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All Journal Journal of Health Promotion and Behavior
Haryani Saptaningtyas
Study Program of Community Empowerment, Universitas Sebelas Maret, Indonesia
Medicine & Pharmacology Public Health

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Maternal Decisions on Prelacteal Feeding Practices for Newborns using the Theory of Planned Behavior Approach in Grogol, Sukoharjo, Central Java, Indonesia Arjuna Pratama Waruwu; Haryani Saptaningtyas; Revi Gama Hatta Novika; Eti Poncorini Pamungkasari Pamungkasari; Ika Sumiyarsi Sukamto
Journal of Health Promotion and Behavior Vol. 11 No. 2 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2026.11.02.08

Abstract

Background: Exclusive breastfeeding is essential for optimal infant health, yet its coverage in Indonesia remains suboptimal, partly due to prelacteal feeding practices that interfere with breastfeeding initiation and increase health risks for newborns. The purpose of this study was to examine how maternal intention and prelacteal feeding habits are impacted by attitude, subjective standards, and perceived behavioral control among postpartum mothers. Subjects and Method: This was a quantitative observational study employing a cross-sectional design, conducted in Grogol District, Sukoharjo, Central Java, Indonesia, from February to March 2026. A total of 82 postpartum mothers ≤42 days after delivery were chosen using total sampling. The independent factors were attitude, subjective norms, perceived behavioral control, and intention, and the dependent variable was prelacteal feeding practice. A structured questionnaire was used to collect the data, and logistic regression was used for analysis. Results: Subjective norms (OR= 3.12; 95% CI= 1.15 to 8.64; p= 0.012) and perceived behavioral control (OR= 5.16; 95% CI= 1.83 to 14.79; p<0.001) were significantly associated with maternal intention. Intention (OR= 2.68; 95% CI= 0.99 to 7.27; p= 0.029) and perceived behavioral control (OR= 4.69; 95% CI= 1.67 to 13.45; p<0.001) were significantly associated with prelacteal feeding practices. In multivariate analysis, perceived behavioral control remained the strongest determinant of intention (OR= 6.88;95% CI= 1.63 to 28.92; p= 0.008) and prelacteal feeding practice (OR= 4.26; 95 % CI= 1.62 to 11.17; p= 0.003). Conclusion: The most significant factor influencing mother intention and prelacteal feeding practices was perceived behavioral control. Health promotion strategies should focus on reducing breastfeeding barriers and strengthening family and healthcare support.  
Tertiary Prevention Behavior among Elderly with Hypertension Based on the Information Motivation Behavioral Skill Model Dewi Laraswati; Argyo Demartoto; Ika Sumiyarsi Sukamto; Erindra Budi Cahyanto; Haryani Saptaningtyas
Journal of Health Promotion and Behavior Vol. 11 No. 2 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2026.11.02.09

Abstract

Background: Hypertension among the elderly is a prevalent health problem with a high risk of serious complications, including stroke and renal failure. However, tertiary prevention behaviors, such as treatment adherence and lifestyle management, remain suboptimal. The Information Motivation Behavioral Skill (IMB) model suggests that health behavior is influenced by information, motivation, and behavioral skills. This study aimed to analyze tertiary prevention behavior among elderly patients with hypertension based on the IMB model. Subjects and Method: This was an analytic observational study with a cross-sectional design. A total of 252 older people with hypertension were selected using simple random sampling at Gambirsari and Sibela Primary Health Centers in Surakarta, Central Java, Indonesia. Variables independent were information, motivation, behavioral skills, and the dependent was tertiary prevention behavior. Data were collected using questionnaires and analyzed using path analysis run on STATA 13. Results: Information (b=4.32; 95% CI=2.2 to 6.43; p<0.001), motivation (b=3.15; 95% CI=1.77 to 4.54; p<0.001), and behavioral skills (b=3.33; 95% CI=2.09–4.57; p<0.001) had significant direct effects on tertiary prevention behavior. Indirect effects through behavioral skills were also observed for information (b=0.81; 95% CI=0.19 to 1.42; p=0.010) and motivation (b=1.49; 95% CI= 0.88 to 1.11; p<0.001), with AIC = 401.34, BIC = 426.05. Conclusion: Information, motivation, and behavioral skills directly influence tertiary prevention behavior among elderly patients with hypertension. In addition, information and motivation also have indirect effects through behavioral skills.
Co-Authors Argyo Demartoto Arjuna Pratama Waruwu Dewi Laraswati Erindra Budi Cahyanto Eti Poncorini Pamungkasari Pamungkasari Ika Sumiyarsi Sukamto Ika Sumiyarsi Sukamto Revi Gama Hatta Novika