learning of information in explanatory text by using the SQ3R method based on the reading intensity of the XI grade students at Madrasah Aliyah. The method used in this study was an experimental research design with a quasi-experimental factorial. The sample of this research is students of class IX MAN 2 Kudus. The collection of data uses identifying learning of the explanatory text information and reading intensity test to determine high or low reading intensity. Non-test data collection uses observation and photo documentation. The results of this study were (1) The SQ3R learning method was effective in identifying information in explanatory text for class XI students of Madrasah Aliyah with an increase of 12.23, from an average of 66.51 to 78.74. This is evidenced by the sign value=0.000&lt;0.05, which means that there is a significant difference in the learning outcomes of the experimental group pre-test post-test which is used the SQ3R learning method. Meanwhile, the ability to identify information in explanatory text to students with low reading intensity treated with the SQ3R method, and an average value is 67. Identifying Learning of the information in explanatory text based on reading intensity of the XI grade students at Madrasah Aliyah by using the SQ3R is an effective learning method. The result of this learning has increased by 12.23, from an average of 66.51 to 78.74. This is evidenced by the sign value=0.000&lt;0.05, which means that there is a significant difference in the learning outcomes of the experimental group pretest posttest using the SQ3R learning method

The Effect of Papaya (Carica Papaya L.) Leaves on Adolescents with Dysmenorrhea

Papaya leaves (Carica papaya L.) contain active compounds of flavonoids and alkaloids which have the function of reducing dysmenorrhea. Dysmenorrhea is a condition that occurs at any time during menstruation that experiences pain or pain in the abdominal and pelvic area so it can interfere with activities and require treatment. This study aims to determine the effect of the effectiveness of offering papaya leaf herbal drink in reducing dysmenorrhea. The research design used in this study was a pre-experimental research design with a pre-experimental test design with accidental sampling technique. Measurement of pain intensity using pain scale measurements (Pre-Test) and final pain (Post-test using a numerical rating scale, time of incidence on the first and second day of menstruation (77%), location of lower abdominal dysmenorrhea (92%), symptoms of dysmenorrhea, namely abdominal pain (75%), moderate pain scale (48%)], and treatment was resting (63%). Based on the results of the study, subjects who were given a papaya leaf herbal drink were able to reduce the pain scale of dysmenorrhea with a large difference in pain scale reduction in the treatment group of chopped papaya leaf stew by 3,2.

EFEKTIVITAS LATIHAN PERNAFASAN RELAKSASI TERHADAP KELELAHAN PADA PASIEN KANKER YANG MENJALANI KEMOTERAPI

Abstract Background: Cancer patients with chemotherapy experience fatigue as cancer effects and cell destruction due to the toxicity of chemotherapy drugs. Objective: Determine the effectiveness of relaxation breathing exercises to fatigue cancer patients who undergoing chemotherapy. Methode: This research used quasi experiment pretest and posttest method. There were 92 respondents who examined using purposive sampling technique and divided into 46 respondents as intervention group and 46 respondents as control group. Relaxation breathing exercise was given four weeks for intervention group on April-July 2018 in Siloam Hospital Manado. Result: The majority of cancer patients were age 45-65 years 69,9%, 54,3% were diagnosed cancer ≤1 year and 79,3% received combination chemotherapy. The result of Wilcoxon test revealed there was significant difference before and after intervention to fatigue (p value = 0,00), with mean rank of reduction 21,97% on fatigue. The result of Mann Whitney test revealed that there was significant difference in fatigue between intervention and control groups (p value = 0,00). Multivariate logistic regression revealed that there was an effect of relaxation breathing exercise on fatigue (p value = 0,00) and relaxation breathing exercise may reduce 60,46 times of fatigue on patients who undergoing chemotherapy. Conclusion: Relaxation Breathing Exercise can reduce fatigue in cancer patients who undergoing chemotherapy in Siloam Hospital Manado. It is recommended to perform relaxation breathing exercise as a routine exercise for cancer patients during chemotherapy to minimize fatigue. Keywords: Relaxation Breathing Exercise, Fatigue, Chemotherapy, Cancer

The Effectiveness of Acupressure and Smart Gymnastic on Fasting Blood Sugar Levels among Patients with Type II Diabetes Mellitus

Diabetes mellitus (DM) is a glucose metabolism disease characterized by an increase in blood sugar levels and impaired metabolism of fats, protein, and carbohydrates due to a lack of the hormone insulin, both absolutely and relatively. Alternative treatment of diabetes mellitus with complementary therapies, namely acupressure and smart gymnastic, can improve the fasting blood sugar level. This study aims to determine the effectiveness of acupressure and smart gymnastic on fasting blood sugar levels among patients with type II diabetes mellitus. True experimental study pretest and post-test with non-equivalent control group design were applied in this study. Repeated Measure, ANOVA test, showed a significant difference with the mean fasting blood sugar level p-value 0.000 (&lt;0.05). The intervention group is better at lowering fasting blood sugar levels than control group 1 and control group 2 seen from the higher value difference. Conclusion of acupressure therapy with smart gymnastics three times a week for four weeks effectively reduces fasting blood sugar level in a patient with type II diabetes mellitus. This study can be used as a reference for further research, with a larger sample size, controlling the patient's diet, and a longer duration of intervention, so that the results obtained are more valid.

Community mental health nursing training package on body image quality among mental disorders patients

Mental health disorder could affect the physical, mental, social, and spiritual problems, leading to psychosocial issues such as body-image problem. Body-image is a basic need of human being to fulfill and therefore, the multidisciplinary team; physicians, nurses, and family should have adequate knowledge on the body-image. Increasing knowledge by training the nurses and community health volunteers can be performed to address body-image issues in patients with mental disorders among the community. This study held to identify the effects of community mental health nursing (CMHN) and Self-Concept Assessment Guidelines training on nurse and community health volunteer in increasing the body-image quality of patients with mental disorders. This study used pre and post quasi experimental test with nonequivalent control group design. By comparing the pre-test and post-test scores, nurse’s and community health volunteer’s knowledge were increasing after being given training. Data of body image was collected from 129 patients with mental disorder (treatment group of 69 and control group of 60) as volunteers. After the intervention, treatment group (p= 0.033) and control group (p= 0.075) show that significant increase in the quality of body-image only applies to the treatment group. Providing training on CMHN was effective to improve body-image quality of patients with mental disorders.

The Effect of Ginger Compress Therapy and Kinesiotaping on Pain and Stiffness in the Joints and Functional Ability in Elderly with Osteoarthritis

Introduction: Osteoarthritis is a slowly progressive non-inflamation in diarthrodial (synovial) joints which increasingly occurs as one ages, showing such initial symptom as pain in the joints during activities. The pain gets worse over time, causing the obstruction of joint movements and affects the patient’s functional ability. The aim of the study was to identify the effect of red ginger compress therapy and kinesio tapping on pain and stiffness in the joints and functional ability.&#x0D; Methods: This research used the Quasi Experiment pre and post test design with control group. A simple random technique to collect 112 respondents who were devided into intervention group receiving red ginger compress therapy, kinesiotaping group, combination of red ginger compress therapy and kinesiotaping group, and control group, each of which consisted of 28 respondents in Pangesti Elderly Home Lawang and Pangesti Tresno Mukti Elderly Home Turen.&#x0D; Results: Evaluation based on WOMAC index was applied on day one, three, five and seven. The result of ANCOVA showed the red ginger compress intervention with p = 0.005, kinesiotaping with p = 0.005 and red ginger compress + kinesiotaping with p = 0.005 in reducing pain, joint stiffness and difficulty functional ability.&#x0D; Conclusion: This research findings are expected to be one of non-pharmcological therapies recommended to patients with OA.

Using decision aids to support self-isolation during the COVID-19 pandemic

Objective Self-isolation is a vital element of efforts to contain COVID-19. We set out to test whether decision aids can support self-isolation. Design We conducted a pre-registered online experiment with a nationally representative sample (n = 500). Three stages tested: (i) whether decision trees help people to decide whether they need to self-isolate; (ii) whether an online planning tool increases people’s confidence in their ability to self-isolate; and (iii) whether infographics help people to absorb advice on managing a household in which someone must self-isolate. Main Outcome Measures (i) Accuracy of matching symptom patterns to a response scale for the need to self-isolate; (ii) self-reported confidence in coping with self-isolation; (iii) objective tests of recall and comprehension. Results Decision trees improved decisions about when self-isolation was necessary, although participants systematically underestimated the need to self-isolate with less common COVID-19 symptoms (e.g. sore throat, fatigue). The online planning tool increased confidence about coping with self-isolation only among the adults aged under 40. Infographics improved recall and comprehension of how to manage self-isolation. Conclusion Decision aids can be used to support self-isolation during COVID-19. The study also demonstrates how even an emergency public health response can benefit from rapid experimental pre-testing of interventions.

Latihan Menggenggam Alat Handgrip Menurunkan Tekanan Darah Pada Penderita Hipertensi

Background: Hypertension is a serious health problem that is increasing every year. Lifestyle changes such as lack of movement become one of the factors developing this disease. This study was conducted to see the effectiveness gripping exercise of handgrip tool on changes in blood pressure in hypertension patients. Methods: The study used a method of quasi experiment pre and post test with one intervention group. This interventions was given to 16 adult respondents for 5 consecutive days. Assessment of the effectiveness of this therapy is done by measuring the respondent's blood pressure before and after the intervention. Results: The results showed that there was effectiveness gripping exercise of handgrip tool in on systolic blood pressure and diastolic blood pressure (p-value &lt;0.05). So, gripping exercise of handgrip tool intervention can lower blood pressure in people with hypertension. Conclutions: The effectiveness of this therapy must also be done in conjunction with maintaining a lifestyle and regularly taking antihypertensive medication.

Effectiveness of Chayote Extract on Lowering Blood Pressure of Post Partum Hypertension

Post partum hypertension contributes to maternal mortality. Postpartum hypertension management can be in the form of pharmacological therapy, but it causes side effects for mother and baby. Several studies have shown that chayote can play a role in lowering blood pressure. This research aimed to prove the effect of chayote extract on reducing blood pressure in postpartum with hypertension. Quasy experiment pretest and posttest control group design. The number of samples was 19 interventions and 19 controls. The intervention group received 400 mg of chayote extract and 10 mg of nifedipine, while the control group received only 10 mg of nifedipine. The intervention was carried out for 7 days. The treatment group experienced significant changes in systolic blood pressure and diastolic blood pressure with p value = 0.000 compared to the control group. The chayote extract has a significant effect on reducing blood pressure in postpartum with hypertension

Effect of Breathing Nostril and Back Massage On Blood Pressure Reduction in Hypertension Patients in The Working Area of Hospital Pertamina Jaya

Hypertension is an abnormal increase in blood pressure in the arteries continuously for more than one period. Handling of hypertension can be done with secondary prevention such as nostril breathing and back massage techniques. This study aims to determine the effect of nostril breathing and back massage on lowering blood pressure in hypertension in the working area of Pertamina Jaya Hospital. The research design used was a quantitative research design with the research method Quasy Experiment pretest and posttest with the control group. The total sample was 76 respondents who experienced hypertension. The nostril breathing and back massage intervention group consisted of 38 respondents and the control group 38. Blood pressure was measured using a tool. The statistical test used is the dependent t-test and the results obtained are systolic 0.000 and p-value diastolic 0.000. Based on the results of the analysis, this non-pharmacological therapy affects reducing blood pressure.

The Effect of Online Seminar on Knowledge in Preparing The General Public For Facing The New Normal Era

WHO has declared COVID-19 as a pandemic since March 2020. The possibility oftransmission of COVID-19 increases if people gather together, but humans need tobe active and work so that their economic needs are met. Therefore, the governmentis exploring a new normal, which is an order of adaptation to new habits in whichpeople can continue to live productively by changing their life habits. The key to thesuccess of the new normal is community discipline in running it, where knowledge isneeded about the health protocol policies established during the new normal. Onlineseminars are one of the most important health promotion methods and can be donein the new normal era in order to increase public health knowledge. This study aimedto determine the effect of online seminars on public knowledge. This study used aquasi experimental pre and post test design. The sample in this study were allparticipants who attended online seminars and filled out the pretest and posttestquestionnaires. Univariate data analysis showed that the majority of respondentshad a mean age of 31.69 years, most of them were female (80.4%), last educationwas tertiary education (61.8%), unemployed (46.4%), and the good initial knowledgelevel of the health protocol policy at the new normal (83, 5%) before attending onlineseminar. The bivariate data analysis showed that there was a significant increase inknowledge about the new normal health protocol policy before and after attendingan online seminar with a p value = 0.000 (p value &lt;0.05). Online seminars are theright way to promote health in increasing knowledge to prepare the general public forfacing the new normal era.

The Effect of Online Seminar on Public Knowledge in Facing Misinformation Regarding The Covid 19 Pandemic in The New Normal Era

The number of positive cases of COVID-19 in Indonesia is increasing. The changed people'slives due to the COVID-19 pandemic have prompted the government to start exploring theimplementation of the new normal. Misinformation about pandemics spreads rapidly so thatit can mislead the general public in knowing the true pandemic situation. Online seminaris one of the most important health promotion methods and can be done in the new normalera in order to provide correct information to the public. This study aimed to determine theeffect of online seminars on public knowledge in dealing with misinformation about theCOVID-19 pandemic in the New Normal era. This study used a quasi experimental pre andpost test design. The sample in this study were all participants who attended onlineseminars and filled out the pretest and posttest questionnaires. Univariate data analysisshowed that the majority of respondents had a mean age of 25.64 years, most of whom werefemale (54.3%), unemployed (61.8%), and most of them had a good level of initial knowledgeabout COVID-19 (86.6%), and a good level of initial knowledge about the new normal (50.3%)before attending online seminars. Bivariate data analysis showed that there was asignificant increase in knowledge about COVID-19 and new normal before and afterattending online seminars with p value = 0.000 (p value &lt;0.05). Online seminar is the rightway to promote health for the general public to face misinformation about the COVID-19Pandemic in the New Normal Era.

The effect of online Seminars on Public’s Knowledge About The Covid-19 Pandemic in the New Normal Era

Covid-19 (Coronavirus Disease 2019) is a disease transmitted between animals andhumans (zoonosis) by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV2).A total of 70.736 confirmed cases of Covid-19 and 3.417 deaths have been reported bythe Ministry of Health (9 July 2020). Various steps have been taken to control thespread of the Covid-19 pandemic that is currently happening in Indonesia, one of whichis health promotion. During the Covid-19 pandemic, it was suggested that educationalmethods be better done online. So, this study is interested in assessing the effect ofthe educational method with online seminars through WhatsApps on the knowledge ofthe general public about covid-19 and the new normal policy. This study uses aresearch design quasi experimental pre and post test design by comparing theknowledge of respondents before and after observation. Observations were made whenrespondents attended online seminars about covid-19 and new normal via theWhatsApp group. The population in this study were 416 people who were members ofthe online seminar group conducted by the IKM-IKK FK Unsri department. In thisstudy, 171 respondents met the inclusion and exclusion criteria. The results of theunivariate analysis regarding the characteristics of the respondents obtained anaverage age 28.61 years, female (61.4%), and not yet working (45.6%), includingstudents and college students. It was found that the level of knowledge of respondentsabout Covid-19 increased from 43.9% to 77.8%. Likewise, the respondents’ goodknowledge about the new normal increased from 9.9% to 42.1%. Comparative analysisshowed a significant change in knowledge about Covid-19 and new normal respondentsafter attending an online seminar, namely p= 0.000 and p= 0.000. So, it can beconcluded that online seminars have a significant effect on changes in the knowledgeof the general public about Covid-19 and the new normal.

Influencing Reasons for Participation and Nonparticipation of Women in Cervical Screening

Introduction and background: Cervical cancer is one of the leading responsible condition for causinghigh death rate among women after breast cancer. It is preventable and curable disorder, but the prevalenceof cervical cancer remaining too high in India. Majority of women do not aware of cervical screeningprocedures. Maharashtra is standing in second position in possessing more number of cervical cancer cases.Methodology: A quasi- experimental pretest and post research design was used to execute the study. Thisstudy was conducted in selected hospitals of PCMC. The samples were the women age group between 30-60 years attending Gynec OPD. The systemic random sampling techniques was used to select the samples.Total sample size was 501. A self-administered tool was administered to find the reasons for participationand nonparticipation in cervical screening. Tool and content validity was done. The reliability of the toolwas done r value is = 0.88. The study proposal has been approved by the Ethical Committee, MGM Instituteof Health Sciences, Kamothe, Navi Mumbai. Permission has been taken from the concerned authority ofthe selected urban health care centers for data collection. The content was prepared on prevention and earlydetection of cervical screening in the form of video and modules in their regional languages.Results: Majority of participants among three experimental groups, about 38.32 % in verbal group, 41.91%in written group and 40.71 % in video group have responded that they could not take part in the cervicalscreening programme as they are very embarrassed with cervical screening procedure. While others hadresponded that, I am healthy I do not have to go for this test, some women said, I have only one sexualpartner so I don’t require this test. A few women have assumed that the test is very expensive, thinkingthat not required the Pap test as no symptoms of cancer observed and other have stated that don’t know thefrequency of test.Conclusion: A key strategy to improve the attendance of the women for cervical screening is to spread theawareness on prevention and early detection of cervical cancer by using various educational methods.

Nature-based activities improve the well-being of older adults

Current literature shows that interaction with urban greenery can have a wide range of positive health outcomes. Targeted nature-based programs, such as therapeutic horticulture, have been shown to result in multiple health benefits for older adults residing in temperate environments, but much less research has been carried out on populations with different phenotypes, such as older Asian adults in the tropics. The current study investigated the effects of a 24-session therapeutic horticulture program on 47 older participants in Singapore, with an experimental pretest posttest design. We found that participants maintained healthy sleep patterns and psychological health, as well as showed reduced anxiety and improved cognitive functioning (p < 0.05). In addition, they reported an increase in mean happiness score after each session. This study provides new evidence using a comprehensive set of indicators across the affective, cognitive, functional, psychosocial and physical domains, supporting current literature on the benefits of nature programs, with a novel focus on tropical environments. It provides evidence that the nature-based intervention has the potential to be translated to programs to benefit older adults in the tropics.