Health Maintenance Behaviors Research Articles

Digital behaviour change intervention for weight loss maintenance in adults with obesity: a feasibility pilot study of eCHANGE

ABSTRACT Successful weight maintenance after weight loss is challenging. Digital interventions may facilitate behaviour change to prevent weight regain, however little is known about the acceptance and use of digital interventions in support of weight maintenance. This mixed methods study aims to evaluate user experiences, system use, and preliminary efficacy of eCHANGE, an application based self-management intervention for weight loss maintenance. A 3-month multi-site single group feasibility pilot study was conducted among adults (N = 60) with BMI ≥30 kg/m2, aiming to maintain weight after weight loss of ≥8%. User experiences and system use were examined through validated questionnaires, system use log data, and individual interviews (n = 15). Preliminary efficacy testing included body weight and patient reported outcome measures. Participants rated eCHANGE usability and usefulness as good in support of weight maintenance, with variation in usage. Analysis indicated that higher behavioural engagement scores were statistically significantly associated with frequency of technology usage. Weight loss was maintained by 83% of the participants at 3-months (i.e. defined as weight change of <3% of baseline body weight (kg)). Digital interventions, combining persuasive system design principles and behaviour change techniques, supporting self-regulation and maintenance of health behaviours, have the potential to facilitate weight maintenance after weight loss. Trial Registration: ClinicalTrials.gov NCT04537988 https://clinicaltrials.gov/ct2/show/NCT04537988

Website-Based Flipbook Model on Changes in Adolescents' Dental and Oral Health Care Behavior

One of the risk factors that causes high levels of dental and oral problems is behavior. To overcome these problems, media is used as a tool, with a model website-based flipbook. It is hoped that this will be a solution to facilitate the education process to help teenagers improve their dental and oral health maintenance behavior. This research is to produce a website-based flipbook model that is feasible and its application is effective in changing the oral health care behavior of adolescents. The method used in this research is Research and Development (R&amp;D) and the research design used is a Quasy Experiment Pretest- Posttest with a Control Group Design. Research subjects were 2 groups: The intervention of 42 people was modeled website-based flipbook control 40 people were given an animated video on dental and oral health. The research results show that website-based flipbooks are suitable as a model for improving adolescent dental and oral health maintenance behavior with expert validation results: 90.8% and p-value = 0.858. The results of the unpaired test stated that its application was effective in increasing knowledge (∆0.001), attitudes (∆0.001), actions (∆0.001), and reducing debris index scores (∆0.010) compared to the control group. The conclusion is the development of the website-based flipbook model and its implementation of effective changes in adolescent dental and oral health maintenance behavior.

Application of an Adapted Health Action Process Approach Model to Predict Engagement With a Digital Mental Health Website: Cross-Sectional Study.

Digital Mental Health (DMH) tools are an effective, readily accessible, and affordable form of mental health support. However, sustained engagement with DMH is suboptimal, with limited research on DMH engagement. The Health Action Process Approach (HAPA) is an empirically supported theory of health behavior adoption and maintenance. Whether this model also explains DMH tool engagement remains unknown. This study examined whether an adapted HAPA model predicted engagement with DMH via a self-guided website. Visitors to the Mental Health America (MHA) website were invited to complete a brief survey measuring HAPA constructs. This cross-sectional study tested the adapted HAPA model with data collected using voluntary response sampling from 16,078 sessions (15,619 unique IP addresses from United States residents) on the MHA website from October 2021 through February 2022. Model fit was examined via structural equation modeling in predicting two engagement outcomes: (1) choice to engage with DMH (ie, spending 3 or more seconds on an MHA page, excluding screening pages) and (2) level of engagement (ie, time spent on MHA pages and number of pages visited, both excluding screening pages). Participants chose to engage with the MHA website in 94.3% (15,161/16,078) of the sessions. Perceived need (β=.66; P<.001), outcome expectancies (β=.49; P<.001), self-efficacy (β=.44; P<.001), and perceived risk (β=.17-.18; P<.001) significantly predicted intention, and intention (β=.77; P<.001) significantly predicted planning. Planning was not significantly associated with choice to engage (β=.03; P=.18). Within participants who chose to engage, the association between planning with level of engagement was statistically significant (β=.12; P<.001). Model fit indices for both engagement outcomes were poor, with the adapted HAPA model accounting for only 0.1% and 1.4% of the variance in choice to engage and level of engagement, respectively. Our data suggest that the HAPA model did not predict engagement with DMH via a self-guided website. More research is needed to identify appropriate theoretical frameworks and practical strategies (eg, digital design) to optimize DMH tool engagement.

Relationship between peer conformity and reproductive health maintenance behaviours among early adolescent girls in Islamic boarding schools

Reproductive health problems are often experienced by early adolescents who live in Islamic boarding schools because Islamic boarding schools have a higher population density and interpersonal contact than other schools. In the early adolescent years, there is a tendency in terms of a solid urge to behave like peers, so conformity quickly occurs when adolescents adopt reproductive health care behaviours. This study aimed to determine the relationship between peer conformity and reproductive health maintenance behaviour of early adolescent girls at Islamic boarding schools. This study used a correlational research design with a cross-sectional approach and a purposive sampling technique conducted on 165 early adolescents. The analytical method used for this study was univariate and bivariate analysis tests, in bivariate tests using the Pearson test processed with the Statistical Package for Social Sciences (SPSS) program. The analysis showed that all early adolescents (100%) had a history of vaginal discharge. The results of the bivariate test showed a value of p=0.0001. The level of reproductive health maintenance behaviour is determined by the extent to which conformity occurs in adolescents. Conformity that occurs can affect and change one's perceptions and behaviour.

Development and Preliminary Efficacy of a Mindfulness-Based Counseling Program as Part of Comprehensive Cardiac Rehabilitation: A Pilot Study

Background: While psychological intervention is recognized as a core component of cardiac rehabilitation (CR), its application in CR remains limited. This study aimed to develop a psychological counseling program (the Mindfulness-Based Counseling Program [MBCP]) as a component of comprehensive CR for the patients with cardiovascular disease and to explore its preliminary efficacy.Methods: We developed a psychological counseling program (MBCP) as part of comprehensive CR. The MBCP consisted of six-week psychological counseling and mindfulness practice. Through this program, we aimed to promote health maintenance behaviors and stress management. Thirteen subjects with either acute myocardial infarction or congestive heart failure with reduced EF (≤40%) participated, randomized into either comprehensive CR including MBCP (n=7) or exercise-based CR (n=6). Psychological-status assessments included life satisfaction (DSQ), health-related quality of life (HRQoL), depression (PHQ-9), anxiety (GAD-7), type D personality, and stress (PSS).Results: The comprehensive CR group (n=7) experienced a significant decrease in anxiety and improvements in general health and mental aspects of HRQoL. The exercise CR group (n=6) experienced reduced depression and significantly increased mental aspects of HRQoL. Additionally, the overall satisfaction and participation rate for MBCP was high.Conclusions: The MBCP developed in this study showed preliminary efficacy for CR and is anticipated to enhance psychological wellbeing and the quality of life among cardiac patients.

Comprehending Health Behavior Change and Maintenance: A Systematic Review and Meta-Synthesis of Behavior Theories

ABSTRACT Background Health behaviors exhibit diverse characteristics and types, leading to health behavior theories with varied focuses. However, an integrated framework elucidating the intrinsic mechanisms of different behavior types is notably absent. Purpose This study aimed to establish such a framework offering a comprehensive basis for explanations and behavior interventions. Methods A systematic review and meta-synthesis of qualitative research concerning health behavior change and maintenance were conducted. Results A total of 556 records were identified and screened, with 170 meeting the inclusion criteria. Thematic synthesis, a form of meta-synthesis, generated 23 themes, with the qualitative relationships between them presented in a conceptual model, forming an integrated framework. Discussion This framework provides a dynamic and hierarchical platform that enables the interpretation and analysis of various health behaviors within a unified structure. Furthermore, the recognition of the dynamicity of constructs and the multiplicity of behavior routes offers certain implications for intervention design, including behavior setting guidance, immediate benefits provision, and behavior interactions utilization. Translation to Health Education Practice The study provides an integrated framework for health educators/promoters. It offers a comprehensive view of health behavior change mechanisms from multiple perspectives and provides insights for the design, implementation and evaluation of behavior intervention practices.

Exploring personal aptitudes and personality traits that, together with social determinants, shape health behaviors and conduct: a thematic analysis based on the Capability, Opportunity, Motivation and Behavior (COM-B) change system.

Effective implementation of strategies to promote health and prevent noncommunicable illnesses requires a profound understanding of the interaction between the individual and society. This study brings to health research the consideration of psychosocial factors that influence the maintenance and change of health behaviors and conduct. From a primary care perspective, it is crucial to propose a biopsychosocial approach for the development of health promotion and self-care programs that embrace personal aptitudes as a relevant individual aspect. To explore experiences related to personal aptitudes and personality traits that influence health behaviors and conduct, taking into account the social determinants of health, through a thematic analysis based on the capability-opportunity-motivation and behavior (COM-B) system. This qualitative research is carried out from a descriptive phenomenological perspective, based on 17 focus groups in which 156 people participated. Inductive and deductive analysis techniques were used following Lincoln and Guba's criteria of methodological rigor. In addition to 7 different triangulations of analysts, 6 main categories were identified based on the COM-B system: psychological capacity, physical capacity, physical opportunity, social opportunity, reflective motivation, and automatic motivation. The importance of considering these factors to promote healthy behaviors was stressed. This study examined how personal experiences related personal aptitudes and personality traits influence health behaviors and conduct in Spain. It was found that personality traits such as health literacy, self-efficacy, activation, and self-determination can influence the adoption of healthy behaviors. Likewise, the need for control, overthinking, and ambivalence made it impossible. Furthermore, social determinants of health and interpersonal relationships also play an important role. ClinicalTrials.gov, NCT04386135. Registered on April 30, 2020.

Perceptions Around Vocal Health Among Group Fitness Instructors and Pilot Use of Group Fitness Instructor–Specific Voice Handicap Questionnaire

Purpose: This study aimed to examine the vocal behaviors of group fitness instructors (GFIs), explore awareness among GFIs about voice-specialized health care, and assess the potential utility of a GFI-specific voice handicap questionnaire. Method: An anonymous 27-question survey was distributed digitally to GFIs. In addition to collecting demographic data and information about vocal behaviors and demands, the survey included a 10-question GFI-specific questionnaire (GFI-VHI-10) adapted from the Singing Voice Handicap Index-10. Results: Fifty-two GFIs participated in the study (75% female, 25% male) with a mean age of 44.6 years. Forty-six percent reported having a voice problem (VP) since entering the fitness industry. Of those 24 individuals, only four received treatment. There was a statistically significant difference in mean GFI-VHI-10 scores between the VP group (11.87) and the non-VP group (6.1), ( p &lt; .001). Of all respondents, 56% reported never or almost never wearing a microphone while instructing. When asked what they would do if they experienced a VP that lasted for longer than 2 weeks, only 9.6% would see a laryngologist, 23% would see an otolaryngologist, 31% would see their primary care provider, 11.5% were unsure, and 25% would ignore it and hope for spontaneous improvement. Conclusions: Although GFIs are at increased risk for vocal health challenges due to their occupational voice demands, their adherence to vocal health maintenance behaviors and awareness of voice-specialized health care may be limited. The GFI-VHI-10 is a promising tool in that it captured higher scores in the VP group than the non-VP group; however, further exploration is warranted.

Systematic Literature Review: Pengaruh Pola Makan Kariogenik pada Anak Sekolah Terhadap Status Kesehatan Gigi dan Mulut

The maintenance of dental health in school-aged children is crucial as their dental condition will impact their oral health in adulthood. Consumption habits of cariogenic foods such as sugar can increase the risk of dental caries. Therefore, regulating dietary patterns to avoid excessive sugar consumption is important in reducing this risk. The aim of this study is to elucidate the cariogenic dietary patterns in school children concerning the status of dental and oral health through article reviews. The research strategy employed was a literature review obtained from academic databases including Google Scholar, ProQuest, and Science Direct, focusing on publications within the last 5 years. Keywords used were "Cariogenic food," "Cariogenic," "School Children," and "Oral Hygiene," searched using Boolean method, yielding 4 articles for analysis. Two journals were found addressing oral health maintenance behaviors, one focusing on brushing time, five discussing cariogenic snacking patterns, one examining dental visits, and two exploring dental caries and brushing frequency. The majority of journals utilized a cross-sectional study design, with one employing descriptive analytics study design. The sample sizes varied from 40 to 550 respondents.From the results of this research, it is concluded that the consumption pattern of cariogenic foods, such as biscuits and donuts, has a significant impact on the incidence of dental caries among elementary school children and junior high school students in various regions.

'The illness isn't the end of the road'-Patient perspectives on the initiation of and early participation in a multi-disease, community-based exercise programme.

Exercise is the cornerstone of cardiac rehabilitation (CR). Hospital-based CR exercise programmes are a routine part of clinical care and are typically 6-12 weeks in duration. Following completion, physical activity levels of patients decline. Multi-disease, community-based exercise programmes (MCEP) are an efficient model that could play an important role in the long-term maintenance of positive health behaviours in individuals with cardiovascular disease (CVD) following their medically supervised programme. To explore patients experiences of the initiation and early participation in a MCEP programme and the dimensions that facilitate and hinder physical activity engagement. Individuals with established CVD who had completed hospital-based CR were referred to a MCEP. The programme consisted of twice weekly group exercise classes supervised by clinical exercise professionals. Those that completed (n = 31) an initial 10 weeks of the programme were invited to attend a focus group to discuss their experience. Focus groups were transcribed and analysed using reflexive thematic analysis. Twenty-four (63% male, 65.5±6.12yrs) patients attended one of four focus groups. The main themes identified were 'Moving from fear to confidence', 'Drivers of engagement,' and 'Challenges to keeping it (exercise) up'. Participation in a MCEP by individuals with CVD could be viewed as a double-edged sword. Whilst the programme clearly provided an important transition from the clinical to the community setting, there were signs it may breed dependency and not effectively promote independent exercise. Another novel finding was the use of social comparison that provided favourable valuations of performance and increased exercise confidence.

WiN-Reha-effectiveness and durability of effects of orthopedic rehabilitation programs and the study of psychological determinants of aftercare behaviors: a study protocol.

Rehabilitation programs have been shown to have a positive impact on patients' health and work ability. However, the durability of these effects and the extent to which patients alter their health behaviors remain underexplored. This study is divided into two parts; the first assesses the effectivity of rehabilitation programs for orthopedic patients and the durability of effects. The second part examines psychological determinants of aftercare health behaviors. Study Part 1 employs a longitudinal study design with up to nine measurement occasions encompassing a three-year follow-up period. Treatment is provided as per orthopedic indications through rehabilitation centers. Measures include subjective health, work ability, body weight, and physical activity behavior. Study Part 2 incorporates a mixed-methods design, involving both quantitative and qualitative assessments. The quantitative component aims to recruit a subsample from Study Part 1 to assess psychological determinants of aftercare health behaviors over 12 to 24 weeks using Ambulatory Assessment. The qualitative component aims to explore the reasons for maintenance and discontinuation of health behaviors and involves a reflexive thematic analysis of interviews with at least 16 individuals, analyzing the differences between those who adopt and those who discontinue their aftercare health behavior. This comprehensive research project may offer insights into the long-term effectivity of rehabilitation programs. Furthermore, it may foster a more profound understanding of the successful incorporation of health-promoting aftercare behaviors, such as physical activity, into everyday life. Therefore, this study may contribute significantly to the evolving field of patient-centered rehabilitation. The trial has been registered at the German Register of Clinical Studies (DRKS) with the registration number: DRKS00032257.

Applications of motivational interviewing in adolescent solid organ transplant.

Adolescence is a developmental period that is known for the highest risk of difficulties with adoption and maintenance of health behaviors for successful transplant. Motivational interviewing (MI) has been demonstrated to be an effective strategy in the management of modifiable factors impacting adherence in both adult transplant and analogous pediatric chronic illness populations. This paper describes MI and its applicability to adolescent transplant, providing examples of its potential use at each stage of the transplant journey. Literature on the principles and utilization of MI are reviewed, as well as the use of MI in adult transplant and similar pediatric populations. Evidence suggests high applicability of concepts of MI to pediatric transplant. Systems-level factors influencing health behavior change are discussed, along with the importance of recognizing and managing provider bias in MI-based interactions. MI does not require a licensed behavioral health provider to use it effectively; rather, it can be used by various multidisciplinary team members throughout the course of clinical care. MI shows great promise as a useful intervention through all stages in the transplant journey. Though particularly well-suited to adolescents, its principles are effective across the lifespan, including with caregivers. It represents an interactional style for use by multidisciplinary team members in many patient-and caregiver-facing scenarios. As the goal is to support the patient's autonomy in decision-making, it is important for providers to recognize their own biases. Further resources for training are provided.

The Effectiveness of Video-Based Education on the Knowledge of Oral Health Maintenance and Tooth-Brushing Behavior Among the Students of the STM IX in Lurah Jambi

Adolescents are one of the groups with health problems. Based on the results of the Basic Health Research of the Ministry of Health (Riskesdas) in 2018, based on the presence of dental and oral health problems in the age group 15-24 (51.9%) and only those handled by health workers (8.7%), the data also shows, The prevalence of caries in the age group 15-24 years was (75.3%) with caries and (61.1%) with root caries. Video-based counseling can increase students' knowledge of dental and oral health maintenance. This study aimed to determine the effectiveness of video media on dental and oral health knowledge and tooth brushing behavior in students of STM IX Lurah Jambi in 2022.The type of research was Quasi-Experimental with a one-group pre-test and post-test design—research measuring instrument using a questionnaire. The sample is class XI STM IX Lurah Jambi. The sampling technique used the total sampling method with the number of respondents 20 people. This study uses the paired t-test hypothesis test.The results showed that the level of knowledge of dental and oral health maintenance before counseling had low criteria (10%), moderate (80%), and (10%) high, and after counseling had high criteria (100%). At the same time, the level of tooth brushing behavior before counseling had low criteria. (5%), moderate (85%) and (10%) high, and after counseling, the criteria were high (100%). There is a significant difference between the level of knowledge of dental and oral health maintenance and tooth brushing behavior before and after being given counseling using video media with a p-value of 0.001 (p &lt; 0.05). &#x0D; Keywords: Video, Knowledge, Behavior, Brushing teeth

The Impact of the Transitions and Maintenance Patterns of Physical Activity and Tobacco Smoking on Labor Market Outcomes in South Africa

(1) Background: Labor market outcomes can be directly or indirectly influenced by the health behavior patterns of the labor force. This study assesses the association between patterns of physical activity and smoking behavior maintenance (and their transitions) and the labor market outcomes of employment participation and formal employment participation. (2) Methods: The sample evaluated in this study comprises adult individuals aged 18 and above from wave 5 of the National Income Dynamics Study (NIDS) survey. Data were analyzed using descriptive statistics, a chi-square test, and bivariate probit regression techniques. (3) Results: The bivariate probit regression results regarding the impact of health behavior transition and maintenance patterns on labor market outcomes show that transitioning to physically active behavior or maintaining physically active behavior increases the likelihood of participating in the labor market and being employed in the formal sector compared to those ceasing to be physically active over time. Surprisingly, both the maintenance and uptake of smoking behavior increases the probability of the occurrence of both labor market outcome variables. (4) Conclusions: These findings have both explicit and implicit implications that can serve to increase labor force participation probability and to promote healthy behavior. There is a need for community-wide campaigns via promotions and media coverage to promote active physical activity among the labor force group. Also, interventions to support individuals who lack extensive social networks is necessary. The results further highlight the importance of education, rural economic development, and good health status for desirable labor market outcomes.

MAINTENANCE OF HEALTH BEHAVIOR CHANGE: CHALLENGES, IMPLICATIONS, AND FUTURE DIRECTIONS

Abstract Health behavior change is critical for healthy aging. Evidence-based programs are available to support a variety of health behavior changes in older adults, including programs for activity, diet, sleep, and medication adherence. Health behavior change programs are typically guided by one or more theoretical models or frameworks describing common constructs related to behavior change. Examples of such constructs include intention, motivation, self-efficacy, and self-regulation. To date, much focus has been on how such constructs relate to initiating and/or achieving behavior change. Although some models specify anticipated outcomes of behavior change over time, maintenance remains largely overlooked. This symposium presents a series of presentations exploring concepts and challenges related to maintenance of health behaviors in older adults. Together, these presentations will explore the definitions and characteristics of maintenance as described in the scientific literature, review maintenance-related trends within physical activity interventions, and discuss findings from stakeholder-engaged sessions designed to identify gaps within the theoretical and scientific literature describing maintenance. The session will conclude with recommendations for future research. This is a Health Behavior Change Interest Group Sponsored Symposium.

The Influence of Educational Level and Income on Community's Dental and Oral Health Maintenance Behavior

Awareness of the importance of dental and oral health maintenance among the community is still low due to a lack of education, which impacts their behavior, especially among those with lower socioeconomic status. They are more focused on meeting daily needs and thus tend to neglect dental and oral health, which is considered less important. Individuals with lower education levels also struggle to process information effectively, often misinterpreting the information they receive. The purpose of this study is to determine whether there is an influence between income level and education level on the behavior of maintaining dental and oral health. The design of this study is descriptive analytic with a cross-sectional approach. The data collection method used is a survey method with questionnaires. Sampling was done using proportionate stratified random sampling. The sample consisted of 30 heads of families for the income variable and 30 heads of families for the education level variable. The study found that the higher the income and education of the respondents, the better their behavior in maintaining dental and oral health. It was found that the p-value for income and last education variables with respondent behavior is ≤α (α=0.05), meaning there is a significant relationship between income and last education on knowledge, attitudes, actions, dental and oral health

Pembentukan Percontohan Sekolah Gigi Sehat Di SD Inpres Liliba Sebagai Upaya Meningkatkan Perilaku Pemeliharaan Kesehatan Gigi Dan Mulut Anak Usia Sekolah Dasar

&lt;p&gt;&lt;em&gt;Situation Analysis: Almost more than 50% of students in elementary school dental are dental workers so it is felt that there is a need for prevention with the establishment of healthy dental schools. And for + 2 years have not received dental health services / UKGS due to the Corona pandemic situation. Objective: Improve the behavior of elementary school-age children in maintaining dental and oral health and increase teacher understanding in filling out healthy dental cards and dental health education as the beginning of the formation of healthy dental schools&lt;/em&gt;&lt;em&gt;. Community Service Method: PKM Approach Method with Participatory Action Research. This activity will be carried out at SD Inpres Liliba from April to October 2023, with participants being teachers and students of grades III and IV. Activity Results: Activities were carried out on grade 3 and 4 students totaling 50 children. First, students filled out a dental health maintenance behavior questionnaire before counseling, the results were included in the moderate criteria as many as 38 people (76.0%), teacher training on good and correct brushing practices, filling out healthy dental cards, and dental health education. The evaluation was carried out after 3 months, where there was an increase in behavior including the good category as many as 48 people (96.00%), teacher understanding in filling out healthy dental cards, dental health education and brushing practices were good and healthy dental schools had begun with brushing activities together every 1 week 1 time. Conclusion: This healthy dental school activity can improve the behavior of elementary school-age children in maintaining dental health and teachers' understanding is good in filling out healthy dental cards and teaching brushing and dental health education to students. &lt;/em&gt;&lt;strong&gt;&lt;/strong&gt;&lt;/p&gt;

Innovation of the health monitoring system for pregnant and breastfeeding mothers through independent health applications as an effort to reduce stunting

Background: Failure to grow in children or what is often called stunting is one of the focuses of global problems, including Indonesia. Globally, stunting is one of the goals Sustainable Development Goals (SDGs). Stunting is a problem of chronic malnutrition caused by inadequate nutritional intake over a long period of time due to providing food that does not meet nutritional needs. Stunting can occur when the fetus is still in the womb and only appears when the child is two years old. Based on the results of the Indonesian Nutrition Status Survey (SSGI), the stunting prevalence rate in Indonesia fell from 24.4% in 2021 to 21.6% in 2022. This figure is still above the threshold set by the World Health Organization (WHO), namely 20%. The stunting prevalence rate in Demak Regency was ranked seventh highest in Central Java in 2019 at 50.23% and is one of 60 stunting districts. In 2019 in Demak Regency there were 4.25% or 6,129 toddlers out of a total of 97,212 toddlers who had the potential to experience stunting. This situation is a priority for the Demak Regency government to handle by determining 10 locations that will be prioritized in 2020 and 2021Purpose: To produce monitoring and promotion system application for pregnant and postpartum mothers as well as breastfeeding mothers including toddlers can detect early health problems for mothers and toddlers and is named the child stunting preventive application (ASTA).Method: This research uses research and development methods orResearch and Development (R&amp;D). This research method is used to produce certain products and test the effectiveness of a product. This research was conducted in December 2022. The population of this study was pregnant women in Demak Regency with a sample of 24 people who were divided into two, namely 12 people as the intervention group and 12 people as the control group. The influencing variable in this study is ASTA and the influenced variable is health maintenance behavior during pregnancy, postpartum and toddlers. This research is divided into four stages, namely design, analysis, engineering and evaluation.Results: Based on the statistical test output, it is known that Asymp. Sig. (2-tailed) is worth 0.025. From this value it can be concluded that H0 rejected. This means that there are differences in the level of potential stunting in the control group respondents in terms of the pre-post treatment results. Meanwhile, it is known that in the intervention group the value of Asymp. Sig. (2-tailed) namely 0.157. This value is &gt;0.05, so it can be concluded that H0 accepted. This means that there is no difference in the level of potential stunting between pre-post treatments in the intervention group given the ASTA application.Conclusion: There is no significant effect of using the ASTA application on the criteria for potential stunting and there is no significant difference in potential stunting data between the control and intervention groups, either before or after treatment. However, the stunting prevalence ratio is 0.7 (&lt;1) indicating that the ASTA application is a factor that can reduce the potential for stunting.

75 Examining the Role of Executive Functions on the Intention-Behavior Gap of Alcohol Harm Reduction Strategy Use

Objective:The Temporal Self-Regulation Theory (Hall and Fong, 2007) proposes that initiation and maintenance of effortful health behaviors relies on executive functions (EF: cognitive abilities associated with goal-directed behavior). Alcohol harm reduction strategies are health behaviors that aim to minimize the likelihood or severity of consequences associated with alcohol use. Some drinkers have the intention to drink safely but lack the ability to effectively initiate and execute the harm reduction behaviors. Executive functions may be one mechanism that helps explain the gap between safe drinking intentions and behavior. Specific components of EF may be differentially associated with alcohol harm reduction strategy use; working memory and set-shifting may be especially important in planning and following through with alcohol harm reduction strategies, and individuals with greater working memory capacity and set-shifting abilities may be more successful in implementing strategies that require preplanning and have a focus on altering typical the manner of drinking (e.g., not mixing types of alcohol). Inhibition may be important for resisting temptations that are inconsistent with safe drinking goals, and those with stronger inhibitory control may be more likely to follow through with strategies that require withholding responses despite desire to engage in the behavior, such as stopping or limiting drinking (e.g., not exceeding a predetermined number of drinks).Participants and Methods:Using ecological momentary assessment, the current study explored the extent to which an intention-behavior gap in harm reduction strategy use exists among college student drinkers (n=77), and investigated how potential individual differences in EF (i.e., working memory, set-shifting, and inhibition) were associated with translating intentions of drinking safely into action. Daily monitoring assessments contained brief measures of intention to use harm reduction strategies, actual strategy use, and alcohol-related behaviors, and were assessed daily for twenty-one days.Results:Multilevel model analyses revealed that although intention to use strategies predicted actual strategy use, measures of EF did not significantly moderate the relationship. Exploratory analyses indicated that set-shifting significantly moderated the intention-behavior gap for a subset of harm reduction strategies that relies more heavily on modifying behavior during a drinking event. Set-shifting did not significantly moderate the intention-behavior gap for a subset of strategies that relies more heavily on pre-planning before the drinking event.Conclusions:Findings from the current study suggests that those who plan to use strategies typically follow through regardless of individual differences in EF. Efforts to increase intention to drink safely can be incorporated into existing alcohol prevention and intervention programs, which would likely lead to increased use of harm reduction strategies and decreased alcohol-related consequences.

EFFECTIVENESS OF D-SALMA'S CATALOG SMART AS BEHAVIORAL CONTROL PREVENTION OF DENTAL CARIES IN PREGNANT WOMEN

Background:Pregnant women are one of the groups vulnerable to dental caries with a prevalence of 84.7%.During pregnancy, hormonal changes occur which are characterized by nausea, vomiting and feeling lazy about brushing teeth, the acidic nature and changes in saliva pH cause dental caries. This condition can result in low birth weight (LBW) babies, miscarriage and pre-eclampsia. One effort to improve the dental and oral health maintenance behavior of pregnant women is to carry out promotive and preventive measures using educational media. Objective:Producing appropriate educational models and analyzing their effectiveness in improving the behavior of pregnant women in preventing dental caries. Method: RD research type, quasy experiment method Pre-Posttest group design (nonequevalent control group design). In applying the model, a sample of 60 pregnant women was used, divided into 2 intervention groups with the development of the D-Salma's Catalog Smart model and a control group with a booklet. The variables measured are knowledge, attitudes and OHIS of pregnant women. Data analysis used univariate analysis, bivariate analysis and multivariate analysis. Results:The development of the D-Salma's Catalog Smart model is validated and suitable for application as a dental health education medium. The results of the effectiveness test increased knowledge from 3.40 to 8.00 (p=0.000), attitudes from 24.17 to 38.00 (p=0.000), actions from 12.77 to 28.00 (p=0.000), and reduced the OHIS score from 3.90 to 1.00 (p=0.000). Conclusion:The application of the development of the D-Salma's catalog smart model is feasible and effective in changing the behavior of pregnant women in preventing dental caries.