Community-Based Health Education Improves Early Detection of Diabetes Risk in A Religious Community: A Quasi-Experimental Study in Indonesia
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Abstract
Diabetes frequently remains undiagnosed in the early stages, resulting in delayed effective management. This study analyses the effectiveness of community-based health education in improving knowledge levels, early detection of diabetes risk, and diabetes risk factors, including body mass index (BMI), waist circumference, and blood pressure, in the GKI Oikumene Bahtera Injil Aspol Remu community. It was a quasi-experimental study utilizing a prospective approach conducted over six months. There were 110 respondents, 55 in the intervention and 55 in the control group. The health education intervention comprised four intensive sessions encompassing diabetes comprehension, lifestyle management, and early detection of diabetes risk. Data were collected using validated questionnaires and physical parameter measurements. Data analysis used the paired t-test and chi-square test. The results showed that knowledge scores increased from 55.3 ± 10.2 to 82.4 ± 8.5 (p<0.001) in the intervention group. In addition, the early detection rate in the intervention group was higher, 70.9%, compared to that in the control group, which was 31.8%. In addition, there were significant reductions in body mass index (-1.2 ± 0.8 kg/m²) and systolic blood pressure (-5.4 ± 4.2 mmHg) compared to the control group. Physical activity also increased significantly (+45.6 ± 15.3) in the intervention group. Further, the 31–50-year age group has the highest early detection rates. Community-based health education increases knowledge levels and early detection of diabetes risk, as well as decreases diabetes risk factors, such as decreased body mass index (BMI) and blood pressure, and increased physical activity, especially in productive age groups
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Copyright (c) 2025 Alva Cherry mustamu, OKTOVINA MOBALEN, Nur Asmi Sulasri
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References
Adams, C. (2020). Toward an institutional perspective on social capital health interventions: Lay community health workers as social capital builders. Sociology of Health & Illness, 42(1), 95–110. https://doi.org/10.1111/1467-9566.12992
Afrianti, D., et al. (2024). Mentoring and empowerment diploma three student in blood bank technology, health polytechnic, ministry of health, Semarang, through training in making soy milk as an effort to prevent anemia. Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan (Abdigermas, 2(1), 155–161. https://doi.org/10.58723/abdigermas.v2i1.169
Ahmed, S., et al. (2022). Community health workers and health equity in low- and middle-income countries: Systematic review and recommendations for policy and practice. International Journal for Equity in Health, 21(1), 49. https://doi.org/10.1186/s12939-021-01615-y
Alamer, A. S. (2023). Behavior change theories and models within health belief model research: A five-decade holistic bibliometric analysis. Cureus, 16(6), e63143. https://doi.org/10.7759/cureus.63143
Alderwick, H., et al. (2021). The impacts of collaboration between local health care and non-health care organizations and factors shaping how they work: A systematic review of reviews. BMC Public Health, 21(1), 753. https://doi.org/10.1186/s12889-021-10630-1
Amalba, A., et al. (2020). The role of community-based education and service (COBES) in undergraduate medical education in reducing the mal-distribution of medical doctors in rural areas in Africa: A systematic review. Health Professions Education, 6(1), 9–18. https://doi.org/10.1016/j.hpe.2019.09.003
Artawan Eka Putra, I. W. G., et al. (2023). The implementation of comprehensive health education to improve household contacts’ participation in early detection of tuberculosis. Health Education & Behavior, 50(1), 136–143. https://doi.org/10.1177/10901981211001829
Badulla, W. F. S., Alshakka, M., & Mohamed Ibrahim, M. I. (2023). Health education, promotion, and prevention in LMICs. In Z.-U.-D. Babar (Ed.), Encyclopedia of Evidence in Pharmaceutical Public Health and Health Services Research in Pharmacy (pp. 796–816). Springer International Publishing.
Byun, D. H., et al. (2021). Prioritizing community-based intervention programs for improving treatment compliance of patients with chronic diseases: Applying an analytic hierarchy process. International Journal of Environmental Research and Public Health, 18(2), 455. https://doi.org/10.3390/ijerph18020455
Chen, J., & Wang, Y. (2021). Social media use for health purposes: Systematic review. Journal of Medical Internet Research, 23(5), e17917. https://doi.org/10.2196/17917
Darmawan, E. S., et al. (2024). Behind the hospital ward: In-hospital mortality of type 2 diabetes mellitus patients in Indonesia (analysis of national health insurance claim sample data). International Journal of Environmental Research and Public Health, 21(5), 581. https://doi.org/10.3390/ijerph21050581
Dwivedi, Y. K., et al. (2021). Setting the future of digital and social media marketing research: Perspectives and research propositions. International Journal of Information Management, 59, 102168. https://doi.org/10.1016/j.ijinfomgt.2020.102168
Elsheli, J., Patrick, A., & Stokes, C. (2024). Community-based education programmes in the context of dental education: A scoping review. European Journal of Dental Education, 28(2), 576–590. https://doi.org/10.1111/eje.12986
Fritz, M., et al. (2024). Effectiveness of community-based diabetes and hypertension prevention and management programmes in Indonesia and Viet Nam: A quasi-experimental study. BMJ Global Health, 9(5). https://doi.org/10.1136/bmjgh-2024-015053
Glanz, K. (2017). Health behavior and risk factors. In S. R. Quah (Ed.), International Encyclopedia of Public Health (2nd ed., pp. 393–398). Academic Press.
Jones, C. L., et al. (2015). The health belief model as an explanatory framework in communication research: Exploring parallel, serial, and moderated mediation. Health Communication, 30(6), 566–576. https://doi.org/10.1080/10410236.2013.873363
Latif, A. S. (2020). The importance of understanding social and cultural norms in delivering quality health care—A personal experience commentary. Tropical Medicine and Infectious Disease, 5(1), 22. https://doi.org/10.3390/tropicalmed5010022
Magliano, D. J., & Boyko, E. J. (2021). IDF Diabetes Atlas (10th ed.). International Diabetes Federation.
Paudel, P., et al. (2022). Effects of a community-based health education intervention on eye health literacy of adults in Vietnam. International Journal of Health Promotion and Education, 60(3), 149–163. https://doi.org/10.1080/14635240.2021.1905028
Walters, R., et al. (2020). Establishing the efficacy of interventions to improve health literacy and health behaviours: A systematic review.
