Back pain affects 60–80% of pregnant women in Indonesia, yet community-based self-management interventions remain limited in rural areas. This study aimed to evaluate a community empowerment-based model for improving back pain self-management through integrated pregnancy exercise in Karang Intan 2 Sub-District, Banjar Regency. This quasi-experimental study used a pre-test-post-test control group design and was conducted from January to June 2026. We recruited 152 pregnant women (second and third trimester) from 13 villages under Puskesmas Karang Intan 2 and allocated them to an intervention group (n=76) receiving the community empowerment-based integrated pregnancy exercise program and a control group (n=76) receiving standard antenatal care. Back pain intensity was measured using the Numeric Rating Scale (NRS), self-management capacity was assessed using a validated questionnaire, and community empowerment indicators were evaluated. We analyzed data using paired t-tests, independent t-tests, Wilcoxon tests, and Mann-Whitney tests. The intervention group demonstrated a significant reduction in back pain intensity from a mean NRS score of 6.18±1.24 to 2.84±1.05 (p=0.000), compared to the control group, which decreased from 5.97±1.31 to 4.89±1.22 (p=0.002). Self-management scores increased significantly in the intervention group (p=0.000). Community empowerment indicators showed substantial improvement in cadre knowledge and participation. The community empowerment-based integrated pregnancy exercise model was associated with reduced back pain and enhanced self-management among pregnant women. These preliminary findings suggest potential applicability in primary health care settings and warrant further investigation with more rigorous designs.
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