International Journal of Health Literacy and Science

Development of User Interface Quality Questionnaire (UIQHS), An Instrument for Evaluating User Interface.

Evina Widianawati — 2026-04-18

As a part of the healthcare management system, the patient registration system was developed to record patients' social and medical data. User interface evaluation is increasingly essential for health workers to avoid errors and difficulties when using the system during registration. The research aims to develop and validate the User Interface Question for Healthcare System (UIQHS), an instrument for evaluating the user interface of hospital systems. This study employed a quantitative approach in three steps: expert review, pre-test, and field test. UIQHS comprises 25 questions based on the 10 elements of user interface competencies. Ten academicians from the university evaluated the questionnaire in the first stage. The second stage involved a pilot study with 30 and 29 staff, respectively. The final stage was a field test with 233 staff in Semarang hospitals. This study used Pearson’s product-moment correlation for validity checks and Cronbach’s alpha coefficient to assess internal consistency. This study developed 22 questions based on the stages of expert, pilot test, and field test. The final IUQHS comprises 10 heuristic elements and 22 questionnaires. Enhancing the user interface in the hospital system is urgent to support successful health IT adoption, especially for the registration system. Future studies need to be conducted to test the validity and reliability for a wider area of hospital management systems.

Factors Influencing the Acceptance of the Hallobumil Application in Semarang City

Nabila Faradila Qutsin — 2026-06-19

The Maternal Mortality Rate (MMR) in Semarang City increased from 67.25 per 100,000 live births in 2022 to 68.5 per 100,000 live births in 2023. The HalloBumil application is designed to support maternal health through education and relevant information. This study aims to analyze the factors influencing the acceptance of the HalloBumil application in Semarang City. A quantitative research design with a cross-sectional approach was employed. The variables measured were based on the Technology Acceptance Model (TAM), including Self-Efficacy, Perceived Usefulness, Perceived Ease of Use, Attitude, and Behavioral Intention. Data were collected through face-to-face interviews using questionnaires with 390 pregnant women receiving antenatal care at 15 community health centers in Semarang City. The research locations were selected using stratified random sampling, Data were analyzed using Structural Equation Modeling - Partial Least Squares (SEM-PLS) with SmartPLS 4. The results showed that the majority of respondents were aged 35–50 (76.4%), had completed senior high school (57.0%), were housewives (58.5%), earned more than the regional minimum wage (63.65%), and received health information from healthcare workers (73.8%). Self-efficacy had a significant effect on perceived usefulness (β = 0.788; p < 0.001). Perceived usefulness significantly influenced behavioral intention to use the HalloBumil application (β = 0.318; p < 0.001). These findings indicate that self-efficacy and perceived usefulness are key factors influencing the acceptance of the HalloBumil application among pregnant women in Semarang City. Enhancing self-efficacy and perceived usefulness may increase the acceptance of mobile health applications such as HalloBumil, potentially leading to improved maternal health outcomes.

The Effect of Gadget Use on the Level of Insomnia in Pharmacy Students at STIKES Bhakti Husada Mulia Madiun

Dara Aceh Brigifianti — 2026-06-22

Gadget use can have both positive and negative impacts on human life. On the one hand, gadgets facilitate access to information, communication, and entertainment. However, on the other hand, excessive use can lead to various health problems, one of which is insomnia. Insomnia is a sleep disorder that can significantly reduce a person's quality of life. The purpose of this study was to determine the effect of gadget use on insomnia levels among final-year D3 Pharmacy students at STIKES Bhakti Husada Mulia Madiun. The sample size was 36 respondents. This study used a quantitative method with a cross-sectional approach and random sampling technique. Data analysis used bivariate analysis using SPSS with the chi-square test.The results showed that gadget use of ≥ 3 hours was categorized as high by 21 respondents (58%), and gadget use of < 3 hours was categorized as low by 15 respondents (42%). Mild insomnia was reported by 13 respondents (36%) and moderate insomnia by 23 respondents (64%). There is an influence of gadget use on the level of insomnia of final year D3 Pharmacy students at STIKES Bhaktii Husada Mulia Madiun as shown by the p value of 0.030 < 0.050.

The Relationship between Family Support and Medication Adherence among Pulmonary Tuberculosis Patients at Panekan Magetan

Diza Arfrida Puspitasari — 2026-06-23

Pulmonary tuberculosis (TB) remains one of the major public health challenges in Indonesia. The success of TB treatment is highly dependent on patients’ adherence to taking Anti-Tuberculosis Drugs (OAT) regularly and completing the prescribed regimen. One of the key factors that plays an important role in improving adherence is family support. This study aimed to determine the relationship between family support and medication adherence among pulmonary TB patients at Panekan Public Health Center, Magetan Regency. This research employed an analytical design with a cross-sectional approach. The study involved 51 respondents selected through simple random sampling. Data were collected using a validated and reliable questionnaire, and analyzed using univariate and bivariate methods with the Chi-Square test. The results showed a significant relationship between family support and medication adherence among pulmonary TB patients (p = 0.001). Patients with good family support were more likely to adhere to their medication regimen compared to those with poor family support. In conclusion, family support plays a crucial role in the success of TB treatment. It is recommended that healthcare providers increase family involvement in the treatment process to prevent treatment interruption and drug resistance.

The Relationship Between Online Gambling Addiction Behavior with Anxiety Levels Among Adolescents in Madiun City

Aan Herwin Astutik — 2026-06-24

Online gambling is increasingly prevalent among adolescents and may negatively affect mental health, particularly anxiety. This study aimed to examine the relationship between knowledge of online gambling risks, addictive gambling behavior, and anxiety levels among adolescents aged 17–24 years in Madiun City, Indonesia. A quantitative cross-sectional design was applied with 95 respondents selected through purposive sampling. Data were collected using validated questionnaires to assess knowledge and online gambling behavior, while anxiety was measured with the Zung Self-Anxiety Scale. Kendall’s Tau test was used for analysis. Findings showed no significant association between knowledge of online gambling and anxiety (p = 0.271). However, addictive gambling behavior was significantly related to anxiety levels (p = 0.001). These results suggest that although adolescents may be aware of the dangers of online gambling, such knowledge does not necessarily influence their anxiety. In contrast, addictive behaviors contribute substantially to anxiety symptoms.

This study highlights the need for interventions focusing on behavioral change through education, internet regulation, and psychosocial support for adolescents. Longitudinal studies are recommended to further explore thecausal relationship between online gambling addiction and adolescent mental health.

Analysis Of Determinants Of Digital Health Literacy Among Mothers Pregnancy: A Study In Semarang City

Sella Monika — 2026-06-30

Pregnancy is a period that requires intensive health monitoring. Digital Health Literacy (DHL) is a key factor for pregnant women in searching for, understanding, and applying health information from electronic sources. In reality, not all women have the ability to understand DHL. This study aims to identify the factors associated with DHL among pregnant women in Semarang City. The study design was cross-sectional, with data collected using stratified random sampling from 15 public health centers (puskesmas) in Semarang City, involving 390 samples. The instrument used was the Digital Health Literacy for Citizens (DHLC) questionnaire, which was administered directly to the respondents. Independent variables included: age, education, income, occupation, antenatal care (ANC) visits, access to health information, and parity. The dependent variable was Digital Health Literacy. Data were analyzed using Kruskal-Wallis and Mann-Whitney tests. Results: The majority of pregnant women had an independent level of DHL (74.6%), were over 24 years old, had a moderate level of education (57.4%), were housewives (58.5%), accessed health information from health workers (74.1%), were multiparous (41.8%), and had ≥3 ANC visits. Education, income, occupation, access to health information, and parity were significantly associated with DHL (P = 0.000).

Health Informatics Competencies and User Experience at Hospital: Case Study in Private Hospital Semarang, Indonesia

Razhita Maylani Putri — 2026-06-30

An assessment of the readiness of medical and nursing staff in implementing electronic medical records (ERM) at RSU Banyumanik 2 Semarang was necessary because the hospital just started providing health services in 2021, so it needs a lot of preparation in facing electronic medical records (ERM). The purpose of this study was to analyze the user experience and digital health literacy of medical and nursing staff at RSU Banyumanik 2. The research method is quantitative descriptive. Data were collected using a User Experience Questionnaire (UEQ) and PHIC4PHC questionnaire. The research subjects were 5 physicians and 25 nurses. User experience data analysis uses Data Analysis Tools (DTA) on Microsoft Excel and digital health literacy uses the PHIC4PHC index calculation. The results showed that the user experience of the KHANZA system was rated as above average by all respondents. The digital health literacy of the respondents tends to vary, with 50% classified as experts, 43.3% as fluent, and 6.7% as basic. Based on these results, the hospital should provide training on EMR use for medical officers and nursing staff to improve their performance and knowledge of ERM. In addition, the hospital needs to evaluate and maintain SIMRS KHANZA according to user needs.

Mental Health Literacy, Resilience, and Positive Mental Health in Adolescents

Endang Widyorini — 2026-06-30

Positive mental health constitutes an essential foundation for adolescents’ development and represents a growing priority within public health promotion. This study aimed to examine the roles of mental health literacy and resilience in predicting positive mental health among adolescents in Semarang, Indonesia. A quantitative cross-sectional correlational design was employed involving high school students aged 12–18 years. Standardized instruments were used to assess mental health literacy, resilience, and positive mental health. Data were analyzed using Pearson correlation and multiple regression analyses.

The findings indicated that resilience emerged as a significant and consistent predictor of positive mental health, whereas mental health literacy did not demonstrate a stable direct association with positive mental health. Gender-based analyses further revealed that resilience significantly predicted positive mental health among both male and female adolescents, with a stronger effect observed among females. In contrast, the contribution of mental health literacy varied and remained comparatively weak.

These results suggest that adaptive psychological capacities, particularly resilience, play a more central role in supporting adolescents’ well-being than cognitive knowledge alone. Mental health promotion efforts in school settings should therefore integrate resilience-building strategies alongside mental health literacy education to foster sustainable positive mental health among adolescents.

A Skills-Based Disaster Literacy Framework to Improve Disaster Preparedness, Response, and Recovery

Ömer Cem Karacaoğlu — 2026-06-30

This study presents the development of the Disaster Literacy Core Skills (DLCS) framework, a structured, skills-based model designed to improve disaster preparedness, response, and recovery at the individual and societal levels. Using qualitative thematic analysis of interviews with 20 disaster experts from diverse backgrounds, the study identifies and categorizes core disaster literacy competencies into four skill domains: practical, cognitive, social, and adaptive. These competencies are further organized across the preparedness, response, and recovery phases of the disaster management cycle, including basic search and rescue (SAR) skills. The framework addresses a critical gap by moving beyond theoretical knowledge to emphasize actionable skills such as first aid, risk assessment, emergency communication, financial resilience, and psychological coping. Findings highlight the importance of integrating digital literacy, mental health support, and community engagement into disaster education. The DLCS framework provides a foundation for developing evidence-based policies, educational curricula, and resilience initiatives to equip individuals and communities with basic skills to effectively survive, adapt, and recover in the face of increasingly complex and unpredictable disasters.