Integrating Acupressure and Nutritional Support Within a Positive Youth Development-Based Midwifery Model to Improve Reproductive Health Among Young Women

Eka Mardiana Afrilia; Titin Martini; Hikmah Hikmah

doi:10.70716/mohr.v4i3.628

Authors

Eka Mardiana Afrilia Midwifery Study Program, Faculty of Health Sciences, Universitas Muhammadiyah Tangerang, Indonesia
Titin Martini Midwifery Study Program, Faculty of Health Sciences, Universitas Muhammadiyah Tangerang, Indonesia
Hikmah Midwifery Study Program, Faculty of Health Sciences, Universitas Muhammadiyah Tangerang, Indonesia

DOI:

https://doi.org/10.70716/mohr.v4i3.628

Keywords:

acupressure, midwifery care, nutritional support, positive youth development, reproductive health

Abstract

Reproductive health among young women is influenced by physical, nutritional, and psychosocial factors; however, most interventions address these aspects separately. This study aimed to evaluate the effectiveness of integrating acupressure and nutritional support within a Positive Youth Development (PYD)-based midwifery care model to improve reproductive health among young women. This study employed a quasi-experimental design with a pretest–posttest control group approach. A total of 60 young women aged 15–24 years were selected using purposive sampling and assigned to intervention and control groups. Data were collected using a validated and reliable questionnaire, and the intervention was conducted over six weeks. Statistical analysis was performed using paired-sample t-tests and independent-samples t-tests. The results showed that the mean reproductive health score in the intervention group increased from 60.27 to 82.30, whereas the control group increased from 58.43 to 65.50. A statistically significant difference was observed between the two groups (p = 0.000), indicating that the integrated intervention was more effective than standard reproductive health education. These findings suggest that a midwifery care model integrating acupressure, nutritional support, and Positive Youth Development effectively improves reproductive health among young women. This approach offers a holistic, youth-friendly strategy that may be incorporated into reproductive health promotion and preventive care programs.

Downloads

Download data is not yet available.

References

Ara, I., Maqbool, M., & Gani, I. (2022). Reproductive health of women: Implications and attributes. International Journal of Current Research in Physiology and Pharmacology, 6(3), 8–18. https://ijcrpp.com/index.php/ijcrpp/article/view/51

Arikunto. (2010). Prosedur Penelitian: Suatu Pendekatan Praktik. Rineka Cipta.

Attia, G. M., Alharbi, O. A., & Aljohani, R. M. (2023). The Impact of Irregular Menstruation on Health : A Review of the Literature. Cureus, 15(11). https://doi.org/10.7759/cureus.49146

Browning, A. M., & Callis. (2020). Application of the Roy Adaptation Theory to a care program for nurses. Applied Nursing Research, 56, 151340. https://doi.org/10.1016/j.apnr.2020.151340

Creswell, J. W., & Creswell, J. D. (2023). Research Design: Qualitative, Quantitative, and Mixed Methods Approach (6th ed.). SAGE Publications. https://collegepublishing.sagepub.com/products/research-design-6-270550

Dayyani, I., Lou, S., & Jepsen, I. (2022). Midwives’ provision of health promotion in antenatal care: A qualitative explorative study. Women and Birth, 35(1), e75–e83. https://doi.org/ 10.1016/j.wombi.2021.01.010

de Sousa, D., Fogel, A., Azevedo, J., & Padrão, P. (2022). The Effectiveness of Web-Based Interventions to Promote Health Behavior Change in Adolescents: A Systematic Review. In Nutrients (Vol. 14, Issue 6, p. 1258). https://doi.org/10.3390/nu14061258

Donovan, A., Azer, J., Idrees, S., Lassi, Z., Nisa, S., & Meherali, S. (2025). Positive Youth Development Interventions: A Systematic Review. Journal of Adolescent Health, 77(6), 1027–1037. https://doi.org/ 10.1016/j.jadohealth.2025.04.022

Ganaprakasam, C., Muniandy, T. A., & Azizi, M. N. (2025). Malaysian online journal of psychology & counseling the effect of school-based character-building program on self-esteem, self-efficacy and resilience among primary. Malaysian Online Journal of Psychology & Counseling, 12(2), 16–29. https://ajba.um.edu.my/index.php/MOJC/article/view/67036

Gani, I., Ara, I., & Dar, M. A. (2023). Reproductive Health of Women: A comprehensive review. International Journal of Current Research in Physiology and Pharmacology, 7(4). https://ijcrpp.com/index.php/ijcrpp/article/view/72%0A

Gizaw, Z., Astale, T., & Kassie, G. M. (2022). What improves access to primary healthcare services in rural communities? A systematic review. BMC Primary Care, 23(1), 313. https://doi.org/10.1186/s12875-022-01919-0

Hosseini, M., & Soltanian, M. (2022). Application of Roy's Adaptation Model in Clinical Nursing: A Systematic Review. Journal of Iranian Medical Council, 5(4). http://dx.doi.org/10.18502/jimc.v5i4.11327

Jacobs, C., Mwale, F., Mubanga, M., Kasonde, M., Saili, A., Mukonka, R., Mumbi Mwilu, L., & Munakampe, M. N. (2023). Perceptions of youth-friendly sexual and reproductive health services in selected Higher and Tertiary Education Institutions of Zambia: A qualitative study on the perspectives of young people and healthcare providers. PLOS Global Public Health, 3(11), e0002650. https://doi.org/10.1371/journal.pgph.0002650

Kamilia, A., Hidayatunnikmah, N., & Ningrum, N. P. (2026). The Effect of SP6 Acupressure and Cinnamon Decoction Combination on Hemoglobin in Dysmenorrhea Adolescents. Profesional Health Journal, 7(2), 784–795. https://doi.org/10.54832/phj.v7i2.1280

Kong, X., Fang, H., Li, X., Zhang, Y., & Guo, Y. (2023). Effects of auricular acupressure on dysmenorrhea: A systematic review and meta-analysis of randomized controlled trials. Frontiers in Endocrinology, Volume 13, 2022. https://www.frontiersin.org/journals/endocrinology/articles/10.3389/fendo.2022.1016222

Motaarefi, H., Habibzadeh, H., Dorosti, A. M., Habibpour, Z., Sakhaei, S., & Seyednazari, M. A. (2025). The effect of Roy Adaptation Model on the quality of life and general health of elderly people in nursing homes: randomized controlled trial. BMC Geriatrics, 25(1), 880. https://doi.org/10.1186/s12877-025-06585-2

Munro, M. G., Mast, A. E., Powers, J. M., Kouides, P. A., O’Brien, S. H., Richards, T., Lavin, M., & Levy, B. S. (2023). The relationship between heavy menstrual bleeding, iron deficiency, and iron deficiency anemia. American Journal of Obstetrics and Gynecology, 229(1), 1–9. https://doi.org/ 10.1016/j.ajog.2023.01.017

Musindo, O., Jafry, S., Nyamiobo, J., Becker, K. D., Gellatly, R., Maloy, C., Lozano-Ruiz, A., Romero-Gonzalez, B., Kola, L., Merali, Z., Chorpita, B. F., & Kumar, M. (2023). Mental health and psychosocial interventions integrating sexual and reproductive rights and health, and HIV care and prevention for adolescents and young people (10–- 24 years) in sub-Saharan Africa: a systematic scoping review. EClinicalMedicine, 57. https://doi.org/10.1016/j.eclinm.2023.101835

Pouraliroudbaneh, S., Marino, J., Riggs, E., Saber, A., Jayasinghe, Y., & Peate, M. (2024). Heavy menstrual bleeding and dysmenorrhea in adolescents: A systematic review of self-management strategies, quality of life, and unmet needs. International Journal of Gynecology & Obstetrics, 167(1), 16–41. https://doi.org/ 10.1002/ijgo.15554

Rotimi, D. E., & Singh, S. K. (2024). Implications of lifestyle factors on male reproductive health. JBRA Assisted Reproduction, 28(2), 320–330. https://doi.org/10.5935/1518-0557.20240007

Sugiyono. (2017). Metode Penelitian Kuantitatif, Kualitatif, dan R&D. ALFABETA.

Taheri, M., Mohamadi, E., Mostafavi, H., Olyaeemanesh, A., & Takian, A. (2025). Identifying the reproductive health indicators for population policies worldwide: A scoping review. Reproductive Health, 22(102). https://doi.org/10.1186/s12978-025-02000-6

Tepy, D., Mardiana, E., Faadhilah, A., & Damayanti, W. (2025). Holistic approaches in women’s reproductive health care : Integrating conventional medicine and complementary therapies. Majority Science Journal, 3(4), 38–45. https://doi.org/https://doi.org/10.61942/msj.v3i4.479

van Lonkhuijzen, R. M., de Vries, J. H. M., Brouwer-Brolsma, E., Cremers, S., Faessen, J. P. M., Feskens, E. J. M., & Wagemakers, A. (2025). An empowerment program to improve diet quality during pregnancy – the Power 4 a Healthy Pregnancy cluster randomized controlled trial. BMC Public Health, 25(1), 338. https://doi.org/10.1186/s12889-025-21344-z

Zava, F., Barbaresi, M., Cattelino, E., & Vecchio, G. M. (2022). Academic Aspirations and Dropout Intentions in the Perspective of Positive Youth Development: Protective Factors in Adolescence. In Sustainability (Vol. 14, Issue 18, p. 11591). https://doi.org/10.3390/su141811591