Community Integrative Ethnomedicine for Diabetes Prevention: A Holistic Community Empowerment Approach
DOI:
https://doi.org/10.62255/noval.v4i1.307Abstract
Introduction: Diabetes mellitus (DM) remains a major global public health challenge, particularly in low- and middle-income countries where delayed diagnosis and inadequate preventive behaviors contribute to increasing disease burden. This study evaluated the effectiveness of a holistic community empowerment program combining diabetes education, self-acupressure training, preventive herbal medicine education, and opportunistic blood glucose screening, while introducing an integrated conceptual direction for community-based diabetes prevention.
Methods: A one-group pretest–posttest pre-experimental study, reported according to the TREND Statement, was conducted among 30 women aged 40–60 years participating in the Family Welfare Movement (PKK) Indonesia. Diabetes knowledge was assessed using the 24-item Diabetes Knowledge Questionnaire before and immediately after the intervention.
Results: Twenty participants completed both knowledge assessments, while 16 underwent blood glucose screening. Participants demonstrating poor diabetes knowledge decreased from 70.0% at baseline to 0% after the intervention, whereas good knowledge increased from 0% to 100%. Blood glucose screening identified 14 participants (87.5%) within the normal range and two participants (12.5%) with random blood glucose levels exceeding 200 mg/dL, prompting immediate referral for further clinical evaluation.
Conclusion: Integrating health education, self-acupressure, preventive herbal medicine, and opportunistic screening within existing community organizations is a feasible and culturally responsive strategy for strengthening diabetes prevention. These findings provide preliminary support for the proposed Community Integrative Ethnomedicine Prevention (CIEP) Model, which conceptually integrates health literacy, evidence-informed traditional medicine, community empowerment, and early metabolic surveillance as an emerging framework for sustainable diabetes prevention.
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Keywords:
Early Diagnosis, Blood Glucose, Medicinal Plants, Complementary Therapies, Community Participation, Health Education, Diabetes MellitusReferences
American Diabetes Association Professional Practice Committee. (2025). 2. Diagnosis and classification of diabetes: Standards of Care in Diabetes—2025. Diabetes Care, 48(Supplement 1), S27–S49. https://doi.org/10.2337/dc25-S002
Angreni, N., et al. (2024). Efektivitas penyuluhan kesehatan berbasis kelompok terorganisir terhadap perilaku hidup sehat di kawasan urban. Jurnal Promosi Kesehatan Masyarakat, 12(2), 85–94.
Arifah, F. H., Nugroho, A. E., Rohman, A., & Sujarwo, W. (2022). A review of medicinal plants for the treatment of diabetes mellitus: The case of Indonesia. South African Journal of Botany, 149, 537–558. https://doi.org/10.1016/j.sajb.2022.06.042
Hanifa, R. S., Rokhman, M. R., Fritz, M., Widyaningsih, V., Febrinasari, R. P., Koot, J. A. R., Postma, M. J., & van der Schans, J. (2025). Cost-effectiveness of community-based type 2 diabetes prevention and control in Indonesia: A health economics modelling study. BMJ Public Health, 3(1), e002161. https://doi.org/10.1136/bmjph-2024-002161
Hatmanti, N. M., et al. (2023). Faktor lingkungan kawasan padat penduduk dan hubungannya dengan prevalensi diabetes melitus tipe 2 pada kelompok lansia urban. Jurnal Epidemiologi Klinis, 8(3), 142–151.
Kementerian Kesehatan Republik Indonesia. (2022). Profil kesehatan Indonesia tahun 2021.
Kementerian Kesehatan Republik Indonesia.
Kementerian Kesehatan Republik Indonesia. (2026). Laporan target nasional pengendalian penyakit tidak menular menuju Indonesia emas. Direktorat P2PTM, Kementerian Kesehatan Republik Indonesia.
Mishra, A., Singh, A. K., Parida, S. P., Pradhan, S. K., & Nair, J. (2022). Understanding community participation in rural health care: A participatory learning and action approach. Frontiers in Public Health, 10, Article 860792. https://doi.org/10.3389/fpubh.2022.860792
Najafi, S. S., Ghorbani, H., Kordi Yoosefinejad, A., & Najafi Kalyani, M. (2021). The effect of acupressure on fasting blood glucose and glycosylated hemoglobin levels in diabetic patients: A randomized controlled trial. International Journal of Community Based Nursing and Midwifery, 9(2), 103–112. https://doi.org/10.30476/ijcbnm.2021.86059.1318
Nam, J., Lee, H., & Park, H. (2025). Effects of auricular acupressure on polysomnography-assessed sleep, blood glucose, and stress in elderly patients with type 2 diabetes and insomnia: A randomized controlled trial. Frontiers in Psychiatry, 16, Article 1677240. https://doi.org/10.3389/fpsyt.2025.1677240
Shirvani, T., Javadivala, Z., Azimi, S., Shaghaghi, A., Fathifar, Z., Devender Bhalla, H. D. R., Abdekhoda, M., & Nadrian, H. (2021). Community-based educational interventions for prevention of type II diabetes: A global systematic review and meta-analysis. Systematic Reviews, 10, Article 81. https://doi.org/10.1186/s13643-021-01619-3
Si, Y., Chen, J., Chen, L., Zheng, Y., Qiu, Y., Wang, B., Liang, Y., Zhang, Y., & Chen, Y. (2025). The effect of acupuncture on blood glucose control in patients with type 2 diabetes: A systematic review and meta-analysis of randomized controlled trials. Frontiers in Endocrinology, 16, Article 1596062. https://doi.org/10.3389/fendo.2025.1596062
Wickramasinghe, A. S. D., Kalansuriya, P., & Attanayake, A. P. (2021). Herbal medicines targeting the improved ?-cell functions and ?-cell regeneration for the management of diabetes mellitus. Evidence-Based Complementary and Alternative Medicine, 2021, 1–15. https://doi.org/10.1155/2021/2920530
Widiasari, K. R., et al. (2021). Peran aktif kader kesehatan dalam pendampingan dan pengendalian diabetes melitus berbasis terapi tradisional komplementer. Jurnal Keperawatan Komunitas, 6(1), 34–42.
World Health Organization. (2024). Global status report on noncommunicable diseases 2024.
World Health Organization.
Yuwanda, A., Farmasita, R., Sabila, A., Nopratilova, Herli, A., & Rahmawati, D. (2024). Edukasi
Jamu Sehat Tanaman (JST) diabetes melitus di Kelurahan Sukmajaya, Depok. Jurnal ANDARA (Pengabdian Kepada Masyarakat), 1(1), 12–18. https://doi.org/10.70608/e5p2yv32
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Copyright (c) 2026 Isnaini Chantika Yuliandari, Dhia Jinan Naura Nidaulhaq, Shabina Nurizzati, Wulan Riandini, Fatihah Halimatul Azizah, Oktavia Ramadhani Eka Fitri, Devita Fitri Azzahra, Dwi Setiani Sumardiko, Rini Hamsidi
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