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All Journal Journal of Health Promotion and Behavior
Hanung Prasetya
Study Program in Acupuncture, Health Polytechnics, Ministry of Health Surakarta, Indonesia
Medicine & Pharmacology Public Health

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Analysis Multilevel: Application of Health Belief Model on Tertiary Prevention Behavior in Kaur District, Bengkulu Province, Indonesia Betriza; Hanung Prasetya; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.01.02

Abstract

Background: Uncontrolled hypertension can cause complications, so efforts to prevent and control hypertension can be carried out by applying the Health Belief Model health promotion theory. This study aimed to determine the influence of the Health Belief Model construct on tertiary prevention behavior in hypertensive patients. Subjects and Method: This was a cross-sectional study conducted in 16 health centers in Kaur district, Bengkulu, from November to December 2023. A total of 208 hypertension patients were selected by simple random sampling. The dependent variable is tertiary prevention behavior. Independent variables are a number of constructs in the Health Belief Model theory including perceived susceptibility, stimulus to act, and self-efficacy. Data collection was carried out using questionnaires and data were analyzed using a multilevel double linear regression analysis model. Results: There was a positive association between perception of vulnerability (b= 0.11; CI 95%= 0.01 to 0.22; p= 0.065), signal to act (b= 0.20; CI 95%= 0.03 to 0.38; p= 0.022), self-efficacy (b= 0.16; CI 95%= -0.01 to 0.32; p= 0.059) on hypertension tertiary prevention behavior. Public health center have less contextual influence on tertiary prevention behavior in hypertensive patients (ICC= 6.68%). Conclusion: Perception of vulnerability, cues to act, and self-efficacy are predictors of hypertension tertiary prevention behaviors.
Application of the Information-Motivation-Behavioral Skills Model to Tertiary Preventive Behavior in Osteoarthritis Nisrina Nafisa; Setyo Sri Rahardjo; Bhisma Murti; Hanung Prasetya; Sumardiyono; Revi Gama Hatta Novika
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.12

Abstract

Background: Osteoarthritis (OA) is a type of degenerative disease in which chronic joint inflammation occurs that can occur in the elderly. People with osteoarthritis will feel pain and experience functional limitations. Physiotherapy helps prevent and minimize further joint damage. The success of the rehabilitation program depends on the patient's skills in doing exercises, lifestyle changes, such as maintaining weight and avoiding activities that improve the joints. This study aims to analyze the influence of the Application of the Information Motivation Behavioral Skills Model (IMB) on the tertiary preventive behavior in osteoarthritis patients. Subjects and Method: This was a cross sectional study conducted at a physiotherapy clinic in Surakarta, in January 2025. A sample of 210 osteoarthritis patients was selected using the fixed diseases sampling. The dependent variable was the tertiary preventive behavior. Independent vari­ables were information, motivation, and behavioral skill. The data were collected using question­naire and analyzed using a path analysis. Results: Tertiary preventive behaviors in OA patients increased with behavioral skills (b= 0.45; 95% CI= 0.34 to 0.55; p<0.001) and motivation (b= 0.44; 95% CI= 0.34 to 0.53; p<0.001). Behavioral skill increased with information (b= 0.47; 95% CI= 0.37 to 0.57; p<0.001) and motivation (b= 0.35; 95% CI= 0.25 to 0.46; p<0.001). The goodness of fit indices were p= 0.285; RMSEA= 0.026 (<0.050); CFI= 1.0 (≥0.90);  TLI= 0.99 (≥0.90); and SRMR= 0.01 (<0.050). Conclusion: Tertiary preventive behaviors in OA patients increases with behavioral skill and motivation. Behavioral skill increases with information and motivation.
Co-Authors Betriza Bhisma Murti Nisrina Nafisa Revi Gama Hatta Novika Setyo Sri Rahardjo Sumardiyono