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All Journal International Journal of Public Health Science (IJPHS) Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia LINK Public Health of Indonesia Jurnal Penelitian Kesehatan Suara Forikes Health Notions Journal Of Nursing Practice Jurnal Kebidanan Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Global Health Management Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Ilmu Keperawatan Jiwa Indonesian Journal of Nursing Research (IJNR) Jurnal Sehat Mandiri Jurnal Smart Keperawatan Jurnal SMART Kebidanan Jurnal Ilmu dan Teknologi Kesehatan Journal of Community Empowerment for Health Jurnal Ners Journal of Telenursing (JOTING) Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Indonesian Journal of Global Health research Journal of Nursing and Health (JNH) Akper Yakpermas Banyumas MAHESA : Malahayati Health Student Journal Journal of Public Health Innovation (JPHI) Open Access Health Scientific Journal Ahmar Metastasis Health Journal (AMHJ) Nursing Information Journal Jurnal Locus Penelitian dan Pengabdian Jurnal Keperawatan Physical Therapy Journal of Indonesia Strada Jurnal Ilmiah Kesehatan (SJIK) Jurnal Masyarakat Jurnal Info Kesehatan Jurnal Pengabdian Indonesia Jurnal Ilmu Keperawatan dan Kebidanan
Fery Agusman Motuho Mendrofa
Department Of Community Health Nursing, Universitas Karya Husada Semarang, Semarang, Central Java, Indonesia
Aerospace Engineering Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemistry Decision Sciences, Operations Research & Management Dentistry Education Electrical & Electronics Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Veterinary

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Journal : Jurnal Locus Penelitian dan Pengabdian

 1 
Community-Based Education Model Effect on Hypertension Patient Compliance in Majaran: a Social Ecological Approach Manurung, Romianti; Motuho Mendrofa , Fery Agusman
Jurnal Locus Penelitian dan Pengabdian Vol. 4 No. 12 (2025): JURNAL LOCUS: Penelitian dan Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v4i12.4651

Abstract

Hypertension management requires consistent medication adherence, yet compliance rates remain problematic in rural Indonesia. Social-ecological approaches that integrate multiple levels of influence may effectively address this challenge, but evidence from Eastern Indonesia remains limited. This study aimed to determine the effect of a community-based education model with a social-ecological approach on medication adherence among hypertensive patients in Puskesmas Majaran (Majaran Health Center), West Papua. A quasi-experimental study with a pre-post design was conducted, involving 60 hypertensive patients randomly assigned to intervention (n = 30) and control (n = 30) groups. The intervention group received a structured, four-stage community-based education program incorporating social-ecological principles over eight weeks, while the control group received standard care. Data were collected using the Modified Morisky Adherence Scale (MMAS-8) and analyzed using Chi-square, Wilcoxon, Mann–Whitney, and logistic regression tests. After the intervention, the experimental group showed significantly improved medication adherence (p < 0.001), with 76.7% of participants showing improvement (versus 26.7% in the control group). High adherence was achieved by 36.7% of intervention participants, while no control group participants reached high adherence. Family support was significantly associated with adherence in the intervention group (p = 0.003). The Mann–Whitney test confirmed significant differences between groups post-intervention (Z = –3.690, p < 0.001). The duration of hypertension diagnosis was not significantly associated with adherence (p = 0.954). Overall, the community-based education model with a social-ecological approach significantly improves medication adherence among hypertensive patients. This model effectively addresses multiple factors influencing adherence, particularly by strengthening family support systems. Healthcare providers should implement multi-level interventions that engage families and communities rather than focusing solely on individual patients.
Co-Authors Aditya Kartika Megantoro Agow, Liana Lidia Andriyani, Yustina Ardina, Yenli Asih Dewi Setyawati Baehaqi Bagus Widjonarko Bahroen, Siti Um-um Andriyani Bima Suryantara Budiman Budiman Chatarina U. Wahyuni Dedi, Blacius Dewi Mayangsari Dicky Dwispataru Diyanto Diyanto Domianus Namuwali Dwi Indah Iswanti Dyah Ayu Wulandari Firda Fibrila Gloria Caesar Cabral Gunarmi Gunarmi Gunarmi Gunarmi Gunarmi Gunarmi, Gunarmi Hani, Umi Hari Basuki Notobroto Hasan Machfoed Hery Ernawati, Hery Indah Wulaningsih Julius Afta Setyonugroho Juritno Harmi Gaib Kandar Kandar Kandar, Kandar Kasiyanti, Heny Khairul Huda Khairul Huda KHAIRUL HUDA, KHAIRUL Kuntoro Kuntoro Laila, Umi Lasmini Lasmini Liana Lidia Agow Mandaty, Fhandy Aldy Manurung, Romianti Meidiana Dwidiyanti Muhammad Bagus Andrianto Muhammad Muin Mujahidah, Sa'adah Murniati, Restu Myla Ristiyowati Nauw, Mariyana Ni Nyoman M A Ni Nyoman Maryaningtyas Adinatha Nia Agustiningsih Nurani, Lenina Nursalam . Nursalam Nursalam Nursalam, Nursalam Ovtalia Andriyani Pangaribuan, Ingka Kristina Patonengan, Gita Sandy PK, Rizki Fitryasari Pratama, Wisnu Puji Lestari, Sri Purdani, Kartika Setia Rachmad Hargono Rahma, Nurrulya Rita Dewi Rita Hadi Widyastuti Rita Oktaviani Rizky Fitryasari Rose Nurhudariani Rusmini Rusmini safitri, ifana Saifudin, I Made Moh. Yanuar Sari , Fitri Arumdani Mei Kumala Sarwoko Sarwoko Satria Hendrawan, Gagah Sawab Sawab Sa’adah Mujahidah Shindi Hapsari Sigarlaki, Heni Sonhaji Sonhaji Sonhaji Sonhaji Sri Puji Lestari Sri Puji Lestari Sumarmi Sumarmi Susi Nurhayati Susilowati, Kristiana Sutrisno Sutrisno Tiara, Novi Tri Ismu Pujianto Tri Ismu Pujiyanto Ucik Mulyanti Umi Hani Widiyaningsih Widyaningsih Witri Hastuti Witri Hastuti Yuni Nurhidayat