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Ika Sumiyarsi Sukamto
Bachelor of Midwifery, Faculty of Medicine, Universitas Sebelas Maret, Indonesia
Medicine & Pharmacology Public Health

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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.
Health Belief Model and Hypertension-Related Actions Among Posyandu Community Health Workers in Langgudu District, Bima Regency, West Nusa Tenggara, Indonesia Supriadin; Argyo Demartoto; Yulia Lanti Retno Dewi; Ika Sumiyarsi Sukamto; Erindra Budi Cahyanto
Journal of Health Promotion and Behavior Vol. 11 No. 3 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2026.11.03.06

Abstract

Background: Hypertension is one of the most prevalent non-communicable diseases and remains a major public health concern worldwide. Effective hypertension control requires not only formal healthcare services but also active community participation through community health workers who play a crucial role in health promotion and disease prevention. Community health workers’ actions in hypertension control may be influenced by psychological factors described in the Health Belief Model (HBM). This study aimed to analyze the association between HBM constructs and hypertension-related actions among Posyandu community health workers. Subjects and Method: A cross-sectional study was conducted among 86 integrated community health (posyandu) workers. Sample was selected using purposive sampling. The dependent variable was hypertension-related actions. The independent variables were perceived susceptibility, perceived severity, perceived benefit, perceived barrier, and cues to action. Data were collected using a structured questionnaire and analyzed using a multiple logistic regression. Results: Integrated community health workers with high perceived severity were 3.69 times more likely to perform good hypertension-related actions than those with low perceived severity (OR= 3.69, 95% CI= 1.11 to 12.27, p= 0.033). Community health workers with high perceived barrier were 4.80 times more likely to demonstrate good hypertension-related actions (OR= 4.80, 95% CI= 1.37 to 16.83, p = 0.014). Perceived susceptibility (OR = 1.49, 95% CI= 0.44 to 5.13, p = 0.522), perceived benefits (OR= 0.42, 95% CI= 0.10 to 1.91, p = 0.263), and cues to action (OR= 4.18, 95% CI = 0.97 to 18.02, p = 0.055) were not significantly associated with hypertension-related actions. Conclusion: The study concludes that perceived severity and perceived barriers are the most influential HBM constructs affecting hypertension-related actions among community health workers.
Co-Authors Argyo Demartoto Argyo Demartoto Dewi Laraswati Erindra Budi Cahyanto Erindra Budi Cahyanto Haryani Saptaningtyas Supriadin Yulia Lanti Retno Dewi