Community Service Research Articles

Health promoting lifestyle in educational setting: an intervention study in the universities

The "health promoting universities" strategy has gained popularity and a presence in the higher education system, particularly in universities. It is imperative for higher education establishments to prioritize the promotion of health within their student body and academic community. By safeguarding and boosting students' wellbeing, a strategy centered on encouraging healthy lifestyles has the potential to boost the university's contribution to health improvement and offer significant value to the community. Universities have the power to improve health promotion through community service and to make policies in this area through research and teaching. In order to investigate student behavior in relation to the standard aspects of the healthpromoting lifestyle profile, this project will undertake an intervention study involving 150 students with the goal of promoting a healthy lifestyle. A pretest and post-test control group design was employed in this investigation. The health-promoting lifestyle standard profile II questionnaire was the research instrument, and descriptive statistics and inference were employed for analysis at the .05 significant level. The outcomes demonstrated a noteworthy impact on the implemented measures. This study's findings indicated that interventions in learning environments successfully raised student behavior linked to a healthy lifestyle and its components.

Sosialisasi Pemanfaatan Chatgpt Sebagai Pendukung Alat Pembelajaran Bagi Guru SMP PGRI 8 Sidoarjo

In the ever-evolving digital era, education faces unprecedented challenges and opportunities. Technology is now an integrated part of the learning process, providing various tools that can increase the effectiveness and efficiency of education. One technological innovation that has great potential to support educators is ChatGPT. This ability can be utilized by teachers for various purposes, including in making learning tools. With the help of ChatGPT, teachers can save time and energy in designing teaching materials, assignments and learning evaluations that suit students' needs (Kharis et al., 2024). The teachers at SMP PGRI 8 Sidoarjo have not made much use of technology that makes it easier for them to prepare learning tools. This can be seen from the results of initial observations which show that 71.4% of teachers have never used applications or technology that makes it easier to create learning tools. This Community Service implementation was carried out with the aim of introducing, socializing and assisting teachers in utilizing ChatGPT to develop learning tools more quickly, effectively and efficiently. The results of participant responses regarding the implementation of activities are measured by participant satisfaction, which is the average of participant satisfaction with the satisfaction indicator factors. In this activity, 84.46% of participants gave an average rating of very good to the statement items in the questionnaire, which can be interpreted as meaning that 84.46% of participants were very satisfied.

Strengthening youth mental health capacities in Albania: Training primary healthcare professionals

Abstract Background Addressing mental health issues among children and adolescents globally is crucial, necessitating interventions at the primary healthcare (PHC) level. The training programme in Albania equipped PHC professionals with skills for early identification, support, and referral for youth mental health issues. Given the global prevalence of such challenges, our intervention serves as a valuable model for enhancing mental health services in communities. Objectives The training aimed to develop the capacities of Albanian PHC professionals in improving mental health and psychosocial wellbeing among youth. Through innovative training sessions using participatory action methods, it was sought to answer key questions: How can Albanian PHC professionals better identify and support youth mental health issues? What innovative approaches can enhance mental health training for Albanian healthcare personnel? How can community engagement be strengthened to support youth mental health initiatives in Albania? Results Following the programme, 525 healthcare professionals in Albania received training, showing improved knowledge and skills in youth mental health support. They emphasized the importance of community engagement, standardized documentation, and specialized mental health services. Preliminary results indicate increased awareness and readiness among Albanian PHC professionals to address youth mental health needs. Conclusions The programme underscores the significance of equipping Albanian PHC professionals with comprehensive skills to tackle youth mental health challenges. Lessons learned have broader implications for strengthening mental health services globally, emphasizing collaboration, standardized protocols, and targeted interventions. Key messages • Strengthening PHC capacity in Albania improves early identification and support for youth mental health, enhancing overall wellbeing. • Tailored training and community engagement are vital for effective mental health interventions at the grassroots level in Albania.

Implementing mental health quality practices for vulnerable populations in five EU countries

Abstract Issue Mental ill-health has been a leading cause of disability in Europe for many years, with the COVID-19 pandemic increasing incidences of both poor mental health and mental disorders. Vulnerable groups such as children, migrants, individuals with existing mental health issues, and healthcare workers are particularly affected but often lack tailored mental health support. Description of the problem The MENTALITY project aims to alleviate mental health distress worsened by the COVID-19 pandemic focusing on vulnerable groups. It also involves developing capacity-building tools and disseminating research results to increase awareness and knowledge sharing. Five EU countries are currently piloting four distinct good practices to address mental health issues among vulnerable populations. Specifically, Poland is aiming to support migrants (including Ukrainian and Spanish-speaking populations), Latvia is focusing on the healthcare workforce, and Romania and Slovakia are concentrating on users and community services. Meanwhile, Greece and Slovakia are implementing initiatives for children. The implementation phase began in January 2024 with a duration of 6 months. Results By consulting with relevant stakeholders, a Situation Analysis and Needs Assessment framework has been conducted, allowing for informed decisions regarding the elements to be pilot. Partners have developed country specific piloting plans and external evaluators are leading a common framework for monitoring and evaluation, ensuring regular assessment of the project’s progress. Lessons The innovative MENTALITY project aspires to enhance community-based mental health systems and promote improved mental health services across EU Member States during crises by adopting a preventative approach. Preliminary results show that the initiatives within the project were much needed and have already begun to demonstrate promising outcomes in addressing mental health challenges at both individual and community levels. Key messages • The MENTALITY project aims to address mental health distress of vulnerable populations in times of crisis. • The project seeks to advance equality in health and social rights for all individuals living in the EU.

Prevalence of Mental health and Receipt of Services in Latino Immigrants Living in Philadelphia

Abstract Background and Purpose Research shows that Latino populations are less likely to seek formal mental health services, these attitudes combined with difficulty finding affordable services impact the ability to receive a mental health diagnosis. This project examines mental health symptoms, utilization of mental health services, and socio-ecological barriers to receive mental health services among Latino immigrants, including region of origin, health insurance, immigration status, and English proficiency. Methods Data was collected between 2021-2022 by Drexel University’s CRISOL lab using a cross-sectional respondent-driven sample survey of Latinos born outside the U.S. mainland and residing in Philadelphia. The final sample included 420 Latino/a/e immigrants. Descriptive statistics and bivariate associations using Chi-square analyses were computed. Outcomes The findings revealed that 29.1% of the surveyed individuals exhibited signs of Depression, 36.1% experienced symptoms of Anxiety, 8.7% showed signs of PTSD, and 43.4% possessed one or more mental health conditions. The findings show that country of origin (p<.01), health insurance (p<.05), immigration status (p<.01), and language proficiency (p<.001) are significantly associated with whether an individual has received mental health services in the past year or in their lifetime. Of the survey population, only 39.5% of individuals with one or more mental issues had received mental health services in their lifetime. Conclusions Interventions to increase access to mental health services for Latino communities are needed. Solutions addressing disparities in access to mental health services must address systemic, cultural, and language barriers. Key messages • Region of origin, health insurance, immigration status, and English proficiency impact the utilization of mental health services. • Immigrant populations face stressors that increase the risk for mental health disease and experience multiple barriers to access mental health services.

System-wide health needs segmentation: innovating integrated care for complex needs households

Abstract Background Health needs segmentation is increasingly used in healthcare delivery and health policy planning to cater for diverse population groups and develop effective and equitable health policies. But existing models often lack a systemic approach, focusing instead on single conditions or settings. This leads to fragmentation, gaps and inefficiencies in service provision and inequities in health outcomes, particularly when addressing complexity, and specifically for children, as adversity clusters in families. Aims To develop a household health needs segmentation model to identify those households with children with high levels of complex cross-sectoral needs, to plan for integrated care services. Methods Data linkage of primary, secondary, mental, community and social care services, mortality records, residential information, and small-area multiple deprivation measures was used to design a rule-based model to identifying households with children with the most complex needs in the UK region of Cheshire and Merseyside (C&M), with large variation in demography, (human) geography, and deprivation. Results Of 2,645,329 individuals in C&M (97% of the registered population in 2021), 1,022,840 lived in 266,939 households with children aged 0-16: 21,527 households had complex needs. This 8% of families accounted for an estimated 34% of health and social care costs for families, £362 million in total, 42% of which spent on children in care of local authorities. Implications The model identified a specific group of families with complex service use patterns, high mental and physical comorbidity and socioeconomic vulnerabilities. These exhibit potential for improved outcomes through better integration of services and targeting of community building and family support resources. Conclusions Our model represents a significant innovation in health needs segmentation. By using whole system linked data, it provides a pragmatic way of profiling complexity for proactive care. Key messages • Complex health and social problems in children cluster in families with adults also having complex needs, so we need to transform fragmented services to support the whole family to improve outcomes. • Household level segmentation using cross-sectoral, whole system data is an innovation to identify households with complex needs with respect to their locality to improve integration of support.

Co-creation of migrant health interventions in Portugal: Insights from the VO(I)CES project

Abstract Background International migration is increasing both globally and in Europe, highlighting the need for responsive interventions that cater to the diverse needs and strengths of migrants. Although genuine involvement of stakeholders in the design and implementation of interventions is vital to enhance their relevance, responsiveness, and ownership, co-created migrant health interventions remain limited. This study aims to address this gap by collaboratively developing health literacy interventions with meaningful involvement from migrants and professionals from both the social and health sectors. Methods As part of the VO(I)CES project, twelve idea-generation workshops were conducted in Portugal, applying the Ophelia (Optimising Health Literacy and Access) process, engaging over 70 stakeholders (migrants, social and healthcare professionals). To guide discussions, these workshops used case vignettes developed from 16 health literacy profiles that were identified in a previous study among 1,126 migrants. The discussions aimed at eliciting detailed insights into the potential actions that are responsive to migrants’ challenges. Results Several key interventions were identified by the stakeholders, including the enhancement of cultural and linguistic training for healthcare providers, the use of community health agents/mediators to improve service delivery and community engagement, and the creation and dissemination of multilingual, multi-format health information materials. Specific interventions for groups experiencing increased vulnerabilities such as pregnant women were also proposed, alongside suggestions for creating citizen spaces and improving digital skills among healthcare staff. Conclusions The co-creation approach facilitated the development of tailored context-specific interventions that are anticipated to enhance health literacy, improve healthcare accessibility, and promote health equity for migrants. Key messages • Ideas Generation Workshops provide a platform for a wide range of groups to have their say and know their voice is being heard. • Co-creation tailors interventions to diverse needs, avoiding a one-size-fits-all approach.

Public health effectiveness of cooling centres in adverse hot weather events: a systematic review

Abstract Background The 2022 heatwave in England highlighted the need for effective public health interventions like cooling centres in temperate climates where built-in air conditioning is uncommon. Aim To determine the impacts of cooling centres on heat-related health outcomes for users in temperate climates, assessing their effectiveness and identifying barriers to usage. Methods This systematic review analysed literature sourced from MEDLINE, Embase, Web of Science, CENTRAL, and Google Scholar from January 2010 to February 2023. Criteria for inclusion focused on studies evaluating health outcomes related to cooling centre use. Screening and quality assessments were independently conducted using the Mixed Methods Appraisal Tool. Results The review included six studies: three quantitative, three qualitative. Two were evidence synthesis of prior studies. No studies conclusively measured health and wellbeing outcomes directly after cooling centre use; instead, research emphasised user demographics, barriers, and facilitators. Common barriers included accessibility, operational hours, and public perceptions, which often misalign with user needs. Successful implementations were noted in centres integrated within community facilities like libraries or community centres. One modelling study suggested a number needed to treat to avoid one heat-related death of 1 million. The relevance of this is unclear as it was in a hotter climate with greater prevalence of air conditioning than in England. Conclusions While direct health benefits in cooler climates like England are poorly documented, cooling centres play an essential role in comprehensive heat response strategies. They offer potential social benefits and provide a cost-effective alternative to urban redesign. Future studies should aim to directly measure health outcomes and refine operational strategies to maximise benefits. Key messages • Cooling centres are crucial in comprehensive heat response strategies, yet direct evidence in cooler climates like England remains limited. • Integration with existing community services may significantly enhance cooling centre utilisation and effectiveness.

Improving cooperation between Hospital and the Community Mental Health Services of Nicosia

Abstract In order to accelerate psychiatric reform in Cyprus we took advantage of JA Implemental during the pilot implementation of Belgium best practices on facilitating the transfer of mental patients from mental hospital to the community mental health services. A multidisciplinary network has been organized between Athalassa Mental Hospital, that is the only mental hospital in the Republic of Cyprus performing 700 patients admissions yearly, and the Community Services of sector 1 and sector 2 of Nicosia Community Mental Services. The network meets regularly in order to facilitate therapeutic culture change in the direction of increasing the percentage of hospital patients that are motivated and prepared to be voluntarily moved for care by the community multidisciplinary teams. This is going to facilitate discharges from hospital, decrease duration of hospitalizations, decrease the frequency of hospitalizations and revolving door readmissions. This increased cooperation is being built on the basis of administrational procedures and clinical protocols that are based on multidisciplinary consensus. The evaluation starts multidisciplinarily in the hospital. A liaison community mental nurse takes part I the evaluation and motivation of the patients before the discharge from the hospital. A written informed consent process takes place in the hospital for the voluntary admission in the community mental health care setting. Also an effort is being made for early written referrals and appointments for community psychiatrist, psychologist, social worker and occupational therapist. This pilot action plan is going to increase cooperation of the mental hospital with the community mental health services, to decrease stigmatization and reform therapeutic culture to the direction of treatment in the community and recovery approach, according to Belgium best practices included in the JA Implemental project.

JA ImpleMENTAL Implementing the Belgian Best Practice on Community Mental Health system Reform

Abstract Mental health challenges affect more than one in six people across the EU. In order to support Member States to proceed with mental health care system transformation and suicide prevention JA ImpleMENTAL, was initiated on the request of Member States, on October 2021 under the European Union 3rd Health Program. The JA consists of 39 organizations from 21 countries, more than 180 persons are working. Two advisory bodies support the consortium and provide their insights and expertise, a stakeholder forum with 10 key European Organizations in Mental Health including EUPHA Mental Health Section and WHO Europe and OECD, and the Member State Policy Committee which ensures the involvement of ministries and enables the practices to be embedded in health systems. Within the 11 countries implementing pilots under the Belgium model using a common Implementation Strategy, a total 163 activities are implemented under the 5 following key areas: 62 on structural measures needed for the establishment of local networks promoting a user’s centered, human’s right based recovery approach, 43 for the development and/or transformation of mental health services, 22 on training & capacity building in support of the reform and cultural change, 22 on continuous communication, information and awareness raising, and 13 on data collection, monitoring and evaluation. An analysis of MS pilot action plans shows that most service transformation efforts have concentrated on: defining care pathways for people at risk and for those with mild to severe mental health conditions including smooth transition from child and adolescent to Adult Mental Health services, as well as from inpatient to community services, the nomination of case managers for assisting individuals to their recovery process the development of individual service plans, the Involvement of users in various layers of service delivery including peer support and the provision of assertive treatment through mobile units.

Sociodemographic Patterns of Patients Engaging with an Acute Hospital Alcohol Care Team: An Underused Resource

ABSTRACT Alcohol care teams represent a unique resource to deliver holistic care for those presenting to acute hospital services with alcohol-related ill-health. However, most existing data regarding the characteristics of individuals engaging with alcohol support services concern those involved with community services. We reviewed the sociodemographic and alcohol-use characteristics of patients presenting to the Sandwell and West-Birmingham NHS Trust Alcohol Care team between 2018 and 2023. Patients engaging with Alcohol Care Teams in hospitals represent a population of significant vulnerability, driven by multiple sociodemographic and alcohol-use characteristics. These patients are distinct from those in community service treatment.

Rolf Jeltsch: A visionary in service of the mathematical community

Rolf Jeltsch: A visionary in service of the mathematical community

Strengthening Tahsinul Qur'an with the Iqro' Method in Improving the Quality of Al-Qur'an Reading of Prospective Young Teachers and Students at TPQ Masyiatullah

The phenomenon of the problem of the ability to read the Qur'an fluently and in accordance with the rules of tajwid has recently attracted much interest from researchers. This reality was also found by the author at TPQ Masiatullah NW Pringgbaya, Belawong Lauk Hamlet, East Lombok, that female students still have minimal reading skills in fluency in reading the Qur'an and the application of tajwid knowledge in reading the Qur'an which is caused by the lack of teaching methods brought by the educator. Through the community service program, mentoring and training methods are used. The result is that mentoring and training have contributed to the ability to understand and technique in terms of how to read the Qur'an fluently and in accordance with the science of tajwid for Prospective Young Teachers and female students.

INCREASING PUBLIC AWARENESS IN DRUG USE THROUGH SMART COMMUNITY MOVEMENT USING DRUGS (SCMUD)

The community tends to try to overcome health problems through easier and more cost-efficient methods. This triggers the tendency of the community to self-medicate. Self-medication is the use of drugs by individuals, not based on a doctor's prescription, but based on the individual's initiative. This community service aims to increase awareness of using drugs through Smart Community Movement Using Drugs (SCMUD) in the Bulakdawung community, Parang village, Banyakan district, Kediri regency. The activity was carried out on May 17, 2024, by providing Health Counseling to mothers who accompany their children to study groups, with lecture and question and answer methods, the media used was the leaflet of awareness of using drugs. The results of the activity were 21 mothers with most elementary school education backgrounds (80.95%), work as housewives (95.23%), less knowledge about awareness of using drugs (71.42%), good attitudes awareness of using drugs (66.67%) and drug use behavior in the family (80.9%) and those lacking 19.1%. After being given health education regarding the safe use of drugs through the Smart Community Movement Using Drugs, the community increasingly understands and carries out awareness to avoid the negative impacts of self-medication and provide appropriate treatment for family members who are sick and utilize health service centers appropriately. It was concluded that the activity can increase public awareness in the use of drugs through health counseling.

Pendampingan Sanitasi Total Berbasis Masyarakat melalui Gerakan Toilet Sekolah Ramah Anak di SD Muhammadiyah Balayuda Palembang

Healthy schools are something that is very necessary in creating a healthy and strong generation, one of which is toilet conditions. Adequate toilets, both in terms of number, appearance and facilities, have a significant impact on students' psychology. The aim of this community service is to increase school students' knowledge of using toilets and create child-friendly toilets. The implementation method is carried out by counseling using poster media and evaluation to determine the success of education for school children. At the end of the activity, the service team provided equipment for the school toilet, namely trash boxes with lids, hand washing soap, toilet tissue and slippers. The results of the activity were carried out on November 18 2023 in the Muhammadiyah Balayudha High School building in Palembang, attended by 20 grade 11 students. The material presented outlined 10 indicators of healthy toilets in terms of number, appearance and facilities including clean, bright, available tissue and soap, fragrant, dry, available running water, not slippery, available trash box, larva-free water tank. Participants were enthusiastic about taking part in this activity because each class in their school was equipped with toilet facilities. The conclusion of this activity is good information and input for the school in maintaining student health, it is necessary to pay attention to aspects of toilet cleanliness and comfort.

Provider reaches Latino community by being ‘culturally humble’

Staff members at North Carolina's largest provider of mental health services for the Latino community, El Futuro, realize the care they deliver can't be cookie‐cutter. What the rest of the field might label as “evidence‐based” will likely fall short for a population that has had little role in designing or testing what have become the conventional treatment strategies.

Navigating educational transformation: Understanding learning styles’ preferences of Egyptian students in the post-pandemic era

This study investigated the Learning style preferences of Egyptian EFL learners post-COVID-19. It aims to examine differences emerging in multimodal and bimodal learning preferences based on demographic variables of age and gender and consider the cultural educational context in Egypt during and post the pandemic era. Utilizing the VARK Model, Mayor’s Multimodal Learning Theory, and the Connectivism Learning Theory a survey comprising 19 questions was disseminated to 211 Egyptian EFL students from various age groups. Findings reveal a predominant preference for multimodal learning, particularly visual and read/write styles, with significant variations between genders. Female learners exhibited a stronger inclination towards kinesthetic styles, while males preferred visual methods. Younger learners and female students showed a stronger preference toward the multimodal approach that integrates technology-mediated learning, whereas older students and male learners were in favor of the more traditional modes of learning. The study highlights the importance of integrating traditional instruction wit multimedia resources, particularly for younger learners who thrive in interactive settings. Recommendations include encouraging collaboration between public and private educational sectors, increase the community services and initiatives for community-based learning to address the diverse needs of unprivileged learners. The study advocates for an innovative and holistic teaching approach to enhance engagement and motivation, achieve quality education, and cultivate an informed, skilled generation capable of contributing to the sustainable future of Egypt 2030.

OPTIMALISASI PENGUATAN NILAI-NILAI MODERASI BERAGAMA MELALUI AKSI GOTONG ROYONG MENYAMBUT HUT RI KE 79 DI DESA TARUSAN DANUM

KKN Nusantara Religious Moderation is a priority program of the Ministry of Religion of the Republic of Indonesia which was initiated through collaboration with various universities in Indonesia, in order to maximize the value of tolerance in society. KKN Nusantara Religious Moderation in 2024 was implemented in Central Kalimantan, precisely in Katingan Regency, by sending 12 groups to different villages with programs that could foster an attitude of tolerance in society. The purpose of KKN NMB is to build a commitment to community understanding related to the values ​​of religious moderation within the framework of Bhineka Tunggal Ika. The KKN NMB community service method uses the PAR Participatory Action Research type or community participation action research in Tewang Rangkang Village. The results of the NMB KKN activities show that the strengthening of the values ​​of religious moderation in the Tarusan Danum Village community on a scale of change is slightly better than before the arrival of the NMB KKN, especially through mutual cooperation actions to enliven the 79th Anniversary of the Republic of Indonesia. As for community participation towards being pro-active again with a commitment in each respective place of worship (Islam, Christianity and Hinduism) willing to carry out and implement the values ​​of religious moderation. Thus, the realization of the priority program of the Ministry of Religion together with PTK Nusantara is able to have a massive and sustainable impact on society

Digital Marketing Optimization Based on 9 Core of Marketing Strategies to Support Go-Digital Herbal MSMEs and Export Markets in Utilizing the Potential of the Madiun Regency Region

Herbal Academy Group Indonesia, an MSME in Madiun, has proliferated since 2014 with herbal products that are beneficial for health. After BPOM tests and halal certification, they faced marketing and export challenges. The author proposes digital marketing optimization to increase market reach and export readiness, involving students in this activity as part of community service. This service aims to evaluate essential aspects in the digital marketing of herbal MSMEs in Madiun, including product quality, packaging, branding, and SEO, to support go-digital and export market expansion. The results of the assessment show that several areas need improvement. Solutions include digital marketing assistance and export certification to optimize global market potential. Implementing the service involves eight months of technical assistance in digital marketing and export. This service involves three stages of validation tests: material, media, and platform. The validation of the material showed an excellent assessment with an average of 84.33%, indicating that the material was relevant and precise. Media tests were also positive, scoring the highest strategy suitability and content authenticity scores. The platform's validation received excellent ratings in all aspects, including appearance, features, and regulatory compliance, with an average of 93.33%, indicating the platform's effectiveness in supporting Herbal MSMEs in Madiun. The application of technology and innovation for Herbal MSMEs in Madiun Regency. It covers digital marketing, SEO, e-commerce, and export technologies, including SCM tools and international databases.

COMMUNITY EMPOWERMENT IN THE SADARI PROGRAM (BREAST SELF-EXAMINATION)

Background: Cancer is currently one of the leading causes of death worldwide. One of the most common cancers and with the highest incidence is breast cancer. There are still many PKK Mojosongo Jebres Surakarta mothers who are not aware of the importance of early breast examination. This Breast Self-Examination (BSE) has been proven to be culturally acceptable, religiously friendly, and inexpensive. BSE is one way of action to find early symptoms of breast cancer that can be detected by mothers themselves, does not require experts to find breast cancer early, and is part of prevention efforts. Objective: This community service is to improve BSE knowledge and skills through community empowerment which will have an impact on increasing awareness and efforts to prevent breast cancer in Mojosongo. Methods: This activity begins with a regional visit to find out the existing problems, and a meeting with the PKK Chairperson to coordinate the implementation, the sampling technique uses a total sampling of all PKK mothers totaling 50 people who are given education and practice on how to do self-examination at home. Results: Community service can improve the ability of PKK mothers to do BSE independently. Conclusion: SADARI Education and Training improves the ability of knowledge and skills independently and has a positive impact on maternal health. The Recommendations, need to encourage and follow up on education and training on SADARI examinations by adding periodic follow-up sessions, this is done so that knowledge and practice of SADARI continue to be implemented.