Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes最新文献

{"title":"Application of Health Belief Model on Factors Influencing the Use Of Personal Protective Equipment","authors":"Ristamaya Danar Dewi, S. Rahardjo, Bhisma Murti","doi":"10.26911/the6thicph.02.07","DOIUrl":"https://doi.org/10.26911/the6thicph.02.07","url":null,"abstract":"Background: Personal protective equipment (PPE) is important to maintain a safe work environment and eliminate any potential hazards. The construction industry is one of the largest industries in any given society with many challenges of health and sa- fety risks at the site. Construction workers face these risks because of exposure throughout the building process. This study aimed to determine factors influencing the use of PPE using Health Belief Model (HBM). Subjects and Method: A cross sectional study was conducted at New Yogyakarta International Airport, Kulon Progo, Yogyakarta, in March 2019. A sample of 200 workers was selected by proportional random sampling. The dependent variable was the use of PPE. The independent variables were age, education, work experience, knowledge, perceived susceptibility, perceived benefit, perceived severity, and cues to action. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: The use of PPE was directly and positively affected by good knowledge (OR=4.13; 95% CI= 1.1 to 12.96; p= 0.015), strong perceived susceptibility (OR= 4.85; 95%CI= 1.26 to 18.60; p= 0.021), perceived severity (OR= 4.24; 95%CI= 1.27 to 14.12; p= 0.019), perceived benefit (OR= 8.58; 95%CI= 2.63 to 27.98; p<0.001), cues to action (OR= 7.17; 95%CI= 2.17 to 23.62; p= 0.001), age ≥30 years (OR= 7.54; 95%CI= 2.28 to 24.93; p= 0.001), work experience >2 years (OR= 9.16; 95%CI= 2.51 to 33.42; p= 0.001), and education ≥junior high school (OR= 14.9; 95%CI= 3.63 to 56.93; p<0.001). Conclusion: The use of PPE is directly and positively affected by good knowledge, strong perceived susceptibility, perceived severity, perceived benefit, cues to action, age, work experience >2 years, and education ≥junior high school. Keywords: personal protective equipment, construction workers, health belief model","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127812751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Risk Factors of Hypertension among Adolescents Aged 18 to 21 Years in Indonesia","authors":"L. Sembiring, D. Utari","doi":"10.26911/the6thicph-FP.01.10","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.01.10","url":null,"abstract":"Background: Hypertension is a major risk factor for cardiovascular diseases and other complications. There are several factors predisposing to hypertension. These factors vary from country to country and there is difference between urban and rural region. This study aimed to determine the prevalence and risk factors of hypertension among adolescents aged 18 to 21 years in Indonesia. Subjects and Method: This was a cross sectional study using IFLS 5 data year 2014. A total of 2,531 adolescents aged 18 to 21 years were selected for this study. The dependent variable was hypertension. The independent variables were age, sex, body mass index (BMI), psychological condition, healthy food, physical activity, smoking habit, and residential area. The data were obtained from Indonesian Family Life Survey 5 (IFLS 5) year 2014. The data were analyzed by a multiple logistic regression. Results: As many as 39.8% adolescents aged 18 to 21 years had pre-hypertension and 6.2 % had hypertension. The risk of hypertension increased with male (aOR= 2.40; 95% CI = 1.98 to 2.96; S KLJK %0, • NJ%: P2BH (aOR= 3.85; 95% CI= 1.82 to 8.12; p=0.001), poor psychological condition (aOR= 1.47; 95% CI =1.47 to 2.11; p=0.030), and unhealthy food (aOR=1.34; 95% CI= 1.18 to 2.33; p=0.004). Conclusion 7KH ULVN RI KSHUWHQVLRQ LQFUHDVHV ZLWK PDOH %0, • NJ%: P2BH, poor psychological condition, and unhealthy food.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"44 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134290282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of Triple Elimination Uptake among Women in Sragen, Central Java","authors":"Prissy Verasita, Uki Retno Budihastuti, Bhisma Murti","doi":"10.26911/the6thicph.02.36","DOIUrl":"https://doi.org/10.26911/the6thicph.02.36","url":null,"abstract":"Background: World Health Organization (WHO) established a list of validation criteria to facilitate efforts of elimination of mother to child transmission (EMTCT) of HIV, syphilis, and hepatitis B, in 2014. However, studies into factors affecting triple elimination uptake are still scanty. The purpose of this study was to determine factors affecting triple elimination uptake among women in Sragen, Cental Java.\u0000Subjects and Method: A cross sectional study was carried out at 25 community health centers (puskesmas) in Sragen, Central Java, from June to July 2019. A total sample of 200 pregnant women was selected by stratified random sampling. The dependent variable was triple elimination uptake. The independent variables were age, employment, income, attitude, motivation, and distance to health care. The independent variables also included Health Belief Model (HBM) constructs, including perceived susceptibility, perceived seriousness, and cues to action. The data were collected by questionnaire and analyzed by a multiple logistic regression.\u0000Results: Age ≥35 years old (OR= 3.41; 95% CI= 1.52 to 7.66; p= 0.003), working outside the house (OR= 3.23; 95% CI= 1.29 to 8.02; p= 0.012), income ≥Rp 1,600,000 (OR= 4.07; 95% CI= 1.68 to 9.88; p= 0.002), short distance to health care (OR= 3.74; 95% CI= 1.66 to 8.43; p= 0.001), perceived susceptibility (OR= 3.86; 95% CI= 1.72 to 8.65; p= 0.001), perceived seriousness (OR= 4.42; 95% CI= 1.86 to 7.29; p= 0.001), cues to action (OR= 3.13; 95% CI= 1.34 to 11.01; p= 0.008), positive attitude (OR= 4.46; 95% CI= 1.81 to 11.01; p= 0.001), and strong motivation (OR= 2.43; 95% CI= 0.95 to 6.18; p= 0.061) increased the likelihood of triple elimination uptake.\u0000Conclusion: Age ≥35 years old, working outside the house, income ≥Rp 1,600,000, short distance to health care, perceived susceptibility, perceived seriousness, cues to action, positive attitude, and strong motivation increase the likelihood of triple elimination uptake.\u0000\u0000Keywords: triple elimination, health belief model, theory of planned behavior","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129990935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Hospital Accreditation on Patient Safety Culture and Satisfaction: A Systematic Review","authors":"Yunita Hapsari, A. Sjaaf","doi":"10.26911/the6thicph-FP.04.42","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.04.42","url":null,"abstract":"Background: Hospital accreditation is carried out to improve the quality of hospital services and patient safety. This study aimed to statistically review the effect of hospital accreditation on patient safety culture and satisfaction. Subjects and Methods: A systematic review was conducted through articles search-ing. Four electronic databases namely PubMed, ProQuest, Scopus, and EBSCO were used in this study. The keywords were \"hospital accreditation\", \"patient safety culture\", \"patient satisfaction\", ―improving‖, and ―impact\". The inclusion criteria in this study were articles in the span of ten years of publication, and using English. The articles were selected by PRISMA flow diagram. Results: Eleven journal reported that accreditation had a significant influence on patient safety culture. There was difference in patient satisfaction among accredited and non-accredited hospitals, but it was not statistically significant. Two articles mentioned that patient satisfaction was driven by hospital physical facilities. Patient safety culture after hospital accreditation was associated with commitment and support from all hospital staff and leadership. Service quality and patient satisfaction were associated with ongoing evaluation of the accreditation implementation. Conclusion: Hospital accreditation has an effect on patient safety culture and satisfaction. Improving patient safety culture after hospital accreditation requires commitment and support from al hospital staff and leadership. Ongoing evaluation of the accreditation implementation needs to be carried out to improve service quality and patient satisfaction.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132669044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship between Inpatient Corridor Layout and the Risk Of Infection Transmission in Hospital: A Systematic Review","authors":"Ratna Agtasari, A. Sjaaf","doi":"10.26911/the6thicph-FP.04.35","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.04.35","url":null,"abstract":"Background: The physical design of the hospital is an important component of infection control measures to minimize the risk of transmission of infectious diseases. Most hospitals in developing countries are not scientifically designed including wards and corridors. This study aimed to review systematically the relationship of inpatient corridor layout in hospital with risk of infection transmission. Subjects and Method: A systematic review was conducted by searching published articles from 2010 to 2019, from databases including Scopus, ProQuest, and EBSCO. The keywords were “hospital OR inpatient AND corridor OR hallway OR passageway AND infection or healthcare-associated infection”. The inclusion criteria of this study were articles published in the last 10 years, full text, system, and open access. After review process, 9 articles were included in this review. Results: Two studies examined the effects of corridor shape on hospitals and mapped the distribution of infections. One article was related to aerosol dilution in the inpatient corridor, another related to energy efficiency as an effect of hospital corridor design. Three studies were concerned with infection transmission through the air, another investigated the use of natural ventilation in buildings. One article looked at the latest air system development. Conclusion: Looped double corridor has a higher risk of spread of infection compared to hybrid and double-loaded corridor. Movement in the looped double corridor is short, so the spread of infection can occur quickly. In addition to the shape of the corridor, the spread of infection in the inpatient room is also influenced by the particular air system used. In double-loaded corridors it is not recommended to apply natural ventilation.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122303057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Electronic Medical Record in Enhancing Rational Antibiotics Prescription: A Systematic Review","authors":"R. Kamaluddin, W. Adisasmito","doi":"10.26911/the6thicph-FP.04.33","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.04.33","url":null,"abstract":"Background: Antimicrobial resistance is a big problem in the world. Inappropriate use of antibiotics increases up to 36-54% in hospitals worldwide. One of the factors that trigger antimicrobial resistance is the prescription of irrational antibiotics. In the age of increasingly developing technology, a variety of medical equipment and support also developed, including electronic medical record (EMR). This study aimed to systemati-cally review the role of the electronic medical record in enhancing rational antibiotics prescription. Subjects and Methods: This was a systematic review using articles obtained from 4 electronic databases, namely Proquest, EBSCO, PubMed, and Scopus. The keywords used in this study were \"electronic medical record\" OR \"electronic health record\" OR \"electronic patient data\" AND \"hospital\" AND \"rational antibiotic prescribing\" OR \"ra-tional antimicrobial prescribing\" OR \"improve antibiotic prescribing\" OR \"antibiotic resistance ―OR \"antimicrobial resistance\". The data were obtained from publication in 2014 to 2019, observational study, conducted in hospital, and related to EMR. The main outcome was the change in prescription from irrational to rational use of antibiotics. The data were reviewed based on the PRISMA flow diagram. Results: Eight of 5549 articles met the inclusion criteria and were reviewed. Four of 8 articles discussed additional information technology (IT) tools that were technological-ly linked to EMR. One article discussed government regulation. Two articles discussed hospital system. One articles discussed collaboration between EMR data and educa-tional promotion. EMR provided complete information about the patient's condition, history of the disease, the pattern of therapy administration, and the cost of treatment in the hospital. However, EMR itself was not enough. Program support, additional IT system, and regulation, were needed to change the behavior of rational antibiotic prescription. Conclusion: EMR can provide an overview of the medical record data, including pat-terns of antibiotics drug use. It helps the doctors to provide rational therapy easier by increase regulation, hospital system, or additional tools that support EMR in the case to reduce antimicrobial resistance.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121341395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Booklet Development Process for Preconception Education","authors":"Siti Nurunniyah","doi":"10.26911/the6thicph.02.32","DOIUrl":"https://doi.org/10.26911/the6thicph.02.32","url":null,"abstract":"Background: Healthy preconception is important to prepare for pregnancy, childbirth, baby health, and family planning. Therefore, preconception education is important for pregnant women. Effective education requires good and standardized educational material and media. This study aimed to explain the booklet development process for preconception education.\u0000Subjects and Method: This study proceeded through 3 stages. Firstly, the development of booklet material, which covered: 1) literature studies, 2) preconception need assessment for women of reproductive age, 3) need assessment for health workers at community health center (Puskesmas), and 4) preparation of the first booklet draft. Secondly, the booklet validation process carried out through focus group discussion with experts in midwifery, nutrition, community, and health promotion. Thirdly, trial use on women of reproductive age.\u0000Results: This draft of preconception education booklet had been developed based on literature review, user need, and recommendation from experts. The booklet received positive appreciation by women of reproductive age through trial use.\u0000Conclusion: This booklet has been validated in terms of content and relevance. This booklet can be used for health workers to provide pregnancy preparation counseling for women of reproductive age.\u0000\u0000Keywords: booklet, development, preconception education, women of reproductive age","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126628237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of Post Launch Assessment of Pneumococcal Conjugated Vaccine Demonstration Program in West Lombok and East Lombok, West Nusa Tenggara, 2018","authors":"Devi Anisiska, A. Wibowo","doi":"10.26911/the6thicph-FP.04.11","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.04.11","url":null,"abstract":"Background: Pneumonia is the major cause of mortality of under five children in the world, also in Indonesia. Considering high burden of the disease and good performance of immunization program in Lombok island, Ministry of Health introduced Pneumococcal Conjugated Vaccine (PCV) immunization in West and East Lombok districts since October 2017. This study aimed to evaluate and assess the implementation of PCV demonstration program in West Lombok and East Lombok. The aim of this article is to analyze the results of Post Launch Assessment of PCV demonstration program in East Lombok and West Lombok districts, West Nusa Tenggara province. Subjects and Methods: Post Launch Assessment (PLA) was conducted using PLA tools which was developed together between Ministry of Health and CHAI. It was adapted from the instruments of Supportive Supervision, Post Introduction Evaluation WHO dan Effective Vaccine Management UNICEF. The assessment was carried out in all community health centre ( Puskesmas ) which implementing PCV demostration program, 32 Puskesmas at East Lombok Districts and 19 Puskesmas at West Lombok Districts. The datas were collected through interview to immunization officer, Head of Puskesmas and vaccinators and through observed immunization services at Pos-yandus , facilities and infrastructure at Puskesmas also register and logistic books. Ministry of Health assisted by Clinton Health Access Initiative (CHAI) conducted this activities in May - September 2018. Results: Several components of assessment that need special attention were: (1) Cold chain, (2) Recording and reporting system, (3) Management of vaccine and logistics, (4) Monitoring and analysis of the program, and (5) Adverse Event Following Immunization (AEFI) surveillance. Conclusion: PCV demonstration program in West Lombok and East Lombok are well implemented. But for better implementation in the future, the recommendations are: (1) Supplementary vaccine distribution system to cover limited vaccine storage capacity or alternative provision of vaccines with smaller volumes preparation, (2)Printing Immunization Recording and Reporting Books with additional columns for PCV especially for districts who conduct PCV demonstration program, (3) Strengthening management of vaccine and logistics, especially for vaccine requirements calculation, vaccine stock recording and temperature monitoring, and (4) Strengthening data analysis capa-bility of immunization officer at Puskesmas level to do immediate follow up of the problem.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115428679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Affecting the Use of Voluntary and Counselling Test Service by the Indirect Sex Workers in Kupang, East Nusa Tenggara","authors":"Frederych Dhaki, I. Manurung, Apris A. Adu","doi":"10.26911/the6thicph.02.16","DOIUrl":"https://doi.org/10.26911/the6thicph.02.16","url":null,"abstract":"Background: Indirect sex workers are men or women for whom sex work is not the primary source of income. They do not self-identify as sex workers, and often work outside of known venues for sex work. Indirect female sex worker (FSW) is also categorized as a key population at risk to HIV transmission and other sexual transmission disease. However, there are still many barriers for indirect FSW to utilize VCT service. This study aimed to investigate factors affecting the use of voluntary and counselling test service by the indirect sex workers group in Kupang, East Nusa Tenggara. Subjects and Method: A cross sectional study was carried out in Kupang, east Nusa Tenggara. A sample of 50 indirect female sex workers was selected for this study. The dependent variable was VCT uptake. The dependent variables were knowledge, intention, perceived threat, perceived benefit, information exposure, and social support. The data were collected by questionnaire and analyzed by Chi square. Results: Knowledge (OR= 35.42; 95% CI= 6.38 to 196.76; p<0.001), intention (OR= 20.22; 95% CI= 4.36 to 93.77; p<0.001), perceived threat (OR= 6.23; 95% CI= 1.77 to 21.92; p= 0.003), perceived benefit (OR= 6.84; 95% CI= 1.90 to 24.67; p= 0.002), information exposure (OR= 9.60; 95% CI= 2.56 to 36.06; p<0.001), and social support (OR= 27.73; 95% CI= 5.82 to 132.11; p<0.001) increased VCT uptake in indirect female sex workers. Conclusion: Knowledge, intention, perceived threat, perceived benefit, information exposure, and social support, increase VCT uptake in indirect female sex workers.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115174633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Nutritional Education Program Using the Small Group Discussion Method on Weight Reduction among Junior High School Students with Obesity, Medan, North Sumatera","authors":"I. Said, Anto J Hadi, S. Manggabarani, Ida Lestari Tampubolon, Endang Maryanti","doi":"10.26911/the6thicph.02.33","DOIUrl":"https://doi.org/10.26911/the6thicph.02.33","url":null,"abstract":"Background: Obesity in adolescents should be prevented in order to reduce the negative health consequences in later life. Education about correct lifestyle, eating healthy food, and sufficient physical activities, should be able to prevent obesity. The small group discussion (SGD) method has been hypothesized to enhance participation and promote comfort among the participants, so it should be effective to prevent obesity. This study aimed to examine the effect of nutritional education using the SGD method on weight reduction among junior high school students with obesity. Subjects and Method: A randomized controlled trial was conducted at Junior High School 4 Medan, North Sumatera. A total of 60 overweight and obese students was selected for this study and randomized into the intervention group (n1=30) and the control group (n2= 30). The dependent variables were knowledge, physical activity, and fast food consumption. The independent variable was the intervention, i.e. nutrition education using SGD method. The data were collected by questionnaire and analyzed by Wilcoxon test. Results: After the nutrition education using SGD method, mean scores of knowledge and physical activity in intervention group were higher than in the control group, and they were statistically significant. However, the mean difference in fast food consumption between the two groups was not statistically significant. Conclusion: Nutrition education program using the small group discussion method is effective to increase knowledge and physical activity among junior high school students. Its effect on fast food consumption is not statistically significant.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128648400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}