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Argyo Demartoto
Faculty of Social and Political Science, Sebelas Maret University, Indonesia
Medicine & Pharmacology Public Health

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Path Analysis of the Influence of the Theory of Planned Behavior Construct on Visual Inspection of Acetic Acid Uptake in Banjarnegara Amalia Khurotul Mahzunah; Argyo Demartoto; 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.2025.10.01.07

Abstract

Background: The death rate for women of childbearing age is increasing. This indicates the need for useful interventions to prevent deaths from cervical cancer. One way is to carry out an Acetic Acid Visual Inspection (VIA) screening. Unfortunately, the rate of VIA screening is still low. So it is necessary to conduct research on how the behavior of using VIA screening is viewed from health promotion theory. This study aimed to determine the application of one of the health promotion theories, namely the Theory of Planned Behavior (TPB), to the use of VIA screening in Banjarnegara Regency. Subjects and Method: The study was conducted with a cross-sectional study design involving 200 female participants of reproductive age ranging from 20 to 50 years. This research was conducted in Banjarnegara Regency, Central Java Province, Indonesia. This study was conducted in April-May 2024. The sample was selected using fixed disease sampling to find participants who had undergone VIA screening. Data collection was carried out using questionnaires and data was analyzed using univariate, bivariate and path analysis. Results: The results of this study showed that the behavior of using VIA screening was directly influenced by intentions and perceived behavioral control. The possibility of subjects to undergo VIA screening can increase by strong intentions (OR= 6.56; 95% CI= 2.97 to 14.48; p< 0.001) and high perceived behavioral control (OR= 6.23; 95% CI= 3.07 to 12.65; p < 0.001). In addition, the results of path analysis showed that intentions were influenced by attitudes (OR= 2.73; 95% CI= 1.31 to 5.69; p= 0.007), subjective norms (OR= 3.48; 95% CI= 1.71 to 7.07; p= 0.001), and perceived control treatment (OR= 3.03; 95% CI= 1.50 to 6.09; p= 0.002). Conclusion: The use of VIA screening is directly influenced by intention and perceived behavioral control. In addition, intentions are influenced by attitudes, subjective norms, and perceived behavioral control. All results of the analysis are statistically significant.
Application of Social Cognitive Theory for Tertiary Preventive Behavior in Elderly with Hypertension: A Multilevel Analysis in Cirebon, West Java Sita Rahayu Sanusi; Bhisma Murti; Argyo Demartoto
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.2025.10.01.11

Abstract

 Background: Hypertension is the first non-communicable disease diagnosed in various health facilities up to 185,857 cases. Hypertension is one of the main causes of mortality and morbidity in Indonesia, so the management of this disease is a very common intervention carried out at various levels of health facilities, especially in the elderly. This study aims to analyze the influence  of the application of social cognitive theory on the preventive behavior of the elderly tertiary with hypertension in Cirebon Regency. Subjects and Method: The study was conducted with  a cross-sectional study design  involving as many as 200 research subjects, including 102 positive tertiary preventive behavior research subjects and 93 negative tertiary preventive behavior research subjects. This research was conducted in 25 elderly posyandu in Cirebon Regency, West Java. This research was conducted in March-April 2024. The sample was selected using simple random sampling to select elderly research subjects with hypertension and stratified random sampling to select the type of Posyandu. The dependent variable is tertiary preventive behavior behavior in the elderly with hypertension. The independent variables were knowledge, expectations, self-regulation, self-efficacy, reinforcement and observational learning. Data collection was carried out using questionnaires and data were analyzed using a multilevel analysis model.. Results: Tertiary preventive behavior in older age with hypertension was influenced by knowledge (b = 1.89; 95% CI = 1.54 to 2.23; p <0.001), expectations (b = 0.15; 95% CI = 0.01 to 0.29; p = 0.031), self-regulation (b = 0.15; 95% CI = 0.01 to 0.29; p = 0.035), self-efficacy (b = 0.14; 95% CI = 0.00 to 0.29; p = 0.042), reinforcement (b = 0.15; 95% CI = 0.00 to 0.29; p = 0.042), reinforcement (b = 0.36; 95% CI = 0.22 to 0.50; p <0.001), and observational (b = 0.22; 95% CI = 0.07 to 0.38; p = 0.004). Posyandu has a contextual influence on tertiary preventive behavior in the elderly with hypertension with ICC = 40%. Conclusion: Tertiary preventive behavior in the elderly with hypertension is influenced by knowledge, expectations, self-regulation, self-efficacy, reinforcement and positive outcomes of observational learning. Thus, social cognitive theory can be used to explain and predict tertiary preventive behavior in the elderly with hypertension.  Variations at the Posyandu level have a strong contextual effect on tertiary preventive behavior in the elderly with hypertension.
Application of Social Cognitive Theory to Promote Healthy Behavior Among the Elderly at Integrated Health Post for Elderly Agil Rafi’ah Afandi; Argyo Demartoto; Bhisma Murti
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.2025.10.02.04

Abstract

Background: The results of a survey by the Central Statistics Agency in 2021 reported that as many as 42.22% of the elderly population in Indonesia experience health problems. One of the factors that determines healthy behavior in the elderly is implementing healthy behavior. This study aims to examine the application of social cognitive theory as a determinant of healthy behavior of the elderly in Sukoharjo Regency, Central Java. Subjects and Method: This was a cross-sectional study carried out at integrated health post (posyandu) in Grogol, Sukoharjo Regency, Central Java, in June-July 2024. A sample of 200 elderly was selected purposively. Five villages were randomly selected. From each village, 6 primary strata Posyandu, 6 intermediate strata Posyandu, 6 purnama strata Posyandu, and 7 independent Posyandu were chosen. Then, from each selected Posyandu, 8 elderly individuals were randomly selected. The dependent variable is healthy behavior in the elderly. The independent variables are a number of constructs in social cognitive theory, namely observational learning, outcome expectation, outcome expectancy, reinforcement, and self-efficacy. Data were analyzed by multiple linear regression. Results: Healthy behaviors increased with observational learning (b= 0.17; 95% CI= 0.12 to 0.43; p= 0.001), outcome expectation (b=0.24; 95% CI= 0.02 to 0.473; p= 0.036), outcome expectancy (b= 0.36; 95% CI= 0.05 to 0.68; p= 0.025), reinforcement (b= 0.36; 95% CI= 0.10 to 0.84; p= 0.013),  and self efficacy (b= 0.55; 95% CI= 0.19 to 0.91; p= 0.003). Conclusion: Healthy behavior in the elderly is positively associated with observational learning, outcome expectation, outcome expectancy, reinforcement, and self efficacy.
Implementation of the Health Belief Model as a Predictor of Acupuncture Therapy Adherence in Post-Stroke Patients Efa Yusfi Asrifa; Bhisma Murti; Haryani Saptaningtyas; Hanung Prasetya; Argyo Demartoto; Ika Sumiyarsi Sukamto
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.2025.10.02.11

Abstract

Background: Post-stroke symptoms include limb weakness, paralysis, loss of balance, pain and numbness, memory and cognitive disorders, and urinary and digestive problems. The recovery process in post-stroke patients takes a long time, therefore, the patient needs to adhere to acupuncture therapy for recovery. This study aims to analyze the influence of perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy, and cues to action on acupuncture therapy adherence in post-stroke patients. Subjects and Method: This study was a cross-sectional study conducted in Yogyakarta, from November to December 2024. A total of 205 patients were selected using random sampling. The dependent variable was adherence to acupuncture therapy in post-stroke patients. Independent variables were perceived vulnerability, perceived severity, perceived benefits, perceived benefits, self-efficacy, and cues to action. The data were analyzed using path analysis. Results: Adherence to acupuncture therapy increased with increased perceived susceptibility (b= 1.19; 95% CI= -0.13 to 2.27; p=0.081), perceived severity (b= 2.16; 95% CI= 0.81 to 3.31; p= 0.001), perceived benefits (b= 1.71; 95% CI= 0.98 to 2.45; p<0.001), self-efficacy (b= 0.73; 95% CI= 0.11 to 1.36; p= 0.022) and cues to action (b= 1.77; 95% CI= 1.08 to 2.45; p<0.001). Conclusion: There is a positive relationship between perceived susceptibility, perceived severity, perceived benefits, self-efficacy, and cues to action on adherence to acupuncture therapy in post-stroke patients. The perceived benefits and self-efficacy are a direct influence on adherence to acupuncture therapy in post-stroke patients, while the perceived susceptibility, perceived severity, and cues to action are indirect influences.
Co-Authors Agil Rafi’ah Afandi Amalia Khurotul Mahzunah Bhisma Murti Bhisma Murti Bhisma Murti Efa Yusfi Asrifa Hanung Prasetya Haryani Saptaningtyas Ika Sumiyarsi Sukamto Sita Rahayu Sanusi