Skip to main content Skip to main navigation menu Skip to site footer

Medication adherence and visiting compliance: interventions self-management education based on health belief model

  • Joni Iskandar ,
  • Eppy Setiyowati ,
  • Chilyatis Zahroh ,


Abstract

Introduction: The large number of TB cases was  caused by the boredom of treatment for too long, the lack of knowledge of patients about pulmonary TB, the distance between the patient's home and public health services. The purpose was to analyze effect interventions of self-management education based on the health belief model on adherence medications and visiting compliance in pulmonary tuberculosis patients at Community health center Pamekasan Regency.

Method: This research is conducted using a quantitative approach, type of intervention research. Participants in this study were the >20 year old age group. This study has certain characteristics on the selection of subjects; therefore use purposive sampling techniques. Intervention Researchers gave treatment self-management education based on a health belief model. The collected data is then analyzed using a statistical test independent T-test with the level of significance α = 0,05.

Result: The average difference in drug administration adherence in the intervention group was 17.89 with a standard deviation of 9,650. The control group showed a difference in drug adherence value of 5.23 and a standard deviation of 3,456. The average difference in visiting compliance in the intervention group was 15.37 with a standard deviation of 6,130. In the control group it showed a visiting compliance difference value of 5.76 and a standard deviation of 4,162.

Conclusion: There was an influence of self-management education based on health belief model on increasing adherence to taking medications and increasing visiting compliance in tuberculosis patients at community health centers in Pamekasan Regency, East Java, Indonesia

Keywords: adherence compliance health belief model self-management tuberculosis

References

  1. Chee CBE, Reves R, Zhang Y, Belknap R. Latent tuberculosis infection: Opportunities and challenges. Respirology. 2018;23(10):893–900. Available from: http://dx.doi.org/10.1111/resp.13346
  2. Setiyowati E, Hanik U, Adiba D, Mazida EM, Sri Wahyuni R, Agus Andriawan F, et al. Determinan Quality of life Pada Pasien TB Paru di Kota Surabaya. J Heal Sci. 2020;13(2). Available from: http://dx.doi.org/10.33086/jhs.v13i2.1306
  3. Louw JS, Mabaso M, Peltzer K. Change in Health-Related Quality of Life among Pulmonary Tuberculosis Patients at Primary Health Care Settings in South Africa: A Prospective Cohort Study. PLoS One. 2016;11(5):e0151892–e0151892. Available from: https://pubmed.ncbi.nlm.nih.gov/27137914
  4. Sabri A, Quistrebert J, Amrani HN, Abid A, Zegmout A, Ghorfi IA, et al. Prevalence and risk factors for latent tuberculosis infection among healthcare workers in Morocco. PLoS One. 2019;14(8):1–14.
  5. Nduba V, Van’t Hoog AH, de Bruijn A, Mitchell EMH, Laserson K, Borgdorff M. Estimating the annual risk of infection with Mycobacterium tuberculosis among adolescents in Western Kenya in preparation for TB vaccine trials. BMC Infect Dis. 2019;19(1):682. Available from: https://pubmed.ncbi.nlm.nih.gov/31375068
  6. Mzembe T, Lessells R, Karat AS, Randera-Rees S, Edwards A, Khan P, et al. Prevalence and Risk Factors for Mycobacterium tuberculosis Infection Among Adolescents in Rural South Africa. Open forum Infect Dis. 2020;8(1):ofaa520–ofaa520. Available from: https://pubmed.ncbi.nlm.nih.gov/33511219
  7. Kielmann K, Karat AS, Zwama G, Colvin C, Swartz A, Voce AS, et al. Tuberculosis infection prevention and control: why we need a whole systems approach. Infect Dis poverty. 2020;9(1):56. Available from: https://pubmed.ncbi.nlm.nih.gov/32450916
  8. Marra CA, Marra F, Cox VC, Palepu A, Fitzgerald JM. Factors influencing quality of life in patients with active tuberculosis. Health Qual Life Outcomes. 2004;2(Oktober):1–10.
  9. Tesema T, Seyoum D, Ejeta E, Tsegaye R. Determinants of tuberculosis treatment outcome under directly observed treatment short courses in Adama City, Ethiopia. PLoS One. 2020;15(4):e0232468–e0232468. Available from: https://pubmed.ncbi.nlm.nih.gov/32348358
  10. Setiyowati E. DETERMINANTS OF THE QUALITY OF LIFE OF PULMONARY TUBERCULOSIS (PTB) PATIENTS IN SURABAYA CITY. J Heal Sci. 2020;13(02):116–23.
  11. Kemenkes RI. Pedoman Nasional Pengendalian Tuberkulosis-Keputusan Menteri Kesehatan Republik Indonesia Nomor 364. Kementeri Kesehat Republik Indones. 2011;(Pengendalian Tuberkulosis):110.
  12. Badan Penelitian dan Pengembangan Kesehatan. Laporan_Nasional_RKD2018_FINAL.pdf. Badan Penelitian dan Pengembangan Kesehatan. 2018. p. 198.
  13. Ha JF. The COVID-19 pandemic, personal protective equipment and respirator: A narrative review. Int J Clin Pract. 2020/06/28. 2020;74(10):e13578–e13578. Available from: https://pubmed.ncbi.nlm.nih.gov/32511834
  14. Wilson J. Infection prevention and control in the COVID-19 pandemic: what have we learnt? J Infect Prev. 2021/01/22. 2021;22(1):5–6. Available from: https://pubmed.ncbi.nlm.nih.gov/33841555
  15. WHO. Primary Health Care on the Road to Universal Health Coverage 2019 Global Monitoring Report Executive Summary. 2019;151.
  16. Setiyowati E, Hanik U, Juliasih NN, Wahdi A. Self-Management Education for the Quality of Life of Patients with Pulmonary Tuberculosis. J Qual Public Heal. 2020;4(1):10–9. Available from: http://dx.doi.org/10.30994/jqph.v4i1.144
  17. Lorig KR, Holman HR, Med AB. Self-Management Education : History , Definition , Outcomes , and Mechanisms. Ann Behav Med. 2003;26(1):1–7.
  18. Eriksson I, Wilhsson M, Blom T, Broo Wahlström C, Larsson M. Telephone nurses’ strategies for managing difficult calls: A qualitative content analysis. Nurs Open. 2020;7(6):1671–9.
  19. Bunn F, Byrne G, Kendall S. The effects of telephone consultation and triage on healthcare use and patient satisfaction: A systematic review. Br J Gen Pract. 2005;55(521):956–61.
  20. Allegranzi B. Report on the Burden of Endemic Health Care-Associated Infection Worldwide Clean Care is Safer Care. World Heal Organ. 2011;34.
  21. Fekadu G, Bekele F, Bekele K, Girma T, Mosisa G, Gebre M, et al. Adherence to Anti-Tuberculosis Treatment Among Pediatric Patients at Nekemte Specialized Hospital, Western Ethiopia. Patient Prefer Adherence. 2020;14:1259–65. Available from: https://pubmed.ncbi.nlm.nih.gov/32801656
  22. Bischoff EWMA, Akkermans R, Bourbeau J, van Weel C, Vercoulen JH, Schermer TRJ. Comprehensive self management and routine monitoring in chronic obstructive pulmonary disease patients in general practice: randomised controlled trial. BMJ. 2012;345:e7642–e7642. Available from: https://pubmed.ncbi.nlm.nih.gov/23190905
  23. Fryer CE, Luker JA, McDonnell MN, Hillier SL. Self-management programs for quality of life in people with stroke. In: Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd; 2013. Available from: http://dx.doi.org/10.1002/14651858.cd010442
  24. Sumari-de Boer M, Pima FM, Ngowi KM, Chelangwa GM, Mtesha BA, Minja LM, et al. Implementation and effectiveness of evriMED with short messages service (SMS) reminders and tailored feedback compared to standard care on adherence to treatment among tuberculosis patients in Kilimanjaro, Tanzania: proposal for a cluster randomized controlled trial. Trials. 2019;20(1):426. Available from: https://pubmed.ncbi.nlm.nih.gov/31300028
  25. Monninkhof E, van der Valk P, van der Palen J, van Herwaarden C, Zielhuis G. Effects of a comprehensive self-management programme in patients with chronic obstructive pulmonary disease. Eur Respir J. 2003;22(5):815–20. Available from: http://dx.doi.org/10.1183/09031936.03.00047003
  26. Id OO, Adepoju V, Emeka F, Id A. Treatment outcomes of drug susceptible Tuberculosis in private health facilities in. PLoS One. 2021;1535:1–18.
  27. Grady PA, Gough LL. Self-management: A comprehensive approach to management of chronic conditions. Am J Public Health. 2018;108(8):S430–6.
  28. Ambaw F, Mayston R, Hanlon C, Medhin G, Alem A. Untreated depression and tuberculosis treatment outcomes, quality of life and disability, Ethiopia. Bull World Health Organ. 2018/02/05. 2018;96(4):243–55. Available from: https://pubmed.ncbi.nlm.nih.gov/29695881
  29. Effing TW, Monninkhof EM, Van Der Valk PDLPM, Zielhuis GA, Van Herwaarden CLA, Partridge MR, et al. Self-management education for patients with chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2007;(4):394–8.

How to Cite

Joni Iskandar, Setiyowati, E., & Chilyatis Zahroh. (2023). Medication adherence and visiting compliance: interventions self-management education based on health belief model. Bali Medical Journal, 12(2), 1211–1216. https://doi.org/10.15562/bmj.v12i2.4302
ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver
Download Citation
Endnote/Zotero/Mendeley (RIS) BibTeX

HTML
0

Total
0

Share

Search Panel

Joni Iskandar
Google Scholar
Pubmed
BMJ Journal

Eppy Setiyowati
Google Scholar
Pubmed
BMJ Journal

Chilyatis Zahroh
Google Scholar
Pubmed
BMJ Journal