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All Journal Disease Prevention and Public Health Journal Jurnal NERS JKMM Epidemiology and Society Health Review (ESHR) Jurnal Abdimas Kesehatan
Dian Sidik Arsyad
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Health Professions Medicine & Pharmacology Nursing Public Health

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Journal : Jurnal NERS

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Development of a health coaching model to improve caregivers’ ability to care for patients with mental disorders Andriani, Andriani; Yusuf, Ah; Fitryasari, Rizki; Kadar, Kusrini S.; Basrah, Miftahul Jannah; Sarih, Karmila; Fitriani, Nurlaila; Arsyad, Dian Sidik; Setialaksana, Wirawan
Jurnal Ners Vol. 20 No. 3 (2025): VOLUME 20 ISSUE 3 (AUGUST 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i3.72926

Abstract

Introduction: This study aimed to develop a health coaching model grounded in these theoretical frameworks. Methods: An explanatory cross-sectional design was employed, involving 155 caregivers purposively recruited from seven primary health care centers in Makassar, Indonesia. Eligible participants were primary caregivers from nuclear or extended families, aged ≥18, with complete contact information, available for home visits, and referred by the mental health program coordinator. Study variables included family, caregiver, patient, nurse, and health care service factors, as well as health coaching, planned behavior, behavioral intention, and caregiver ability. Data were collected between February to June 2024 using structured questionnaires and analyzed with Partial Least Squares-Structural Equation Modeling (SmartPLS v3.8). Results: The family, patient, and nurse-related factors significantly affected health coaching. These factors, along with caregiver characteristics, also affected planned behavior, which in turn significantly influenced behavioral intention and caregiver ability. Conclusions: Health coaching directly improved caregivers’ capability. These findings highlight the importance of comprehensive health coaching and family-centered training as integral components of mental health services.
Factors associated with caregiver ability to support medication adherence among people with mental disorders: a multivariate cross-sectional study Andriani, Andriani; Yusuf, Ah; Fitryasari, Rizki; Basrah, Miftahul Jannah; Arsyad, Dian Sidik; Hariati, Suni; Erfina, Erfina; Nurmaulid, Nurmaulid; Kadar, Kusrini S.
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i1.80610

Abstract

Introduction: This study aimed to identify family, caregiver, patient, nurse, and healthcare service factors associated with caregivers’ ability to support medication adherence among relatives with mental disorders. Methods: This cross-sectional study was conducted between February and June 2024 at seven community health centers (Puskesmas) in Makassar, Indonesia. Purposive sampling was used to recruit 155 caregivers. Questionnaires were validated prior to data collection. Bivariate associations were examined using the chi-square test, and factors associated with caregivers’ ability to support medication adherence were analyzed using multivariate logistic regression. Results: The multivariate model was statistically significant (model χ²  =  42.87, p < 0.001; Nagelkerke R² = 0.32). In bivariate analyses, the caregiver’s ability to support patients’ medication adherence was associated with family functioning, caregiver factors (gender, stress, motivation, knowledge), patient factors (relapse frequency, severity level), and nurse psychological factors. In the multivariate analysis, family economic status (AOR = 0.22, 95% CI = 0.07–0.69, p = 0.010), family functioning (AOR  =  2.58, 95% CI = 1.19–5.58, p = 0.016), caregiver motivation (AOR = 0.29, 95% CI = 0.12–0.73, p = 0.008), and caregiver knowledge (AOR = 0.40, 95% CI = 0.16–0.96, p = 0.041) remained significantly associated with caregiver ability to support medication adherence. Conclusions: These results suggest that family factors and caregiver psychosocial preparedness play critical roles in facilitating adherence-related caregiving practices. Strengthening family functioning and caregiver motivation and knowledge may improve support for medication adherence.
Co-Authors Ah Yusuf, Ah Andi Miftahul Jannah, Andi Miftahul Andi Wahyuni Andriani Andriani Awaluddin Awaluddin Basrah, Miftahul Jannah Dwinata, Indra Erfina, Erfina Febrianty, Eva Ikhsan, Muh Istighfari, Andi Tizaly Nurul Jumriani Ansar Kusrini S. Kadar Makmur Selomo Muhammad Rum Rahim Nurlaila Fitriani Nurmaulid, Nurmaulid Pas, Agnes Claudia Pujianti, Kurnia Qura, Ummul Ramadhani, Kamlia Ramadhani, Nadya Salsabila Sarih, Karmila Seniwati, Tuti Setialaksana, Wirawan - Sulasning Sulasning Suni Hariati, Suni Suriah Suriah