Disa Lintang Sari
Universitas Sebelas Maret

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The Effect of Information, Motivation, and Behavioral Skills Model on Tertiary Prevention Behavior among Hypertension Patients Disa Lintang Sari; Setyo Sri Rahardjo; Arsita Eka Prasetyawati; Argyo Demartoto; Dhoni Akbar Ghozali
Indonesian Journal of Global Health Research Vol. 8 No. 5 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i5.2294

Abstract

Hypertension is a medical condition in which blood pressure increases above 140/80 mmHg. If it is not controlled, it can have negative effects on health and may develop into a chronic disease. Hypertension control depends on tertiary prevention behavior. This study used the Information Motivation Behavioral Skills construct to analyze tertiary prevention behavior among patients with hypertension. This study used a cross-sectional design conducted in Boyolali Regency. The sampling technique used stratified random sampling. Five community health centers were selected, with a total sample of 200 respondents. Data were collected using a questionnaire that had been tested for validity and reliability. Multivariate data analysis was performed using path analysis. The results of the study showed that behavioral skills had a direct association with tertiary prevention behavior among patients with hypertension (b = 0.40; 95% CI = 0.28–0.51; p < 0.001). Motivation was also directly and significantly associated with tertiary prevention behavior (b = 0.26; 95% CI = 0.14–0.38; p < 0.001). Information had an indirect association with tertiary prevention behavior through behavioral skills (b = 0.17; CI 95% = 0.06–0.28; p = 0.003), while motivation also had an indirect association with tertiary prevention behavior through behavioral skills (b = 0.40; 95% CI = 0.29–0.51; p < 0.001). In addition, information had a direct association with tertiary prevention behavior (b = 0.17; 95% CI = 0.06–0.28; p = 0.006). The path model demonstrated a good fit to the data (CFI = 1.00; TLI = 1.00; RMSEA = 0.00; SRMR = 0.00). behavioral skills and motivation influence tertiary prevention behavior among patients with hypertension. Information has a direct effect on tertiary prevention behavior, but it has an indirect effect through behavioral skills. Behavioral skills also mediate the effect of motivation on tertiary prevention behavior.