Efek motivational interviewing dan kelas edukasi gizi berbasis instagram terhadap perubahan pengetahuan healthy weight loss dan kualitas diet mahasiswi obesitas

https://doi.org/10.22146/ijcn.53042

Ira Mulyani(1), Fillah Fithra Dieny(2*), Ayu Rahadiyanti(3), Deny Yudi Fitranti(4), A Fahmy Arif Tsani(5), Etisa Adi Murbawani(6)

(1) Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro, Semarang
(2) Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro, Semarang
(3) Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro / Center of Nutrition Research (CENURE), Fakultas Kedokteran, Universitas Diponegoro, Semarang
(4) Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro / Center of Nutrition Research (CENURE), Fakultas Kedokteran, Universitas Diponegoro, Semarang
(5) Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro / Center of Nutrition Research (CENURE), Fakultas Kedokteran, Universitas Diponegoro, Semarang
(6) Departemen Gizi Klinik, Fakultas Kedokteran, Universitas Diponegoro, Semarang
(*) Corresponding Author

Abstract


Effect of motivational interviewing and nutrition education class based on instagram for change healthy weight loss knowledge and diet quality in obese female students

Background: Obesity is a health problem that has a serious impact on women. Instagram is one of the media for nutrition education that can present healthy messages effectively and motivational interviewing can improves intrinsic motivation to changes in behavior. 

Objective: To analyze the effects of motivational interviewing and nutrition education class on changes in healthy weight loss knowledge and diet quality. 

Methods: This study used a quasi-experimental design with the pre-post test control group. The sample consists of 40 female students obesity were divided into three groups, control group (K); intervention group 1 with motivational interviewing and nutrition education class (P1); intervention group 2 only nutrition education class (P2). The nutrition education class based on instagram was given for thirty days and motivational interviewing was given 4 times with a duration of 15-45 minutes. Changes in healthy weight loss knowledge were assessed by pre-test and post-test questionnaire, while diet quality was assessed by Diet Quality Index-International (DQI-I). 

Results: There was a significant difference between healthy weight loss knowledge in the three groups. There were significant differences on sub-components of the adequacy of staple food (p=0.026), fiber (p=0.026), protein (p=0.006), total fat intake (p=0.009), saturated fat intake (p=0.024), sodium intake (p=0.016), energy intake (p=0.000), and carbohydrate intake (p=0.002) in the three groups. 

Conclusions: Motivational interviewing and nutrition education class based on instagram could increase the healthy weight loss knowledge and reduce staple food intake, total fat intake, saturated fat intake, sodium intake, energy intake, and carbohydrate intake in obese women.


Keywords


diet quality; education instagram; motivational interviewing; obese; weight loss knowledge

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References

  1. Muller M, Geisler C. Defining obesity as a disease. Eur J Clin Nutr. 2017;71(11):1256-8. DOI: 10.1038/ejcn.2017.155
  2. Katulanda P, Jayawardena MAR, Sheriff MHR, Constantine GR, Matthews DR. Prevalence of overweight and obesity in Sri Lankan adults. Obes Rev. 2010;11(11):751-6. DOI: 10.1111/j.1467-789X.2010.00746.x
  3. Ahirwar R, Mondal PR. Prevalence of obesity in India: a systematic review. Diabetes Metab Syndr. 2019;13(1):318-21. DOI: 10.1016/j.dsx.2018.08.032
  4. Dag ZO, Dilbaz B. Impact of obesity on infertility in women. J Turk Ger Gynecol Assoc. 2015;16(2):111-7. DOI: 10.5152/jtgga.2015.15232
  5. Kementrian Kesehatan RI. Hasil utama riset kesehatan dasar (Riskesdas) tahun 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan; 2018.
  6. Dinas Kesehatan Provinsi Jawa Tengah. Profil kesehatan Provinsi Jawa Tengah. Semarang: Dinkes Jateng; 2016.
  7. Anggraini S, Hasan Z, Afrida A. Pengaruh obesitas terhadap infertilitas pada wanita pasangan usia subur di Rumah Sakit Awal Bros Pekanbaru. Jurnal Proteksi Kesehatan. 2015;4(1):49-58.
  8. Adinma J, Umeononihu OS, Umeh MN. Adolescent and pre-pregnancy nutrition in Nigeria. Trop J Obstet Gynaecol 2017;34(1):1-5.
  9. Dieny FF, Rahadiyanti A, Kurniawati DM. Gizi prakonsepsi. Jakarta: Bumi Medika; 2019.
  10. Crovetto M, Valladares M, Espinoza V, Mena F, Oñate G, Fernandez M, et al. Effect of healthy and unhealthy habits on obesity: a multicentric study. Nutrition. 2018;54:7-11. DOI: 10.1016/j.nut.2018.02.003
  11. Lim J, Park HS. Trends in the prevalence of underweight, obesity, abdominal obesity and their related lifestyle factors in Korean young adults, 1998-2012. Obes Res Clin Pract. 2018;12(4):358-64. DOI: 10.1016/j.orcp.2017.04.004
  12. Hill JO, Wyatt HR, Peters JC. Energy balance and obesity. Circulation. 2012;126(1):126-32. DOI: 10.1161/CIRCULATIONAHA.111.087213
  13. Dolin CD, Kominiarek MA. Pregnancy in women with obesity. Obstet Gynecol Clin North Am. 2018;45(2):217-32. DOI: 10.1016/j.ogc.2018.01.005
  14. Freira S, Fonseca H, Williams G, Ribeiro M, Pena F, Machado C, et al. Quality-of-life outcomes of a weight management program for adolescents based on motivational interviewing. Patient Educ Couns. 2019;102(4):718-25. DOI: 10.1016/j.pec.2018.11.011
  15. Zeidi IM, Hajiagha AP. Effect of motivational interviewing on eating habits and weight losing among obese and overweight women. J Obes Weight Loss Ther. 2013;3:172. DOI: 10.4172/2165-7904.1000172
  16. Perdana F, Madanijah S, Ekayanti I. Pengembangan media edukasi gizi berbasis android dan website serta pengaruhnya terhadap perilaku tentang gizi seimbang siswa sekolah dasar. Jurnal Gizi dan Pangan. 2017;12(3):169-78. DOI: 10.25182/jgp.2017.12.3.169-178
  17. Santoso AP, Baihaqi I, Persada SF. Pengaruh konten post instagram terhadap online engagement: studi kasus pada lima merek pakaian wanita. Jurnal Teknis ITS. 2017;6(1):A217-A221.
  18. Thasim S, Syam A, Najamuddin U. Pengaruh edukasi gizi terhadap perubahan pengetahuan dan asupan zat gizi pada anak gizi lebih di SDN Sudirman I Makassar tahun 2013 [Skripsi]. Makassar; Universitas Hasanuddin Makassar: 2013.
  19. Committee on Adolescents Health Care. Obesity in adolescents. Committee Opinion No. 714. American College of Obstetricians and Gynecologists. Obstet Gynecol 2017;130:e127–40.
  20. Mirkarimi K, Mostafavi F, Eshghinia S, Vakili MA, Ozouni-Davaji RB, Aryaie M. Effect of motivational interviewing on a weight loss program based on the protection motivation theory. Iran Red Crescent Med J. 2015;17(6):e23492. DOI: 10.5812/ircmj.23492v2
  21. Waman AM. Teori dan pengukuran pengetahuan sikap dan perilaku manusia: dilengkapi contoh kuesioner. Yogyakarta: Wuha Media; 2011.
  22. Kim S, Haines PS, Siega-riz AM, Popkin BM. The diet quality index international (DQI-I) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. J Nutr. 2003;133(11):3476-83. DOI: 10.1093/jn/133.11.3476
  23. Yustias PF, Aryana IK, Suyasa ING. Efektivitas penggunaan media cetak dan media elektronika dalam promosi kesehatan terhadap peningkatan pengetahuan dan perubahan sikap siswa SD. Jurnal Kesehatan Lingkungan. 2014;4(1):29-39.
  24. Barnes RD, Ivezaj V, Martino S, Pittman BP, Paris M, Grilo CM. Examining motivational interviewing plus nutrition psychoeducation for weight loss in primary care. J Psychosom Res. 2018;104:101-7. DOI: 10.1016/j.jpsychores.2017.11.013
  25. Retraningrum G, Dieny FF. Kualitas diet dan aktivitas fisik pada remaja obesitas dan non obesitas. Journal of Nutrition College. 2015;4(4):469-79. DOI: 10.14710/jnc.v4i4.10150
  26. Swinburn BA, Caterson I, Seidell JC, James WPT. Diet, nutrition, and the prevention of excess weight gain and obesity. Public Health Nutr. 2004;7(1A):123-46. DOI: 10.1079/phn2003585
  27. Dieny FF. Permasalahan gizi pada remaja putri. 1st ed. Yogyakarta: Graha Ilmu; 2014.
  28. Shofia N, Sulchan M. Pengaruh konseling modifikasi gaya hidup terhadap asuoan serat,kadar glukosa darah puasa, dan kadar interleukin 18 (IL-18) pada remaja obesitas dengan sindrom metabolik. Journal of Nutrition College. 2015;4(3):243-51. DOI: 10.14710/jnc.v4i3.10089
  29. J Victor, Stevens, Glasgow RE, J Deborah, Toobert, Karanja N, et al. One-year results from a brief, computer-assisted intervention to decrease consumption of fat and increase consumption of fruits and vegetables. Preventive Medicine. 2003;36(5):594-600. DOI: 10.1016/s0091-7435(03)00019-7
  30. Poll FA, Miraglia F, D’avila HF, Reuter CP, Mello ED. Impact of intervention on nutritional status, consumption of processed foods, and quality of life of adolescents with excess weight. J Pediatr (Rio J). 2020;96(5):621-9. DOI: 10.1016/j.jped.2019.05.007
  31. Dieny FF, Widyastuti N, Fitrianti DY. Sindrom metabolik pada remaja obes: prevalensi dan hubungannya dengan kualitas diet. Jurnal Gizi Klinik Indonesia. 2015;12(1):1-11. DOI: 10.22146/ijcn.22830
  32. Hermina, Prihatini S. Gambaran konsumsi sayur dan buah penduduk indonesia dalam konteks gizi seimbang: analisis lanjut Survei Konsumsi Makanan Individu (SKMI) 2014. Buletin Penelitian Kesehatan. 2016;44(3):205-18. DOI: 10.22435/bpk.v44i3.5505.205-218
  33. Anggraeni NA, Sudiarti T. Faktor dominan konsumsi buah dan sayur pada remaja di SMPN 98 Jakarta. Indonesian Journal of Human Nutrition. 2018;5(1):18-32. DOI: 10.21776/ub.ijhn.2018.005.01.3
  34. Green LW. Modifying and developing health behaviour. Annu Rev Public Health. 1984;5:215-36. DOI: 10.1146/annurev.pu.05.050184.001243
  35. Adriani M, Wirjatmadi B. Pengantar gizi masyarakat. Jakarta: Kencana; 2012.
  36. Bundy C. Changing behaviour: using motivational interviewing techniques. J R Soc Med. 2004;97(44):43-7.



DOI: https://doi.org/10.22146/ijcn.53042

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