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Journal : Journal of Health Promotion and Behavior

Meta Analysis: Application of Health Belief Model on the Tertiary Prevention of Type 2 Diabetes Mellitus Marsim, Etanaulia; Prisma, Fara Aristya; Prianggi, Herawati
Journal of Health Promotion and Behavior Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Diabetes Mellitus Type 2 is a hyperglycemic disease due to insensitivity of cells to insulin. Insulin levels may decrease slightly or be in the normal range. The level of adherence of type 2 diabetes patients is lower than type 1 diabetes. Compliance with medication and taking medication in DM patients has a very important role in controlling blood sugar levels. HBM is a model that describes a person's knowledge of health threats and understanding of recommended behaviors to prevent or treat health problems based on an assessment of feasibility and benefits compared to costs. This study aimed to estimate the effect of HBM, especially the severity and self-efficacy constructs.Subjects and Method: This study was conducted using a systematic review and meta-analysis study design using PICO. Population: type-2 diabetic patients. Intervention: high severity perception and high self-efficacy. Comparison: low severity perception, and low self-efficacy. Outcome: tertiary prevention behaviors. The articles used in this study came from 4 databases, namely Google Scholar, Pubmed, Science Direct and Proquest. The article keywords are “health belief model” OR “perceived severity” OR “self-efficacy” AND “type 2 diabetes”. The articles included in this study are full paper articles, cross-sectional study designs, 2012-2021 and the size of the relationship between Adj Odds Ratio. Article selection is done using PRISMA. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 12 cross-sectional studies were reviewed in this study. A meta-analysis of 7 cross-sectional studies showed that strong perceived severity increased the likelihood of implementing tertiary prevention behaviors in type 2 diabetes patients by 4.69 times (aOR= 4.69; 95% CI= 1.92 to 11.47; p= 0.007). A meta-analysis of 9 cross-sectional studies showed that slightly stronger perceived self-efficacy increased the likelihood of implementing tertiary prevention behaviors in type 2 diabetes patients by 1.68 times (aOR= 1.68; 95% CI= 1.03 to 2.74; p= 0.040).Conclusion: Severity perception and self-efficacy are predictors for tertiary prevention of type 2 Diabetes Mellitus.Keywords: predictors, tertiary prevention, type-2 diabetes mellitus, health belief model.Correspondence:Etanaulia Marsim. Health Polytechnics, Ministry of Health, Surakarta. Jl. Letjen Sutoyo, Mojo­songo, Kota Surakarta, Jawa Tengah. Email: etanaulia@gmail.com. Mobile: +6285840530580.Journal of Health Promotion and Behavior (2021), 06(04): 284-297DOI: https://doi.org/10.26911/thejhpb.2021.06.04.03
The Relationship between Health Belief Model Applications with Smoking Quitting Behavior: A Meta-Analysis Anggreani, Gadis Nur; Nurhayati, Faridah; Prianggi, Herawati
Journal of Health Promotion and Behavior Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Smoking is a habit of smoking cigarettes that is carried out in daily life, cigarettes are also a necessity that cannot be avoided for people who have a tendency to cigarettes. HBM is a model of individual health beliefs in determining the actions to be taken and is explained as a concept formulated with the aim of understanding why individuals do or do not perform various healthy behaviors. Therefore, this study aimed to determine the level of effectiveness of the Health Believe Model (HBM) application in the decision to quit smoking.Subjects and Method: This article was compiled with a systematic review and meta-analysis study. This study uses the PICO Model. The meta-analysis study was conducted by searching for articles from databases in electronic form including PubMed, Springer Link, Elsevier and Google Scholar. "Health Belief Model Application", or "Quit Smoking Behavior" or "Perceived Suscepti­bility" and "Perceived Severity". The inclusion criteria for this study were full articles using a cross-sectional study, with the publication year 2014-2021. Analysis of articles in this study using RevMan 5.3 . software.Results: A total of 12 cross-sectional studies from Asia, and Africa were selected for systematic review and meta-analysis.  The data collected showed that high perceived vulnerability increase 2.11 times to smoking quitting behavior compared with low perceived vulnerability, but its statistically not significant (OR= 2.09; 95% CI= 0.81 to 5.37; p= 0.130), and high perceived severity increase 1.43 times to smoking quitting behavior compared with low perceived severity (OR= 1.43; 95% CI= 0.57 to 3.58; p= 0.450), increase 2.11 times to smoking quitting behavior compared with low perceived vulnerability, but iw was statistically not significant.Conclusion: Perceived vulnerability, and perceived severity was not statistically significant in smoking quitting behavior.Keywords: health belief model, smoking qutting behavior, perceived vulnerability, perceived severity.Correspondence:Gadis Nur Anggreani. Study Program of Public Health, Universitas Tadulako, Palu, Central Sulawesi. Email: anggreanigadis@gmail.com.  Mobile: +6281335205131.Journal of Health Promotion and Behavior (2022), 07(03): 170-181DOI: https://doi.org/10.26911/thejhpb.2022.07.03.01